Oral Surgery Oral Medicine Oral Pathology Oral Radiology最新文献

{"title":"Clinical decision-making regarding histopathologic submission of tooth-associated lesional tissue","authors":"Denis Talis Reis DDS, MSc ,&nbsp;Iara Vieira Ferreira DDS, MSc ,&nbsp;Eva Beatriz Freitas Braga DDS ,&nbsp;Francielle Silvestre Verner DDS, PhD ,&nbsp;Sibele Nascimento de Aquino DDS, PhD","doi":"10.1016/j.oooo.2025.09.016","DOIUrl":"10.1016/j.oooo.2025.09.016","url":null,"abstract":"<div><h3>Objective</h3><div>Analyze factors influencing dentists’ decisions to discard or submit tissues from tooth-associated lesions, such as those associated with impacted teeth and periapices, for histopathological analysis.</div></div><div><h3>Study design</h3><div>Cross-sectional study via online questionnaire with dentists, assessing practices regarding excised tissue management, sociodemographic and professional characteristics. Descriptive statistics, chi-square tests, Student’s t-tests, and logistic regression were used for analysis, with significance at <em>p</em> &lt; .05.</div></div><div><h3>Results</h3><div>Among 348 dentists (mean age 30.95 ± 9.24 years), 65.8% were female, 58.05% held postgraduate degrees, and 67.53% worked in private clinics. Most participants (85.63%) reported not submitting tooth-associated lesions for histopathological examination. Significant associations with tissue submission included, during dental education: access to pathology laboratories, exposure to anatomopathological reports, and perception of sufficient training in oral pathology and oral medicine. In professional practice, prior experience with biopsy requisition forms and exposure to anatomopathological reports were significant. Logistic regression identified 2 significant predictors of tissue submission: perception of sufficient training in oral pathology and oral medicine during dental education, and exposure to anatomopathological reports in professional practice.</div></div><div><h3>Conclusions</h3><div>Although histopathology is crucial for diagnosis, tissue discard remains frequent. These findings highlight the importance of strengthening dental education and clinical training in management of excised tissues in dentistry.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 379-386"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Society Page","authors":"","doi":"10.1016/S2212-4403(25)01362-8","DOIUrl":"10.1016/S2212-4403(25)01362-8","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Page A6"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"American Dental Association and American Academy of Oral and Maxillofacial Radiology patient selection for dental radiography and cone-beam computed tomography","authors":"Erika Benavides DDS, PhD ,&nbsp;Josep R. Krecioch MA, MSc ,&nbsp;Trishul Allareddy BDS, MS, MBA ,&nbsp;Allison Buchanan DMD, MS ,&nbsp;Martha Ann Keels DDS, PhD ,&nbsp;Ana Karina Mascarenhas BDS, MPH, DrPH ,&nbsp;Mai-Ly Duong DMD, MPH, MAEd ,&nbsp;Kelly K. O'Brien MLIS ,&nbsp;Kathleen M. Ziegler PharmD ,&nbsp;Ruth D. Lipman PhD ,&nbsp;Roger T. Connolly MA ,&nbsp;Lucia Cevidanes DDS, MS, PhD ,&nbsp;Kitrina Cordell DDS, MS ,&nbsp;Satheesh Elangovan BDS, DSc, DMSc ,&nbsp;Ashraf F. Fouad DDS, MS ,&nbsp;Carlos González-Cabezas DDS, MSD, PhD ,&nbsp;Sarandeep Singh Huja DDS, PhD ,&nbsp;Deepak Kademani DMD, MD, FACS ,&nbsp;Asma Khan BDS, PhD ,&nbsp;Anchal Malik BDS, MHA ,&nbsp;Juan Yepes MD, DDS, DrPH, MS","doi":"10.1016/j.oooo.2025.11.013","DOIUrl":"10.1016/j.oooo.2025.11.013","url":null,"abstract":"<div><h3>Background</h3><div>As an update to the 2012 American Dental Association and US Food and Drug Administration “Dental Radiographic Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure,” this resource provides decision-making guidance on the use of various imaging modalities for general and pediatric dental care practitioners.</div></div><div><h3>Types of Studies Reviewed</h3><div>The American Dental Association Council on Scientific Affairs convened an expert panel of 6 members along with an expert consultant group of 18 members to develop evidence-based guidance on dental imaging. A systematic review of the literature was conducted to identify relevant systematic reviews and organizational guidelines addressing 9 clinical questions. The recommendations presented were developed by means of a non-Delphi process (ie, reaching consensus through a structured process).</div></div><div><h3>Results</h3><div>Due to limitations in the available evidence, consensus recommendations rather than formal guidelines were developed. A thorough evaluation of the patient history and clinical findings should precede radiographic examinations. Previously obtained images should be reviewed, and all imaging modalities, especially cone-beam computed tomography, should be used judiciously to minimize cumulative radiation exposure to the patient.</div></div><div><h3>Conclusions and Practical Implications</h3><div>Clinicians should base imaging decisions on the patient’s medical and dental histories, clinical examination findings, disease risk assessment, and the presence of specific clinical conditions. When used appropriately, radiographic imaging contributes to dental treatment decisions and results in optimal patient care.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 273-287"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protein expression signatures of the ING family in benign odontogenic epithelial lesions","authors":"Hianne Cristinne de Morais Medeiros DDS, MSc, PhD,&nbsp;Rani Iani Costa Gonçalo DDS, MSc, PhD,&nbsp;Carolina Maria Campos DDS, MSc,&nbsp;Maria Luiza Diniz de Sousa Lopes DDS, MSc, PhD,&nbsp;Lélia Batista de Souza DDS, MSc, PhD,&nbsp;Lélia Maria Guedes Queiroz DDS, MSc, PhD","doi":"10.1016/j.oooo.2025.09.014","DOIUrl":"10.1016/j.oooo.2025.09.014","url":null,"abstract":"<div><h3>Objectives</h3><div>This study analyzed the immunoexpression of ING proteins in benign odontogenic lesions and dental follicles (DF), assessing interrelationships and correlations with p53, Bcl-2 and Bax.</div></div><div><h3>Study Design</h3><div>Twenty conventional ameloblastomas (AMB), 20 adenomatoid odontogenic tumors (AOT), 20 odontogenic keratocysts (OKC) and 10 DF were analyzed by immunohistochemistry for ING1–5, p53, Bcl-2, and Bax, considering cellular localization.</div></div><div><h3>Results</h3><div>ING2 was higher in DF, OKC, and AMB versus AOT (<em>p</em> &lt; .0001). ING3 was lower in AMB versus DF (<em>p</em> = .003), and ING4 was reduced in OKC and AMB versus DF, and lower in AMB versus AOT (<em>p</em> &lt; .0001). Nuclear/nuclear-cytoplasmic ING was predominant in DF, and cytoplasmic/nuclear-cytoplasmic expression in odontogenic lesions, especially OKC and AMB. ING proteins showed strong interrelationships, particularly among nuclear-cytoplasmic ING1/3/4 in DF, AOT, and AMB, with some negative correlations for nuclear-cytoplasmic versus cytoplasmic compartments (<em>p</em> &lt; .05). Significant correlations with apoptosis-related markers were limited. Hierarchical clustering identified 3 molecular clusters, associated with different tissue types (<em>p</em> &lt; .0001), reflecting combined ING expression patterns and apoptosis-related proteins.</div></div><div><h3>Conclusions</h3><div>Distinct molecular signatures of ING protein expression in odontogenic lesions reveal nuclear loss and cytoplasmic redistribution in OKC and AMB, suggesting coordinated involvement of these proteins in odontogenic lesion pathogenesis.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 367-378"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence: why we need it and what it means for the future of oral medicine","authors":"Jaisri R. Thoppay BDS, MBA, MS, DABOM, MHSA, EdD(c) ,&nbsp;Andres Pinto DMD, MPH, MSCE, MBA","doi":"10.1016/j.oooo.2025.10.022","DOIUrl":"10.1016/j.oooo.2025.10.022","url":null,"abstract":"","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 288-291"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The SAPHO syndrome in diffuse sclerosing osteomyelitis of the mandible: an oral and maxillofacial surgery perspective","authors":"Haoyu Xu MD, DDS ,&nbsp;Lei Yin MD ,&nbsp;Kuankuan Jia MD, DDS ,&nbsp;Yan Fan MD ,&nbsp;Jingang An MD, DDS","doi":"10.1016/j.oooo.2025.09.008","DOIUrl":"10.1016/j.oooo.2025.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the characteristics of patients with isolated diffuse sclerosing osteomyelitis of the mandible (DSOM) and those with DSOM along with systemic bone, joint, and cutaneous lesions, and discuss the relationship between DSOM and the synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome from the perspective of oral and maxillofacial surgery.</div></div><div><h3>Study design</h3><div>A total of 446 DSOM patients were included. They were divided into simple DSOM and syndrome-type DSOM groups based on their systemic manifestations. Their demographic data, clinical features, imaging findings (maxillofacial CT and bone scintigraphy), and laboratory results (bone turnover markers (BTMs) and inflammatory markers) were compared.</div></div><div><h3>Results</h3><div>Compared to patients with syndrome-type DSOM, those with simple DSOM had a younger median age of onset (13 vs 25 years), a higher proportion of women (69.8% vs 45.5%), lower bilateral mandibular involvement (18.3% vs 29.9%), a higher prevalence of periosteal reaction (70.6% vs 59.7%, <em>p</em> = .017), elevated BTMs (osteocalcin: 49.73 vs 21.69 ng/mL; β-CTX: 0.94 vs 0.53 ng/mL), and lower C-reactive protein levels (3.00 vs 7.48 mg/L).</div></div><div><h3>Conclusion</h3><div>Nearly half of all patients with DSOM exhibited systemic bone, joint, or cutaneous manifestations. The characteristics of simple DSOM and syndrome-type DSOM are highly overlapped, but the differences in age, gender distribution, radiographic findings and bone metabolic activity suggest that they may be different stages or subtypes of the same disease.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 313-322"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does preoperative antiresorptive medication affect total temporomandibular joint replacement outcomes?","authors":"Mahdi Zakeri DDS, MDent ,&nbsp;Jordan Manley BSc ,&nbsp;Patrick Louis DDS, MD ,&nbsp;Brian Kinard DMD, MD, FACS","doi":"10.1016/j.oooo.2025.08.018","DOIUrl":"10.1016/j.oooo.2025.08.018","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the clinical and radiographic outcomes of temporomandibular joint (TMJ) total joint replacement (TJR) in osteoporotic patients receiving preoperative antiresorptive therapy.</div></div><div><h3>Study Design</h3><div>This retrospective chart review included osteoporotic patients who underwent TMJ TJR at a single institution. Data collected included demographics, medical history, type and duration of antiresorptive therapy, surgical details, and postoperative outcomes. Clinical parameters included range of motion (ROM), joint noise, and dietary limitations. Radiographic assessment evaluated periprosthetic bone changes and implant stability. Descriptive statistics summarized outcomes.</div></div><div><h3>Results</h3><div>Eight patients (62.5% female; mean age 61.5 ± 11.4 years) with osteoporosis and history of antiresorptive therapy were analyzed. The average therapy duration was 3.75 ± 3 years. Mean clinical and CBCT follow-up was 16 ± 9.6, and 6.5 ± 3.6 months respectively. No patients developed medication-related osteonecrosis of the jaw (MRONJ), prosthetic failure, hardware loosening, or periprosthetic osteolysis. Functional outcomes were favorable, with mean postoperative ROM of 35.1 ± 4.8 mm and no joint noise.</div></div><div><h3>Conclusion</h3><div>Preoperative antiresorptive therapy in osteoporotic patients does not appear to increase the risk of complications or impair functional outcomes following TMJ TJR. Larger sample sizes, possibly through multicenter investigations, are critical to establishing high-level evidence regarding its safety and efficacy.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 306-312"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reported mouth self-examination methods for oral cancer screening: a systematic review","authors":"Mariana Mayume Carvalho Kadooka DDS ,&nbsp;Caique Mariano Pedroso DDS MSc ,&nbsp;Sebastiao Silverio Sousa-Neto DDS, MSc ,&nbsp;Alan Roger Santos-Silva DDS, MSc, PhD ,&nbsp;Ana Carolina Prado-Ribeiro DDS, MSc, PhD ,&nbsp;Thaís Bianca Brandão DDS, MSc, PhD","doi":"10.1016/j.oooo.2025.10.014","DOIUrl":"10.1016/j.oooo.2025.10.014","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review aimed to identify and describe the methods of mouth self-examination (MSE) used for oral cancer screening.</div></div><div><h3>Study Design</h3><div>A comprehensive search was conducted in six databases (PubMed, EMBASE, Scopus, LILACS, Web of Science, Cochrane Library) as well as gray literature sources (Google Scholar and ProQuest), with no restrictions on publication date or language. Eligible studies included cohort, cross-sectional, case-control, and clinical trials that evaluated MSE as a screening method for oral cancer. The risk of bias was assessed according to the design of each included study using the Joanna Briggs Institute (JBI) Critical Appraisal tools.</div></div><div><h3>Results</h3><div>A total of 11 studies were included in the qualitative synthesis, with sample sizes ranging from 53 to 34,766 individuals. Most studies used educational materials, such as pamphlets, face-to-face training sessions, digital media, and mobile applications. The steps involved in MSE generally included visual inspection of the oral mucosa and neck palpation, performed at differing frequencies. There was significant heterogeneity in the tools used for MSE; mirrors and light sources were most commonly reported. MSE assessment methods primarily relied on self-report, followed by questionnaires and clinical examinations.</div></div><div><h3>Conclusion</h3><div>The current evidence about MSE methods remains heterogeneous. The lack of standardized procedures and assessment impairs reproducibility and recommendations. Further high-quality studies are required to establish its applicability in diverse populations.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 351-356"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145695936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In vivo dosimetry in head and neck cancer radiotherapy patients using an intraoral stent: prospective cohort","authors":"Lísia Daltro Borges Alves MSc ,&nbsp;Ana Carolina dos Santos Menezes MSc ,&nbsp;Alfredo Viamonte Marin PhD ,&nbsp;Claudio Castelo Branco Viegas MSc ,&nbsp;Andreia Cristina de Melo MD, PhD ,&nbsp;Juliana Chaves Carneiro Carvalho MD ,&nbsp;Marco Túlio Cunha Santos BSc ,&nbsp;Bruna Lamis Alvarenga MSc ,&nbsp;Caio Weber Mendanha Ribeiro BSc ,&nbsp;Yara dos Santos Dabdab BSc ,&nbsp;Thiago Bernardino da Silveira MSc ,&nbsp;Isabele Ávila Small PhD ,&nbsp;Daniel Cohen-Goldemberg PhD ,&nbsp;Héliton Spíndola Antunes PhD","doi":"10.1016/j.oooo.2025.09.021","DOIUrl":"10.1016/j.oooo.2025.09.021","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the radiation dose in the oral cavity structures (through <em>in vivo</em> dosimetry and treatment planning system) of head and neck cancer patients; and secondarily, evaluate sialometry and oral mucositis.</div></div><div><h3>Study Design</h3><div>This is a prospective cohort study with patients over 18 years old, diagnosed with oral cavity and major salivary glands cancer, treated with radiotherapy. Group A patients used an intraoral stent (n = 14), and those in Group B (n = 14) did not. In Group A<em>, in vivo</em> dosimetry was performed by positioning 2 thermoluminescent dosimeters in the intraoral stent; unstimulated and stimulated salivary flow were measured; and oral mucositis was evaluated.</div></div><div><h3>Results</h3><div><em>In vivo</em> dosimetry demonstrated higher doses in the tumoral area in comparison with the opposite tumor area (<em>p</em> &lt; .001). The planning system predicted doses in nontumor area were lower in Group A. Unstimulated sialometry was higher in Group A in the intermediate and final sessions (<em>p</em> &lt; .05), and hyposalivation was more frequent in Group B (<em>p</em> = .015). No statistically significant differences were observed between the groups regarding the maximum grade and duration of oral mucositis (<em>p</em> = .499; and <em>p</em> = .466, respectively).</div></div><div><h3>Conclusion</h3><div>The intraoral stent was associated with opposite tumor area lower doses, measured <em>using in vivo</em> dosimetry, the first time this method was applied in studies on this device. Individuals treated with the intraoral stent presented higher salivary flows during and after radiotherapy.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 323-333"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Added value of the Alexandria preoperative imaging protocol combining noncontrast CT with MR sialography in sialolithiasis management","authors":"Omneya Gamaleldin MD ,&nbsp;Sarah S. Areif MS ,&nbsp;Emad A. Magdy MD, PhD ,&nbsp;Khaled M. Moghazy MD","doi":"10.1016/j.oooo.2025.10.023","DOIUrl":"10.1016/j.oooo.2025.10.023","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the added value of the Alexandria sialography imaging protocol of noncontrast computed tomography (NCCT) plus magnetic resonance (MR) sialography in the assessment of suspected sialolithiasis.</div></div><div><h3>Study Design</h3><div>This prospective study included 59 consecutive patients (37 males, 22 females; mean age, 35.7 years) presenting with acute or recurrent postprandial salivary gland swelling and colicky pain with suspected salivary calculi referred from March 2021 to May 2022 to a tertiary referral center. NCCT and MR sialography were done in all cases to detect sialolithiasis and provide detailed information about calculus size and location as well as ductal changes. Results were compared with subsequent operative sialendoscopy findings.</div></div><div><h3>Results</h3><div>NCCT provided 97.9% sensitivity and 83.3% specificity (<em>P</em> &lt; 0.001*), while MR sialography had 79.6% sensitivity and 83.3% specificity (<em>P</em> = 0.003*). Combination of both NCCT and MR sialography gave higher sensitivity (97.9%) and specificity (100%) in stone detection (<em>P</em> &lt; 0.001*). Details obtained regarding stone size, shape, number, and exact location in addition to ductal condition also provided an excellent road map for the surgeon before the procedure.</div></div><div><h3>Conclusions</h3><div>Combined NCCT plus MR sialography proved to be a valuable imaging protocol for preoperative planning of suspected sialolithiasis. It provided accurate assessment before surgery and, hence, facilitated minimally invasive salivary gland preservation.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"141 3","pages":"Pages 409-417"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}