{"title":"Efficacy of adjunctive injectable platelet-rich fibrin as a first-line treatment in temporomandibular joint osteoarthritis: a retrospective cohort study","authors":"T. Tepecik, E. Gedik","doi":"10.1016/j.ijom.2025.02.012","DOIUrl":"10.1016/j.ijom.2025.02.012","url":null,"abstract":"<div><div>This study was performed to compare the outcomes of adjunctive injections (injectable platelet-rich fibrin (iPRF), hyaluronic acid (HA)) and arthrocentesis only (AO) in the treatment of temporomandibular joint osteoarthritis. The study included 127 female patients (mean age 52.3 years). None of them had undergone prior occlusal splint therapy. The pain reduction (visual analogue scale) at 12 months post-treatment was the primary outcome variable, while maximum inter-incisal opening (MIO) at all follow-ups and pain at 1 and 6 months of follow-up were secondary outcome variables. All treatment groups showed significant improvements in pain and MIO at all postoperative follow-ups compared to baseline (<em>P</em> < 0.001). iPRF and HA resulted in significantly better pain relief than AO at all follow-ups (<em>P</em> < 0.01). There was no significant difference in pain alleviation between iPRF and HA. No differences were observed among the three groups in jaw mobility (MIO) at any follow-up. Since iPRF did not provide additional benefits over HA, the two treatments may be considered as alternatives, depending on cost considerations. Of note, the treatment objectives were achieved even without previous occlusal splint use.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 7","pages":"Pages 639-646"},"PeriodicalIF":2.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the success rate, prosthesis-related quality of life, and satisfaction in patients undergoing rehabilitation with an implant-supported auricular prosthesis","authors":"H.M. Hashemi, S.K. Aval, A.M. Hashemi","doi":"10.1016/j.ijom.2025.02.006","DOIUrl":"10.1016/j.ijom.2025.02.006","url":null,"abstract":"<div><div>The aim of this study was to evaluate the success rate, prosthesis-related quality of life (QoL), and satisfaction of patients undergoing rehabilitation with endosseous implants in the auricular region. This was a retrospective mixed cohort study involving 22 consecutive eligible patients (11 female, 11 male) with ear defects, treated during 1999–2019. The variables analysed were sex, age at the time of implant placement, date of last prosthesis delivery, level of education, aetiology of the deformity, and radiation history. The questionnaire results were analysed using IBM SPSS Statistics software. The correlation between QoL and satisfaction was evaluated using the Pearson correlation coefficient. Implant success was calculated clinically using the number of integrated implants, mobility, and presence of a purulent discharge. For the 22 patients, the mean duration since prosthesis placement was 10.2 ± 5.2 years. Among 47 implants inserted, one failed because of osseointegration failure. Hence, the overall success rate of the auricular implants was 97.9%. The mean ± standard deviation total QoL score and satisfaction score were 52.5 ± 7.10 (maximum possible score 80) and 42.1 ± 6.29 (maximum possible score 55), respectively. The results demonstrate the importance of prosthetic rehabilitation for improved patient QoL and satisfaction.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 7","pages":"Pages 657-662"},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of dynamic navigation systems in dental implantology: a systematic literature review of in vitro studies","authors":"K. Matvijenko, R. Borusevičius","doi":"10.1016/j.ijom.2025.02.005","DOIUrl":"10.1016/j.ijom.2025.02.005","url":null,"abstract":"<div><div>Dynamic navigation is an innovative technology in implant surgery that enhances the precision of implant placement through real-time guidance for clinicians. This technology allows on-the-spot adjustments during surgery, reducing the risk of complications and improving implant outcomes. The aim of this systematic review was to assess the accuracy of various dynamic navigation systems in implant placement using in vitro models. A comprehensive literature search was performed across several databases, focusing on studies published between 2016 and 2024 that reported three-dimensional (3D) and angular deviations. Seven in vitro studies were included, analysing five dynamic navigation systems (ImplaNav, Navident, Denacam, X-Guide, and DCARER), with 649 implants evaluated. Results showed mean coronal 3D deviations between 0.46 mm and 1.58 mm, while apical deviations ranged from 0.48 mm to 2.12 mm. Angular deviations varied between 1.01° and 4.24°. Maximum deviations reached up to 4.80 mm for coronal 3D deviation and 10.70° for angular deviation. All systems demonstrated high accuracy within clinically acceptable limits, with X-Guide showing the lowest numerical errors. Factors like tracking technology, calibration methods, and user experience were found to influence accuracy. Overall, dynamic navigation significantly improves implant placement accuracy compared to freehand methods but remains dependent on technical factors.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 7","pages":"Pages 647-656"},"PeriodicalIF":2.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Shahraki , A.H. Khazaei , S. Hakimi , M. Hasheminasab , S.A. Haradasht
{"title":"Effect of chlorhexidine, povidone-iodine, and hydrogen peroxide irrigation on pain and swelling after mandibular third molar surgery: randomized controlled trial","authors":"M. Shahraki , A.H. Khazaei , S. Hakimi , M. Hasheminasab , S.A. Haradasht","doi":"10.1016/j.ijom.2025.01.021","DOIUrl":"10.1016/j.ijom.2025.01.021","url":null,"abstract":"<div><div>The objective of this study was to compare the effects of irrigation solutions containing chlorhexidine, povidone-iodine, or hydrogen peroxide on pain and swelling following mandibular third molar surgery. This prospective randomized controlled trial employed a single-blind design. Overall, 112 patients were randomized to four groups based on the antiseptic assigned for the intervention: control, chlorhexidine (CHX), povidone-iodine (PI), and hydrogen peroxide (HP). The patients were followed up on days 1, 3, 7, and 15 after surgery, and pain and swelling were assessed. Data were analysed using ANOVA and post hoc multiple comparison tests. The CHX and HP groups demonstrated significantly lower mean pain scores compared to the control group on days 3 (<em>P</em> = 0.021, <em>P</em> = 0.033) and 7 (<em>P</em> = 0.002, <em>P</em> = 0.017). Regarding the difference in swelling from baseline (before surgery) on each follow-up day, the CHX and HP groups showed significantly less swelling compared to the control group on days 1 (<em>P</em> = 0.023, <em>P</em> = 0.012), 3 (<em>P</em> = 0.007, <em>P</em> = 0.001), and 7 (<em>P</em> = 0.002, <em>P</em> = 0.018). Moreover, the CHX and HP groups demonstrated significantly lower mean swelling changes from baseline compared to PI: CHX vs PI on day 7 (<em>P</em> = 0.032), HP vs PI on day 1 (<em>P</em> = 0.037). In conclusion, chlorhexidine and hydrogen peroxide solutions are highly beneficial options for socket irrigation following mandibular third molar surgery. This study showed a more prominent reduction in pain and swelling with chlorhexidine and hydrogen peroxide solutions compared to povidone-iodine solution.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 7","pages":"Pages 677-683"},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Franke , J.B. Matschke , P. Sembdner , A. Seidler , N.M.H. McLeod , H. Leonhardt
{"title":"Long-term outcomes of open treatment of condylar head fractures using cannulated headless bone screws—a retrospective analysis","authors":"A. Franke , J.B. Matschke , P. Sembdner , A. Seidler , N.M.H. McLeod , H. Leonhardt","doi":"10.1016/j.ijom.2025.01.018","DOIUrl":"10.1016/j.ijom.2025.01.018","url":null,"abstract":"<div><div>The treatment of mandibular fractures affecting the condylar head (CHF) can be either closed or open. In the case of an open approach, the headless bone screw (HBS) is an option. This study was performed to investigate the efficacy of osteosynthesis with HBS using three-dimensional radiographic imaging and clinical evaluation over long-term follow-up. This was a single-centre retrospective study. Clinical parameters and three-dimensional radiographic scans were collected during follow-up, DICOM datasets were segmented, and model analysis was conducted. Forty-five patients who received a HBS and met the eligibility criteria were included. There were significant improvements in all clinical parameters (mouth opening, protrusion, laterotrusion; all <em>P</em> < 0.05) except for the laterotrusion of the unaffected side (<em>P</em> = 0.071). Mean volume and surface area changes (from postoperative (mean 1.9 days) to final follow-up (mean 1675 days)) were 127.2 mm<sup>3</sup> and −22.4 mm<sup>2</sup>, respectively, and were not statistically significant (<em>P</em> = 0.18 and <em>P</em> = 0.51). There were radiographic signs of condylar remodelling. Nine HBS in nine patients required removal due to the screw penetrating the articular surface of the healing condylar head. This single-centre retrospective study found good functional outcomes using HBS for CHF, with a screw removal rate of 20%.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 7","pages":"Pages 598-606"},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}