Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Effectiveness of Concentrated Growth Factor on Improving Postoperative Comfort in Patients Undergoing Coronectomy for Impacted Lower Third Molars: A Double-Blinded Split-Mouth Randomized Controlled Clinical Study.","authors":"Muharrem Ergun Dudak, Aylin Calis, Huseyin Koca","doi":"10.1016/j.joms.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.joms.2025.03.005","url":null,"abstract":"<p><strong>Background: </strong>Following coronectomy, pain and edema are adverse side effects. Concentrated growth factor (CGF) is recognized for its potential to enhance wound healing, reduce inflammation and may help to improve postoperative comfort following coronectomy.</p><p><strong>Purpose: </strong>The study purpose was to measure and compare postoperative pain and edema between CGF and control treatments in patients undergoing bilateral coronectomies.</p><p><strong>Study design, setting, and sample: </strong>In this split-mouth, double-blind, randomized controlled study conducted at Ege University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery in Izmir, Turkey, patients aged 18 to 65 years at risk of mandibular nerve injury underwent bilateral coronectomy. Patients over 65 years of age or those with systemic conditions contraindicating surgery were excluded. Patients and the researcher responsible for data collection and analysis were blinded to the intervention.</p><p><strong>Independent variable: </strong>The independent variable was wound management. Within subjects, the treatment sides were randomly assigned to CGF treatment or control.</p><p><strong>Main outcome variable: </strong>The outcome variable was postoperative comfort measured using pain and edema. Pain was measured using the visual analog scale for 7 days after surgery. Edema was quantified in millimeters in 3 planes preoperatively and on postoperative days 2 and 7.</p><p><strong>Covariates: </strong>Age, sex, and depth of impaction were covariates.</p><p><strong>Analyses: </strong>The conformity of edema measurements to normal distribution was assessed with the Shapiro-Wilk test, analysis of variance for repeated measures and Bonferroni correction, and supported by paired two-sample t test (significant interaction); since pain levels did not fit the normal distribution (ordinal scale), the nonparametric Brunner and Langer model (LD-F2) and Benjamini-Hochberg procedure were used. Statistical significance was defined as (P < .01).</p><p><strong>Results: </strong>The sample included 35 subjects, comprising 12 (34.3%) males and 23 (65.7%) females, with a mean age of 32.7 ± 11.42 (standard deviation). Visual analog scale scores were significantly lower on the CGF side for the first 6 days (P < .001) but not on day 7 (P = .6). Postoperative second day edema was statistically significantly lower in the 2 planes on the CGF side (P < .001, P = .007, P = .8) but not on day 7 in any plane (P = .5, P = .8, P = .1).</p><p><strong>Conclusions and relevance: </strong>Our study shows that CGF enhances postoperative comfort by minimizing pain and edema. Additional interventions may be necessary for patients undergoing coronectomy due to the potential for significant postoperative discomfort.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743044","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 Lingual Fracture Pattern Following Sagittal Split With the 'Low and Short' Medial Osteotomy.","authors":"Collin Ritchie, Lauren Hayes, Guihua Zhai, Brian E Kinard","doi":"10.1016/j.joms.2025.03.002","DOIUrl":"10.1016/j.joms.2025.03.002","url":null,"abstract":"<p><strong>Background: </strong>The lingual split scale (LSS) following sagittal ramus osteotomy (SRO) is an objective scale where LSS1 to 3 are variations of a favorable split, while LSS4 is an unfavorable split. LSS influences postoperative bone overlap, posterior interferences, and fixation methods. There is currently no study evaluating LSS following SRO using the low and short medial osteotomy modification.</p><p><strong>Purpose: </strong>The purpose of this study is to describe the lingual fracture pattern of the distal segment through the LSS following SRO using the low and short medial osteotomy modification.</p><p><strong>Study design, setting, and sample: </strong>A retrospective cohort study of subjects undergoing SRO with the low and short medial osteotomy by a single surgeon at The University of Alabama at Birmingham between February 2020 and July 2024. Subjects with incomplete records were excluded.</p><p><strong>Predictor variables: </strong>Anatomic predictor variables were ramus width and length and the vertical height of the lingula. Procedural predictor variables were height and angle of the medial osteotomy, medial osteotomy relative to the lingula and to the mandibular canal, and third molar removal at the time of SRO.</p><p><strong>Main outcome variable: </strong>The primary outcome variable was the LSS. LSS1 to 3 are variations of a favorable SRO split, while LSS4 is unfavorable.</p><p><strong>Covariates: </strong>Covariates include age, sex, and previous mandibular osteotomies.</p><p><strong>Analyses: </strong>The significance level was defined as P < .05. Multivariate regression analyses assessed variables that were near statistically significant (P < .2). Hemimandibles were correlated and the subject factor was accounted for using generalized estimating equations.</p><p><strong>Results: </strong>The study sample had 210 subjects (419 hemimandibles). LSS variations of favorable splits resulted in 263 (62.8%) vertical fractures (LSS1), 8 (1.9%) horizontal fractures (LSS2), and 139 (33.2%) fractures along the mandibular canal (LSS3). Nine (2.2%) unfavorable splits (LSS4) were present. No variables were found to be significantly associated with unfavorable fractures (LSS4).</p><p><strong>Conclusions and relevance: </strong>SRO using the low and short medial osteotomy resulted in predictable LSS patterns. Favorable fracture patterns (LSS1 to 3) were present in 97.8% (410) of SROs, while unfavorable fracture patterns (LSS4) were present in 2.2% (9). No variables were identified to be significantly associated with unfavorable fracture (LSS4).</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730535","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":"Aromatherapy on Anxiety, Pain, and Quality of Life Following Surgery of Mandibular Third Molars: A Randomized, Double-Blind Clinical Trial.","authors":"Ylana Rosa Matos, Maria Fernanda da Silva Nascimento, Maria Clara Mendes Gomes, João Emanuel Sousa de Almeida, Paulo Goberlânio de Barros Silva, Edson Luiz Cetira Filho","doi":"10.1016/j.joms.2025.03.003","DOIUrl":"10.1016/j.joms.2025.03.003","url":null,"abstract":"<p><strong>Background: </strong>The control of anxiety is significant in the management of mandibular third molar removal surgery and may impact patients' pain.</p><p><strong>Purpose: </strong>This study aimed to measure the effects of aromatherapy on the control of anxiety, pain, and quality of life in lower third molar removal surgery.</p><p><strong>Study design: </strong>From 2023 to 2024, a double-blinded randomized clinical trial was performed on patients with indications for removal of unilateral mandibular third molars at our institution. Subjects were excluded if they received additional mandibular teeth extractions, were unable to complete the questionnaire, or had medical contraindications.</p><p><strong>Predictor variable: </strong>The predictor variable is aromatherapy exposure, and subjects were randomly assigned to lavender oil or distilled water. Each patient underwent an aromatherapy session in a closed room, with the diffuser turned on 30 minutes before the patient's entry following its use during the operation.</p><p><strong>Main outcome variables: </strong>The outcome variables were pain measured using a visual analog scale, anxiety measured using the Dental Anxiety Scale questionnaire, and quality of life measured using the Oral Health Impact Profile questionnaire. The outcomes were measured preoperatively and 7 days after the operation.</p><p><strong>Covariates: </strong>The covariates are hemodynamic parameters, sex, age, race, educational level, and family income.</p><p><strong>Analyses: </strong>Mann-Whitney independent test (between groups) or Friedman/Dunn and Wilcoxon's test (intragroup analysis); the statistical significance was set at P < .05.</p><p><strong>Results: </strong>The study sample included 32 patients (17 female [53%] and 15 male [47%], mean age 24.72 ± 4.63 years). The peak of pain in both groups was observed 2 hours after surgery, with a reduction after 12 hours, and there were no differences between the 2 groups about pain (P = .9). Regarding anxiety control and hemodynamic parameters, there was an improvement in both groups, with a reduction of 2 points in the score (P = .011).</p><p><strong>Conclusions: </strong>Aromatherapy is not statistically significantly effective compared to distilled water in reducing pain and improving quality of life. However, it showed favorable results in reducing anxiety and hemodynamic parameters.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730531","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":"Comparing the Infection Rates of Strut Versus Straight Plates in Sagittal Split Osteotomies.","authors":"Stephen E Higgins, Valmont Desa","doi":"10.1016/j.joms.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.joms.2025.03.001","url":null,"abstract":"<p><strong>Background: </strong>Sagittal split osteotomies can be rigidly fixated through various methods. Unfortunately, infection remains a common postoperative complication.</p><p><strong>Purpose: </strong>The purpose was to estimate postoperative infection rates between strut and straight plates for internal fixation of sagittal split osteotomies.</p><p><strong>Study design, setting, sample: </strong>We implemented a retrospective cohort study and included a consecutive series of patients with sagittal split osteotomies performed at the University of Nebraska Medical Center. The cases were performed by a single surgeon with a chief as resident surgeon. Exclusion criteria included any patient with unilateral surgery, mandibular midline osteotomy, previous mandible reconstruction, distraction osteogenesis, previous facial trauma history, and less than 12 weeks of follow-up.</p><p><strong>Predictor variable: </strong>Primary predictor variable was plate type (strut vs straight). The choice of plate was not based on the surgical plan.</p><p><strong>Main outcome variable(s): </strong>The primary outcome variable was postoperative infection. This was defined as purulent discharge, incision and drainage, or prescription of antibiotics. Secondary outcomes include hardware removal and neurosensory function.</p><p><strong>Covariates: </strong>Covariates included demographics, smoking, alcohol and drug use, single/double jaw, advancement/setback, length of movement, and perioperative third molar extraction.</p><p><strong>Analyses: </strong>Fisher's exact test, χ² test, and Student's t test were computed to measure bivariate association. The relative risks (RRs) and their 95% CIs were reported. P values < .05 were considered statistically significant.</p><p><strong>Results: </strong>The sample comprised 112 subjects: 51 (45.5%) straight plate and 61 (54.5%) strut plate. There were 32 (62.7%) women in the straight plate group, mean age 25.55 ± 13.34 years and 39 women (63.9%) in the strut plate group, mean age 29.02 ± 11.97 years. Postoperative infection was the most common reason for plate removal (n = 10). Strut plates, relative to straight plates, were associated with a 23% increase (RR 1.23, 95%, CI 0.47 to 2.16, P < .7) in infections, a 25% increase (RR 1.25, 95%, CI 0.45 to 2.27, P < .5) in hardware removal, and a 17% increase (RR 1.17, 95% CI 0.33 to 2.44, P < .7) in postoperative neurosensory disturbance at 3 months for sagittal split osteotomies.</p><p><strong>Conclusions and relevance: </strong>The choice of internal fixation plate, strut versus straight, was not associated with postoperative infection, hardware removal, or postoperative neurosensory function deficit.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700654","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":"Perineural Invasion and Lymph Node Ratio Quartile Are Associated With Extranodal Extension in Oral Cavity Squamous Cell Carcinoma.","authors":"Piper A Wenzel, Steven L Van Meeteren, Nitin A Pagedar, Marisa R Buchakjian","doi":"10.1016/j.joms.2025.02.012","DOIUrl":"10.1016/j.joms.2025.02.012","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;In contrast to extranodal extension (ENE), tumor characteristics can often be evaluated preoperatively in patients with oral cavity squamous cell carcinoma (OCSCC). If correlations exist between primary tumor characteristics and the presence of ENE, evaluating these factors could help provide more accurate patient counseling and adjuvant treatment planning before undergoing surgical therapy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The study's purpose was to identify associations between OCSCC pathologic characteristics and ENE.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design, setting, sample: &lt;/strong&gt;We performed a retrospective cohort study of adult patients who underwent upfront curative-intent surgery for OCSCC at the University of Iowa Hospitals and Clinics from 2004 to 2018. The treating service was Otolaryngology-Head and Neck Surgery. Exclusion criteria included patients who did not undergo neck dissection, primary tumor occurring outside the oral cavity, pathologic N0, cancer previously treated with radiation or surgically at another institution, and gross disease remaining after surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Predictor variable: &lt;/strong&gt;The predictor variable was a set of tumor characteristics, including oral cavity subsite, T- and N- classification, perineural invasion (PNI), lymphovascular invasion, bone invasion, and positive lymph node ratio (LNR).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome variable: &lt;/strong&gt;The main outcome variable was ENE status, defined as positive (at least 1 lymph node reported to have ENE) or negative, identified from pathology reports.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Covariates: &lt;/strong&gt;Covariates included subject sex, age, and smoking history.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Analyses: &lt;/strong&gt;Bivariate comparisons and multivariate logistic regression analyses were performed to identify correlations between predictor variables/covariates and presence of ENE. Statistical significance was set at P = .05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The sample comprised 233 subjects with a mean age of 60.5 (SD 12.5) years, and 154 (66.1%) were male. Of 233 subjects with nodal metastasis, 122 (52.4%) had ENE in at least 1 node, and the median (interquartile range) positive LNR was 0.083 (0.094). On bivariate analysis, PNI (relative risk = 1.49; 95% CI, 1.14 to 1.96; P = .002), bone invasion (relative risk = 1.42; 95% CI, 1.13 to 1.80; P = .005), LNR quartile (P &lt; .001), and pathologic T-class (eighth edition; P = .001) were significantly correlated with ENE. On multivariate logistic regression analysis, PNI (odds ratio = 2.29; 95% CI, 1.21 to 4.31; P = .01) and LNR quartile (P &lt; .001) remained significantly correlated with ENE.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and relevance: &lt;/strong&gt;This study offers insight into important clinicopathologic details of lymph node metastases in OCSCC with an emphasis on tumor characteristics and odds of ENE in 1 or more lymph nodes. This information may be beneficial for patient counseling and treatment planning, especially in patients with PNI and hi","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692522","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":"A Comparative Study of Speech and Swallowing Postoperative Outcomes in Oral Cancer: Impact of Lateral Mandibular Continuity Restoration","authors":"Abhipsa Mishra MDS ,&nbsp;Raveena R. Nair MS ,&nbsp;Sandeep Vijay MS ,&nbsp;Anoop Attakkil MS ,&nbsp;Aswin Mullath MDS ,&nbsp;Aby K. Babu MDS","doi":"10.1016/j.joms.2024.10.020","DOIUrl":"10.1016/j.joms.2024.10.020","url":null,"abstract":"<div><h3>Background</h3><div>Surgical resection with mandibulectomy in advanced oral cancer results in complex defects. The influence of reconstruction of mandibular continuity on postoperative speech and swallowing function, though crucial, is not widely studied.</div></div><div><h3>Purpose</h3><div>The purpose of study was to compare the speech and swallowing outcomes of oral squamous cell carcinoma (OSCC) patients with lateral mandibulectomy, with or without the restoration of mandibular continuity.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This retrospective cohort study was performed at the Malabar Cancer Centre, Kerala, India, on patients who had undergone lateral mandibulectomy for OSCC from January 2016 to December 2021. Patients with recurrent or second primary OSCC, or with psychiatric disorders and cognitive impairment, or in whom any type of glossectomy was done, were excluded from the study.</div></div><div><h3>Predictor Variable</h3><div>The predictor variable was reconstruction status of mandibular continuity, coded as yes when it is restored and no for vice-versa.</div></div><div><h3>Main Outcome Variable(s)</h3><div>The outcome variables were postoperative speech outcome measured with a 7-point rating speech intelligibility scale and swallowing outcome measured with functional oral intake scale.</div></div><div><h3>Covariates</h3><div>Covariates included age, sex, tumor subsite, mandibular defect, and adjuvant treatment.</div></div><div><h3>Analyses</h3><div>Data analyses included χ², Fisher's exact test, independent t test, Spearman's correlation test, and one-way analysis of variance test. <em>P</em> values &lt; .05 were considered statistically significant.</div></div><div><h3>Results</h3><div>The study sample had 201 patients, with continuity restored in 74 (36.82%) patients and vice versa in 127 (63.18%) patients. The mean age in the continuity restored group was 54.97 ± 9.68 years, and in the continuity not restored group, it was 59.49 ± 9.95 years (<em>P</em> &lt; .05). Both the groups had more male patients (<em>P</em> = .15). The speech scores in both groups at 1 month (<em>P</em> = .66), 3 months (<em>P</em> = .45), and 6 months (<em>P</em> = .33) of postoperative period were compared and had no statistically significant difference. The swallowing scores in groups at 1 month (<em>P</em> = .5), 3 months (<em>P</em> = .5), and 6 months (<em>P</em> = .7) of postoperative period were also compared and had no statistically significant difference.</div></div><div><h3>Conclusion and Relevance</h3><div>Reconstruction of lateral mandibular continuity was not associated with improved postoperative speech and swallowing.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 3","pages":"Pages 374-381"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693234","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":"Photobiomodulation With Infrared and Dual-Wavelength Laser Induces Similar Repair and Control of Inflammation After Third Molar Extraction: A Double-Blinded Split-Mouth Randomized Controlled Trial","authors":"Davisson Alves Pereira PhD, DDS ,&nbsp;Mariana Silva Bonatto PhD, DDS ,&nbsp;Eduvaldo Campos Soares Jr. PhD, DDS ,&nbsp;Pedro Gomes Junqueira Mendes MSc ,&nbsp;Roberto Sales e Pessoa PhD, DDS ,&nbsp;Guilherme José Pimentel Lopes de Oliveira PhD, DDS","doi":"10.1016/j.joms.2024.11.009","DOIUrl":"10.1016/j.joms.2024.11.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Photobiomodulation therapy (PBMT) has been showed to have beneficial effects on the healing and control of inflammation associated with oral surgical wounds. However, different PBMT protocols have been proposed and it is not clear if different protocols impact the hard and soft tissues healing equally.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To compare the tissue repair of postextraction alveoli of third molars between treated with dual-wavelength PBMT (red and infrared) or PBMT with infrared laser (IRL) alone.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design, Setting, Sample&lt;/h3&gt;&lt;div&gt;This split mouth randomized controlled trial enrolled 20 patients, who were submitted to the extraction of the 4 partially erupted or fully impacted third molars between August 2023 and December 2023 at the clinic of the INPES postgraduate school (Institute for Clinical Health Research), and at the Federal University of Uberlândia. Adult with all the 4 molars were included in this study, while patients with systemic diseases/conditions, with less than 4 third molars were excluded of this study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Exposure Variable&lt;/h3&gt;&lt;div&gt;The exposure variable is PBMT treatment. Treatment side was randomly allocated to according to the PBMT protocol applied on the postextraction sockets: IRL-PBMT: irradiation with PBMT with an IRL (808 nm) and IRL-RL-PBMT: irradiation with dual-wavelength PBMT (660 and 808 nm).&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 was the bone tissue healing that was measured using the fractal analysis and bone tissue density assessed using the radiographic images. The secondary outcome variable was soft tissue healing measured assessing the facial dimensions variations and a healing index that assessed the tissue consistence, color, exudation, bleeding, and edema. Additionally, the analyses centered on the patients’ perceptions was assessed by the application of a visual analogic scale to assess pain, bleeding, edema, difficulty in chewing, and mouth opening conditions. Subjects were clinically evaluated at 3, 7, 14, 30, and 90 days after the surgical procedure.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;The covariates are the tooth position, and the demographic data (age and sex).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;The evaluation of the effects of the independent variables (Treatment and period of evaluation) on the primary and secondary outcomes was performed through the application of the repeated measures ANOVA (&lt;em&gt;P&lt;/em&gt; &lt; .05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample was composed of 20 subjects with a mean age of 28.58 ± 8.94 years, and 12 (60%) were females. There were no statistically significant differences between the 2 treatments for any outcome variables (&lt;em&gt;P&lt;/em&gt; &gt; .10).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion and Relevance&lt;/h3&gt;&lt;div&gt;It can be concluded that PBMT with dual wavelengths (red and infrared) and an IRL alone induced similar postoperative clinical results after","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 3","pages":"Pages 332-343"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791807","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":"Does Social Media Increase Perioperative Anxiety in Patients Undergoing Impacted Third Molar Surgery?","authors":"Ufuk Tatli DDS, PhD ,&nbsp;Tahayasin Kalkan DDS","doi":"10.1016/j.joms.2024.11.010","DOIUrl":"10.1016/j.joms.2024.11.010","url":null,"abstract":"<div><h3>Background</h3><div>In anticipation of third molar surgery, patients may experience increased anxiety. Patients frequently access social media platforms and view content about surgical treatments.</div></div><div><h3>Purpose</h3><div>The study purpose was to measure the level of perioperative anxiety of patients scheduled for third molar surgery exposed to social media and identify factors associated with patient anxiety.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This is a prospective cohort study of patients undergoing impacted mandibular third molar surgery from September 2021 to August 2022 at the outpatient clinic of Cukurova University School of Dentistry.</div></div><div><h3>Predictor Variable</h3><div>The predictor variable was level of exposure to viewing third molar surgery-related social media before the surgery. Subjects were divided into 2 groups based on social media viewing preferences at their own discretion: the control group involved patients who did not view social media and study group involved patients who viewed social media before the surgery.</div></div><div><h3>Main Outcome Variables</h3><div>The outcome variables were patients' anxiety levels assessed using Modified Dental Anxiety Scale and Spielberger State Anxiety Inventory.</div></div><div><h3>Covariates</h3><div>Covariates were age, sex, education level, history of previous dentist visit, and impacted third molar surgery.</div></div><div><h3>Analyses</h3><div>Student t-test, Mann-Whitney U test, χ² test, Kruskal-Wallis test, one-way analysis of variance, and post hoc tests were used according to data. Level of significance was set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>The study sample comprised 162 patients; 82 (50.6%) patients were in the control group and 80 (49.4%) were in the social media group. The Modified Dental Anxiety Scale scores of the social media group (11.95 ± 4.50) were statistically higher than the control group (9.66 ± 4.28) (<em>P</em> = .001). The Spielberger State Anxiety Inventory scores of the social media group (46.43 ± 5.80) were statistically higher than the control group (44.52 ± 5.53) (<em>P</em> = .03). There were statistical differences in anxiety levels considering some covariates. In social media group, there were some statistical differences in anxiety levels of patients who viewed different social media type and content.</div></div><div><h3>Conclusion and Relevance</h3><div>Patients who viewed social media on their own preferences before the surgery had higher perioperative anxiety compared to those who did not. The effects of demographic variables, different social media types and content on perioperative anxiety should be taken into account during stress management of the patients.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 3","pages":"Pages 344-352"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801163","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":"Patterns of Orbital Fractures Caused by Sports Injuries in Children","authors":"Joyce Xu DMD, MD, MS ,&nbsp;Shelly Abramowicz DMD, MPH","doi":"10.1016/j.joms.2024.11.011","DOIUrl":"10.1016/j.joms.2024.11.011","url":null,"abstract":"<div><h3>Background</h3><div>Sports injuries account for 11.3 to 42.1% of the facial fractures. Injuries from contact with a ball, a bat or stick, or another player raise safety concerns.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to assess the patterns of sports-related maxillofacial injuries involving orbital bone fractures in children.</div></div><div><h3>Study design, setting, and sample</h3><div>This was a retrospective case series of children who presented to Children's Healthcare of Atlanta from 2015 to 2021, with orbital injuries resulting from sports.</div></div><div><h3>Independent variable</h3><div>None.</div></div><div><h3>Outcome variable</h3><div>The outcome variables, including the fracture location, pattern, and the management of injury.</div></div><div><h3>Covariates</h3><div>The medical record were reviewed for the following variables: <em>1)</em> demographic information, <em>2)</em> mechanism of injury, <em>3)</em> type of sport, <em>4)</em> symptoms, <em>5)</em> length of inpatient stay, and <em>6)</em> duration of follow-up.</div></div><div><h3>Analysis</h3><div>Data were collected using a standardized collection form. Descriptive statistics were calculated.</div></div><div><h3>Results</h3><div>Overall, 101 patients (92 males) with an age of 13 ± 3 met the inclusion criteria. The most common sport was baseball or softball (n = 78, 77.2%). The mechanisms of injuries were largely due to collision with the ball (n = 79, 78.2%) or with another player (n = 13, 12.9%). Orbital fractures occurred mostly in the floor (n = 87, 86.1%), followed by the medial wall (n = 22, 21.8%), with an average of 1 surface involved. Maxillary sinus (n = 23, 22.8%) and/or nasal bone (n = 17, 16.8%) were the other facial bones outside of orbit commonly injured. The fractures patterns are minimally/nondisplaced (n = 68, 67.3%), displaced (n = 30, 29.7%), or comminuted (n = 3, 3%). The managements include surgical and nonsurgical. Twenty-three patients (22.8%) underwent surgical intervention. Twelve of them had an emergent operation due to extraocular muscle entrapment.</div></div><div><h3>Conclusion</h3><div>Sports injuries are a common cause of orbital trauma in children. Most injuries are due to baseball/softball from collision with the ball. They were mostly managed without surgery, except for the individuals that presented with entrapment, oculocardiac reflex, and a large-size defect. The information from this project could be utilized in implementing safety equipment use for participants to further prevent such injuries.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 3","pages":"Pages 317-321"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818397","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)00021-7","DOIUrl":"10.1016/S0278-2391(25)00021-7","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 3","pages":"Pages A9-A11"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}