Journal of Maxillofacial & Oral Surgery最新文献

{"title":"Efficacy of Microvascular Couplers for Venous Micro-anastomosis in the Reconstruction of Oral Defects.","authors":"Ranjeet Singh, U S Pal, Shadab Mohammad, R K Singh, Monica Kohli, Vijay Kumar, Ravi Kumar, Gaurav Singh","doi":"10.1007/s12663-025-02467-7","DOIUrl":"https://doi.org/10.1007/s12663-025-02467-7","url":null,"abstract":"<p><strong>Background: </strong>Head and neck tumors often result in extensive maxillofacial defects requiring complex reconstructive procedures. Free tissue transfer has become the gold standard for reconstruction due to its ability to provide optimal tissue matching, functional restoration, and aesthetic outcomes. The success of free flap reconstruction depends on effective microvascular anastomosis, particularly venous anastomosis.</p><p><strong>Purpose: </strong>This study evaluates the efficacy of coupler devices for venous anastomosis in free flap reconstruction of oral defects. These devices, which use a pin-based connection system, are compared with traditional hand-sewn techniques regarding patency, operative time, and complication rates.</p><p><strong>Methods: </strong>A prospective analysis was conducted on patients undergoing free flap reconstruction for oral defects. The study assessed the use of coupler devices in anterolateral thigh, fibular, and radial forearm flaps. Primary outcomes included venous patency rates, intraoperative time reduction, and postoperative complications such as thrombosis or flap failure.</p><p><strong>Results: </strong>Preliminary findings suggest that coupler devices reduce venous anastomosis time and provide comparable or improved patency rates compared to traditional sutured anastomosis. Additionally, a lower incidence of thrombosis was observed in coupler-assisted anastomoses.</p><p><strong>Conclusion: </strong>Coupler devices offer a reliable and efficient alternative for venous anastomosis in free flap reconstruction of oral defects. Their use may contribute to reduced surgical time and improved anastomotic outcomes, making them a valuable tool in microvascular reconstruction.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1319-1326"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240111","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":"Effect of Coconut Oil Pulling and Benzydamine Hydrochloride Mouthwash in the Management of Radiation-Induced Oral Mucositis: a Randomized Controlled Clinical Trial.","authors":"Nancy Agarwal, Premalatha Shetty, Sameep Shetty, B Dhanashree, K M Sandeep","doi":"10.1007/s12663-025-02515-2","DOIUrl":"10.1007/s12663-025-02515-2","url":null,"abstract":"<p><strong>Introduction: </strong>Oral mucositis is a painful and debilitating inflammation of the oral mucosa, commonly occurring as an acute side effect of radiation therapy in patients with head and neck cancer. The condition is often aggravated by secondary infections, such as candidiasis, complicating its management. Although coconut oil has shown promising therapeutic properties, particularly through the practice of oil pulling, its role in the treatment or prevention of radiation-induced oral mucositis remains clinically unexamined.</p><p><strong>Method: </strong>A total of 127 individuals with clinically and histopathologically confirmed oral malignancies, scheduled for radiation therapy, were selected from the Radiotherapy and Oncology Department of a tertiary care centre in Mangalore. The study compared two interventions: coconut oil pulling in one group and benzydamine hydrochloride mouthwash (Tantum) in the other. Swab samples were collected before and after the study to assess the reduction in candida growth. Patients were evaluated biweekly for mucositis, pain, and trismus. At the end of the trial, participants completed a quality of life questionnaire to further assess the outcomes.</p><p><strong>Results: </strong>The coconut oil group demonstrated a statistically significant reduction in the total colony count of Candida species from pre to post-treatment (<i>p</i> = 2.3 × 10^-39). Additionally, there was a notable delay in the onset and a reduction in the severity of mucositis in this group (<i>p</i> = 0.0000002). Significant improvements were observed in pain (<i>p</i> < 0.001), and trismus (<i>p</i> = 0.006) alongside an overall enhancement in the quality of life (<i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>Coconut oil pulling exhibited significant antifungal, anti-inflammatory, and analgesic properties, effectively reducing and preventing radiation-induced oral mucositis and its associated complications.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1343-1350"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240096","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":"Management of Pediatric Mandibular Fractures: A Narrative Review and Retrospective Analytical Study of 15 Years.","authors":"Vivek Sunil Nair, Rajshekhar Halli, Shandilya Ramanojam, Rajesh Kshirsagar, Vikrant Sane, Sudhir Pawar","doi":"10.1007/s12663-025-02488-2","DOIUrl":"https://doi.org/10.1007/s12663-025-02488-2","url":null,"abstract":"<p><strong>Background: </strong>The management of mandibular fractures in young children is one of the most contradictory themes of oral and maxillofacial surgery and offers several unique challenges for the oral surgeon. No literature criteria have been established to determine the best treatment modality for these fractures. Important aspects determining treatment planning of these fractures are age, stage of tooth development, and nature of the fracture.</p><p><strong>Methods: </strong>An electronic search of the literature directly relating to pediatric mandibular fracture and its management was conducted. Multiple words and combinations of words were used to search on different databases. The articles included were original research papers, case reports, and review articles published from 1984 through 2022.</p><p><strong>Results: </strong>We are presenting our experience of 36 pediatric mandibular fractures managed in our department between May 2007 and March 2022, a period of fifteen years along with a review of the literature. The incidence of fractures was 22% in deciduous dentition group while the mixed and permanent dentition groups showed 36% and 42%, respectively. In our study, 23 out of 36 (64%) were parasymphysis fractures being most common followed by 10 (28%) body fractures, the second most common. In our records, prominent etiologies, 31 out of 36 were sports injuries and bicycle falls. Out of 36, we did splinting in 14 cases, 5 cemented, and 9 using circummandibular wiring. Open reduction and fixation were performed in 19 cases, having a single case with resorbable plates and screws. We, the authors, feel there is a relatively clearer opinion in the literature about the management of incomplete, greenstick, and simple pediatric mandibular fractures. Controversies increase gradually when questions come to the management of complex fractures, whether displaced or comminuted.</p><p><strong>Conclusion: </strong>We feel that this review of the literature will guide us about the importance of preventive measures also. Supervising adults, like coaches, administrators, teachers, and parents, should be educated. Children should be encouraged to develop appropriate habits to decrease the incidence and severity of sports-related injuries. Also, we should invigorate the use of seat restraints, conventional seat belts, protective helmets, mouth guards, and other measures.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1229-1236"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239777","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":"Effect of Various Diet Types on the Health of Maxillomandibular Fixation Patients.","authors":"Shahrokh Ebnerasouli, Payam Younesi Baneh, Kamyar Nasiri, Hamzeh Salehzadeh, Hady Mohammadi, Hee-Jeong Choi","doi":"10.1007/s12663-025-02481-9","DOIUrl":"https://doi.org/10.1007/s12663-025-02481-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the influence of diet on the physical and mental health of MMF patients.</p><p><strong>Methodology: </strong>A clinical experiment was conducted from February 2020 to November 2022 in the maxillofacial surgery department of service hospital and a specialist maxillofacial surgery office in Sanandaj, Iran. This study involved 90 patients, ranging in age from 20 to 50 years old, who underwent MMF. The weights of the participants were measured before and after surgery. The levels of facial pain and chronic pain were assessed using the Macfarlane and Von Korff questionnaires, respectively. Additionally, the quality of life related to oral health and nutrition was evaluated using the OHIP-14 questionnaires.</p><p><strong>Results: </strong>This study demonstrated that a standard liquid diet supplemented with nutritional additives could control pain intensity, improve the quality of life related to oral health and nutrition, and ultimately, manage weight loss. The relationships between diet type and weight loss level, pain intensity, and quality of life were significant (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Intervention and diet prescription (standard liquid + supplement) resulted in the improvement of all studied parameters compared to the non-intervention condition. Therefore, it is necessary for patients who undergo maxillofacial surgery to consult with nutrition specialists.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-025-02481-9.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1264-1270"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240033","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":"Long-Term Outcomes of Surgical Management in Adult Mandibular Condyle Head Fractures with Various Osteosynthesis Materials: A Systematic Review.","authors":"Ragavi Alagarsamy, Babu Lal, Anish Poorna T, Aditya Dhanasekaran, Anshul J Rai, Jitendra Kumar, Savita Arora","doi":"10.1007/s12663-025-02482-8","DOIUrl":"https://doi.org/10.1007/s12663-025-02482-8","url":null,"abstract":"<p><strong>Purpose: </strong>Surgical treatment of adult mandibular condylar head fractures (CHFs) is increasingly prevalent. This systematic review aims to synthesize data on long-term clinical and radiological outcomes and complications associated with various osteosynthesis materials used for CHFs.</p><p><strong>Methods: </strong>A comprehensive literature search adhering to PRISMA guidelines was conducted across four databases between 1980 and 2024. All published studies evaluating clinical and radiographic outcomes and complications in adults undergoing open reduction and internal fixation with/without disc intervention for condylar head fractures were included. Clinical outcomes such as malocclusion, mouth opening, lateral excursion, protrusion, and TMJ pain, along with radiographic outcomes including condylar remodelling and ramal height restoration, were recorded. Joanna Briggs Institute checklist for critical appraisal and ROBVIS tool generic data set were used to assess the risk of bias. Descriptive statistics were applied to obtain the results.</p><p><strong>Results: </strong>Twenty-nine studies were included. The review encompassed 848 patients (males = 364; females = 167; and gender not mentioned = 317) and 1087 sites, including 239 bilateral cases. Various osteosynthesis materials included titanium screws (<i>N</i> = 10), microplates with screws (<i>N</i> = 3), miniplates with screws (<i>N</i> = 3), resorbable screws (<i>N</i> = 2), and miscellaneous (<i>N</i> = 11). Disc repositioning was addressed in 19 studies. The risk of bias in most studies was low.</p><p><strong>Conclusion: </strong>Titanium screws were the most frequently used osteosynthesis material and demonstrated superior outcomes. Disc repositioning should be considered during open condylar fracture management. Future randomized controlled trials are imperative to determine the optimal choice among different osteosynthesis materials and soft tissue procedures.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-025-02482-8.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1213-1228"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239687","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 Bone Regeneration in Third Molar Extraction Using Simvastatin Powder And Simvastatin Gel-A Split-Mouth Study.","authors":"Sanika Tidke, Pushkar P Waknis, Ravidra Badhe, Kalyani Bhate, Sneha Setiya, Samkit Sakhariya","doi":"10.1007/s12663-025-02497-1","DOIUrl":"https://doi.org/10.1007/s12663-025-02497-1","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate and compare bone regeneration in third molar extraction using simvastatin powder and simvastatin gel.</p><p><strong>Materials and methods: </strong>A randomized, split-mouth, single-blinded, single-center trial was performed in 10 patients requiring surgical extraction of bilaterally impacted mandibular third molars. Each participant was randomly assigned to receive Gelfoam soaked with drug simvastatin (10 mg) in one socket and simvastatin gel in other socket. RVG was taken after the first, fourth, eighth, and twelfth weeks after analyzing the gray mean scale value with a histogram to determine bone regeneration. On Day 1 and Day 7, pain and wound healing were measured using the VAS scale and the Landry et al. scale, respectively.</p><p><strong>Result: </strong>The paired t test was used to compare the two groups; individual means for both groups revealed a significant result, with the greatest mean appearing at the 12th week, suggesting that simvastatin usage aids bone regeneration.</p><p><strong>Conclusion: </strong>We recommend using simvastatin after every third molar operation since it aids in bone regeneration. Even though simvastatin gel is cost effective, it must be prepared fresh before use. Sustained release of simvastatin should be further investigated using different carrier methods that would prove to be beneficial.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1458-1467"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239935","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":"Evaluation of Hard Tissue Changes in Skeletally Matured Patients with Maxillary Transverse Discrepancy Treated by Rotterdam Palatal Distractor.","authors":"Lalit Janjani, Sanjay Kumar Roy Chowdhury","doi":"10.1007/s12663-025-02454-y","DOIUrl":"https://doi.org/10.1007/s12663-025-02454-y","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this clinical study was to evaluate the hard tissue changes in skeletally mature adult patients with maxillary transverse deficiency (MTD) managed using Rotterdam Palatal Distractor and to access bony and dental changes that occur in transverse plane during transpalatal distraction using radiographs and dental study models, respectively.</p><p><strong>Methods: </strong>Ten adult patients with MTD were treated with a Rotterdam Palatal Distractor (RPD). Dental study models, postero-anterior (PA) and lateral cephalograms were obtained pre-operatively (T0), at the end of consolidation period of 3 months (T1) and after six months into retentive phase (T2). The statistical analysis of the obtained data was analyzed using paired 'T' test. Two-'tailed' tests were applied for getting significance of changes observed on dental study models and radiographs.</p><p><strong>Results: </strong>The study model measurements illustrated statistically significant increase in inter-central incisor width (+ 4.12 mm), inter-canine width (+ 5.23 mm), inter-first premolar width (+ 5.62 mm) and inter-first molar width (+ 5.11 mm). The PA cephalogram measurements demonstrated statistically significant increase in effective nasal cavity width (+ 3.89 mm), skeletal maxillary width (+ 4.51 mm) and inter-last molar width (+ 5.15 mm). The lateral cephalogram measurements demonstrated statistically significant increase in SNA (+ 0.90), decrease in SNB (- 0.70), increase in ANB (+ 1.60) and increase in SN-Go-Gn (+ 2.80).</p><p><strong>Conclusions: </strong>Surgically assisted rapid maxillary expansion is an established procedure for the management of MTD in skeletally mature individuals. The efficacy of bone-borne distractors in achieving maxillary expansion has been confirmed clinically and radiologically in our study.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1516-1524"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240029","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":"A Prospective Study to Evaluate the Association of Sensory Dysregulation and Adverse Pathologic Features in Oral Tongue Cancers.","authors":"Arjun Gurmeet Singh, Mihir Dani, Shwetabh Sinha, Rathan Shetty, Poonam Joshi, Sudhir Nair, Pankaj Chaturvedi","doi":"10.1007/s12663-024-02410-2","DOIUrl":"10.1007/s12663-024-02410-2","url":null,"abstract":"<p><strong>Objectives: </strong>To correlate sensory dysfunction with adverse pathologic factors for tongue cancers and determine the survival prognosticators.</p><p><strong>Methods: </strong>We prospectively collected data on the pain sensation (Brief Pain Inventory), gustation (NIH Taste Intensity Test), proprioception (Two-point and light touch discrimination) from patients with squamous carcinoma of oral tongue, surgically treated between July 2021 and September 2022, and stratified them based on pT stage. The pathologist was blinded to the clinical data and correlation with the sensory dysregulations was obtained using a multivariate analysis. Factors predicting overall survival (OS) and disease specific survival (DSS) were calculated using Kaplan-Meier method.</p><p><strong>Results: </strong>100 patients were followed up with a median of 13 months. Radiating pain predicted advanced disease, extranodal extension (ENE) and perineural invasion (PNI). Loss of sweet and salty taste were associated with advanced disease, Depapillation and PNI. Among early tumors, 26% had taste alterations, with loss of sweet taste significantly associated with Depapillation and PNI. Loss of light touch was significantly associated with presence of PNI, while loss of two-point discrimination was associated with larger tumors, PNI and poor grade. The OS was significantly reduced when pain scores were moderate to severe at their least within 24 h from interview and loss of light touch.</p><p><strong>Conclusion: </strong>Radiating pain, sweet and salty taste dysregulation and loss of sensory discrimination have a strong correlation with PNI and impact survival.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1311-1318"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239858","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":"Comparison of Effects of the Interrupted and Vertical Mattress Sutures on Pain, Swelling, and Probing Depth Following Extraction of Impacted Mandibular Third Molars: A Split-Mouth Randomized Clinical Trial.","authors":"Tejal Patil, Harjit Singh Kalsi, Viraj Rajeev Kharkar, Suyog Savant, Ashvin Wagh, Sanpreet Singh Sachdev","doi":"10.1007/s12663-024-02405-z","DOIUrl":"https://doi.org/10.1007/s12663-024-02405-z","url":null,"abstract":"<p><strong>Introduction: </strong>Complications following dental extraction include the development of a dry socket, pain, swelling, infection, trismus, pocket formation in the adjacent teeth, or absence of healing. The material and technique used for suturing vastly influence the success or failure of a suture. The present study aimed to evaluate and compare the postoperative pain, swelling, and distal probing depth of the mandibular second molar following the placement of interrupted suture (IS) and vertical mattress suture (VMS) after extraction of impacted third molars.</p><p><strong>Material and methods: </strong>The present split-mouth randomized controlled trial was conducted on 100 patients requiring surgical extraction of bilateral impacted mandibular third molars. The extraction socket was closed by IS on one side and VMS on the other. The pain and swelling scores were obtained by the visual analog scale during the first-week post-extraction. The probing depth distal to the mandibular second molars was taken at 2-month intervals until 6 months post-extraction.</p><p><strong>Results: </strong>Inter-group comparison revealed significantly lower values (<i>P</i> < 0.001) of pain levels and swelling scores for the IS group during the first four postoperative days. There was a mean increase in the pocket depth by 0.16 + 0.77 in the wounds closed by IF, while a reduction in the pocket depth with a 0.61 + 0.74 mean gain in attachment levels was noted in the VMS group. A statistically significant difference (<i>P</i> < 0.05) in the pocket depth of the two groups was noted at every 2-month interval with greater pocket depth in patients of the IF group.</p><p><strong>Conclusion: </strong>While IS can be considered a simple-to-execute suturing technique with less operative pain initially, the VMS was found to be better in the long run in its ability to reduce the detrimental effects on the periodontium of the adjacent tooth.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1474-1480"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239997","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":"Primordial Odontogenic Tumor Associated with Impacted Supernumerary Tooth: First Case Report and an Updated Review of Literature.","authors":"Sofia Sebastian, Suganya Panneer Selvam, Pratibha Ramani","doi":"10.1007/s12663-025-02540-1","DOIUrl":"https://doi.org/10.1007/s12663-025-02540-1","url":null,"abstract":"<p><p>Primordial Odontogenic Tumor (POT) is an exceptionally rare benign odontogenic lesion derived from embryonic dental tissues, characterized by primitive odontogenic epithelium and fibrous stroma resembling early tooth development stages. This case report presents a 17-year-old male with malaligned teeth in the lower jaw, where radiographic examination revealed an ill-defined radiolucent lesion associated with an impacted supernumerary tooth. A provisional diagnosis of a dentigerous cyst was made, followed by surgical enucleation and extraction. Histopathological analysis confirmed POT, marking the 27th documented case and the first involving a supernumerary tooth. The lesion exhibited typical histopathological features, including odontogenic epithelium surrounded by fibro myxomatous stroma with plump fibroblasts resembling dental papilla. Complete surgical excision was curative, with no recurrence observed after a 7-month follow-up. This case highlights the importance of recognizing the unique clinical and histological features of POT for accurate diagnosis and management, emphasizing the need for comprehensive evaluation of rare odontogenic lesions.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 5","pages":"1408-1418"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239882","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}