Journal of Oral and Maxillofacial Surgery Medicine and Pathology最新文献

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Development of a surgical ciliated cyst after maxillary sinus floor augmentation for dental implants: A case report and review of the literature 上颌窦底增强术治疗种植牙后发生纤毛囊肿:一例报告及文献回顾
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-04-11 DOI: 10.1016/j.ajoms.2025.04.002
Hiroyuki Kano , Yusuke Kato , Satoko Fukui , Satoshi Maruyama , Tadaharu Kobayashi
{"title":"Development of a surgical ciliated cyst after maxillary sinus floor augmentation for dental implants: A case report and review of the literature","authors":"Hiroyuki Kano ,&nbsp;Yusuke Kato ,&nbsp;Satoko Fukui ,&nbsp;Satoshi Maruyama ,&nbsp;Tadaharu Kobayashi","doi":"10.1016/j.ajoms.2025.04.002","DOIUrl":"10.1016/j.ajoms.2025.04.002","url":null,"abstract":"<div><div>The occurrence of s surgical ciliated cyst after maxillary sinus floor augmentation has been reported as a delayed and rare complication, although maxillary sinus floor augmentation is a proven and reliable technique for dental implants with a low incidence of postoperative complications. Here, we present a case of surgical ciliated cyst associated with maxillary sinus floor augmentation. A 71-year-old woman was referred to our clinic with a chief complaint of swelling and tenderness of the left palatal region. She had a history of dental implant treatment in the area at another clinic three years ago. Computerized tomography revealed a radiolucent area around the implant fixtures in the left upper molar region. Based on a clinical diagnosis of a maxillary cyst, the patient underwent enucleation of the cyst under general anesthesia. Histopathological findings of the surgical specimen revealed that the cyst was lined by nonkeratinized squamous epithelium and partially lined by ciliated pseudostratified columnar epithelium, and the cyst was ultimately diagnosed as a surgical ciliated cyst. In conclusion, the occurrence of a surgical ciliated cyst should be noted as a delayed complication of maxillary sinus floor augmentation, although its occurrence is extremely rare. To prevent the development of this cystic lesion, careful dissection of the maxillary sinus membrane from the bony surface is essential during maxillary sinus floor augmentation to minimize its damage and avoid its perforation.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1018-1021"},"PeriodicalIF":0.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pleural disseminated cells mimicking malignant mesothelioma or adenocarcinoma metastasized from tongue squamous cell carcinoma: A case report and literature review 舌鳞癌转移的胸膜播散性细胞模拟恶性间皮瘤或腺癌:1例报告及文献复习
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-04-08 DOI: 10.1016/j.ajoms.2025.04.004
Kinuko Ogata , Shuichi Fujita , Rena Shido , Shun Narahara , Naoki Katase , Hirofumi Koike , Misa Sumi , Seigo Ohba , Tomohiro Yamada
{"title":"Pleural disseminated cells mimicking malignant mesothelioma or adenocarcinoma metastasized from tongue squamous cell carcinoma: A case report and literature review","authors":"Kinuko Ogata ,&nbsp;Shuichi Fujita ,&nbsp;Rena Shido ,&nbsp;Shun Narahara ,&nbsp;Naoki Katase ,&nbsp;Hirofumi Koike ,&nbsp;Misa Sumi ,&nbsp;Seigo Ohba ,&nbsp;Tomohiro Yamada","doi":"10.1016/j.ajoms.2025.04.004","DOIUrl":"10.1016/j.ajoms.2025.04.004","url":null,"abstract":"<div><div>It is well known that malignant tumors often dedifferentiate along with invasion and metastasis. Marked dedifferentiation in the distal metastasis makes it difficult to determine whether the metastatic tumor is from known primary origin, from another unknown primary origin, or it is not metastasis but independent primary tumor. Here we present a case of tongue squamous cell carcinoma (SCC) accompanied by pulmonary lymphangitic carcinomatosis (PLC) and carcinomatous pleuritis (CP) showing marked dedifferentiation. A 65-year-old man visited our hospital with complaint of lingual pain. The ulcered induration was histologically diagnosed as well differentiated SCC. After the tumor resection and neck dissection, symptoms and imaging test suggested PLC and CP. Cell block specimens of the pleural effusion exhibited atypical round cells mimic malignant mesothelioma or signet ring cell carcinoma within numerous poorly differentiated cells and undifferentiated cells. Histological diagnosis of these atypical cells was challenging. Immunohistochemical examination according to World Health Organization (WHO) classification of tumors of the lung and pleura revealed that they were positive for AE1/AE3, CK5/6, D2–40 and negative for calretinin, WT1, MOC31, CEA, BerEP4. These findings indicated that pleural disseminated cells were derived from tongue SCC. The pleural disseminated cells in this case were difficult to determine the cell origin due to marked dedifferentiation. It would be impossible to make correct diagnosis without information of clinical course and immunohistochemical examination. We have to keep in mind that there is unexpected dedifferentiated change associating with tumor metastasis.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1147-1152"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A salvage surgery case of mandibular reconstruction with serratus anterior muscle flap with pedicled rib graft having good clinical course in long-term observation 经长期观察,前锯肌瓣带蒂肋移植修复下颌重建术临床效果良好
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-28 DOI: 10.1016/j.ajoms.2025.03.011
Kengo Hashimoto , Kenichiro Ishibashi , Shigeyuki Fujiwara , Mizuki Hyodo , Yohei Ito , Masahiro Umemura
{"title":"A salvage surgery case of mandibular reconstruction with serratus anterior muscle flap with pedicled rib graft having good clinical course in long-term observation","authors":"Kengo Hashimoto ,&nbsp;Kenichiro Ishibashi ,&nbsp;Shigeyuki Fujiwara ,&nbsp;Mizuki Hyodo ,&nbsp;Yohei Ito ,&nbsp;Masahiro Umemura","doi":"10.1016/j.ajoms.2025.03.011","DOIUrl":"10.1016/j.ajoms.2025.03.011","url":null,"abstract":"<div><div>One-stage reconstruction after segmental mandibular resection typically involves using a vascularized bone graft due to the widespread development of free-tissue transfer techniques. The choice of reconstruction method is influenced by the length and location of the mandibular defect and the patient’s age, underlying conditions, and overall physical state. Currently, fibular or iliac bone flaps are often chosen because they can allow for a sufficient length of bone to be harvested and ensure the reproducibility of the natural mandible shape. Conversely, scapular and rib flaps, which require patient repositioning, are less preferred because of existing concerns regarding their strength and consistency with the mandible’s shape. In addition, mandibular reconstruction using a reconstruction plate can result in postoperative complications such as plate infection and fracture, in some patients. These complications often require plate removal and additional reconstructive surgery. Herein, we present the case of a 73-year-old man who underwent segmental mandibulectomy and plate reconstruction for a right mandibular gingival malignancy. Fifty-four months later, a fracture of the reconstructed plate was observed. We report the treatment experience of performing rib flap re-reconstruction as a salvage procedure for a fractured reconstruction plate. Although this approach was necessitated by the difficulty of using the healthy lower limb under the absence of the right lower limb, resulting in a stable long-term outcome.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1012-1017"},"PeriodicalIF":0.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extraction in a patient with Type 3 von Willebrand disease: A case of effective hemostasis after administration of Vonicog Alfa 3型血管性血友病患者的拔除术:Vonicog Alfa有效止血1例
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-26 DOI: 10.1016/j.ajoms.2025.03.010
Taifu Hirano , Tadashi Kawai , Kotaro Shibata , Isao Hoshi , Toshimi Chiba , Hiroyuki Yamada
{"title":"Extraction in a patient with Type 3 von Willebrand disease: A case of effective hemostasis after administration of Vonicog Alfa","authors":"Taifu Hirano ,&nbsp;Tadashi Kawai ,&nbsp;Kotaro Shibata ,&nbsp;Isao Hoshi ,&nbsp;Toshimi Chiba ,&nbsp;Hiroyuki Yamada","doi":"10.1016/j.ajoms.2025.03.010","DOIUrl":"10.1016/j.ajoms.2025.03.010","url":null,"abstract":"<div><div>Tooth extraction in patients with von Willebrand disease (VWD) is difficult because of the associated bleeding. Current treatment involves the use of plasma-derived von Willebrand factor (VWF), and recombinant VWF has recently been developed. This report describes a case of tooth extraction in which hemostasis was successfully achieved with the use of recombinant VWF. The patient was an older male who presented to our department for a tooth extraction. His medical history included uncontrolled bleeding after sinus surgery and factor VIII deficiency. After investigation, a diagnosis of type 3 VWD was made. On the day of admission, recombinant VWF was administered, and the mandibular left first molar was extracted under local anesthesia the next day. The patient was treated with recombinant VWF until the fifth day. The patient had no postoperative bleeding. This outcome suggests that recombinant VWF is effective for tooth extraction in VWD patients.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1072-1076"},"PeriodicalIF":0.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteosarcoma of the jaw in an adult patient aged more than 40 years successfully treated with neoadjuvant chemotherapy comprising doxorubicin and ifosfamide: A case report 年龄超过40岁的成人颌骨骨肉瘤患者成功地接受了由阿霉素和异环磷酰胺组成的新辅助化疗:1例报告
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-26 DOI: 10.1016/j.ajoms.2025.03.008
Yusuke Tsuda , Masanobu Abe , Kenichi Kumagai , Toshihiro Kikuta , Kazuto Hoshi
{"title":"Osteosarcoma of the jaw in an adult patient aged more than 40 years successfully treated with neoadjuvant chemotherapy comprising doxorubicin and ifosfamide: A case report","authors":"Yusuke Tsuda ,&nbsp;Masanobu Abe ,&nbsp;Kenichi Kumagai ,&nbsp;Toshihiro Kikuta ,&nbsp;Kazuto Hoshi","doi":"10.1016/j.ajoms.2025.03.008","DOIUrl":"10.1016/j.ajoms.2025.03.008","url":null,"abstract":"<div><div>Although the mandible is the fourth most common site for osteosarcoma, the standard treatment for these patients remains unclear. A 59-year-old woman presented with mandibular pain. Imaging studies revealed a bone-forming mass with extraosseous extension in the mandible. Biopsy results revealed spindle-to-stellate tumour cells with irregular nuclei and osteoid formation, indicating high-grade osteosarcoma. After preoperative chemotherapy with doxorubicin and ifosfamide, osteosarcoma of the jaw was resected with adequate margins. Histological analysis revealed &gt; 90 % tumour necrosis. Patients achieving a tumour necrosis rate of &gt; 90 % after preoperative chemotherapy have shown significantly better prognoses than those with a necrosis rate of &lt; 90 % in osteosarcoma of the extremities and trunk. Although no consensus has been reached on the effectiveness of preoperative chemotherapy for osteosarcoma of the jaw or osteosarcoma in patients aged &gt; 40 years, neoadjuvant chemotherapy with doxorubicin and ifosfamide may achieve favorable oncological outcomes in selected patients aged &gt; 40 years with high-grade osteosarcoma of the jaw.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1067-1071"},"PeriodicalIF":0.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of nano-emulsion quercetin gel post third molar extraction 槲皮素纳米乳凝胶第三摩尔萃取后的药效研究
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-26 DOI: 10.1016/j.ajoms.2025.03.009
Rashi S. Jain , Pushkar P. Waknis , Samkit V. Sakhariya , Tanvi N. Tiwarekar
{"title":"Efficacy of nano-emulsion quercetin gel post third molar extraction","authors":"Rashi S. Jain ,&nbsp;Pushkar P. Waknis ,&nbsp;Samkit V. Sakhariya ,&nbsp;Tanvi N. Tiwarekar","doi":"10.1016/j.ajoms.2025.03.009","DOIUrl":"10.1016/j.ajoms.2025.03.009","url":null,"abstract":"<div><h3>AIM</h3><div>Wound healing encompasses a multifaceted sequence of events, comprising inflammation, blood coagulation, fibroplasia, and collagen deposition. However, following third molar surgeries, patients frequently contend with pain, inflammation, and swelling, presenting significant obstacles to the natural progression of wound healing. Quercetin, a natural flavanol renowned for its myriad health benefits, exhibits potent anti-inflammatory, anti-cancer, anti-viral, and antioxidant properties. Leveraging these attributes, we propose the development and assessment of a Nano Emulsion Quercetin gel for wound healing post 3rd molar surgery. The envisioned Nano Emulsion Quercetin gel holds promise as an innovative, targeted intervention to improve postoperative recovery and outcomes.</div></div><div><h3>Material and methods</h3><div>The trial cohort was prospectively allocated for treatment of surgical removal of mandibular third molar throughout a 12-month period. Participants were randomly assigned to either with nano-emulsion gel or without nano-emulsion gel groups. Nano-emulsion Quercetin gel was formulated and placed in the socket after 3rd molar removal. Post-operative Edema, pain and soft tissue healing was assessed on day 1, day 3 and day 7. Bone assessment was carried out post operative 1st week, 4th week, and 8th week to observe the bone re-fill in the socket.</div></div><div><h3>Result</h3><div>The study included total 36 patients (18 Female and 18 male). Group with Nano-Emulsion quercetin gel had a statistically significant influence on reducing post-operative pain and edema. Wound healing with bone formation with Nano-emulsion quercetin gel was significantly better.</div></div><div><h3>Conclusion</h3><div>This study provides valuable insights into the efficacy of nano-emulsion quercetin gel in reducing post-operative pain, swelling, and promoting superior wound healing following third molar surgery.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1044-1050"},"PeriodicalIF":0.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Submandibular gland mucocele caused by submental liposuction 颏下吸脂引起的颌下腺粘液囊肿
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-20 DOI: 10.1016/j.ajoms.2025.03.007
Taiga Kaneko, Toshinori Iwai, Satomi Sugiyama, Senri Oguri, Kenji Mitsudo
{"title":"Submandibular gland mucocele caused by submental liposuction","authors":"Taiga Kaneko,&nbsp;Toshinori Iwai,&nbsp;Satomi Sugiyama,&nbsp;Senri Oguri,&nbsp;Kenji Mitsudo","doi":"10.1016/j.ajoms.2025.03.007","DOIUrl":"10.1016/j.ajoms.2025.03.007","url":null,"abstract":"<div><div>Submental liposuction is performed for patients with submental fullness and is one of the most common cosmetic surgical procedures. Although severe complications associated with submental liposuction are rare, there are no reports of iatrogenic submandibular gland (SMG) mucocele. We report a rare case of SMG mucocele caused by submental liposuction. A 25-year-old man was referred to our department for left submandibular swelling. Three years before the first visit, the patient visited another hospital for left submandibular swelling. Magnetic resonance imaging showed a cystic lesion in the left submandibular region, and the patient was diagnosed with a plunging ranula. The patient underwent sublingual gland removal, and the postoperative course was uneventful. Three months before the first visit, the patient underwent submental liposuction at a private cosmetic surgery clinic. Computed tomography revealed a well-circumscribed, submandibular cystic lesion arising from the anterior portion of the SMG. Fine needle aspiration showed yellow mucus. Because the clinical and radiological diagnosis was SMG mucocele, the patient underwent SMG removal in a submandibular approach. The postoperative course was uneventful, and there was no recurrence 5 months after the surgery.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1009-1011"},"PeriodicalIF":0.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malignant transformation of ameloblastoma: A case report and literature review 成釉细胞瘤恶性转化1例并文献复习
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-15 DOI: 10.1016/j.ajoms.2025.03.003
Jiayi Wang , Baican Wang , Jiahui Dai , Yanli Wang , Ling Bi , Yangxi Cheng , Xirui Wang , Huiyong Zhu
{"title":"Malignant transformation of ameloblastoma: A case report and literature review","authors":"Jiayi Wang ,&nbsp;Baican Wang ,&nbsp;Jiahui Dai ,&nbsp;Yanli Wang ,&nbsp;Ling Bi ,&nbsp;Yangxi Cheng ,&nbsp;Xirui Wang ,&nbsp;Huiyong Zhu","doi":"10.1016/j.ajoms.2025.03.003","DOIUrl":"10.1016/j.ajoms.2025.03.003","url":null,"abstract":"<div><div>Ameloblastic carcinoma is an odontogenic malignancy that is divided into a primary type called de novo cancer and a secondary type, a malignant transformation of an existing benign ameloblastoma. Most reported cases of ameloblastic carcinoma occur de novo, while few are caused by malignant degeneration of benign ameloblastoma. This study reports a case of mandibular secondary type ameloblastic carcinoma with malignant transformation 2 months after primary surgery. The patient received extended resection and postoperative radiotherapy. Eight months after operation, the skin flap had good color and soft texture, and the mandibular movement function and facial shape recovered well. We also reviewed 32 cases of secondary type ameloblastic carcinoma and analyzed the clinical features, treatment and results, suggesting that clinicians should pay attention to the possibility of malignant transformation of ameloblastoma and provide guidance for its treatment.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 1000-1008"},"PeriodicalIF":0.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in the structure and function of tongue before and after orthognathic surgery: Retrospective study 正颌手术前后舌结构和功能的变化:回顾性研究
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-13 DOI: 10.1016/j.ajoms.2025.03.006
Riku Kohara , Karen Gomi , Atsuya Ishiyama , Sumire Ono , Young Min Shin , Akinori Moroi , Kunio Yoshizawa , Koichiro Ueki
{"title":"Changes in the structure and function of tongue before and after orthognathic surgery: Retrospective study","authors":"Riku Kohara ,&nbsp;Karen Gomi ,&nbsp;Atsuya Ishiyama ,&nbsp;Sumire Ono ,&nbsp;Young Min Shin ,&nbsp;Akinori Moroi ,&nbsp;Kunio Yoshizawa ,&nbsp;Koichiro Ueki","doi":"10.1016/j.ajoms.2025.03.006","DOIUrl":"10.1016/j.ajoms.2025.03.006","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare changes in tongue morphology and function before and after orthognathic surgery.</div></div><div><h3>Methods</h3><div>Sixty patients with jaw deformities who underwent orthognathic surgery were enrolled. Tongue pressure, computed tomography (CT), and cephalometric analyses were performed before and one-year post-surgery. Tongue pressure was measured using a pressure-measuring device (TPM-02®; JMS Co., Ltd, Tokyo, Japan). Participants were instructed to press their tongues with maximum force for 20 s, and measurements were repeated three times, with the mean value used for analysis. CT images were reconstructed using ProPlan CMF (Materialize, Belgium), and CT values of the tongue were measured. Cephalograms were analyzed using Cephalometric A to Z software (Yasunaga Labo Com, Fukui, Japan), with key measurements being tongue length (TGL), tongue height (TGH), and tongue area.</div></div><div><h3>Results</h3><div>In class II females, postoperative tongue pressure, tongue area, length, height, and CT values were significantly higher than pre-operative values. Before surgery, class II females exhibited significantly lower tongue pressure, tongue area, and tongue length than other groups, although this was not observed one year after the operation.</div></div><div><h3>Conclusions</h3><div>This study suggests that orthognathic surgery significantly alters tongue morphology and function, affecting CT values.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 915-920"},"PeriodicalIF":0.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Platelet rich fibrin versus hydroxyapatite in the management of periapical inflammatory lesions: A prospective clinico-radiographic comparative analysis 富血小板纤维蛋白与羟基磷灰石治疗根尖周围炎性病变:前瞻性临床放射学比较分析
IF 0.4
Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-03-10 DOI: 10.1016/j.ajoms.2025.03.005
Swasti Bhardwaj, Gaurav Singh, Amit Gaur
{"title":"Platelet rich fibrin versus hydroxyapatite in the management of periapical inflammatory lesions: A prospective clinico-radiographic comparative analysis","authors":"Swasti Bhardwaj,&nbsp;Gaurav Singh,&nbsp;Amit Gaur","doi":"10.1016/j.ajoms.2025.03.005","DOIUrl":"10.1016/j.ajoms.2025.03.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluates and compares clinical and radiographic outcomes following periapical surgery using Platelet Rich Fibrin (PRF) or Hydroxyapatite (HA) bone graft as filling materials for periapical defects.</div></div><div><h3>Method</h3><div>Sixty patients with periapical pathology in the maxillary anterior region (1–2 cm) were included. They were randomly divided into three groups of 20 patients each. The entire periapical lesion was removed and manual curettage was done. After completion of periapical surgery (Apicoectomy); Group I(control) had the defect left unfilled, Group II received HA bone graft, and Group III received PRF. Clinical and radiographic parameters were assessed at various intervals.</div></div><div><h3>Result</h3><div>No statistically significant difference in post-operative pain was found among the groups, though Group III experienced the least pain. Swelling was present initially in all groups but resolved faster in Group III. Tooth mobility was least in Group III at the 1st and 3rd months, with no mobility in Groups II and III by the 6th month. Group III exhibited the best soft tissue healing. Mean bone density was highest in Group III at 1st, 6th, and 9th months, with a statistically significant result in group III(P = .033) and in intragroup comparison between Groups I and III at 9 months (<em>P</em> = .043).</div></div><div><h3>Conclusion</h3><div>PRF emerged as the preferred graft material due to its autologous nature, cost-effectiveness and ability to promote healing through the release of growth factors. However, the choice between PRF and hydroxyapatite should be guided by specific clinical requirements and desired outcomes.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"37 5","pages":"Pages 906-914"},"PeriodicalIF":0.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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