Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Is Postoperative Steroid Use Associated With Improved Outcomes in Severe Odontogenic Infections?","authors":"Brian J. Christensen DDS, MD ,&nbsp;Earl Peter Park DMD, MD","doi":"10.1016/j.joms.2025.03.014","DOIUrl":"10.1016/j.joms.2025.03.014","url":null,"abstract":"<div><h3>Background</h3><div>The use of steroids as an adjunctive therapy in odontogenic infections is common, but few studies have focused on the effect of steroids in improving outcomes in these infections.</div></div><div><h3>Purpose</h3><div>The purpose of the study was to measure the association between postoperative steroid use and length of stay (LOS) and reoperation among patients with severe odontogenic infections.</div></div><div><h3>Study design, setting, sample</h3><div>The authors conducted a prospective cohort study consisting of all adult patients treated in the operating room for an odontogenic infection from August 1, 2019, to December 31, 2022, at University Medical Center of New Orleans. Patients were excluded if an odontogenic source could not be confirmed.</div></div><div><h3>Predictor variable</h3><div>The predictor variable was the use of steroids postoperatively (after conclusion of surgery until discharge), coded as a yes or no.</div></div><div><h3>Main outcome variable</h3><div>The outcome variables were total LOS, postsurgical LOS, and reoperation.</div></div><div><h3>Covariates</h3><div>The covariates were demographics, medical history, exam findings, diagnosis, and treatment-related variables.</div></div><div><h3>Analyses</h3><div>Descriptive and bivariate analyses were performed, as well as linear regression analyses. A <em>P</em> value of ≤ .05 was considered significant.</div></div><div><h3>Results</h3><div>The study sample consisted of 240 patients with a mean age of 40.3 ± 14.5 years and a sex distribution of 57.5% (138) male and 42.5% (102) female. Steroids were used in 114 patients (47.5%) postoperatively. The mean total LOS and postsurgical LOS were 3.7 ± 2.4 days and 3.1 ± 2.4 days, respectively. Reoperation was performed for 12 (5.0%) patients. Postoperative steroid use group was not significantly associated with total LOS (3.7 ± 2.6 days vs 3.6 ± 2.2 days, <em>P</em> = .59), postsurgical LOS (3.3 ± 2.6 days vs 2.9 ± 2.1 days, <em>P</em> = .13), or reoperation (58.3 vs 41.7%, <em>P</em> = .56) for the group that received steroids versus those that did not, respectively.</div></div><div><h3>Conclusions and relevance</h3><div>Postoperative steroid use was not associated with reduced LOS, postsurgical LOS, or reoperation in patients with severe odontogenic infections.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 897-905"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998631","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 Autogenous Tooth Graft With Polylactic Co-Glycolic Acid in Postextraction Socket for Alveolar Ridge Preservation: A Randomized Control Trial","authors":"Harshad Sharma MDS ,&nbsp;Amit Gupta MDS ,&nbsp;Birsubhra Roy MDS ,&nbsp;Aviral Verma MDS (OMS) ,&nbsp;Mansi Dey MDS (OMS) ,&nbsp;Amit Sarkar MDS","doi":"10.1016/j.joms.2025.03.018","DOIUrl":"10.1016/j.joms.2025.03.018","url":null,"abstract":"<div><h3>Background</h3><div>Preservation of alveolar ridge is required postextraction of tooth. Traditional bone graft materials such as autografts, allografts, xenografts, and alloplasts have been used for this purpose.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to measure and compare clinical and radiographic parameters of autogenous tooth graft (ATG) versus resorbable bioscaffold polylactic co-glycolic acid (PLGA) for alveolar ridge preservation.</div></div><div><h3>Study Design, Setting, and Sample</h3><div>A prospective randomized controlled double-blind trial was conducted on patients who reported to our Department from 2019 to 2022 for the extraction of endodontically or periodontically compromised single rooted teeth. Patients with age &gt;60 years, pregnant or lactating females, those with systemic and autoimmune diseases, parafunctional habits, history of tobacco or alcohol, and those on radiotherapy or chemotherapy in the last 12 months were excluded.</div></div><div><h3>Predictor Variables</h3><div>The predictor variable was the alveolar ridge preservation techniques and the subjects were randomly assigned to autogenous tooth grafting (ATG) and PLGA group.</div></div><div><h3>Main Outcome Variables</h3><div>Main outcome variables were clinical and radiographic dimensions of alveolar ridge on postoperative day 1 and 6 months after grafting. The secondary outcomes were complications.</div></div><div><h3>Covariates</h3><div>The demographic details were age and gender.</div></div><div><h3>Analyses</h3><div>Bivariate analyses were performed using the parametric tests, ie, paired <em>t</em>-test and independent <em>t</em>-test for intragroup and intergroup comparison respectively, with level of statistical significance set at <em>P</em> value ≤ .05.</div></div><div><h3>Results</h3><div>The study sample was composed of 20 subjects with a mean age of 47.40 ± 13.94 years. 45% (n = 9) were males and 55% (n = 11) females. On comparing bone levels, we found statistically significant difference in the horizontal dimension in the apical third between the 2 groups after 6 months of grafting (<em>P</em> = .01). There was also a statistically significant increase in the dimensions of alveolar ridge from baseline to 6 months in both the groups. No complications like wound dehiscence or presence of pus discharge were observed in Group A, while there was failure of regeneration in 2 patients in Group B.</div></div><div><h3>Conclusion and Relevance</h3><div>The results suggest that ATG may be better than PLGA for socket grafting due to lower risk of complications.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 885-896"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022909","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":"Is Low-Level Laser Treatment Effective in Reducing Pain, Swelling, and Trismus After Removing Impacted Maxillary and Mandibular Third Molars?","authors":"Esra Sekerci ,&nbsp;Mona Schiefersteiner ,&nbsp;Daniel Wiedemeier ,&nbsp;Silvio Valdec","doi":"10.1016/j.joms.2025.03.017","DOIUrl":"10.1016/j.joms.2025.03.017","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The most common side effects of wisdom teeth removal are postoperative pain, swelling, and trismus. The efficacy of low-level laser treatment (LLLT) in reducing these side effects remains controversial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The purpose of this study was to evaluate the effectiveness of LLLT on pain, swelling and trismus after surgical removal of upper and lower wisdom teeth. The investigators hypothesize that the use of LLL will reduce pain, swelling and trismus compared to the mouth side treated with placebo laser (PL).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design&lt;/h3&gt;&lt;div&gt;This double-blind, randomized, split-mouth study involved 20 (100%) healthy patients aged 18 to 24 years with asymptomatic impacted maxillary and mandibular third molars. Exclusion criteria included pregnant or lactating women, smokers, noncompliant patients, those with infectious diseases, anticoagulated patients, or those with intraoperative oral-antrum connection or previous pericoronitis. The study was conducted at the Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Switzerland.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor variable&lt;/h3&gt;&lt;div&gt;The predictor variable is the therapeutic intervention, LLL versus PL. Treatments were randomly assigned to LLL (ORCOS Medical AG, LASOTRONIC, Küsnacht, Switzerland) or PL.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Outcome variable&lt;/h3&gt;&lt;div&gt;The primary outcome was pain 3 days postoperatively and the secondary outcomes were swelling and trismus 3 and 7 days postoperatively after wisdom teeth removal. Pain was measured using a visual analog scale, swelling was measured with an extraoral 3-dimensional scanner, and mouth opening with a ruler. The measurements were taken preoperatively and 3 and 7 days postoperatively. Age and sex were similar between the groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;The covariates were age and sex.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;A 2-sided Wilcoxon signed-rank test with a significance level α = 0.05 was used.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample included 20 (100%) subjects with a mean age of 20.4 years (±1.9), 11 (55%) of whom were female. On day 3, the median pain score was 2.5 (interquartile range [IQR]: 3) in the LLLT group and 2.0 (IQR = 2.3) in the PL group (&lt;em&gt;P&lt;/em&gt; = .5). The median swelling was 10,697 mm&lt;sup&gt;3&lt;/sup&gt; (IQR = 11,234 mm&lt;sup&gt;3&lt;/sup&gt;) in LLLT versus 13,407 mm&lt;sup&gt;3&lt;/sup&gt; (IQR = 11,308 mm&lt;sup&gt;3&lt;/sup&gt;) in PL group on day 3 (&lt;em&gt;P&lt;/em&gt; = .1) and 2,379 mm&lt;sup&gt;3&lt;/sup&gt; (IQR = 4,322 mm&lt;sup&gt;3&lt;/sup&gt;) in LLLT versus 1,553 mm&lt;sup&gt;3&lt;/sup&gt; (IQR = 3,079 mm&lt;sup&gt;3&lt;/sup&gt;) in PL group on day 7 (&lt;em&gt;P&lt;/em&gt; = .6). The median trismus was 35 mm (IQR = 9.8 mm) in LLLT versus 35.5 mm (IQR 9.5 mm) in PL group on day 3 (&lt;em&gt;P&lt;/em&gt; = .7), and 43.5 mm (IQR = 11.3 mm) in LLLT versus 48 mm (IQR = 13 mm) in PL group on day 7 (&lt;em&gt;P&lt;/em&gt; = .9).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Postoperative LLLT showed no statistically significant benefits in redu","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 874-884"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013045","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":"Oral Maxillofacial Surgery Residency Programs: It Is Time for Open and Clear Parental Leave Policies","authors":"Phillip Evalen BS ,&nbsp;Jennifer Caughey DMD, MD ,&nbsp;Neeraj Panchal DDS, MD, MA","doi":"10.1016/j.joms.2025.02.015","DOIUrl":"10.1016/j.joms.2025.02.015","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 783-784"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523985","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":"What Color Is Your Grass?","authors":"Jasjit Dillon MBBS, DDS (Section Editor)","doi":"10.1016/j.joms.2025.04.024","DOIUrl":"10.1016/j.joms.2025.04.024","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 781-782"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523984","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":"July 2025 AAOMS News and Announcements","authors":"","doi":"10.1016/j.joms.2025.04.007","DOIUrl":"10.1016/j.joms.2025.04.007","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 911-915"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524114","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":"Is Abobotulinum A Superior to Onabotulinum A in Reducing Pain in Patients With Nocturnal Bruxism?","authors":"Fatih Asutay DDS, PhD ,&nbsp;Hilal Asutay DDS, PhD ,&nbsp;Ahmet Hüseyin Acar DDS, PhD","doi":"10.1016/j.joms.2025.04.004","DOIUrl":"10.1016/j.joms.2025.04.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Botulinum toxin has been used to treat myofascial pain and nocturnal bruxism. It remains unclear whether there is a difference in efficacy between different BTX subtypes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The purpose of this study was to measure the changes in pain and maximum incisal opening in subjects with nocturnal bruxism who received either Abobotulinum A (ABA) or Onabotulinum A (OBA) and determine which is faster and longer-acting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design, Setting, Sample&lt;/h3&gt;&lt;div&gt;The researchers implemented a retrospective cohort study. Subjects presenting to Uzman Dentaclinic outpatient clinic in Bursa, Turkey, with nocturnal bruxism between June 2023 and June 2024 were identified from a review of the electronic medical record. Subjects with systemic diseases, taking active medications and undergoing psychotherapy were excluded from the study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor Variable&lt;/h3&gt;&lt;div&gt;The predictor variable was the treatment assigned to the subjects received either ABA or OBA injections.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Variable(s)&lt;/h3&gt;&lt;div&gt;The primary outcome variable is therapeutic response as evidenced by changes in preoperative and postoperative pain score and maximum mouth opening. The secondary outcomes were the time to onset and duration of therapeutic response.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;The covariates included demographics (age, sex) and preoperative (duration of complaint) variables. The postoperative covariates were postinjection discomforts and complications.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;χ&lt;sup&gt;2&lt;/sup&gt; tests were used to analyze categorical data. Unpaired &lt;em&gt;t&lt;/em&gt;-tests, Friedman test and Mann–Whitney U test were used to analyze continuous data. Results were considered significant at a &lt;em&gt;P&lt;/em&gt; value of &lt;.05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample included 100 subjects with a mean age of 35.32 ± 9.11 years (OBA group, 33.78 ± 8.36 years; ABA group, 36.86 ± 9.64 years) (&lt;em&gt;P&lt;/em&gt; = .09). There were 8 men (16%) and 42 women (84%) in the OBA group, and 10 men (20%) and 40 women (80%) in the ABA group (&lt;em&gt;P&lt;/em&gt; = .6). There were no statistically significant differences between the groups in terms of visual analog scale scores and maximum mouth opening values at 2 weeks, 1 month, 3 months, 4 months, and 6 months (&lt;em&gt;P&lt;/em&gt; ˃ .05). The ABA and OBA groups showed statistically significant differences in the onset of the treatment effect (11.18 ± 2.93 days [95% CI: 10.36 to 11.99] vs 8.69 ± 2.7 days [95% CI: 7.94 to 9.44]; &lt;em&gt;P&lt;/em&gt; ˂ .05) and its duration (5.11 ± 1.19 months [95% CI: 4.78 to 5.43] vs 7.14 ± 1.71 months [95% CI: 6.66–7.61]; &lt;em&gt;P&lt;/em&gt; ˂ .05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The ABA group demonstrated an earlier onset and longer duration of the treatment effect. However, both types of BTX-A products, which are commonly used in dental clinics, provided statistically significant outcomes in terms of pain and maximum mouth op","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages 790-796"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025081","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":"Editorial Board Page","authors":"","doi":"10.1016/S0278-2391(25)00286-1","DOIUrl":"10.1016/S0278-2391(25)00286-1","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Page A2"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523981","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":"AAOMS Author Disclosure forms","authors":"","doi":"10.1016/S0278-2391(25)00288-5","DOIUrl":"10.1016/S0278-2391(25)00288-5","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Pages A6-A8"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523983","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":"RE: “Coronectomy in Lower Third Molar Surgery: A Systematic Review and Meta-analysis”","authors":"Srinivedha Cholappadi Vijayakumar MDS,&nbsp;Rinku Kurian George MDS,&nbsp;Raja Sethupathy Cheeman MDS","doi":"10.1016/j.joms.2025.02.016","DOIUrl":"10.1016/j.joms.2025.02.016","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 7","pages":"Page 787"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523987","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}