Oral and maxillofacial surgery最新文献

{"title":"The impact of clockwise and counterclockwise Le Fort I movements combined with bilateral sagittal split osteotomy on nasal morphology.","authors":"Robin Hartmann, Marc Schoebel, Katharina Obermeier, Fabian Geyer, Maximilian Geyer, Wenko Smolka, Sven Otto, Waltraud Waiss, Tobias Ettl","doi":"10.1007/s10006-026-01621-w","DOIUrl":"https://doi.org/10.1007/s10006-026-01621-w","url":null,"abstract":"<p><strong>Purpose: </strong>Orthognathic surgery is known to induce measurable alterations in nasal morphology. This study retrospectively assessed pre- and postoperative three-dimensional (3D) surface models (SMs) to evaluate nasal soft-tissue changes associated with clockwise (CW) and counterclockwise (CCW) Le Fort I movements combined with bilateral sagittal split osteotomy (BSSO).</p><p><strong>Methods: </strong>Fifty-six patients (23 CW, 33 CCW) who underwent Le Fort I osteotomy with BSSO between January 2016 and February 2020 were included. 3D SMs were obtained 1 day preoperatively and 6 weeks postoperatively using the Vectra M5 stereophotogrammetry system (Canfield Scientific, USA). Seventeen anthropometric nasal parameters were measured with OnyxCeph3 (Image Instruments, Germany).</p><p><strong>Results: </strong>In the overall cohort, 8 of 17 nasal parameters showed significant postoperative changes. Most notably, transverse nasal dimensions increased, while nasal height and nasal dorsum length decreased. Subgroup analyses revealed that, after Holm-Bonferroni adjustment, 2 parameters remained significant in the CW group and 6 in the CCW group. However, direct between-group comparisons revealed no significant differences in the magnitude of postoperative changes.</p><p><strong>Conclusion: </strong>Le Fort I osteotomy combined with BSSO consistently alters nasal morphology, particularly by widening the alar and subalare regions and reducing nasal height. While both CW and CCW rotations produced measurable anthropometric changes, direct between-group comparisons showed no significant differences in the magnitude of postoperative changes.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13486024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805389","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":"Clinical course study of postoperative recovery of neurosensory disturbance after inferior alveolar nerve transection during sagittal split osteotomy.","authors":"Tomonari Kajita, Shinnosuke Nogami, Yuki Sugai, Mai Yazaki, Hikari Suzuki, Kensuke Yamauchi","doi":"10.1007/s10006-026-01619-4","DOIUrl":"10.1007/s10006-026-01619-4","url":null,"abstract":"<p><strong>Purpose: </strong>Inferior alveolar nerve transection (IANT) is a severe complication of sagittal split osteotomy (SSO). This study aimed to retrospectively evaluate the long-term sensory recovery in patients who experienced intraoperative IANT compared to those who did not.</p><p><strong>Materials and methods: </strong>This retrospective cohort study reviewed patients who underwent SSO from 2016 to 2022. Patients were divided into Group A (with IANT, 11 sides) and Group B (without IANT, 151 sides). Sensory perception was assessed using the Semmes-Weinstein (SW) test, static two-point discrimination (s-2PD) test, and a Numerical Rating Scale (NRS) at preoperative baseline and at 1, 3, 6, and 12 months postoperatively. Mann-Whitney U and Dunnett's tests were used for statistical analysis (p < .05).</p><p><strong>Results: </strong>Group A demonstrated significantly worse sensory outcomes than Group B on all tests at all postoperative time points (p < .01). In Group B, SW and s-2PD values were significantly worse than baseline at 1 and 3 months but showed no significant difference at 6 and 12 months. In contrast, Group A outcomes remained significantly impaired compared to their own preoperative baseline throughout the 12-month follow-up.</p><p><strong>Conclusions: </strong>Complete IANT during SSO, even with immediate nerve repair, results in a substantial and long-term persistent neurosensory deficit. While patients without nerve transection typically recover baseline sensory perception by 6 months, those with IANT experience only minimal improvement and remain significantly impaired at a year post-surgery.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mandibular ramus split patterns following sagittal split ramus osteotomy - evaluation with multifactorial risk analysis.","authors":"Phasathorn Jewrasumnuay, Shinnosuke Nogami, Ryuhei Goke, Atsuya Abe, Reina Minohara, Yuki Sugai, Kyosuke Okuyama, Shizu Saito, Yuri Takeda, Kensuke Yamauchi","doi":"10.1007/s10006-026-01620-x","DOIUrl":"10.1007/s10006-026-01620-x","url":null,"abstract":"<p><strong>Objectives: </strong>The present study aimed to identify novel risk factors that influence buccal and lingual split patterns by focusing on individual mandibular ramus patterns in sagittal split ramus osteotomy (SSRO) cases.</p><p><strong>Materials and methods: </strong>This retrospective cohort study analyzed 658 splits from patients who underwent an SSRO with the Hunsuck technique. Predictor variables included demographic and mandibular anatomy factors, while split patterns were used as outcome variables.</p><p><strong>Results: </strong>Posterior ramus length and buccal horizontal osteotomy (BHO)-buccal type showed significant correlations with buccal bad split patterns. A 1-mm decrease in posterior ramus length increased the risk by up to 25%. As compared with the BHO-caudal type, BHO-buccal type had up to a 22-fold greater likelihood of pattern induction. For lingual split patterns, age, gender, transverse ramus width, posterior ramus length, and BHO were significant factors, with younger age, male gender, wider transverse ramus width, and BHO-buccal type associated with a higher incidence of long lingual splits, while shorter posterior ramus length and BHO-lingual type were linked to increased incidence of short lingual splits.</p><p><strong>Conclusions: </strong>Buccal and lingual split patterns are associated with patient demographics, and considered to be mandibular anatomical risk factors. While posterior ramus length, age, gender, and transverse ramus width are congenital and uncontrollable, BHO type can be adjusted to prevent complications.</p><p><strong>Clinical relevance: </strong>The anatomical risk factors identified in this study can help surgeons evaluate individual patients received SSRO for risk as well as treatment planning to prevent complications associated with split patterns.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needle-based level II temporomandibular joint arthroscopy under local anesthesia.","authors":"Romualdo Cardoso Monteiro de Barros, Priscila Takasaki Lee, Beatriz Afonso Chiliti, Helcio Yogi Ono","doi":"10.1007/s10006-026-01618-5","DOIUrl":"10.1007/s10006-026-01618-5","url":null,"abstract":"<p><strong>Objective: </strong>To describe a novel office-based Level II temporomandibular joint (TMJ) arthroscopy technique performed using only two 16-gauge needle punctures, achieving the same level of invasiveness as conventional arthrocentesis while allowing direct visualization and therapeutic intervention.</p><p><strong>Methods: </strong>This technical note describes a minimally invasive arthroscopic approach performed under intravenous sedation and local anesthesia using two 16-gauge needle portals. A 0.7-mm diameter fiber-optic endoscope is introduced through one needle for visualization, while a 600-µm optical fiber connected to a 450 nm diode laser (TheraBlue^®, DMC, Brazil) is introduced through the second needle for controlled retrodiscal tissue ablation under direct visualization.</p><p><strong>Results: </strong>This technique enables Level II arthroscopic capabilities while maintaining needle-level invasiveness. At 6-month follow-up, the patient demonstrated significant clinical improvement, with bilateral TMJ pain decreasing from a preoperative Visual Analog Scale (VAS) score of 8 to 1, and maximum interincisal mouth opening (MMO) increasing from 33 mm to 42 mm, with no complications observed. The procedure can be performed in an office setting under local anesthesia, reducing the need for hospital-based infrastructure.</p><p><strong>Conclusion: </strong>Office-based Level II TMJ arthroscopy using 16-gauge needle portals appears to represent a feasible, minimally invasive evolution of arthrocentesis, enabling visualization and targeted therapeutic intervention with minimal morbidity in this initial case. Controlled studies with larger cohorts are required before broader clinical implications can be established.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Our experience with super-thin anterolateral thigh flap for intraoral reconstruction.","authors":"Attila Füzes, Szilárd Szanyi, Balázs Kovács, András Tarczali, Márk Huszák, Tibor Sahin-Tóth, Dániel Csizmazia, Marcell Szanyi, Dániel Végh, László Tamás, Ferenc Oberna","doi":"10.1007/s10006-026-01616-7","DOIUrl":"10.1007/s10006-026-01616-7","url":null,"abstract":"<p><strong>Purpose: </strong>According to the literature, in our country, the first choice for the reconstruction of extensive defects after the removal of locally advanced oral tumors is free flap reconstruction, which achieves the best functional outcome. We investigated whether the anterolateral thigh flap, which can be closed primarily at the donor site and is usually indicated for large or complex defects, can be adapted for thin defects, as well.</p><p><strong>Materials and methods: </strong>Within the framework of a pilot study, 10 patients who underwent radical ablative surgery for oral squamous cell carcinoma were reconstructed with an anterolateral thigh flap harvested in the superficial fascia plane. We compared our results with those of 42 oral cavity radial forearm flap reconstruction procedures.</p><p><strong>Results: </strong>Of the 10 patients who underwent reconstruction with a thinned anterolateral thigh flap seven underwent surgery for sublingual tumor and three for tongue tumors. All the flaps healed uneventfully. The average flap thickness was 9.25 mm and the average pedicle length was 11.7 cm, which was similar to that of the radial forearm flap (8.6 mm and 12.1 cm). No complications were observed at the donor site, and in every case, we were able to close the donor site primary.</p><p><strong>Conclusion: </strong>The anterolateral free thigh flap harvested in the superficial fascia plane could be an appropriate choice for functional preservation and closure of the oral cavity. Considering that it is similar to the radial forearm flap in terms of thickness and pedicle length but has a more favorable donor site morbidity, its wider use is recommended.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715220","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":"Macroscopic handling stability of platelet-rich fibrin under short-term temperature variations: a prospective experimental study.","authors":"Merve Demirel, Selen Adiloglu, Serkan Kiris, Nuray Bayrakci","doi":"10.1007/s10006-026-01622-9","DOIUrl":"10.1007/s10006-026-01622-9","url":null,"abstract":"<p><strong>Background: </strong>This prospective experimental study evaluated whether short-term post-centrifugation handling under different environmental temperature conditions influences the macroscopic characteristics of platelet-rich fibrin (PRF) during routine clinical preparation.</p><p><strong>Materials and methods: </strong>Venous blood samples were obtained from 38 healthy volunteers and processed using a standardized centrifugation protocol (3000 rpm, 10 min). PRF clots were harvested immediately after centrifugation or following 3 min of storage at room temperature (+ 20-22 °C) or + 4 °C. Macroscopic parameters, including clot weight, clot volume, membrane surface area, and membrane volume, were measured and compared.</p><p><strong>Results: </strong>No statistically significant differences were observed among the three handling conditions for any of the measured macroscopic parameters (p > 0.05). However, donor-related factors influenced PRF dimensions. Female participants exhibited significantly greater clot weight and clot volume than males under all conditions, while increasing age was positively correlated with clot weight and volume in the room-temperature and + 4 °C groups (p < 0.05).</p><p><strong>Conclusions: </strong>Short-term post-centrifugation storage of PRF at room temperature or + 4 °C was not associated with statistically significant differences in its measured macroscopic characteristics. Future studies evaluating cellular viability, growth-factor release, fibrin architecture, mechanical properties, and biological activity are needed to complement these macroscopic findings.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sialadenoma papilliferum of the floor of the mouth with HPV Positivity: a rare case report and literature review.","authors":"İpek Atak Seçen, Leyla Arslan Bozdağ, Sevinç İnan, Sibel Elif Gülteki̇n","doi":"10.1007/s10006-026-01611-y","DOIUrl":"10.1007/s10006-026-01611-y","url":null,"abstract":"<p><p>Sialadenoma papilliferum (SP) is a rare benign salivary gland tumor characterized by a distinctive biphasic architecture and clinical resemblance to other papillary lesions of the oral cavity. Although recent studies have identified alterations in the MAPK pathway, particularly BRAF V600E mutations, the molecular landscape of this rare lesion remains incompletely characterized. We report a case of SP arising in the floor of the mouth of a 25-year-old male patient. Histopathological examination confirmed the diagnosis of SP, while immunohistochemical analysis revealed p63 positivity and negative staining for BRAF V600E and p16. Molecular analysis detected HPV-11 DNA by PCR-RFLP. To the best of the authors' knowledge, this is the first reported case of HPV-11 DNA detection in SP. Further studies are needed to clarify the biological significance of HPV detection and to better characterize the molecular pathways involved in the development of this rare lesion.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Procalcitonin as a predictor of length of stay in patients with odontogenic infections.","authors":"Felix Thol, Felix Benjamin Warwas, Nikolai Spuck, Anne Klausing, Tim Klünter, Paul Stoll, Franz-Josef Kramer, Nils Heim","doi":"10.1007/s10006-026-01617-6","DOIUrl":"10.1007/s10006-026-01617-6","url":null,"abstract":"<p><strong>Objectives: </strong>Our study aimed to evaluate procalcitonin (PCT) as a prognostic marker in advanced odontogenic infections. In addition, we sought to identify further prognostic markers that could be used to predict the length of hospital stay (LOS).</p><p><strong>Materials and methods: </strong>We retrospectively analysed 61 patients who were hospitalised between January and August 2020 for surgical abscess drainage in the Department of Oral and Maxillofacial Surgery at the University Hospital of Bonn. Univariable logistic discrete hazard models were used to assess the association between baseline levels as well as temporal changes in laboratory parameters (PCT, C-reactive protein (CRP), and leukocytes) and LOS. In addition, a tree-based approach for modelling discrete time-to-event data was used to identify risk groups of patients with a prolonged LOS.</p><p><strong>Results: </strong>Median LOS were 5, 7, and 9 days for different PCT concentrations < 0.1 µg/l, 0.1-0.5 µg/l, and > 0.5 µg/l, respectively (p < 0.001). The data-driven tree identified three subgroups with median LOS of 4, 6, and 10 days based on preoperative CRP and PCT levels. Patients with CRP > 153 mg/l had a median LOS of 10 days, while those with CRP ≤ 153 mg/l had median LOS of 6 or 4 days depending on whether PCT was > 0.03 µg/l or ≤ 0.03 µg/l.</p><p><strong>Conclusions: </strong>PCT may serve as a useful prognostic marker for estimating LOS, even in severe odontogenic infections. Exploratory decision tree analysis demonstrated that the combined assessment of PCT and CRP levels could help stratify patients into distinct LOS subgroups, which may facilitate clinical decision-making and more accurate estimation of treatment outcomes.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687456","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":"The use of biologic adjuncts in tooth autotransplantation: a scoping review.","authors":"Edgar Daniel Vargas-Quiroga, Brenda Carolina Pattigno-Forero, Ana Carolina Duarte Firmino, Débora S F Sávio, Carolina Alves Freiria de Oliveira, Isabel Schausltz Pereira Faustino, Arthur Belém Novaes","doi":"10.1007/s10006-026-01613-w","DOIUrl":"10.1007/s10006-026-01613-w","url":null,"abstract":"<p><strong>Purpose: </strong>To summarize the available clinical evidence on biological adjuncts in tooth autotransplantation, including adjunct types, application protocols, procedural variables, reported outcomes, and evidence gaps.</p><p><strong>Methods: </strong>This scoping review followed JBI guidance and PRISMA-ScR. PubMed/MEDLINE, Embase, Web of Science, Scopus, and LILACS were searched from inception to 21 June 2026. Clinical human studies reporting tooth autotransplantation with at least one biologic adjunct and clinical or radiographic outcomes were included. Data were charted for study characteristics, population, autotransplanted teeth, adjunct type and application protocol, follow-up, and key findings. Critical appraisal was performed using design-specific tools.</p><p><strong>Results: </strong>Twenty-two sources published between 2005 and 2026 were included, comprising 234 patients and 257 autotransplanted teeth. Most evidence came from case reports and case series, with few comparative clinical studies. Platelet-derived preparations were the most frequently reported adjuncts, including L-PRF, A-PRF, PRP, PRGF, and CGF. Enamel matrix derivative was also reported, mainly as a root-surface application. Most studies described favorable clinical and radiographic outcomes, but protocols, root maturity, recipient-site conditions, stabilization, endodontic strategies, follow-up schedules, and outcome definitions were highly heterogeneous. Comparative and retrospective studies had serious risk of bias, mainly due to confounding.</p><p><strong>Conclusion: </strong>Biological adjuncts in tooth autotransplantation have demonstrated clinical feasibility in selected reports, but current evidence is insufficient to establish their independent benefit or superiority over standard protocols. Root maturity and procedural variables appear to be more consistent determinants of outcomes and should guide interpretation.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687468","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 a phthalocyanine mouthrinse after connective tissue graft surgery for root coverage: a randomized split-mouth clinical trial.","authors":"Rafael Sponchiado Cavallieri, Caique Andrade Santos, Rafaela Stocker Salbego, Carla Andreotti Damante, Adriana Campos Passanesi Santana, Heitor Marques Honório, Leonardo Rigoldi Bonjardim, Mariana Schutzer Ragghianti Zangrando","doi":"10.1007/s10006-026-01614-9","DOIUrl":"10.1007/s10006-026-01614-9","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate effects of self-activating phthalocyanine mouthrinse on recipient sites of subepithelial connective tissue graft (SCTG), considering clinical outcomes, professional and patient assessments and quantitative somatosensory changes.</p><p><strong>Materials and methods: </strong>This randomized controlled, crossover, split-mouth clinical trial included 20 patients treated with SCTG plus coronally advanced flap (CAF). Recipient sites received 0.12% iron phthalocyanine mouthrinse (test group-PHY) and 0.12% chlorhexidine (control group-CHX) during 14 postoperative days. The primary outcome was percentage of root coverage (%RC) at 6 months. Secondary outcomes included clinical parameters (probing depth, PD; recession depth and width, RD, RW; percentage of complete root coverage (CRC); clinical attachment level, CAL; keratinized tissue thickness and width, KTT, KTW), professional- and patient-reported outcomes, mechanical detection threshold (MDT) and mechanical pain threshold (MPT).</p><p><strong>Results: </strong>PHY and CHX groups showed significant improvements in clinical parameters, including reduced RD and RW, CAL gain, and increased KTW and KTT (p < 0.05). %RC was similar between groups, at approximately 80%. Professional- and patient-reported outcomes, including dentin hypersensitivity and esthetic perception, as well as MPT and MDT, showed no significant differences between groups. Postoperative symptoms decreased progressively, and oral health-related quality of life remained unchanged after 6 months.</p><p><strong>Conclusions: </strong>Postoperative use of phthalocyanine after CAF + SCTG resulted in clinical outcomes comparable to chlorhexidine, including similar root coverage, with no differences in professional-, patient-centered outcomes, somatosensory profile, or oral health-related quality of life.</p><p><strong>Clinical relevance: </strong>Iron phthalocyanine may represent a promising alternative for postoperative care in periodontal plastic surgeries.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"30 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681911","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}