Medicina Oral Patologia Oral Y Cirugia Bucal最新文献

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Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study. 氰基丙烯酸酯与缝合作为下颌第三磨牙手术中的皮瓣闭合方法:一项分口随机对照临床研究。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-07-01 DOI: 10.4317/medoral.26375
M Santmartí-Oliver, S Bazal-Bonelli, L Sánchez-Labrador, T Beca-Campoy, F Pérez-González, C-M Cobo-Vázquez, C Madrigal Martínez-Pereda, C Meniz-García
{"title":"Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study.","authors":"M Santmartí-Oliver, S Bazal-Bonelli, L Sánchez-Labrador, T Beca-Campoy, F Pérez-González, C-M Cobo-Vázquez, C Madrigal Martínez-Pereda, C Meniz-García","doi":"10.4317/medoral.26375","DOIUrl":"10.4317/medoral.26375","url":null,"abstract":"<p><strong>Background: </strong>Sutures have been the standard flap closure method of choice following mandibular third molar surgery but can lead to some complications. Tissue adhesives, including cyanoacrylate, have emerged as alternative flap closure method in this surgery to overcome such drawbacks. However, limited clinical trials can be found. Therefore, the aim of this clinical study was to compare two methods of flap closure in mandibular third molar surgery, cyanoacrylate and 4/0 silk sutures, by assessing post-operative outcome measures (pain, swelling, trismus, and healing) and patient-reported outcome measures (PROMs).</p><p><strong>Material and methods: </strong>A randomized split-mouth clinical trial was designed, in which mandibular third molar (M3M) extractions were performed, where the control side flap was closed with 4/0 silk sutures and the test side flap with cyanoacrylate. Swelling, pain, trismus, healing, and PROMs were recorded post-operatively. These variables were analyzed by means of the nonparametric Mann-Whitney U test, using SPSS statistical software version 28.0.0 (IBM® SPSS®, Chicago, IL, USA). For all results, a 95% confidence interval was recorded (significance level p < 0.05, two-tailed).</p><p><strong>Results: </strong>A total of 17 patients were recruited and 34 mandibular third molar extractions were performed. No statistically significant differences were found in terms of swelling, pain, trismus, healing, and PROMs between both groups (p<0.05).</p><p><strong>Conclusions: </strong>No statistically significant differences were found between flap closure with 4/0 silk sutures and cyanoacrylate, in terms of surgical post-operative outcomes and PROMs. However, further studies with larger sample sizes are required to be able to affirm it with greater certainty.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e458-e467"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis and indications for the extraction of third molars - The SECIB clinical practice guideline. 第三磨牙拔除的诊断和适应症--SECIB临床实践指南。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-07-01 DOI: 10.4317/medoral.26524
M-Á Sánchez-Garcés, J Toledano-Serrabona, O Camps-Font, M Peñarrocha-Diago, A Sánchez-Torres, G Sanmartí-Garcia, E Vegas-Bustamante, R Figueiredo, E Valmaseda-Castellón, C Gay-Escoda, O-B Sociedad Española de Cirugía Bucal
{"title":"Diagnosis and indications for the extraction of third molars - The SECIB clinical practice guideline.","authors":"M-Á Sánchez-Garcés, J Toledano-Serrabona, O Camps-Font, M Peñarrocha-Diago, A Sánchez-Torres, G Sanmartí-Garcia, E Vegas-Bustamante, R Figueiredo, E Valmaseda-Castellón, C Gay-Escoda, O-B Sociedad Española de Cirugía Bucal","doi":"10.4317/medoral.26524","DOIUrl":"10.4317/medoral.26524","url":null,"abstract":"<p><strong>Background: </strong>The removal of third molars (3Ms) is the most frequent surgical procedure in the field of Oral Surgery. As a result, the Spanish Society of Oral Surgery (SECIB) aims to create a Clinical Practice Guideline (CPG) that offers evidence-based recommendations for optimal clinical practice. Specifically, the CPG will focus on providing guidance regarding the indications and criteria for clinical and radiological diagnosis of patients with 3Ms.</p><p><strong>Material and methods: </strong>This CPG was developed by the SECIB, following the methodological guidelines described in the methodological manual for the \"Development of Clinical Practice Guidelines in the National Health System\". Several PICO questions related to the diagnosis and indications for the extraction of 3Ms were formulated. The leading experts carried out the evaluation of the evidence and the formulation of specific recommendations.</p><p><strong>Results: </strong>A total of 17 PICO questions were evaluated, addressing the indications, prognosis, diagnosis, and cost-benefit relationship of 3M extraction.</p><p><strong>Conclusions: </strong>The present Clinical Practice Guideline provides evidence-based recommendations on the diagnosis and indications for 3M extraction. These evidence-based recommendations can assist healthcare professionals and the general population in making informed decisions regarding the management of 3Ms.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e545-e551"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bedside open tracheostomy in COVID-19 patients - a safe and swift approach. 床边开放气管切开术治疗COVID-19患者——一种安全、快速的方法。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26326
N-W Wahid, P Deutsch, A Amlani, K-K Gupta, H Griffiths, I Ahmad
{"title":"Bedside open tracheostomy in COVID-19 patients - a safe and swift approach.","authors":"N-W Wahid, P Deutsch, A Amlani, K-K Gupta, H Griffiths, I Ahmad","doi":"10.4317/medoral.26326","DOIUrl":"10.4317/medoral.26326","url":null,"abstract":"<p><strong>Background: </strong>Tracheostomy can be performed as an open surgical procedure, percutaneous, or hybrid and forms an important step in the management of patients infected with coronavirus disease 2019 (COVID-19) requiring weaning from mechanical ventilation. The purpose of this article is to share our experience to performing bedside surgical tracheostomy in COVID-19 patients in a safe and effective manner, whilst minimising the risk of viral transmission, to optimise patient outcomes and reduce risk to healthcare professionals.</p><p><strong>Material and methods: </strong>As recommended by ENT UK, we prospectively established a COVID Airway Team within the ENT department at Birmingham Heartlands Hospital, consisting of four head and neck consultant surgeons to perform either open-bedside, open-theatre or percutaneous tracheostomy in COVID-19 patients. A specific stepwise method for bedside open surgical tracheostomy was based on ENT UK and British Laryngological Society recommendations.</p><p><strong>Results: </strong>Thirty patients underwent tracheostomy during the study period (14 bedside-open, 5 open-theatre, 11 percutaneous). Mean duration of mechanical intubation prior to bedside-open tracheostomy was 14.5 days. The average time for open-bedside tracheostomy was 9 minutes compared to 31 minutes for open-theatre. There were no significant tracheostomy related complications with bedside-open tracheostomy. No healthcare professional involved reported acute COVID-19 infection.</p><p><strong>Conclusions: </strong>We describe our effective, safe and swift approach to bedside open tracheostomy during the COVID-19 pandemic. Our experience demonstrated a short mean procedural time, with no tracheostomy-related complications and no reported viral transmission amongst the healthcare members involved.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e356-e361"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Acoustic modal analysis a reliable substitution for Osstell® device in dental implant stability assessment? An experimental and finite element analysis study. 在牙科种植体稳定性评估中,声学模态分析是否能可靠地替代 Osstell® 装置?一项实验和有限元分析研究。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26358
N Alimoradi, M- Einafshar, R Amid, A Hashemi
{"title":"Is Acoustic modal analysis a reliable substitution for Osstell® device in dental implant stability assessment? An experimental and finite element analysis study.","authors":"N Alimoradi, M- Einafshar, R Amid, A Hashemi","doi":"10.4317/medoral.26358","DOIUrl":"10.4317/medoral.26358","url":null,"abstract":"<p><strong>Background: </strong>Different methods have been proposed to investigate the fixation stability of dental implants, each of which has its limitations. Among these methods, resonance frequency analysis (RFA) has been widely utilized to measure dental implant stability. This study aimed to assess dental implants with two non-destructive RFA and acoustic modal analysis (AMA) validated with a finite element simulation of the fundamental natural frequency (NF) of the bone analog-implant structure.</p><p><strong>Material and methods: </strong>A total number of 18 implants were inserted into two Polyurethane (PU) bone blocks with different densities (0.16 g/cc and 0.32 g/cc). AMA was used to measure NF; First, the sound originating from the axial tapping of the implant was recorded with a simple microphone. Secondly, a fast Fourier transformation algorithm was conducted to determine the NF of the implant-bone analog structure. In parallel, the ISQ (Implant Stability Quotient) value was measured using the Osstell® device. Finally, using finite element analysis (FEA), the implant-bone analog structure was modeled for validation.</p><p><strong>Results: </strong>Doubling the bone analog density resulted in an average increase of 82% and 47% in the NF and ISQ using AMA and Osstell®, respectively (P-value<0.05). Furthermore, a strong linear relationship (R2= 0.93) was observed between the measured NF and ISQ values in the linear regression analysis. The NF of the dental implant predicted by FEA was overestimated by about 15.2% and 15.0% than those in the low- and high-density PUs, respectively. Moreover, the FEA predicted an increase of 83% in NF by increasing the bone analog density from 0.16 to 0.32 g/cc.</p><p><strong>Conclusions: </strong>Having required the minimum process combined with easily available equipment makes it an ideal method for fixation strength studies. The good correspondence between the ISQ values and NFs, in addition to the good accuracy and reliability of the later method, confirms its application for fixation stability assessment.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e362-e369"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of surgical difficulty in upper third molar removal: a prospective cohort study. 上第三磨牙拔除手术难度的预测因素:一项前瞻性队列研究。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26313
A Sánchez-Torres, A Paños-Crespo, M Sales-Collado, K Fuentes-Cazar, R Figueiredo, E Valmaseda-Castellón, C Gay-Escoda
{"title":"Predictors of surgical difficulty in upper third molar removal: a prospective cohort study.","authors":"A Sánchez-Torres, A Paños-Crespo, M Sales-Collado, K Fuentes-Cazar, R Figueiredo, E Valmaseda-Castellón, C Gay-Escoda","doi":"10.4317/medoral.26313","DOIUrl":"10.4317/medoral.26313","url":null,"abstract":"<p><strong>Background: </strong>Upper third molar (U3M) removal is a common surgical procedure. The aims of this study were to assess the patient-specific, radiological and surgical factors related to the difficulty of U3M removal, and to determine the incidence of intraoperative and postoperative complications.</p><p><strong>Material and methods: </strong>A prospective cohort study was carried out in adult patients undergoing U3M removal. Operative time, surgeon-reported difficulty and the Parant classification were used to assess extraction difficulty. Clinical, radiological and surgical factors were recorded to determine their relationship with surgical difficulty. A descriptive, bivariate and multivariate statistical analysis was carried out.</p><p><strong>Results: </strong>A total of 250 patients were included. The mean operative time was 10.4 (±12.3) minutes, mean surgeon-reported difficulty was 3.2/10 (±2.3). The multivariate analysis showed greater impaction against the second molar and greater soft tissue and bony impaction to significantly increase operative time and surgeon-perceived difficulty. Additionally, surgeon experience was related to perceived difficulty. The overall incidence of intraoperative complications was 0.8%, and no postoperative events were recorded.</p><p><strong>Conclusions: </strong>Upper third molars in close relation with the roots of the adjacent second molar and with soft tissue and bony impaction are significantly more difficult to extract. Perceived difficulty was related to surgeon experience. This procedure appears to produce few intra- and postoperative complications.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e343-e349"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The mediator role of treatment response on oral health related quality of life in Behçet's syndrome. 治疗反应对贝赫切特综合征口腔健康相关生活质量的中介作用。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26319
E-N Altıngöz, Y Yenisoy, A Kapusuz, K Abacar, N Şişman-Kitapçı, M Yay, U Karacaylı, F Alibaz-Öner, N İnanç, T Ergun, F Fortune, H Direskeneli
{"title":"The mediator role of treatment response on oral health related quality of life in Behçet's syndrome.","authors":"E-N Altıngöz, Y Yenisoy, A Kapusuz, K Abacar, N Şişman-Kitapçı, M Yay, U Karacaylı, F Alibaz-Öner, N İnanç, T Ergun, F Fortune, H Direskeneli","doi":"10.4317/medoral.26319","DOIUrl":"10.4317/medoral.26319","url":null,"abstract":"<p><strong>Background: </strong>The aim of the study was to analyse the effects of Treatment Response with oral ulcers on oral health related quality of life in Behçet's syndrome (BS).</p><p><strong>Material and methods: </strong>In the cross-sectional study, 339 BS patients (F/M: 179/160, mean age: 36,13±9,81 years) were included. Data were collected by clinical examinations and patient reported outcome measures (PROMs) regarding Oral Health Impact Profile-14 (OHIP-14) questionnaire and self-reported Treatment Responses coded by a 5-point Likert-type scale (1: symptoms were cured- 5: symptoms were worsened). Moderated Mediation analysis (MA) was used to understand how oral ulcer activity (independent variable; X) influenced OHIP-14 score (outcome variables, Y) through self-reported Treatment Response (M1) and age (M2) as possible mediator variables (M) and disease course (mucocutaneous and musculuskeletal involvement vs. major organ involvement) as a possible moderator variable (W) on these relationships.</p><p><strong>Results: </strong>In Moderated MA, OHIP-14 score (Y) was mediated by the presence of oral ulcer (X) (p=0.0000), the negative Treatment Response (M1) (p=0.0001) and being young (M2) (p=0.0053) with mucocutaneous involvement (W)(p=0.0039).</p><p><strong>Conclusions: </strong>Self-reported Treatment Response as an underestimated issue has a Mediator role in relation to oral ulceration on oral health related quality of life in the framework of patient empowerment strategies. Therefore, study results give clues to assist physicians and dentists for better understanding of patients' perspective.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e350-e355"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between periodontitis and its treatment on mortality rates of end-stage renal disease: A systematic review and meta-analysis. 牙周炎及其治疗对终末期肾病死亡率的影响:系统回顾和荟萃分析。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26307
H Chen, J Li
{"title":"Association between periodontitis and its treatment on mortality rates of end-stage renal disease: A systematic review and meta-analysis.","authors":"H Chen, J Li","doi":"10.4317/medoral.26307","DOIUrl":"10.4317/medoral.26307","url":null,"abstract":"<p><strong>Background: </strong>The association between periodontitis and systemic diseases is widely researched. Conflicting literature exists on the relationship between periodontitis and the outcomes of end-stage renal disease (ESRD) patients. We hereby reviewed evidence to examine if periodontitis and its management impact the mortality rates of ESRD patients.</p><p><strong>Material and methods: </strong>Literature was searched on the databases of PubMed, Embase, CENTRAL, Web of Science, and Scopus till 27th April 2023. All cohort studies reporting adjusted effect size of the relationship between periodontitis or its management and mortality rates of ESRD patients were included.</p><p><strong>Results: </strong>Eight studies were eligible of which six reported the association between periodontitis and mortality while two reported between periodontal treatment and mortality. Pooled analysis showed no association between the presence of periodontitis and all-cause mortality amongst ESRD patients (HR: 1.13 95% CI: 0.77, 1.65 I2=72%). Results were unchanged on sensitivity analysis. Pooled analysis of three studies showed no difference in the risk of cardiovascular mortality amongst ESRD patients with and without periodontitis (HR: 1.44 95% CI: 0.57, 3.60 I2=86%). A descriptive analysis of two studies showed that periodontal treatment could reduce the risk of mortality in ESRD patients with periodontitis.</p><p><strong>Conclusions: </strong>Limited evidence indicates that periodontitis does not impact all-cause and cardiovascular mortality in ESRD patients. Data on the role of periodontal therapy in improving outcomes is scarce. Further research is needed to generate high-quality evidence on this subject.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e334-e342"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of long-term vs. short-term and single day vs. single dose of antibiotic prophylaxis in reducing infection rates after orthognathic surgery: a systematic review and meta-analysis. 长期与短期、单日与单剂量抗生素预防对降低正颌外科手术后感染率的影响:系统回顾和荟萃分析。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26368
X Tang, K Wen, Y Yang
{"title":"Impact of long-term vs. short-term and single day vs. single dose of antibiotic prophylaxis in reducing infection rates after orthognathic surgery: a systematic review and meta-analysis.","authors":"X Tang, K Wen, Y Yang","doi":"10.4317/medoral.26368","DOIUrl":"10.4317/medoral.26368","url":null,"abstract":"<p><strong>Background: </strong>This review was designed to examine the effect of long-term (≥2 days) vs. short-term (1 day) and single-day vs. single preoperative doses of antibiotic prophylaxis on surgical site infection (SSI) rates after orthognathic surgery.</p><p><strong>Material and methods: </strong>PubMed, Web of Science, Embase, and Scopus were searched for randomized controlled trials (RCTs) without any date or language restriction till 1st September 2023. SSI rates were pooled to generate risk ratio (RR).</p><p><strong>Results: </strong>Eight RCTs comparing long-term vs. short-term and three RCTs comparing single day vs. single preoperative dose of antibiotic prophylaxis were included. Meta-analysis showed that the use of long-term antibiotic prophylaxis significantly reduced the risk of SSI after orthognathic surgery as compared to short-term antibiotics [RR:0.42 (95% CI: 0.23, 0.76) I2=0%]. Meta-analysis also noted that patients receiving a single day of antibiotic prophylaxis had significantly reduced risk of SSI as compared to those receiving only a preoperative single dose of antibiotics [RR:0.28 (95%: 0.09, 0.82) I2=0%].</p><p><strong>Conclusions: </strong>Evidence from a limited number of RCTs with moderate to high risk of bias shows that two to seven days of long-term antibiotic prophylaxis reduces the risk of SSI as compared to single-day antibiotic therapy. Also, a single day of antibiotics may be more beneficial than a single pre-operative dose of antibiotic.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e380-e389"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occurrence of bisphosphonate-associated osteonecrosis of the jaws in individuals with rheumatoid arthritis - a systematic review. 类风湿性关节炎患者发生双膦酸盐相关性颌骨坏死--系统综述。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26373
J-R Tenório, D Estanho, L-S Silva, A-V Pintor, M-B Magno, I-L Cavalcante, B-A Andrade, L-C Maia
{"title":"Occurrence of bisphosphonate-associated osteonecrosis of the jaws in individuals with rheumatoid arthritis - a systematic review.","authors":"J-R Tenório, D Estanho, L-S Silva, A-V Pintor, M-B Magno, I-L Cavalcante, B-A Andrade, L-C Maia","doi":"10.4317/medoral.26373","DOIUrl":"10.4317/medoral.26373","url":null,"abstract":"<p><strong>Background: </strong>To access the occurrence of bisphosphonate-associated osteonecrosis of the jaw (BAONJ) in individuals with rheumatoid arthritis (RA).</p><p><strong>Material and methods: </strong>Observational studies that evaluated the occurrence of BAONJ in individuals with RA (BAONJ-RA) were considered for inclusion. Electronic searches were performed up to December 2022 in six databases and in the grey literature. The study selection, data extraction, and quality assessment of the included studies according to the Joanna Briggs Institute Critical Appraisal Checklists was performed. The certainty of evidence was evaluated using the GRADE approach.</p><p><strong>Results: </strong>Five studies were included three cohort and two cross-sectional. The sample size of subjects with RA ranged from 16 to 3201. Together, the studies presented 36 cases of BAONJ-RA. Prevalence of BAONJ-RA ranged from 0.094% to 56.25%. The incidence ranged from 0.4% to 2.21. Women between the 6th and 8th decade of life were the most affected. Alendronate (n=5) and zoledronic acid (n=9), orally and intravenously, respectively, were the most used bisphosphonates. The duration of bisphosphonates use ranged from 2.7 to 8 years. The certainty of evidence was very low.</p><p><strong>Conclusions: </strong>The occurrence of BAONJ-RA is low. However, the certainty of the evidence was very low for this outcome.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e390-e397"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral cancer screening outcomes in the Latin American region with special relevance to Brazil and Cuba: a systematic review. 拉丁美洲地区的口腔癌筛查结果,与巴西和古巴特别相关:系统回顾。
IF 1.8 3区 医学
Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI: 10.4317/medoral.26361
C-M Pedroso, A-G Normando, M-E Pérez-de-Oliveira, L-E Simonato, M-F Goes, A-C Ribeiro, T-B Brandão, M-A Lopes, S Warnakulasuriya, A-R Santos-Silva
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