Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Effectiveness of Strategies to Improve Extraction Experience in Dental Students","authors":"Phillip Evalen BS,&nbsp;Neeraj H. Panchal DDS, MD, MA,&nbsp;John Lankalis DDS, MD","doi":"10.1016/j.joms.2025.06.101","DOIUrl":"10.1016/j.joms.2025.06.101","url":null,"abstract":"<div>Each year, approximately 7,000 new dentists graduate from over 60 dental schools in the United States and its territories. The experience of graduates in complex procedures such as molar endodontics, complicated extractions, and implant placement varies by institution and is often perceived to be inadequate. Continuing education companies often target new graduates with lucrative courses, some spanning as little as a few hours, to arguably help give new dentists the skill set to perform these</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S61-S62"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020914","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":"Do Opioids Truly Prevent Pain Following Bilateral Sinus Augmentation Procedures?","authors":"John Button MOPH,&nbsp;Brian P. Ford DMD, MD, FACS,&nbsp;Neeraj H. Panchal DDS, MD, MA","doi":"10.1016/j.joms.2025.06.049","DOIUrl":"10.1016/j.joms.2025.06.049","url":null,"abstract":"<div>The opioid epidemic has claimed hundreds of thousands of lives and touched millions throughout the United States. (Lyle Cooper, Thompson et al 2020) Within the veteran community, up to 50% of those with chronic pain may be misusing opioids. (Vowles, Schmidt et al 2022) Among opioid medications prescribed by dentists in the Veterans Affairs (VA) health system, nearly one-third exceeded prescribing guidelines. (Suda, Evans et al 2022) Dental healthcare professionals treating these patients must,</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S21-S22"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020992","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 Novel Analysis of Randomized Controlled Trials in Oral and Maxillofacial Surgical Procedures: Comparing the Fragility Indices Between BSSO and IVRO","authors":"Michael Baron DMD, MD,&nbsp;Shiven Sharma JD,&nbsp;Rahul Guda AB,&nbsp;Gregory Cooke DDS, MD,&nbsp;Michael D. Turner DDS, MD, MSc","doi":"10.1016/j.joms.2025.06.054","DOIUrl":"10.1016/j.joms.2025.06.054","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S24-S25"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020995","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":"The Cumulative Burden of Comorbidities on Outcomes After Mandibular Distraction Osteogenesis in Robin Sequence","authors":"Asli Pekcan BS,&nbsp;Raina K. Patel BS,&nbsp;Valeria Mejia BS,&nbsp;Melanie Bakovic BS,&nbsp;Artur Manasyan BS,&nbsp;Erin Wolfe MD,&nbsp;Alyssa B. Valenti MD,&nbsp;Mark M. Urata MD, DDS,&nbsp;Jeffrey A. Hammoudeh MD, DDS","doi":"10.1016/j.joms.2025.06.097","DOIUrl":"10.1016/j.joms.2025.06.097","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S58-S59"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018796","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":"Best Practices in Oral and Maxillofacial Surgery: Incorporating a Survey Model for Consensus Building and Prompting Discussion","authors":"Chad W. Dammling DDS, MD,&nbsp;Brian B. Farrell DDS, MD","doi":"10.1016/j.joms.2025.06.100","DOIUrl":"10.1016/j.joms.2025.06.100","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S60-S61"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020775","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":"Are Drug Induced Sleep Endoscopy Findings Associated With Mask Ventilation Difficulty?","authors":"Aviana Duca DDS, MD,&nbsp;Allen F. Champion DDS, FACS,&nbsp;Jung-me A. Lee BS,&nbsp;Dylan P. Salem DDS,&nbsp;Colin T. Huntley MD, FACS,&nbsp;Maurits S. Boon MD,&nbsp;Patrick Hunt MD,&nbsp;Jungsuk Cho DMD, MD, FACS","doi":"10.1016/j.joms.2025.06.028","DOIUrl":"10.1016/j.joms.2025.06.028","url":null,"abstract":"<div>Anesthesia providers may encounter difficulty in managing patients with obstructive sleep apnea (OSA) due to anatomic airway narrowing, tissue redundancy, and decreased muscle tone. Physical examination and laboratory data may alert clinicians to potential airway difficulty in this cohort. Drug-induced sleep endoscopy (DISE) is a diagnostic procedure that evaluates the severity and patterns of airway obstruction under conditions that mimic natural sleep. Findings are reported using the VOTE</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page S1"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020790","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":"Opioid-Free Anesthesia? Studying Patient Drug Preferences in the Oral and Maxillofacial Surgery Office","authors":"Clayton Cayen,&nbsp;Yotom A. Rabinowitz DDS","doi":"10.1016/j.joms.2025.06.222","DOIUrl":"10.1016/j.joms.2025.06.222","url":null,"abstract":"<div>Opioid-free anesthesia has become a widely discussed subject in the anesthesia field given the ongoing opioid epidemic. However, there are no studies examining patient preferences related to this technique. Understanding patient perceptions of sedation and anesthetics used in the ambulatory anesthesia setting may help guide the treatment decision making process. This study aims to assess patient familiarity and concerns regarding commonly used office anesthetics, with a focus on intraoperative</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S2-S4"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020792","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":"Enhanced Recovery After Orthognathic Surgery: Evidence Synthesis for Postoperative Care","authors":"Michael V. Joachim DMD, MSc, MHA ,&nbsp;Michael Miloro DMD, MD","doi":"10.1016/j.joms.2025.05.015","DOIUrl":"10.1016/j.joms.2025.05.015","url":null,"abstract":"<div><h3>Background</h3><div>Enhanced recovery after surgery (ERAS) protocols have demonstrated substantial benefits across surgical specialties, including reduced hospital stays, decreased complications, and improved patient satisfaction. Despite growing interest in ERAS for orthognathic surgery, the optimal combination of postoperative elements remains undefined.</div></div><div><h3>Purpose</h3><div>This evidence synthesis identifies, evaluates, and synthesizes postoperative outcomes following orthognathic surgery that are improved by ERAS protocols.</div></div><div><h3>Study Design, Setting, Sample</h3><div>A systematic search of PubMed/MEDLINE, Cochrane Library, Embase, and Web of Science was conducted from inception through April 2025. Studies were included if they evaluated postoperative elements of ERAS protocols in orthognathic surgery with reported outcomes on length of stay, pain, opioid consumption, postoperative nausea and vomiting (PONV), or complications. Articles were screened by 2 independent reviewers following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</div></div><div><h3>Results</h3><div>Six studies (986 patients) met inclusion criteria. Evidence quality, assessed using Grading of Recommendations Assessment, Development, and Evaluation, was moderate for multimodal pain management and PONV prophylaxis but low to very low for mobilization, nutrition, and discharge planning. The strongest evidence supported scheduled nonopioid analgesics with limited opioids for breakthrough pain, which reduced maximum pain scores (5.50 ± 2.20 vs 7.50 ± 1.73, <em>P</em> &lt; .001) and opioid consumption (9.38 ± 11.42 mg vs 51.44 ± 30.67 mg, <em>P</em> &lt; .001). Risk-stratified multimodal PONV prophylaxis reduced PONV incidence (38.3 vs 63.2%, <em>P</em> = .005). Standardized discharge criteria facilitated same-day discharge (86.8 vs 20%, <em>P</em> &lt; .01). Evidence for mobilization, nutrition management, and functional rehabilitation was limited and inconsistent.</div></div><div><h3>Conclusions and Relevance</h3><div>Implementation of ERAS protocols for orthognathic surgery was associated with improved pain control, lower opioid consumption, decreased PONV, and shorter length of stay. Scheduled nonopioid analgesics, limited use of opioids for breakthrough pain, and risk-stratified PONV prophylaxis showed the most consistent benefits. Future research should address knowledge gaps regarding early mobilization, nutrition management, and standardized discharge planning through well-designed prospective studies.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages 1079-1092"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293953","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 Maxillofacial and Axial/Appendicular Giant Cell Lesions in Children: Treatment Strategies and Long-Term Outcomes","authors":"Asli Pekcan BS,&nbsp;Melanie Bakovic BS,&nbsp;Raina K. Patel BS,&nbsp;Valeria Mejia BS,&nbsp;Anika Kim BS,&nbsp;Pasha Shakoori MD, DDS, n/a,&nbsp;Mark M. Urata MD, DDS,&nbsp;Jeffrey A. Hammoudeh MD, DDS","doi":"10.1016/j.joms.2025.06.067","DOIUrl":"10.1016/j.joms.2025.06.067","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S14-S15"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018724","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":"Utility of Porcine-Derived Extracellular Matrix in Tongue Reconstruction","authors":"Matthew Rose DMD,&nbsp;Rabie M. Shanti DMD, MD","doi":"10.1016/j.joms.2025.06.117","DOIUrl":"10.1016/j.joms.2025.06.117","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S77-S78"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018959","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}