Y. Weinberg , G. Audino , A. Aksu , F. Reinauer , A. Diez-Fraile , G.R.J. Swennen
{"title":"Beta-tricalcium phosphate patient-specific gap implants in bilateral sagittal split osteotomy: an innovative treatment method to enhance the mandibular border contour. Part 2: accuracy and quantitative assessment","authors":"Y. Weinberg , G. Audino , A. Aksu , F. Reinauer , A. Diez-Fraile , G.R.J. Swennen","doi":"10.1016/j.ijom.2025.06.003","DOIUrl":"10.1016/j.ijom.2025.06.003","url":null,"abstract":"<div><div>In the first part of this study (Part 1), the use of beta-tricalcium phosphate patient-specific gap implants (β-TCP gap-PSIs) during bilateral sagittal split osteotomy<span><span> (BSSO) showed potential in preventing antegonial notching. The second part of the study was performed to evaluate the accuracy of β-TCP gap-PSIs placement within the BSSO gaps and to conduct a long-term quantitative assessment. Twelve patients who received β-TCP gap-PSIs between July 2017 and July 2018 were followed radiologically for 3–4 years (mean 45.7 ± 7.9 months). Cone beam computed tomography was used to perform 3D </span>cephalometry<span>, densitometry<span><span> analyses and 3D voxel-based superimposition. The minimally invasive cutting guides effectively reproduced the intended positions and inclinations of the buccal corticotomies, although minor deviations were noted in advancement gaps and vertical implant positioning. Densitometry showed that β-TCP grafts underwent gradual resorption and were progressively replaced by native bone extending to the mandibular lower border. These results support the use of β-TCP gap-PSIs during BSSO as a reliable approach to prevent antegonial notching and preserve mandibular contour. Furthermore, the illusion of </span>premature aging caused by alterations of the soft issue drape by the antegonial notch could be avoided, therefore improving the long-term aesthetic outcome.</span></span></span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 43-52"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532010","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":"Comment on “Outcomes of implants placed in sites of previously failed implants: a systematic review and meta-analysis”","authors":"S. Kumar , R. Mehta , R. Sah","doi":"10.1016/j.ijom.2025.06.002","DOIUrl":"10.1016/j.ijom.2025.06.002","url":null,"abstract":"","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 137-138"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251584","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":"Comparative evaluation of bovine versus porcine bone xenografts in maxillary sinus floor augmentation: a systematic review and meta-analysis","authors":"S. Shi, Z. Li, J. Su, L. He, J. Guo, W. Zhang","doi":"10.1016/j.ijom.2025.05.011","DOIUrl":"10.1016/j.ijom.2025.05.011","url":null,"abstract":"<div><div><span><span>Deproteinized bovine bone mineral (DBBM) and deproteinized porcine bone mineral (DPBM) are two commercially available xenografts<span><span> that may be used in maxillary sinus floor augmentation<span> (MSFA). The aim of this study was to compare the efficacy of these two xenografts in MSFA. An electronic search (Embase, </span></span>PubMed<span>, Cochrane Central Register of Controlled Trials, and Web of Science) and manual search were conducted up until March 2025. Eligible </span></span></span>randomized controlled trials (RCTs) were included in the analysis. The Cochrane risk of bias tool was used to evaluate the risk of bias in individual studies. Relevant data were extracted and meta-analyses performed whenever possible. Of the 707 studies identified in the search, six RCTs were included for analysis. Meta-analysis did not show any significant difference in the percentage of new bone formation between MSFA with DBBM and DPBM (mean difference −0.53, 95% confidence interval −1.64 to 0.58; </span><em>P</em><span> = 0.35), or in the proportion of residual bone graft (mean difference −2.35, 95% confidence interval −7.39 to 2.70; </span><em>P</em><span> = 0.36). However, DPBM tended to show increased resorption characteristics compared to DBBM. In conclusion, DPBM and DBBM showed similar new bone formation and residual graft particles when used for maxillary sinus floor augmentation.</span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 110-119"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334677","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":"Comment on: “Deep convolutional neural network for automatic segmentation and classification of jaw tumors in contrast-enhanced computed tomography images”","authors":"C.M. Ardila , P.K. Yadalam","doi":"10.1016/j.ijom.2025.01.020","DOIUrl":"10.1016/j.ijom.2025.01.020","url":null,"abstract":"","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 133-134"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375061","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.B. Urs , J. Augustine , P. Kumar , S. Mohanty , S. Jha
{"title":"Papilliferous keratoameloblastoma: a case report with review of the literature","authors":"A.B. Urs , J. Augustine , P. Kumar , S. Mohanty , S. Jha","doi":"10.1016/j.ijom.2025.07.006","DOIUrl":"10.1016/j.ijom.2025.07.006","url":null,"abstract":"<div><div>Ameloblastoma is the most common benign odontogenic tumour of the jaw bones and it exhibits a wide range of histopathological patterns. Papilliferous keratoameloblastoma (PKA), a rare variant of ameloblastoma, is characterized by the presence of papilliferous proliferations of the odontogenic epithelium, along with surface keratinization and keratin accumulation that may occur within the stroma. This report presents a rare case of PKA in a 44-year-old male patient who presented due to a recurrent exophytic growth in the right posterior mandible. A panoramic radiograph showed a well-defined multilocular radiolucency extending from the right body of the mandible to the anterior two-thirds of the ramus of the mandible. Analysis of an incisional biopsy of the cauliflower-like growth revealed a plexiform ameloblastoma with extraosseous extension. The growth enlarged again during the next 3 months and the patient was then operated on. The patient underwent resection of the right posterior mandible involving the second molar and ramus up to the coronoid, followed by stabilization of the mandible with a titanium plate. The final diagnosis of PKA was made on the basis of the unique histopathological features. A review of the literature on cases of PKA is included.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1171-1176"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791044","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":"Effective treatment of multiple oral mucoceles","authors":"J. Wang , F. Lin , Y. Liu , X. Guan","doi":"10.1016/j.ijom.2025.07.012","DOIUrl":"10.1016/j.ijom.2025.07.012","url":null,"abstract":"<div><div>Multiple oral mucoceles, in contrast to a solitary mucocele, often present with significant foreign body sensations and pain. This rare clinical manifestation is a challenge to clinicians regarding treatment options. This report describes a rare case characterized by the presence of more than 100 painful mucoceles on the oral mucosa. The patient showed a substantial improvement following treatment including oral prednisone and topical tacrolimus and triamcinolone acetonide. Notably, no noticeable recurrence was observed at the 1-year follow-up. To date, there are no similar documented cases displaying such a favourable therapeutic outcome. These findings emphasize the importance of delivering symptomatic treatment for challenging and persistent diseases.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1182-1186"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796522","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 effect of the neutrophil-to-lymphocyte ratio on facial oedema after orthognathic surgery: a 12-month follow-up study","authors":"C. Varol, Y. Fındık, T. Baykul","doi":"10.1016/j.ijom.2025.04.004","DOIUrl":"10.1016/j.ijom.2025.04.004","url":null,"abstract":"<div><div><span><span>Orthognathic surgery to correct </span>dentofacial deformities<span> has been performed safely for many years. Postoperative facial oedema<span><span> occurs to varying degrees in almost all patients. The aim of this study was to evaluate the relationship between the preoperative neutrophil-to-lymphocyte ratio (NLR) and the severity of postoperative facial oedema using 3D </span>stereophotogrammetry. Thirty patients (Le Fort I + BSSO) were included in this study. They were divided into two groups according to their NLR: ≥2.00 (</span></span></span><em>n</em> = 13) and <2.00 (<em>n</em> = 17). Patients were followed for 12 months and facial oedema was measured on days 1, 2, 3 and 10, and months 1 and 6, using the 12-month image as the reference. Postoperative facial oedema was significantly greater in the NLR ≥2.00 group in the first 10 days (days 1, 2, 3, 10: <em>P</em> = 0.011, <em>P</em> = 0.010, <em>P</em> = 0.040, <em>P</em> = 0.032), while no significant difference was observed for the long-term measurements (months 1, 6: <em>P</em> = 0.693, <em>P</em><span> = 0.374). The results of this study suggest that NLR may serve as a potential biomarker to predict the severity of postoperative facial oedema and may assist clinicians in their decision-making process when managing the postoperative inflammatory response.</span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1187-1194"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012155","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}
F. Melhem-Elias, B.A.Q. Reis, N.K. de Oliveira, R. Grillo
{"title":"Eminectomy performed through an innovative digital workflow","authors":"F. Melhem-Elias, B.A.Q. Reis, N.K. de Oliveira, R. Grillo","doi":"10.1016/j.ijom.2025.07.013","DOIUrl":"10.1016/j.ijom.2025.07.013","url":null,"abstract":"<div><div>Eminectomy has been a well-established surgical procedure for the management of recurrent temporomandibular joint (TMJ) dislocation for over seven decades. This paper presents a digital workflow designed to enhance the surgical precision and safety of eminectomy. A 22-year-old female patient with recurrent TMJ dislocation underwent bilateral eminectomy. The patient’s medical history included myasthenia gravis, which was considered in the surgical planning. A digitally designed cutting guide and depth template were created using Dolphin Imaging 11.95 software and subsequently produced via 3D-printing. The eminectomy was performed using a piezoelectric device, with the cutting guide ensuring a precise osteotomy and the depth template limiting bone removal to the necessary extent. The use of these digitally planned instruments facilitated a more efficient procedure compared to previous eminectomies performed by the same surgeon. Furthermore, the preoperative digital workflow enhanced the surgical safety by protecting the adjacent neurovascular structures through the customized cutting guide and depth template. In conclusion, digitally planned and 3D-printed surgical guides are valuable tools that may significantly improve the precision, efficiency, and safety of eminectomy.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1204-1207"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812750","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":"Mandibular reconstruction with a custom-made CAD/CAM porous titanium prosthesis in a 10-year-old patient and the long-term prognosis","authors":"Y. Wang , T. Wu , Z. Shang , Z. Shao","doi":"10.1016/j.ijom.2025.07.005","DOIUrl":"10.1016/j.ijom.2025.07.005","url":null,"abstract":"<div><div>Reconstruction of the mandible in growing patients following mandibulectomy is crucial for minimizing deformities and disabilities. Surgeons have been exploring various methods for mandibular reconstruction in growing patients. This case report describes the use of a custom-made CAD/CAM porous titanium prosthesis for mandibular reconstruction after the resection of ameloblastoma in a growing child, where the condylar process on the affected side was preserved. This approach avoided harvesting from a secondary donor site, such as the fibula or iliac crest. Preoperative virtual surgical planning was utilized to design the mandibular osteotomy and titanium prosthesis placement. The prosthesis featured a lightweight design with cellular lattice structures and was fabricated using 3D printing. The lesion was excised through a segmental mandibulectomy, preserving the neck and head of the condyle. Simultaneous reconstruction with the titanium prosthesis was performed. Postoperative follow-up for 45 months revealed no titanium prosthesis-related complications. The growth of the condyle on the affected side was significant, and the bilateral mandibular rami were nearly symmetrical. The patient’s facial appearance was satisfactory. Oral functions, including speech and mastication, were satisfactory, and the occlusion was maintained without interference.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1147-1151"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710397","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}