Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Are TMJ Symptoms a Clinical Red Flag for Undiagnosed Obstructive Sleep Apnea?","authors":"Maria G. Barron-Barrera DDS,&nbsp;David Alfi DDS, MD, FACS","doi":"10.1016/j.joms.2026.06.048","DOIUrl":"10.1016/j.joms.2026.06.048","url":null,"abstract":"<div>The relationship between temporomandibular joint (TMJ) symptoms and sleep-disordered breathing remains incompletely defined. Obstructive sleep apnea (OSA) severity has been shown to be influenced by skeletal and airway relationships.¹ OSA remains a significant surgical condition in oral and maxillofacial practice, with well-established airway and skeletal treatment implications.² While TMJ complaints are frequently encountered in clinical settings, their association with OSA severity and airway </div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S28-S29"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859486","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":"Differentiation Between Dental Follicle and Dentigerous Cyst in Impacted Mandibular Third Molars: A Prospective Cohort Study","authors":"Nazife Tuba Telcioğlu DDS,&nbsp;Mehtap Muğlalı PhD, DDS,&nbsp;Rabia Tül Adeviye Çankaya DDS","doi":"10.1016/j.joms.2026.04.008","DOIUrl":"10.1016/j.joms.2026.04.008","url":null,"abstract":"<div><h3>Background</h3><div>Impacted mandibular third molars may be associated with pericoronal tissues that can undergo cystic transformation. Distinguishing dental follicles (DFs) from dentigerous cysts (DCs) based solely on radiographic findings is often unreliable, highlighting the importance of histopathological evaluation for accurate diagnosis and management.</div></div><div><h3>Purpose</h3><div>The study purpose was to measure the association between radiographic and demographic variables and histologic diagnosis among patients with impacted third molars.</div></div><div><h3>Study design</h3><div>In this single-center prospective cohort study, the investigators analyzed data from subjects who underwent mandibular third molar removal between 2010 and 2011 at Ondokuz Mayıs University. Inclusion criteria were fully bone-retained impacted mandibular third molars with histopathologic confirmation of epithelial tissue and age ≥16 years. Subjects with partially erupted teeth, non-DC pathologies, or systemic contraindications to surgery were excluded.</div></div><div><h3>Independent variables</h3><div>The independent variable was a set of radiographic findings, including follicular width and tooth position.</div></div><div><h3>Main outcome variables</h3><div>The outcome variable was histologic diagnosis, categorized as DF or DC.</div></div><div><h3>Covariates</h3><div>Covariates included age and sex.</div></div><div><h3>Analysis</h3><div>Bivariate associations were evaluated using relative risks (RRs) with 95% CIs. Multivariable logistic regression assessed independent predictors of DC.</div></div><div><h3>Results</h3><div>The sample consisted of 250 subjects with a mean age of 22.4 years (SD 2.5); 178 (71.2%) were female. Histologic examination revealed 111 (44.4%) DFs and 139 (55.6%) DCs. Lesions with a radiographic width ≥2.5 mm (33.6% of cases) were associated with DC (RR = 1.79; 95% CI, 1.46 to 2.19; <em>P</em> &lt; .001). Compared with mesioangular impactions, vertical (RR = 2.62; 95% CI, 1.98 to 3.48), horizontal (RR = 2.12; 95% CI, 1.50 to 3.00), and distoangular positions (RR = 2.89; 95% CI, 2.10 to 4.00) were also associated with DC (all <em>P</em> &lt; .001). Subjects in the third decade demonstrated an increased risk of DC compared with those in the second decade (RR = 1.95; 95% CI, 1.41 to 2.70; <em>P</em> &lt; .001), whereas sex was not associated with histologic diagnosis (RR = 1.11; 95% CI, 0.88 to 1.40; <em>P</em> = .37).</div></div><div><h3>Conclusion and relevance</h3><div>The absence of clinical symptoms does not exclude radiographic findings indicative of pathological changes in impacted third molars. Increased follicular width and tooth position were associated with DC, supporting integrated clinical, radiographic, and histopathological evaluation.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages 1487-1494"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839154","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":"Early Swallowing Recovery After Oral Cavity Free Flap Reconstruction","authors":"Joseph Hoffmann DDS","doi":"10.1016/j.joms.2026.06.118","DOIUrl":"10.1016/j.joms.2026.06.118","url":null,"abstract":"<div>Free flap reconstruction restores form and function after major oral cavity resection, but early swallowing recovery remains poorly defined. We performed a retrospective cohort study of adults undergoing free flap reconstruction from 2018 through 2024 using a verified surgical database linked to videofluoroscopic swallow study (VFSS) flowsheet data by clinic number and surgery date. Each VFSS was reduced to one study-level record, and a physiologic \"pass” was defined as worst</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S77-S78"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861457","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":"Clinical, Demographic, and Institutional Drivers of Hospital Stay in Orthognathic Surgery: A Decade-Long Analysis","authors":"Niharika Mukkamala,&nbsp;Sahil Maher,&nbsp;Puhan He DMD, MD,&nbsp;Brian Ford DMD, MD, FACS,&nbsp;Steven Wang DMD, MD","doi":"10.1016/j.joms.2026.06.179","DOIUrl":"10.1016/j.joms.2026.06.179","url":null,"abstract":"<div>Optimization of hospital length of stay (LOS) is a critical metric for surgical departments aiming to increase throughput and reduce costs. Traditionally, patient-specific factors such as age, elevated Body Mass Index (BMI), and comorbidities like obstructive sleep apnea (OSA) have been used to risk-stratify patients, often with the assumption that they require longer hospitalization. This study aims to identify factors which most significantly influence recovery in orthognathic workflow.</div><div>A</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S92-S93"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861473","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":"Upper Airway Changes After Bimaxillary Orthognathic Surgery in Skeletal Class II and Class III Patients: A CBCT-Based Comparative Study","authors":"Ufuk Tatli DDS, PhD,&nbsp;Huseyin Can Tukel DDS, PhD,&nbsp;Mehmet Emre Benlidayi DDS, PhD","doi":"10.1016/j.joms.2026.06.143","DOIUrl":"10.1016/j.joms.2026.06.143","url":null,"abstract":"<div>Orthognathic surgery not only corrects dentofacial deformities but also affects airway structures. This study aimed to compare volumetric changes in the upper airway following bimaxillary orthognathic surgery in skeletal class II and III patients. Using a prospective cohort study design, we enrolled a sample of patients with skeletal class II and III dentofacial deformity who underwent bimaxillary orthognathic surgery. Cone-beam computed tomography (CBCT) scans of the patients were acquired</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S90"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861479","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 Magnetic Resonance Neurography Influence Reoperation Rate?","authors":"Timothy W. Neal DDS, MD,&nbsp;Anne McLean DMD, MS,&nbsp;John R. Zuniga DMD, PhD, MS","doi":"10.1016/j.joms.2026.06.178","DOIUrl":"10.1016/j.joms.2026.06.178","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S53-S54"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861504","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":"Extraction Care Patterns, Access, and Costs in Academic Dentistry (2020–2025)","authors":"Alexander B. Stryk,&nbsp;Ali Abdolrahmani DDS, MPH,&nbsp;Luke R. Klahs,&nbsp;Hsiao H. Sung DDS","doi":"10.1016/j.joms.2026.06.108","DOIUrl":"10.1016/j.joms.2026.06.108","url":null,"abstract":"<div>Tooth extraction is among the most frequently performed procedures in academic dental institutions, ranging from routine removals to complex surgical and impacted-tooth extractions. Although common, extraction care is variable across patient demographics, clinical complexity, provider training, specialty/department, perioperative antibiotic strategies, and insurance coverage – factors that influence outcomes, cost, and access. Dental schools also serve as key safety-net providers for patients</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S71"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861584","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":"Dental Implant Outcomes in Patients Receiving Antiresorptive Medications: A Clinician-Focused Narrative Review","authors":"Christopher D. Hollingsworth DMD,&nbsp;Karen Tucker DDS, MD","doi":"10.1016/j.joms.2026.06.100","DOIUrl":"10.1016/j.joms.2026.06.100","url":null,"abstract":"<div>Dental implant therapy increasingly overlaps with exposure to antiresorptive drugs (ARDs), particularly bisphosphonates and denosumab, raising concern regarding osseointegration, long-term survival, marginal bone stability, and the risk of medication-related osteonecrosis of the jaw (MRONJ). As implant placement becomes more common in aging populations treated for osteoporosis and malignancy-related bone disease, clinicians require clear guidance regarding implant outcomes and risk</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S64"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861587","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: Is Music an Alternative to Diazepam for Reducing Anxiety in Third Molar Surgery?","authors":"Zihang Wang PhD,&nbsp;Ke Meng PhD,&nbsp;Shize Xu PhD","doi":"10.1016/j.joms.2026.06.010","DOIUrl":"10.1016/j.joms.2026.06.010","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page 1389"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859253","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":"Trends and Predictors of Secondary Overtriage Among Adults Transferred for Isolated Facial Trauma in the United States","authors":"Tim T. Wang DMD, MD, MPH,&nbsp;Lang Liang DMD,&nbsp;Nicholas Wilken DDS, MD,&nbsp;Zachary S. Peacock DMD, MD, FACS,&nbsp;Gary Warburton DDS, MD,&nbsp;John F. Caccamese Jr. DMD, MD,&nbsp;Cameron C. Lee DMD, MD","doi":"10.1016/j.joms.2026.06.066","DOIUrl":"10.1016/j.joms.2026.06.066","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S27-S28"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859485","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}