Journal of Oral and Maxillofacial Surgery最新文献

{"title":"AAOMS Author Disclosure forms","authors":"","doi":"10.1016/S0278-2391(25)00148-X","DOIUrl":"10.1016/S0278-2391(25)00148-X","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages A9-A11"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890950","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: TMJ Concepts Patient-Fitted Temporomandibular Joint Reconstruction Prosthesis System: Results From a Food and Drug Administration Postmarket Surveillance Prospective Cohort Study","authors":"Leonard B. Kaban DMD, MD, Jeffrey C. Posnick DMD, MD, David A. Keith BDS, DMD","doi":"10.1016/j.joms.2025.01.017","DOIUrl":"10.1016/j.joms.2025.01.017","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Page 507"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890954","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 Liposomal Bupivacaine Reduce Postoperative Pain Following Third Molar Extractions? A Double-Blinded Randomized Controlled Trial","authors":"Simon Youn MD, DDS ,&nbsp;Katherine Scheker DDS ,&nbsp;Samuel Sheridan DDS ,&nbsp;Colin Hayashi BS ,&nbsp;Trevor A. Pickering PhD ,&nbsp;John Costandi MD, DDS","doi":"10.1016/j.joms.2025.01.004","DOIUrl":"10.1016/j.joms.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Liposomal bupivacaine (LB) is a long-lasting local anesthetic providing analgesia for several days. The current literature examining the efficacy of LB in pain management following third molar extractions remains unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to compare postoperative pain management between LB and standard bupivacaine (SB) in mandibular third molar extractions.</div></div><div><h3>Study Design</h3><div>A double-blinded randomized controlled trial of subjects undergoing bilateral mandibular third molar extractions at our institution from 2022 to 2024 was conducted using a split-mouth study design. Subjects were excluded if they received additional mandibular teeth extractions, were unable to complete the questionnaire, or had medical contraindications.</div></div><div><h3>Predictor Variable</h3><div>The predictor variable was postsurgical local anesthetic agent, and the sides of mouth were randomly assigned to LB or SB.</div></div><div><h3>Main Outcome Variable(s)</h3><div>Primary outcome was postoperative pain on a 10-point numerical rating scale (NRS), and the mean cumulative pain rating via area under the curve (AUC) analysis. Secondary outcomes were adverse events and ibuprofen or acetaminophen consumption.</div></div><div><h3>Covariates</h3><div>Demographics, procedure time, preoperative and perioperative local anesthetics used, and procedural difficulty coded as nonsurgical or surgical were collected.</div></div><div><h3>Analyses</h3><div>We used mixed-effects models to compare the NRS scores during each time period and paired t-tests to compare AUC values. Statistical tests included 95% CIs with alpha = 0.05.</div></div><div><h3>Results</h3><div>The study sample included 72 subjects (mean age 25.8, SD: 9). Pain was lower in the LB versus SB group on surgery day (NRS difference −0.75; <em>P</em> = .002) until the morning of postoperative day 2 (−0.68, <em>P</em> = .003). When limiting the analysis to bilateral surgical extractions, it was statistically significant until the morning of postoperative day 3 (−0.61, <em>P</em> = .02). AUC analysis showed cumulative pain reduction for the LB group in comparison to the SB group through all 4 postoperative days for the overall cohort (average AUC_0-96 difference 93.5, <em>P</em> = .005), with a similar effect for bilateral surgical extractions (101.88, <em>P</em> = .006).</div></div><div><h3>Conclusion</h3><div>LB modestly reduces pain following third molar extractions, with this difference more pronounced following surgical extractions. This suggests that LB may be more beneficial in complex extractions and greater pain-inducing surgeries.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 592-600"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123045","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":"Opioids in Oral and Maxillofacial Surgery: The Past, Present, and Future","authors":"Tara Aghaloo DDS, MD, PhD","doi":"10.1016/j.joms.2025.02.003","DOIUrl":"10.1016/j.joms.2025.02.003","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 501-502"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890951","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":"Patient-Reported Outcomes With Focus on Health-Related Quality of Life in Patients With Obstructive Sleep Apnea Treated With Maxillomandibular Advancement Surgery: A Systematic Review and Meta-Analysis","authors":"Haya H.R. Al-Bayyati ,&nbsp;Gert-Jan Hassing MD, DDS, PhD ,&nbsp;Egbert P. van der Hoeve MD, DDS ,&nbsp;Laurens Koppendraaier MD, DDS ,&nbsp;Maurits H.T. de Ruiter MD, DDS, PhD","doi":"10.1016/j.joms.2025.01.010","DOIUrl":"10.1016/j.joms.2025.01.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Maxillomandibular advancement (MMA) surgery for obstructive sleep apnea (OSA) has shown to be effective according to objective measures; however, patient-reported outcome measures (PROMs), especially health-related quality of life (HRQoL), are also crucial but have not been systematically assessed in relation to MMA surgery for OSA yet. Therefore, this study aims to conduct a systematic review on the effect of MMA surgery on PROMs focusing on HRQoL in patients with OSA.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines with a literature search performed in PubMed and Medline to identify relevant studies from database inception to May 2024 evaluating PROMs focusing on HRQoL in adult OSA patients treated with MMA surgery. The primary variables are the PROMs outcomes. Screening and eligibility assessments were carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis framework, and study quality was evaluated using the ROBINS-I tool. The data extraction for the meta-analysis included PROMs outcomes and was carried out in SPSS using a fixed-effects model to report effect sizes as mean differences.</div></div><div><h3>Results</h3><div>Thirty-three studies were screened of which 12 were included in this systematic review encompassing 317 patients. The studies reported PROMs in a heterogeneous manner, but MMA consistently showed an improvement postoperatively in mean differences. In the most used PROMs instruments MMA surgery was associated with a 5.35-point improvement in the Epworth Sleepiness Scale (95% CI −6.57 to −4.14; Z = −8.62; <em>P</em> &lt; .001), a 3.96-point improvement on the Functional Outcomes of Sleep Questionnaire (95% CI 3.11, 4.80; Z = 11.60; <em>P</em> &lt; .001) and an improvement in all domains of the Short Form 36 Health Survey.</div></div><div><h3>Conclusion</h3><div>MMA surgery for patients with OSA shows significant improvements in PROMs related to quality of life. The PROMs are positive, demonstrating satisfaction across various domains. This indicates that MMA surgery is well received by patients and results in clinically meaningful improvements in PROMs related to HRQoL.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 543-557"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425645","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":"Balancing Occupational Demands: How Sport Selection Influences the Long-Term Health of Oral and Maxillofacial Surgeons","authors":"Ricardo Grillo PhD ,&nbsp;Christian Klausener","doi":"10.1016/j.joms.2025.02.010","DOIUrl":"10.1016/j.joms.2025.02.010","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 503-504"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890952","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":"REPLY: TMJ Concepts Patient-Fitted TMJ Reconstruction Prosthesis System: Results from an FDA Post-Market Surveillance Prospective Cohort Study","authors":"Zahid Afzal BDS, MBChB, MPhil,&nbsp;Mikhail Umorin PHD, MS,&nbsp;Louis G. Mercuri DDS, MS,&nbsp;Gary Warburton MD, DDS","doi":"10.1016/j.joms.2025.02.001","DOIUrl":"10.1016/j.joms.2025.02.001","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 507-508"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890955","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":"Stress-Related Personality Patterns in Patients With Dentofacial Deformities and Their Evolution After Orthognathic Surgery","authors":"Nur Altıparmak DDS, PhD ,&nbsp;Sıdıka Sinem Akdeniz DDS, PhD ,&nbsp;Ezgi Ergezen DDS ,&nbsp;Alaz Enez DDS","doi":"10.1016/j.joms.2025.01.011","DOIUrl":"10.1016/j.joms.2025.01.011","url":null,"abstract":"<div><h3>Background</h3><div>Orthognathic surgery significantly influences psychosocial well-being. Individuals with dentofacial deformities may experience psychological distress, characterized by negative affectivity (NA) and social inhibition (SI). When these 2 traits coexist, they define Type D personality.</div></div><div><h3>Purpose</h3><div>The aim of this study was to estimate the prevalence of Type D personality traits in patients with Class III dentofacial deformities and assess changes in these traits, which inherently reflect variations in Type D personality, following orthognathic surgery.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This prospective cohort study was conducted at Başkent University Department of Oral and Maxillofacial Surgery between November 2022 and March 2024. Sociodemographic data and psychological assessments were collected using the Type D Scale-14 preoperatively and 3 months postoperatively.</div></div><div><h3>Predictor</h3><div>The predictor variable was the preoperative personality trait, measured using the validated Type D Scale-14 questionnaire. This questionnaire comprises the following 2 subscales: NA and SI, each consisting of 7 items. Responses are scored from 0 to 4, resulting in scores ranging from 0 to 28. A score of ≥10 on both NA and SI subscales indicates a Type D personality.</div></div><div><h3>Outcome Variable</h3><div>The primary outcome variable was the postoperative personality trait, specifically changes in NA and SI, measured using the Type D Scale-14. The secondary outcomes were the prevalence of Type D personality traits before and after surgery.</div></div><div><h3>Covariates</h3><div>The covariates were age, sex, marital status, and employment status.</div></div><div><h3>Analyses</h3><div>Descriptive statistics and paired t-tests were performed to assess the differences between preoperative and postoperative results. A <em>P</em> value of &lt;.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The study sample comprised 41 participants (mean age: 22.24 ± 4.72 years), 65.9% (n = 27) of whom were female. The prevalence of Type D personality traits significantly decreased from 42.9% (n = 18) preoperatively to 17.1% (n = 7) postoperatively (<em>P</em> &lt; .05). When the subscales of NA and SI were examined, both scores showed statistically significant reductions (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Significant differences were observed in NA and SI before and after orthognathic surgery. This study represents the first application of the Type D Scale-14 in the context of orthognathic surgery. Observed psychological improvement highlights the importance of preoperatively assessing patients' psychosocial conditions.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 558-564"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425648","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 Postoperative Disc Position Following Double Suture Arthroscopic Discopexy Correlate With Improvements in Pain and Quality of Life?","authors":"Christopher K.B. Ward DMD, MSc ,&nbsp;Johnson Cheung DDS, MD, MSc ,&nbsp;Jonathan P. Troost PhD ,&nbsp;Sharon Aronovich DMD ,&nbsp;Mohamed A. Hakim DDS, MBA","doi":"10.1016/j.joms.2025.02.004","DOIUrl":"10.1016/j.joms.2025.02.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Temporomandibular joint intra-articular pain and dysfunction (IPD) can arise from abnormal disc position. Arthroscopic double-suture discopexy (A-DSD) aims to restore disc position, but the association between disc position and patient-reported pain and quality of life (QoL) is unclear.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;This study investigated the relationship between postoperative disc position and subject QoL and pain following A-DSD.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design, Setting, Sample&lt;/h3&gt;&lt;div&gt;This retrospective cohort study included subjects at the University of Michigan who required arthroscopy for IPD between November 2020 and July 2023. Eligibility included subjects aged ≥18 to 75 years with Wilkes II-V IPD who underwent A-DSD with preoperative and postoperative magnetic resonance imagings (3 months minimum).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor Variable&lt;/h3&gt;&lt;div&gt;The predictor variable was postoperative magnetic resonance imaging–based disc position: normal (ND), anteriorly displaced with reduction (ADDwR), anteriorly displaced without reduction (ADDwoR), or posteriorly displaced.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Variable(s)&lt;/h3&gt;&lt;div&gt;Main outcomes are changes in QoL (Jaw Functional Limitation Scale [JFLS]) and pain (visual analog scale-100) at baseline and ≥3 months post-arthroscopy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;Covariates included demographics, perioperative variables, and arthroscopic findings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;Paired &lt;em&gt;t&lt;/em&gt;-tests evaluated changes in perioperative outcomes stratified by postoperative disc position. For analysis of covariates and outcomes, linear regression was applied for JFLS (subject-level analysis); linear mixed-effects models, adjusting for nonindependent observations for bilateral cases, were used for pain (joint-level analysis). Statistical significance was &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;A total of 240 subjects were screened and 37 were included with mean age 33 (±14.3) years and all were female sex (100%). Median follow-up was 9 months (interquartile range, 8 to 12). Postoperative disc positions were ND (70.2%), ADDwR (15.8%), ADDwoR (8.8%), and posteriorly displaced (5.3%). Postoperative disc position was associated with JFLS (&lt;em&gt;P&lt;/em&gt; = .026) and pain (&lt;em&gt;P&lt;/em&gt; = .0002), with worse outcomes for ADDwR. ND subjects experienced significant decreases in JFLS (36.3 ± 34.6, &lt;em&gt;P&lt;/em&gt; &lt; .0001) and pain (28.7 ± 27.8, &lt;em&gt;P&lt;/em&gt; &lt; .0001). ADDwoR subjects showed significant reduction in JFLS (47.1 ± 32.0, &lt;em&gt;P&lt;/em&gt; = .03), but not pain. ADDwR subjects showed no significant outcome improvements. Subjects with systemic arthropathies (&lt;em&gt;P&lt;/em&gt; = .01), closed lock (&lt;em&gt;P&lt;/em&gt; = .03), and indirect trauma (&lt;em&gt;P&lt;/em&gt; = .03) were associated with worse JFLS.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions and Relevance&lt;/h3&gt;&lt;div&gt;Postoperative ND and ADDwoR after A-DSD were associated with improved QoL and/or pain reduction, but postoperative ADDwR","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 510-527"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586112","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":"Rational Usage of Patient-Specific Implant in Orthognathic Surgery","authors":"Fabio G. Ritto DDS, MD, MS, PhD ,&nbsp;Steven M. Sullivan DDS","doi":"10.1016/j.joms.2025.01.012","DOIUrl":"10.1016/j.joms.2025.01.012","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 5","pages":"Pages 505-506"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890953","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}