Journal of Oral and Maxillofacial Surgery最新文献

{"title":"What is the Quality of the Evidence in the Craniomaxillofacial Surgery Literature? A 10-Year Follow-Up","authors":"Christopher Y. Ma DMD,&nbsp;Graham J. Harris BA,&nbsp;Chao Dong MS,&nbsp;Srinivas M. Susarla DMD, MD, MPH","doi":"10.1016/j.joms.2025.06.046","DOIUrl":"10.1016/j.joms.2025.06.046","url":null,"abstract":"<div>Evidence-based medicine (EBM) has become the gold standard for modern clinical decision-making, medical education, as well as population-based practices. As part of this movement, there has been a push to improve the quality of evidence published in the literature as it directly informs practice guidelines and thus impacts patient care. One measure of quality for studies is their level of evidence, with articles with higher levels of evidence having more validity.</div><div>It has taken time for medical</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page S20"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020808","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 AI Models (ChatGPT and Claude AI) With Human Accuracy in Evaluating the Relationship Between Mandibular Third Molar and Inferior Alveolar Nerve Using Panoramic Radiography","authors":"Jitendra Chawla MDS","doi":"10.1016/j.joms.2025.06.048","DOIUrl":"10.1016/j.joms.2025.06.048","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page S21"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020810","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 and Maxillofacial Surgeon Accuracy in Anticipating Supplemental Opioid Use Following Third Molar Extraction","authors":"Sierra van den Dries DMD,&nbsp;Kathrine N. Theken Pharm. D., Ph.D,&nbsp;Neeraj H. Panchal DDS, MD,&nbsp;Steven Wang DMD, MD,&nbsp;Brian Ford DMD, MD,&nbsp;Rania A. Habib DDS, MD","doi":"10.1016/j.joms.2025.06.040","DOIUrl":"10.1016/j.joms.2025.06.040","url":null,"abstract":"<div>Anticipating which patients will require supplemental opioid use following third molar extraction is a challenge with significant benefits for oral and maxillofacial surgeons. Studies have attempted to link indices such as the Pederson Difficulty Index to post operative pain intensity with variable results. In this study we assess accuracy of surgeon prediction based on panoramic radiographs and the Pederson Difficulty Index in anticipating which patients will require supplemental opioids in</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S37-S38"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020879","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":"Conventional Orthodontic-Orthognathic Surgery Treatment Duration in a University Residency Program","authors":"Catherine M. Florentine DMD,&nbsp;David Shafer DMD, FACS,&nbsp;Flavio Uribe DDS, MDentSc,&nbsp;Christy Lottinger DDS, FACS","doi":"10.1016/j.joms.2025.06.123","DOIUrl":"10.1016/j.joms.2025.06.123","url":null,"abstract":"<div>The lengthy treatment duration of Conventional Orthodontic-Orthognathic Surgery (COS) has been reported extensively and is often cited as a reason for pursuing other treatment approaches, such as surgery-first orthognathic surgery. The total treatment time of COS has been reported to be approximately 27-36 months,¹ but additional variables contributing to this extensive treatment time remain incompletely assessed.²</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S82-S83"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020896","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 Intraoperative Electroencephalogram Monitoring Use During Orthognathic Surgery Improve Anesthesia Emergence Time?","authors":"Michael C. Britt BS,&nbsp;Victoria Shen BS,&nbsp;Mark A. Green MD, DDS, FACS","doi":"10.1016/j.joms.2025.06.055","DOIUrl":"10.1016/j.joms.2025.06.055","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S25-S26"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020996","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":"Seldinger Technique for TMJ Arthroscopy: Bridging the Technical Gap in Arthroscopy","authors":"Susie Lee DMD Candidate,&nbsp;Sheridan Danquah DMD,&nbsp;Daniel D. Choi MD, DDS","doi":"10.1016/j.joms.2025.06.061","DOIUrl":"10.1016/j.joms.2025.06.061","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page S31"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021001","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":"Beyond Passive Learning: Artificial Intelligence–Driven Spaced Repetition Learning and Digital Tools in Oral and Maxillofacial Surgery Residency","authors":"Bruce Zhang DMD ,&nbsp;Joshua Campbell DDS","doi":"10.1016/j.joms.2025.04.028","DOIUrl":"10.1016/j.joms.2025.04.028","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages 1060-1064"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921154","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":"Complication Rates of the Anterior Iliac Crest Bone Graft Donor Site for 426 Pediatric Patients Undergoing Alveolar Bone Grafting","authors":"Lane Haws DMD, MD ,&nbsp;Boyu Ma DMD, MD ,&nbsp;Tanner Godfrey DMD, PhD ,&nbsp;Peter D. Waite DMD, MD ,&nbsp;Brian Kinard DMD, MD ,&nbsp;Kathlyn Powell DMD, MD","doi":"10.1016/j.joms.2025.05.006","DOIUrl":"10.1016/j.joms.2025.05.006","url":null,"abstract":"<div><h3>Background</h3><div><span>The iliac crest </span>bone graft<span> (ICBG) has long been considered the gold standard for secondary alveolar reconstruction in patients with cleft lip and palate. With the advent of grafting alternatives, such as bone morphogenetic protein-2, the morbidity of the iliac crest harvest has come into question.</span></div></div><div><h3>Purpose</h3><div>The purpose of this study is to estimate the frequency, types, and identify risk factors for postoperative complications of the anterior ICBG hip donor site.</div></div><div><h3>Study design, setting, sample</h3><div>A retrospective cohort study of patients who received alveolar reconstruction with anterior ICBG by 2 surgeons over an 11-year period at the Children’s of Alabama Hospital in Birmingham, Alabama, was conducted. Exclusion criteria included previous alveolar graft attempt, age greater than 18 years at the time of repair, or lack of postoperative follow-up.</div></div><div><h3>Predictor variable</h3><div>The predictor variable was a set of risk factors associated with complications and included sex, age at surgery, and cleft type (unilateral vs bilateral).</div></div><div><h3>Main outcome variable</h3><div>The main outcome variable was donor site morbidity defined as the presence of complications, prolonged length of stay, or readmission. Complications included gait disturbance, transient hypoesthesia<span>, and hypertrophic scar.</span></div></div><div><h3>Covariates</h3><div>Covariates included length of follow-up and alveolar cleft graft timing (secondary vs tertiary).</div></div><div><h3>Analyses</h3><div><span>Descriptive and bivariate analyses were completed. The level of statistical significance was </span><em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>The sample size was composed of 426 subjects with a mean age of 7.9 ± 2.3 years. Of the total subjects, 211 (49.5%) patients were male and 215 (50.5%) patients were female. Overall, 11 (2.6%) subjects experienced complications associated with the anterior iliac crest donor site. The most prevalent anterior iliac crest donor site complications included transient gait disturbance 0.7% (n = 3), hypertrophic scar 0.7% (n = 3), and transient hypoesthesia 0.5% (n = 2). One subject experienced prolonged length of stay, and none required readmission. There were no study variables associated with donor site morbidity.</div></div><div><h3>Conclusion</h3><div>The overall morbidity associated with anterior ICBG for alveolar cleft repair remains low, with a complication rate of 2.6% (n = 11) associated with the donor site. These results offer strong evidence of the overall safety and minor morbidity of the ICBG harvest for alveolar cleft repair.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages 1101-1105"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216192","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 Healing Rates Differ Between Medication-Related and Medication-Unrelated Osteonecrosis of the Jaw?","authors":"Masaki Fujimori DDS ,&nbsp;Yoshiyuki Toriyabe DDS ,&nbsp;Noriyuki Sakakibara DDS, PhD ,&nbsp;Masanori Nojima MD, PhD, MPH ,&nbsp;Shujiroh Makino DDS, PhD","doi":"10.1016/j.joms.2025.05.023","DOIUrl":"10.1016/j.joms.2025.05.023","url":null,"abstract":"<div><h3>Background</h3><div>The healing rates, time to complete healing, effectiveness of operative therapy, and factors associated with healing for medication-related osteonecrosis of the jaw<span> (MRONJ) and medication-unrelated osteonecrosis of the jaw (MUONJ) remain unclear.</span></div></div><div><h3>Purpose</h3><div>The study aimed to estimate and compare the healing rates between patients with MRONJ and MUONJ and identify prognostic factors associated with healing.</div></div><div><h3>Study design, setting, sample</h3><div>A 25-center prospective cohort study was performed—the investigators enrolled patients with ONJ treated using a standardized therapeutic protocol between 2013 and 2016. Patients with a history of radiation therapy to the jaws were excluded.</div></div><div><h3>Predictor variable</h3><div>The primary predictor variable was the ONJ diagnosis. The secondary predictors involved a set of heterogenous variables grouped into demographic, medical, clinical condition, and perioperative categories.</div></div><div><h3>Main outcome variables</h3><div>The primary outcome variable was treatment duration, defined as the time (in months) between therapy initiation and site healing, date of the final visit, or loss to follow-up.</div></div><div><h3>Covariates</h3><div>Not applicable.</div></div><div><h3>Analyses</h3><div>Descriptive statistics and cumulative healing rates were calculated. <em>P</em> &lt; .05 was considered significant.</div></div><div><h3>Results</h3><div>The sample comprised 332 subjects with a mean age of 72.3 ± 11.1 years, among whom 116 (34.9%) were male. The MUONJ and MRONJ groups included 41 (12.3%) and 291 (87.7%) subjects, respectively, exhibiting 1-year cumulative healing rates of 92.1 and 47.3% (<em>P</em> &lt; .01), respectively. The hazard ratio for complete healing was 3.7 (95% CI = 2.5 to 5.3, <em>P</em> &lt; .01) in subjects with MUONJ compared with those with MRONJ. The median time to complete healing was 6 (3.8 to 8.2) months in the MUONJ group, while less than half of the subjects in the MRONJ group healed within 12 months. The 1-year cumulative healing rate was 92.1 and 47.3% (<em>P</em> &lt; .01) in the operative therapy and nonoperative therapy groups, respectively.</div></div><div><h3>Conclusions and Relevance</h3><div>MUONJ was associated with better healing rates and a shorter time to healing compared with MRONJ. Operative therapy also showed potential benefits. Decisions for treating ONJ should be based on these findings alongside individual patient needs and conditions.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages 1143-1156"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475706","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 Treatment at a Level 1 Trauma Center Associated With Improved Outcomes in Adults With Isolated Midface Trauma?","authors":"Lang Liang BS,&nbsp;Tim T. Wang DMD, MD, MPH,&nbsp;Nicholas Wilken DDS, MD,&nbsp;Gary Warburton DDS, MD,&nbsp;John F. Caccamese Jr. DMD, MD,&nbsp;Cameron C. Lee DMD, MD","doi":"10.1016/j.joms.2025.06.064","DOIUrl":"10.1016/j.joms.2025.06.064","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S33-S34"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019163","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}