{"title":"A comparative evaluation of landmark versus modified technique of superficial cervical plexus nerve block in the maxillofacial surgical practice.","authors":"Sneha Rathee, Vikas Dhupar, Francis Akkara","doi":"10.1007/s10006-025-01389-5","DOIUrl":"https://doi.org/10.1007/s10006-025-01389-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to compare two techniques for administering superficial cervical plexus block (SCPB) in maxillofacial surgery: the landmark technique and the modified technique proposed by Hadzic. The research explores whether the modified technique improves precision, accelerates anesthetic onset, and enhances patient outcomes.</p><p><strong>Methods: </strong>A prospective, single-blinded, randomized clinical study was conducted on 35 patients undergoing maxillofacial surgical procedures at the Goa Dental College and Hospital. Patients were divided into two groups: Group A received SCPB using the landmark technique, and Group B received the modified technique. Both groups underwent additional inferior alveolar and buccal nerve blocks. Key variables measured included time to anesthetic onset, pain levels using the visual analogue scale (VAS), patient comfort, and intraoperative anesthetic requirements. Data were analyzed using SPSS version 22, employing the Mann-Whitney U test and Wilcoxon signed-rank test.</p><p><strong>Results: </strong>The modified technique demonstrated a significantly shorter mean onset time of anesthesia (4.66 ± 1.27 min) compared to the landmark method (11.72 ± 3.78 min; p < 0.001). Postoperative pain scores after 10 min were significantly lower in the modified group (p < 0.001). Both groups reported high patient comfort, with minimal complications observed.</p><p><strong>Conclusion: </strong>In conclusion, the superficial cervical plexus block is safe and effective for oral and maxillofacial surgeries, providing good anesthesia for the jaw and neck. While generally sufficient, deeper anesthesia may be required for some procedures. Combined with a mandibular nerve block, it offers a reliable alternative to general anesthesia. However, a larger, more diverse sample is needed to evaluate its efficacy across procedures.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"92"},"PeriodicalIF":1.7,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024629","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}
{"title":"Evaluation of the effectiveness of dextrose injection in improving chewing function in patients with the temporomandibular joint closed lock: a pilot study.","authors":"Yazan Sayed Taleb, Mazen Zenati, Yasser Alsayed Tolibah","doi":"10.1007/s10006-025-01385-9","DOIUrl":"https://doi.org/10.1007/s10006-025-01385-9","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the intra-articular injection of 5% Dextrose efficacy in treating difficulty chewing patients with Temporomandibular Joint (TMJ) Closed Lock (CL).</p><p><strong>Materials and methods: </strong>This pilot study included twenty female patients suffering from symptoms of Disc Displacement without Reduction (DDwoR) with limited mouth opening (Closed Lock) mentioned in the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Participants were randomly assigned into two groups; the study group patients were injected with D5W, while the control group patients were injected with 0.9% normal saline. The chewing Pain Index (CPI) was measured based on the criteria recommended by the International Association of Oral and Maxillofacial Surgeons (IAOMS) that assessed mandibular function by relating pain with the type of food eaten and using it as an index of improvement in function. The CPI was measured before and thrice after injection (2 weeks, 2 months, and 6 months). The significance level was set at α = 0.05.</p><p><strong>Results: </strong>A decrease in the CPI grades was observed in both groups, with a significant difference in favor of the study group at all follow-up times(< 0.001).</p><p><strong>Conclusion: </strong>D5W improved the chewing function in female closed-lock patients.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"90"},"PeriodicalIF":1.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054142","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}
José Victor Lemos Ventura, Claudete Ferreira da Silva, Thainá da Silva Lopes, Victor Zanetti Drumond, Jefferson R Tenório, José Alcides Almeida de Arruda, Bruno Augusto Benevenuto de Andrade
{"title":"Ameloblastoma on YouTube: content analysis and strategies to address misinformation.","authors":"José Victor Lemos Ventura, Claudete Ferreira da Silva, Thainá da Silva Lopes, Victor Zanetti Drumond, Jefferson R Tenório, José Alcides Almeida de Arruda, Bruno Augusto Benevenuto de Andrade","doi":"10.1007/s10006-025-01381-z","DOIUrl":"https://doi.org/10.1007/s10006-025-01381-z","url":null,"abstract":"<p><strong>Purpose: </strong>Internet platforms, such as YouTube, play a significant role in disseminating health information. This study assessed the quality and reliability of YouTube videos related to ameloblastoma.</p><p><strong>Methods: </strong>This cross-sectional study examined videos using the Global Quality Scale (GQS) to assess content quality and the DISCERN tool to determine reliability. The creators' profiles and target audiences were also evaluated. Data were analyzed descriptively and analytically.</p><p><strong>Results: </strong>A total of 65 videos were analyzed. Most videos (84.6%) were educational, while 15.4% were case reports. Specialists produced 40% of the videos, general dentists 21.5%, and students 6.2%. Regarding content quality, 23.2% of the videos received the highest GQS score, while 27.6% were rated as low quality (scores 1-2). According to DISCERN, 1.5% of videos were classified as maximum quality, 21.6% as high quality, and 17% as low quality. A significant difference in GQS scores was observed between oral and maxillofacial surgeons and general dentists (p = 0.025). A strong positive correlation was found between GQS and DISCERN scores (r = 0.79).</p><p><strong>Conclusion: </strong>While most videos exhibited good production quality, their overall reliability was moderate, with notable deficiencies. Additional validation strategies are needed to enhance the accuracy and educational value of online health information.</p><p><strong>Clinical trial: </strong>Not applicable.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"91"},"PeriodicalIF":1.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054139","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}
{"title":"Bursitis in the nonarticular part of the mandible in atopic dermatitis.","authors":"Natsumi Miyata, Toshihiko Hayashi, Joji Hayashi, Takuya Nishio, Sayaka Yuzawa, Naoko Aoki, Takeshi Yamao","doi":"10.1007/s10006-025-01384-w","DOIUrl":"https://doi.org/10.1007/s10006-025-01384-w","url":null,"abstract":"<p><p>The most common sites of bursitis are articulations, such as the elbows and knees; it rarely occurs in the head and neck or in non-articulation sites. A report of bursitis in the anterior tibial region, a nonarticulation site, during a flare-up of atopic dermatitis (AD) led us to suggest an association between atopic dermatitis and bursitis. We report the case of a 42-year-old man with severe AD and rare bursitis of the mandible, a nonarticulation site. He underwent several resections of his bursitis but repeatedly recurred. We treated him simultaneously with surgical treatment of his bursitis and treatment of his AD, and he recovered completely without recurrence. No previous reports of bursitis occurring at the same site have been reported. The cause of bursitis may be chronic irritation due to atopic dermatitis. It is speculated that bursitis and AD are related, and bursitis can occur at the site of AD, and complete cure can be expected by treating both simultaneously.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"87"},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafael Rezende Cardoso, Camila Silvério Carvalho Vieira, Davisson Alves Pereira, Guilherme José Pimentel Lopes de Oliveira, Gabriella Lopes de Rezende Barbosa
{"title":"Lingual plate thickness influences cortical bone injury during lower third molar extraction: A cone beam computed tomography study.","authors":"Rafael Rezende Cardoso, Camila Silvério Carvalho Vieira, Davisson Alves Pereira, Guilherme José Pimentel Lopes de Oliveira, Gabriella Lopes de Rezende Barbosa","doi":"10.1007/s10006-025-01386-8","DOIUrl":"https://doi.org/10.1007/s10006-025-01386-8","url":null,"abstract":"<p><strong>Purpose: </strong>To determine which factors influence lingual plate injury during the extraction of mandibular third molars, using cone beam computed tomography (CBCT) analysis, considering tooth position and lingual plate morphology.</p><p><strong>Methods: </strong>This retrospective study included CBCT images of 35 mandibular third molars taken preoperatively and seven days post-extraction. The images were obtained from a previous prospective clinical trial investigating bone healing. In the preoperative images, six parameters were evaluated: lingual plate thickness, impaction depth, mesiodistal and buccolingual angulation, lingual plate morphology, and the topographic relationship between the root apex and the lingual plate. In the postoperative images, the lingual plate was classified as either intact or fractured. Statistical analysis was performed using logistic regression to assess the influence of the different variables on lingual plate damage.</p><p><strong>Results: </strong>CBCT images of 35 mandibular third molars were analyzed. Logistic regression analysis revealed that lingual plate thickness at the level of the cementoenamel junction significantly influenced the likelihood of plate fracture during extraction (95% CI: -1.19 to -0.20; p =.007).</p><p><strong>Conclusion: </strong>Understanding lingual plate thickness variations can aid in surgical planning and reduce intraoperative complications in lower third molars extraction. CBCT may be particularly useful in cases involving complex impactions.</p><p><strong>Clinical trial number: </strong>The clinical trial from which the CBCT images were obtained was registered in the Brazilian Registry of Clinical Trials (REBEC) under number U1111-1263-9675.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"88"},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032604","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}
{"title":"Single nucleotide polymorphism analysis of 3'UTR rs713041 of Glutathione peroxidase 4 association with susceptibility to oral premalignant disorders.","authors":"Usha Subbiah, Nihala Sidhic","doi":"10.1007/s10006-025-01380-0","DOIUrl":"https://doi.org/10.1007/s10006-025-01380-0","url":null,"abstract":"<p><strong>Purpose: </strong>Oral potentially malignant disorders (OPMDs) affect the oral mucosa and increase the risk of oral cancer. Glutathione peroxidase 4 (GPX4), a key antioxidant mediator and regulator of ferroptosis, has garnered significant attention in cancer research. This study is to investigate the association between the single nucleotide polymorphism GPX4 3'UTR rs713041 and oral premalignancy disorders.</p><p><strong>Methods: </strong>The rs713041of GPX4 were analysed using PCR-RFLP IN 600 subjects including OSMF, leukoplakia and healthy controls along with their habitual factors.</p><p><strong>Results: </strong>Chewing and smoking habits were present in 52% and 69% of OSMF cases, and 62% and 57% of leukoplakia cases, respectively. Disease prevalence was 78% in males and 59% in females for OSMF, and 22% in males and 26% in females for leukoplakia. The allele frequency distribution for OSMF did not significantly deviate from Hardy-Weinberg equilibrium. The heterozygous TC genotype in OSMF showed a significant association with an odds ratio of 2.42 (CI: 1.58-3.72, P = 0.00) compared to controls.</p><p><strong>Conclusion: </strong>The GPX4 3'UTR T/C carrier genotype is associated with an increased risk of OSMF and leukoplakia. This genotype could serve as a predictive marker for the risk of oral premalignancy disorders.</p><p><strong>Clinical trail number: </strong>Not applicable.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"89"},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045489","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}
Giacomo De Riu, Andrea Biglio, Alessandro Baj, Antonino Maniaci, Jerome R Lechien, Luigi Angelo Vaira
{"title":"Primary reconstruction of total maxillectomy defect with additively manufactured subperiosteal implant and fibula free flap: a case report.","authors":"Giacomo De Riu, Andrea Biglio, Alessandro Baj, Antonino Maniaci, Jerome R Lechien, Luigi Angelo Vaira","doi":"10.1007/s10006-025-01379-7","DOIUrl":"https://doi.org/10.1007/s10006-025-01379-7","url":null,"abstract":"<p><strong>Background: </strong>Total maxillectomy for malignant tumors presents significant challenges for functional and aesthetic rehabilitation. Advances in digital planning and additive manufacturing have reintroduced subperiosteal implants as a promising solution for primary reconstructions.</p><p><strong>Case report: </strong>This report details the case of a 59-year-old male with squamous cell carcinoma of the hard palate extending contralaterally, treated with a total maxillectomy and primary reconstruction using an osteomyocutaneous fibula free flap combined with a custom-made, additively manufactured subperiosteal implant. Preoperative planning integrated craniofacial CT scans, dental impressions, and lower limb angiography to design both the implant and fibula cutting guides. The implant, fabricated via direct metal laser sintering, provided a stable framework for fibular segments and future prosthetic rehabilitation. At two years post-surgery, the patient remains disease-free, with no complications and fully functional prosthetic integration.</p><p><strong>Conclusions: </strong>This case highlights the feasibility, adaptability, and potential benefits of additively manufactured implants in reconstructing total maxillectomy defects.</p><p><strong>Clinical trial number: </strong>N/A.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"86"},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hidenobu Sakuma, Hiroko Kanemaru, Akira Kurokawa, Marie Soga, Moe Yamashita, Mai Nozawa-Kobayashi, Kanae Niimi, Tadaharu Kobayashi
{"title":"Prevalence of MRONJ in patients treated with antiresorptive agents for glucocorticoid-induced osteoporosis.","authors":"Hidenobu Sakuma, Hiroko Kanemaru, Akira Kurokawa, Marie Soga, Moe Yamashita, Mai Nozawa-Kobayashi, Kanae Niimi, Tadaharu Kobayashi","doi":"10.1007/s10006-025-01383-x","DOIUrl":"https://doi.org/10.1007/s10006-025-01383-x","url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we aimed to investigate the incidence of medication-related osteonecrosis of the jaw (MRONJ) in patients with glucocorticoid-induced osteoporosis (GIOP) and to examine risk factors for MRONJ development, as well as the preventive effect of tooth extraction before antiresorptive agent (ARA) administration.</p><p><strong>Methods: </strong>This retrospective study included patients who received ARA to prevent fragility fractures due to GIOP. The cumulative incidence of MRONJ in patients with GIOP was calculated using the Kaplan-Meier method. Univariate and multivariate Cox regression analyses were used to analyze risk factors for MRONJ occurrence.</p><p><strong>Results: </strong>The study included 327 individuals. Six patients developed MRONJ; the crude incidence of MRONJ was 1.8%, and the cumulative incidence at 1, 2, 3, 4, and 5 years was 0.32%, 0.97%, 1.35%, 1.85%, and 2.56%, respectively. In this study, 159 teeth were extracted during dental intervention before ARA administration in 58 patients; however, no MRONJ development was observed at the extraction site. Tooth extraction, diabetes mellitus, and duration of ARA administration were not identified as risk factors in this study.</p><p><strong>Conclusions: </strong>The incidence of MRONJ in patients with GIOP was higher than the previously reported incidence in patients with age-related osteoporosis but lower than the incidence in patients using high-dose ARA. The results support the effectiveness of prophylactic procedures to remove the infected lesions as much as possible from the jawbone and periodontal tissue before ARA administration.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"84"},"PeriodicalIF":1.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032742","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}
Shabnam Ganjehzadeh, Farid Shiezadeh, Amir Moeintaghavi, Zahra Shooshtari
{"title":"Free gingival graft shrinkage on periosteal bed and denuded alveolar bone recipient site: a randomized clinical trial.","authors":"Shabnam Ganjehzadeh, Farid Shiezadeh, Amir Moeintaghavi, Zahra Shooshtari","doi":"10.1007/s10006-025-01376-w","DOIUrl":"https://doi.org/10.1007/s10006-025-01376-w","url":null,"abstract":"<p><strong>Objective: </strong>There are several techniques to increase keratinized tissue, and free gingival grafting (FGG) is one of the most predictable methods. One of the main disadvantages of this method is the significant tissue shrinkage of the graft, so it is desirable to find a method that is associated with less shrinkage. The purpose of the present study was to compare graft shrinkage rates and postoperative pain intensity following FGG augmentation on periosteal beds and denuded alveolar bone.</p><p><strong>Methods & materials: </strong>A total of 22 FGGs with a thickness of 1 to 1.5 mm were placed in the area between the mandibular premolars. The recipient site for FGG was a periosteal bed in the control group and denuded alveolar bone in the experimental group. Dimensions of the grafts were recorded clinically by a periodontal probe as well as taking photographs, and the pain intensity was assessed with VAS scale, 1, 2, 4 and 8 weeks after surgery. The percentage of tissue shrinkage was calculated, and the two groups were compared.</p><p><strong>Results: </strong>A total of 22 patients (7 males and 15 females) completed the study and of these, 10 patients were in the experimental group (denuded bone bed), and 12 patients were in the control group (periosteal bed). At all times, the percentage of shrinkage in length, width and area in the control group (periosteum) was higher than the test group (bone). The highest percentage of shrinkage in all 3 parameters occurred in the control group related to the time between baseline and 1st week. In the experimental group, the highest percentage of length changes occurred between baseline and the 1st week and the highest percentage of width and area changes occurred between weeks 1 and 2. Changes in length, width and area between baseline and the first week and between baseline and week 8 were significant between the two groups. The mean pain in the control group (periosteum) was higher than the experimental group and only in the first week this difference was statistically significant.</p><p><strong>Conclusion: </strong>It can be concluded that epithelialized gingival graft placed on the denuded bone bed is associated with less pain and discomfort in the recipient area at one week postoperatively and was associated with less tissue shrinkage during 8 weeks of follow-up compared to FGG placement on the periosteal bed.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"83"},"PeriodicalIF":1.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065014","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}
Dina Yousry, Raafat Riad, Rehab A Soliman, Mohamed ElSholkamy
{"title":"Does ozone gel enhance the bone width and buccal plate of bone thickness surrounding the implant following osseodensification? A randomized controlled clinical trial.","authors":"Dina Yousry, Raafat Riad, Rehab A Soliman, Mohamed ElSholkamy","doi":"10.1007/s10006-025-01367-x","DOIUrl":"https://doi.org/10.1007/s10006-025-01367-x","url":null,"abstract":"<p><strong>Purpose: </strong>The present study was conducted to evaluate the effect of using ozone gel with transcrestal sinus elevation using osteotomes, on the bone width and the buccal plate of bone thickness around the implants placed simultaneously.</p><p><strong>Materials and methods: </strong>A total of 30 sinuses with an average residual alveolar bone height ranging from 4-7 mm participated in this randomized controlled clinical trial. Following a closed sinus lift procedure, patients were randomized into two groups: one for the ozone gel recipient group and the other for control group. Cone beam computed tomography was carried out both immediately and four months postoperatively. Radiographic evaluations were performed to assess bone width and labial plate thickness at both crestal and midcrestal levels.</p><p><strong>Results: </strong>Radiographic analysis revealed that the mean bone width of the control group after four months postoperative was (8.54 ± 1.46 mm) compared to (8.96 ± 1.66 mm) in the study group, which was statistically insignificant (P ≤ .0.05). The mean labial plate of bone thickness value of the control group after four months postoperative was (1.86 ± 0.63 mm) compared to (1.89 ± 0.51 mm) in the study group. Although the bone dimensions in the study group was higher than the control group, it was statistically insignificant (P ≤ .0.05).</p><p><strong>Conclusion: </strong>When compared to the graftless group, the ozone gel recipient group showed non-significant difference in the results in terms of bone width and thickness. Both methods, nevertheless, produced outcomes that were acceptable.</p><p><strong>Trial registration: </strong>This study protocol was retrospectively registered on the trial registry \"Clinical trials.gov PRS\".</p><p><strong>Clinicaltrials: </strong>gov ID is: NCT06604819 and the registration date is 20/9/2024.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"82"},"PeriodicalIF":1.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}