Journal of Maxillofacial & Oral Surgery最新文献

{"title":"Effect of Intra-Socket Delivery of Piroxicam on Post-Extraction Dental Pain: A Crossover Randomized Clinical Trial.","authors":"Manasi Shinde, Snehal N Ingole, Namrata Patil, Deepashree Meshram, Pallavi Ranadive, Ankush Chavan","doi":"10.1007/s12663-025-02670-6","DOIUrl":"https://doi.org/10.1007/s12663-025-02670-6","url":null,"abstract":"<p><strong>Introduction: </strong>Post-extraction dental pain is common, often severe, and significantly impacts patient quality of life. NSAIDs like ibuprofen and diclofenac are standard treatments but have limitations, including short half-lives necessitating frequent dosing. Piroxicam, an oxicam class NSAID with a longer half-life and potent anti-inflammatory properties, offers potential advantages. This study evaluates the efficacy of intra-socket delivery of Piroxicam for post-extraction pain management compared to standard oral NSAID regimens.</p><p><strong>Materials and methods: </strong>In this randomized clinical trial, 88 patients underwent bilateral molar extractions. Each received either a 20 mg piroxicam tablet in the socket with gelatin sponge or oral paracetamol (500 mg) and diclofenac (50 mg) for three days. Pain was recorded at 6, 12, 24, 48, and 72 h post-extraction via VAS. A crossover design with a one-week interval was used. Only per-protocol patients were analyzed using nonparametric tests.</p><p><strong>Results: </strong>Sixty participants completed the study. Pain intensity decreased over time in both groups, but significantly lower pain levels were observed in the piroxicam group at all intervals (<i>p</i> < 0.001). Males in the piroxicam group reported significantly lower pain levels at 12, 24, and 48 h compared to females. Only 36.7% of patients required rescue medication in the piroxicam group, indicating 63.3% efficacy.</p><p><strong>Conclusion: </strong>A single dose of 20 mg piroxicam administered intra-socket effectively manages post-extraction pain with fewer systemic adverse effects compared to conventional NSAIDs. This method provides a viable alternative for enhancing patient comfort and recovery post-dental extraction.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 3","pages":"849-856"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044133","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}

{"title":"Functional and Quality of Life Outcomes Following Lateral Arm Flap Reconstruction for Medium-Sized Head and Neck Defects: A Prospective Study.","authors":"M E Sham, Thyagaraj J Reddy, M Keerthi, Suresh Menon, S Archana, Sheron Mathews, Keshni","doi":"10.1007/s12663-025-02552-x","DOIUrl":"https://doi.org/10.1007/s12663-025-02552-x","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Since the 1970s, free tissue transfer has gradually become known around globally as a reliable and sustainable technique in head and neck surgery. Microvascular reconstruction of the head and neck comprises of specialized surgical techniques used to replace lost tissue in the maxillofacial and neck region with tissue from other parts of the body. The Lateral Arm Free Flap (LAFF), one among several free flaps that have been developed, was initially introduced by Song et al. in 1982 and further developed by Cormack and Katsaros in 1984. Compared to other fasciocutaneous flaps, the lateral arm flap is an attractive option as it is a thin flap that is harvested over the lateral epicondyle based on the terminal anterior branch of the posterior radial collateral artery. Lateral arm flap has unique advantages such as being able to deliver adequate thickness, color match of skin, easy to harvest, and posing minor complications at the donor site, but it is still a seldom used option in head and neck reconstruction. The purpose of this study was to provide a comprehensive summary of our two years of experience using the LAFF in head and neck reconstruction and to explore the possibility of expanding its application even further.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim and objectives: &lt;/strong&gt;This study aimed to assess the reliability of Lateral Arm Free Flap in head and neck reconstruction after successful tumor ablation. Objectives included evaluating the functional outcomes of the flap donor site and assessing recipient site function using the University of Washington Quality of Life questionnaire v4 (UW-QOL v4), specifically focusing on speech and swallowing abilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and method: &lt;/strong&gt;This clinical prospective study involves 24 patients who underwent microvascular reconstruction of head and neck defects from 2022 to 2024 following head and neck cancer surgery. Data collected following successful reconstruction includes patient demographics, details of defect to be reconstructed, various flap characteristics, recipient site as well as donor site complications, and patient-reported outcomes using Quick DASH and UW-QOL v4 questionnaires. Follow-up range is from the 5th day postoperatively and followed through every three months for a year, with questionnaires completed by patients or attenders to minimize bias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Our study involved 24 patients treated for head and neck cancer and reconstructed with LAFF. In our series of reconstruction, we had a flap success rate of (95.8%). Over a period of time, disability ratings declined dramatically and there were no substantial donor site problems. Donor arm shoulder function, ability to perform exercise, appearance, and pain all showed improvements in quality of life questioner. Recipient site problems such as adequate saliva production, taste, ability to hold bolus adequately, speaking certain words, and anxiety challenges persisted, but they g","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 3","pages":"914-922"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044147","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}

{"title":"Efficacy of Vascular Surgical Interventions in Marfan Syndrome and Ehlers-Danlos Syndrome: A Review of Long-Term Patient Outcomes.","authors":"K R Arunvignesh, V Ananthanarayanan, Asish Mathew Joseph, Musunuri Manoj Kumar, Aditi Saxena, Vikram S Amberkar","doi":"10.1007/s12663-025-02636-8","DOIUrl":"https://doi.org/10.1007/s12663-025-02636-8","url":null,"abstract":"<p><strong>Background: </strong>Marfan Syndrome (MFS) and Ehlers-Danlos Syndrome (EDS) are hereditary connective tissue disorders with significant clinical variability, predominantly affecting cardiovascular, musculoskeletal, and vascular systems. Surgical interventions play a pivotal role in managing life-threatening complications such as aortic dissections in MFS and vascular ruptures in EDS. However, the long-term effectiveness of surgical strategies remains debated, necessitating a comprehensive evaluation of their outcomes to guide clinical decision-making.</p><p><strong>Methodology: </strong>A systematic review adhering to PRISMA guidelines was undertaken. A thorough search was conducted across PubMed, Scopus, and Web of Science, utilizing targeted keywords to identify studies focused on surgical interventions in Marfan syndrome (MFS) and Ehlers-Danlos syndrome (EDS). Data were extracted on survival rates, reoperation frequencies, and complication profiles. Meta-analysis was conducted where appropriate, and subgroup analyses compared outcomes of specific surgical techniques, such as the Bentall and David procedures. Bias mitigation strategies included sensitivity analyses and subgroup evaluations.</p><p><strong>Results: </strong>The David procedure demonstrated outstanding long-term efficacy, achieving a 100% survival rate at 20 years with minimal complications or reoperations. The Bentall procedure also showed high durability with a 94% survival rate over 20 years. General surgical approaches yielded lower survival and reoperation-free rates, particularly in aortic dissection cases. Meta-analysis highlighted superior outcomes with valve-sparing techniques over composite valve grafting, reducing complications such as thromboembolism and hemorrhage. Additional findings included improved musculoskeletal outcomes in MFS patients undergoing scoliosis correction, with a significant reduction in spinal curvature.</p><p><strong>Conclusion: </strong>Specialized surgical interventions significantly improve long-term survival and reduce complications in MFS and EDS patients. Valve-sparing procedures, such as the David technique, represent gold standards for optimizing outcomes. Tailored surgical strategies, combined with advancements in imaging and structured follow-up protocols, are crucial for enhancing patient care. Future research should focus on multicenter trials and integrating genetic and molecular profiling to further refine treatment paradigms.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 3","pages":"774-795"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044216","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}

{"title":"Rare Occurrence of Epidermoid Inclusion Cyst in the Mandible: A Solitary Case Report and Review of Literature.","authors":"Shivkumar Chopane, Neeraj Kumar, Ankita Chugh, Tushar Mittal","doi":"10.1007/s12663-024-02286-2","DOIUrl":"https://doi.org/10.1007/s12663-024-02286-2","url":null,"abstract":"<p><strong>Background: </strong>An epidermoid cyst is a benign cyst with non-aggressive in nature. It is usually found on the skin but rare occurrence as bone cysts are sometimes present in the distal phalanges of the fingers. Epidermoid inclusion cyst in the maxillofacial region is a rare entity.</p><p><strong>Case: </strong>A rare case of epidermoid inclusion cyst of anterior mandible was diagnosed, surgically enucleated with complete curettage and extraction of displaced/impacted canine under general anesthesia. Histopathological findings of the excised cystic lesion confirmed the diagnosis of an epidermoid inclusion cyst. The patient was followed up at regular intervals with no recurrence.</p><p><strong>Conclusion: </strong>This case report highlights a rare case of epidermoid inclusion cyst along with its management which should be reported in the literature.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 3","pages":"796-800"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044275","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}

{"title":"Photogrammetric Outcomes of the Effects of Cancellous Versus Cortico-Cancellous bone Graft on Alar Base Symmetry Among Unilateral Cleft Alveolus Patients: A Randomized Controlled Trial.","authors":"Bhavana Valvi, Abhay Datarkar, Suraj Parmar, Vandana Gadve, Sachin Khatri","doi":"10.1007/s12663-025-02588-z","DOIUrl":"https://doi.org/10.1007/s12663-025-02588-z","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to compare and evaluate the difference between alar base symmetry with the help of photogrammetry in unilateral complete cleft alveolus patients treated with Cancellous and Cortico-cancellous anterior iliac crest bone graft.</p><p><strong>Patients and method: </strong>Total 20 patients were enrolled and randomly allocated into two groups, each comprises of 10 patients. Preoperatively and post-operatively photographs were taken for evaluation of nasal symmetry achieved in both the groups. Intra-group evaluation was done first to rule out the significant changes obtained from each type of bone graft followed by inter-group comparison to probe the effect of suitable bone graft on nasal symmetry.</p><p><strong>Result: </strong>Paired <i>t</i> test was used for intra-group comparison and unpaired <i>t</i> test was applied for inter-group results. The <i>p</i> value was < 0.005 in case of intra-group and inter-group comparison and results obtained were more favorable for group II patients in which cortico-cancellous bone graft was used as far as the alar base symmetry is concern.</p><p><strong>Conclusion: </strong>This photogrammetric method is a reliable method to differentiate preoperative and postoperative changes clinically and aesthetically. Cortico-cancellous bone graft is better than cancellous bone graft when alar base symmetry and achieving facial contour is concern.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 3","pages":"882-890"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044284","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}

{"title":"Tie and Tucker: A Technical Note from Surgeons View.","authors":"V Venugopalan, R Sathyanarayanan, S Duraimurugan","doi":"10.1007/s12663-023-01930-7","DOIUrl":"10.1007/s12663-023-01930-7","url":null,"abstract":"<p><p>Intermaxillary fixation using erich arch bars is a common treatment in maxillofacial trauma. The arch bars are stabilized and fixed to maxillary and mandibular arches with interdental wires which are twisted, cut and bent to make loops. Wire twisters and artery forceps are used to bend and make loops of cut twisted wires with difficulty. The orthodontic tie and tucker can be incorporated in oral surgery to bend the cut end of the twisted interdental arch bar wires to make consistent loops.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"407-408"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41376568","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}

{"title":"Does the Use of Transcutaneous Electrical Nerve Stimulation Improve Temporomandibular Disorders After Orthognathic Surgeries?","authors":"Majid Nemati, Shakila Peimani, Ensiyeh Cheraghchibashi Astaneh, Samir Aboul Hosn Centenero, Reza Tabrizi","doi":"10.1007/s12663-025-02697-9","DOIUrl":"10.1007/s12663-025-02697-9","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) occur in a small number of patients who undergo orthognathic surgery. Transcutaneous electrical nerve stimulation (TENS) is a treatment modality used to manage TMD.</p><p><strong>Objective: </strong>This study aimed to assess the effects of TENS on reducing symptoms following orthognathic surgery.</p><p><strong>Methodology: </strong>This was a pre-protocol randomized clinical trial. Patients with retrognathia and myogenic temporomandibular joint disorders following mandibular advancement were studied. The subjects were randomly divided into two groups: the treatment group, which received TENS, and the control group. This study was conducted at Shahid Beheshti University of Medical Science. Patients in the treatment group underwent 10 sessions of TENS two months after surgery, which were repeated 1 month later. The main outcomes of the study were pain severity measured using a visual analog scale and maximum mouth opening (MMO). Pain and MMO were assessed 1, 3, 6 months after the intervention.</p><p><strong>Results: </strong>A total of 29 patients were included in group I (TENS) and 31 in group II (control). Pain was significantly different between the treatment and control groups 3 and 6 months after the intervention (p = 0.001, p < 0.001 retrospectively). MMO was significantly different between the treatment and control groups at 1, 3, and 6 months after the intervention (<i>p</i> = 0.032, <i>p</i> = 0.007, <i>p</i> = 0.013 retrospectively).</p><p><strong>Conclusion: </strong>TENS appears that TENS is effective for pain relief and improvement in maximum mouth opening (MMO) in patients with temporomandibular disorder (TMD) following orthognathic surgery.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 2","pages":"430-437"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676682","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}

{"title":"Predicting Distant Metastasis in Head and Neck Squamous Cell Carcinoma: A Machine Learning Analysis of 31,060 Patients from the SEER Database.","authors":"Changping Ma, Xinyi Xu, Yaoqi Chen, Jingjing Mao, Jiawen Xue, Zhongwei Zhou","doi":"10.1007/s12663-025-02683-1","DOIUrl":"10.1007/s12663-025-02683-1","url":null,"abstract":"<p><strong>Background: </strong>Accurate assessment of the risk of distant metastasis of head and neck squamous cell carcinoma (HNSCC) is important for the development of personalized treatment and prognosis. The purpose of this study was to explore the risk factors for distant metastasis of HNSCC and to establish a predictive model using machine learning methods.</p><p><strong>Materials and methods: </strong>We designed a retrospective cross-sectional study with a cohort from the SEER database (affiliated with the National Cancer Institute). A total of 31,060 cases of head and neck cancer were included by our inclusion criteria. We constructed four machine learning models-logistic regression, decision tree, XGBoost, and neural network-to predict the risk of distant metastasis in HNSCC patients and compared the performance of the four models. Accuracy, precision, recall, and F1-score were used to evaluate the performance of the model. The evaluation ability and clinical practicability of the model were verified by comparing the area under the curve and the receiver operating characteristic curve.</p><p><strong>Results: </strong>The receiver operating characteristic of the four models ranged from 0.681 to 0.847. The average accuracy of all algorithms was 77%, and XGBoost had the highest accuracy of 85.119%. Among the four models, XGBoost and logistic regression had the highest precision, both with precision greater than 79. Neural network had the highest recall and F1-score. Decision tree had the lowest accuracy and recall. Among the four models, XGBoost achieved the highest AUC (0.846) and accuracy (85.1%), outperforming neural networks (AUC: 0.837) and logistic regression (AUC: 0.838).</p><p><strong>Conclusion: </strong>XGBoost had the highest classification accuracy, so this machine learning method could be used to predict distant metastasis of HNSCC. The application of machine learning algorithms can stratify patients with HNSCC in clinic, which is conducive to the development of personalized treatment plans.</p><p><strong>Clinical relevance: </strong>The findings of this study have significant implications clinical management of HMSCC. The model's top predictors were surgical treatment (OR: 0.33) and lymph node involvement (OR: 3.37), suggests that this machine learning algorithm could be effectively integrated into clinical practice to predict distant metastasis in HMSCC patients. This has the potential to enhance the accuracy of prognostic assessments, thereby facilitating more informed treatment planning and personalized care.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 2","pages":"370-377"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677600","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}

{"title":"Comparative Evaluation of Erich Arch Bars with Hybrid Arch Bars for Maxillomandibular Fixation in the Treatment of Mandibular Fractures: A Prospective Clinical Study.","authors":"Saumya Kapoor, Parimala Sagar, Kavitha Prasad","doi":"10.1007/s12663-025-02763-2","DOIUrl":"10.1007/s12663-025-02763-2","url":null,"abstract":"<p><strong>Aim: </strong>To compare the effectiveness of hybrid arch bars with Erich arch bars for intermaxillary fixation in mandibular fracture treatment.</p><p><strong>Materials and methods: </strong>The study consisted of 22 patients presenting with mandibular fractures. Patients undergoing IMF using Erich arch bars were allocated to group 1 and hybrid arch bars to group 2, with an equal number of patients being allocated in each group. Patients were recalled for a follow-up at three-week intervals to evaluate the gingival health, patient satisfaction and operator satisfaction.</p><p><strong>Results: </strong>Twenty-two patients were enrolled in this study; <i>p</i> value of the gingival index was recorded in both the groups at pre-, mid- and postoperative periods, which were 0.947, 0.858 and 0.338, respectively. The mean value of the Hospital Anxiety and Depression Scale was 3.90 for Erich arch bar and 4.63 for the hybrid arch bar. The depression component did not have much variation. The mean Visual Analog Scale values for Erich arch bar and hybrid arch bar were 3.36 and 2.45, respectively. Patient satisfaction values were not statistically significant in both groups. Operator satisfaction for the Erich and hybrid arch bar groups was 5.36 and 5.54, respectively.</p><p><strong>Conclusion: </strong>Hybrid arch bars are as effective as Erich arch bars in mandibular fractures, requiring closed reduction and intermaxillary fixation but with an inherent set of complications.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 2","pages":"394-400"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677666","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}

{"title":"Patient-Specific Implants as a Treatment of Oral Manifestations of Aggressive Periodontitis Accompanying Papillon-Lefèvre Syndrome. A Case Report.","authors":"Hesham El-Hawary, Ammar Yasser Oun, Yomna Ahmed AbouMousa, Mohamed Shawky","doi":"10.1007/s12663-025-02499-z","DOIUrl":"10.1007/s12663-025-02499-z","url":null,"abstract":"<p><strong>Objectives: </strong>A case report of aggressive periodontitis that accompanied Papillon-Lefèvre syndrome in a 19-year-old female patient. It demonstrates a full workflow for full mouth rehabilitation of this case using patient-specific subperiosteal implants (SPIs) with modifications in the designing and surgical installation protocol to enhance its adaptation, stability, and long-term prognosis.</p><p><strong>Methods: </strong>A complete virtual planning was performed. Virtual extraction of teeth was done. SPIs were designed to rest on the basal bone crestally with extended prosthetic posts where implant platforms were equigingival to allow seating of the prosthesis. Surgical guides were 3D printed, and the plan was then surgically implemented. Digital design and construction of a fixed prosthesis were performed to restore teeth, gingiva, and alveolar bone.</p><p><strong>Conclusions: </strong>The modification in the design of the SPIs performed allows for better retention and stability in addition to the fixation of a screw-retained fixed-retained prosthesis for the patient. This approach offers a predictable and efficient alternative to traditional implant therapy, particularly in cases where bone grafting is contraindicated or unlikely to succeed.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 2","pages":"475-484"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677658","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}