Oral and maxillofacial surgery最新文献

{"title":"Global trends in the microbial profile of odontogenic infections and its practical implications: A 70-year narrative review.","authors":"Ricardo Grillo, Lázaro Caixeta, Mariana Brozoski, Fernando Melhem-Elias","doi":"10.1007/s10006-025-01425-4","DOIUrl":"https://doi.org/10.1007/s10006-025-01425-4","url":null,"abstract":"<p><strong>Objectives: </strong>Odontogenic infections represent a significant clinical challenge in maxillofacial surgery due to their potential for rapid progression and life-threatening complications. Regional variations in microbial profiles and antibiotic resistance patterns directly influence treatment efficacy, underscoring the necessity for geographically tailored antimicrobial strategies. This study systematically evaluated the global microbial epidemiology of odontogenic infections, analyzing prevalent pathogens, emerging resistance trends, and the clinical effectiveness of current antibiotic regimens across different regions.</p><p><strong>Methods: </strong>We conducted a comprehensive PubMed search, identifying 162 eligible studies comprising retrospective analyses, case series, clinical trials, and antimicrobial susceptibility tests. Extracted data included microbial identification results, antibiotic susceptibility profiles, and geographic variables. Statistical evaluation employed Pearson's correlation coefficients and Kruskal-Wallis tests.</p><p><strong>Results: </strong>The analysis encompassed 20,911 patients yielding 61,408 bacterial isolates representing 123 distinct strains. No statistically significant temporal trends in microbial prevalence were detected. Geographic variations significantly affected antibiotic selection, with regional efficacy patterns being particularly evident in severe infections. Amoxicillin-clavulanate and vancomycin demonstrated consistently high susceptibility rates (> 90%), whereas the metronidazole-penicillin combination showed limited efficacy, though this finding was constrained by insufficient data availability.</p><p><strong>Conclusions: </strong>Although surgical drainage remains the cornerstone of management, treatment outcomes can be optimized through region-specific antibiotic selection guided by local microbial patterns. Antibiograms, whenever feasible, support targeted therapy, helping address resistance patterns. Optimal antimicrobial stewardship for odontogenic infections requires continuous consideration of evolving regional resistance trends alongside potential therapeutic risks.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"130"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478571","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":"Utilising remote imaging consultation for the early detection of oral cancer: a case series and pilot study.","authors":"Nobuyuki Kaibuchi, Akira Shimasaki, Mizuho Ikeda, Reiko Wadachi, Yoko Kawase-Koga, Toshihiro Okamoto","doi":"10.1007/s10006-025-01423-6","DOIUrl":"10.1007/s10006-025-01423-6","url":null,"abstract":"<p><strong>Purpose: </strong>We have been offering 'remote imaging consultations' to local dental clinics via a mail-form service as diagnostic support for oral diseases. In this report, we present three cases in which oral cancer was detected and treated at an early stage through this project, along with associated statistical data.</p><p><strong>Methods: </strong>Between July 2017 and December 2022, local dental clinics submitted image consultation requests through a dedicated website. Two oral and maxillofacial surgeons reviewed the findings and provided reports via e-mail.</p><p><strong>Results: </strong>Of the 38 registered clinics, 15 (39.5%) utilised the service, and 114 consultations were conducted (49 men and 65 women). Post-diagnostic testing showed that the provisional diagnosis corresponded with the actual diagnosis in 28 patients (53.8%). Malignancy was suspected in 13 patients, of whom three (23.1%) - two cases of tongue cancer and one case of buccal mucosa cancer - were confirmed to have malignant tumours. A questionnaire sent to the dentists who used this service revealed that 71.4% were 'very satisfied' with the system.</p><p><strong>Conclusion: </strong>These findings suggest that remote imaging consultations may be beneficial for the early detection and treatment of oral cancer.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"128"},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337449","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":"Positive airway pressure settings do not predict outcomes of maxillomandibular advancement surgery in the treatment of obstructive sleep apnea.","authors":"John M Nathan, Douglas F Werkman, Cameron C Lee, Zachary S Peacock, Anita V Shelgikar, Jeffrey J Stanley, Hossein E Jazayeri, Jonathan P Troost, Sharon Aronovich","doi":"10.1007/s10006-025-01421-8","DOIUrl":"10.1007/s10006-025-01421-8","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine if the therapeutic continuous positive airway pressure (CPAP) setting identified during pre-surgical CPAP titration polysomnogram (PSG) is predictive of surgical success after MMA in adults with OSA.</p><p><strong>Methods: </strong>This multi-institutional retrospective study evaluated adults treated for OSA with MMA between 2000 and 2020 at Michigan Medicine and Massachusetts General Hospital. Patients included were those with a diagnosis of moderate-severe OSA (AHI > 15), a pre-operative CPAP titration PSG, and available pre-operative and postoperative PSGs. The primary predictor variable was the recommended CPAP setting from the pre-op titration PSG. Secondary predictor variables included preoperative oxygen saturation nadir, and hypoxic burden. The primary outcome variable was surgical success (achieving an AHI of < 20 and >/=50% reduction in AHI). The secondary outcome variable was change in AHI. Logistic and linear regression were used to model outcomes. Unadjusted and bivariable adjusted models were performed for predictors. Significance was set to P <.05.</p><p><strong>Results: </strong>31 subjects were included in this study (25 males, average age 42.9 ± 9.67 years). Mean pre-surgical CPAP titration setting was 10.4 cm H2O. On mixed model regression, recommended CPAP setting did not predict surgical success (adjusted ß = 0.93, P =.56), nor change in AHI (adjusted ß = 0.35, P =.51). In the latter model, age was found to be statistically significant, with each increased year of age increasing the postop AHI by 0.51/hr (P =.004). Hypoxic burden was also significant and positively correlated with AHI (adjusted ß = 0.90, P =.02).</p><p><strong>Conclusion: </strong>MMA remains an effective treatment modality for carefully selected patients with OSA, however, pre-operative therapeutic CPAP values were not a reliable predictor of surgical success.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"129"},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337448","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":"Finite element analysis of stress distribution in sagittal split Ramus osteotomy: the influence of impacted third molars.","authors":"Ahmet Faruk Derin, Hilal Alan","doi":"10.1007/s10006-025-01422-7","DOIUrl":"10.1007/s10006-025-01422-7","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the effect of impacted third molars in different positions on stress distribution in the proximal and distal segments during sagittal split ramus osteotomy (SSRO) using finite element analysis.</p><p><strong>Materials and methods: </strong>Finite element stress analysis was used to create models with impacted third molars in different positions. In SSRO-applied models, a 20 N force was applied in opposite directions to the proximal and distal segments along the sagittal osteotomy line. The von Mises, Pmax, and Pmin stress values induced by the applied force in the proximal and distal segments were analyzed to assess their potential impact on the risk of unfavorable fractures.</p><p><strong>Results: </strong>Compared to the control model, the highest stress values were observed on the buccal side of the proximal segment in the distoangular model and on the lingual side of the distal segment in the horizontal model. Analyzing the von Mises, Pmax, and Pmin stress values in all models, it was found that the highest stress concentrations occurred predominantly on the buccal side of the proximal segment.</p><p><strong>Conclusion: </strong>During SSRO, horizontally positioned impacted third molars may increase stress values in the distal segment, potentially elevating the risk of unfavorable fractures. In all models, higher stress concentrations were observed in the buccal region of the proximal segment. These findings highlight the clinical importance of patient-specific evaluation of third molars prior to SSRO.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"127"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334828","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":"Adjunctive use of posaconazole, hyperbaric oxygen therapy, and methylene blue for COVID-19-associated mucormycosis.","authors":"Sujata Mohanty, Neeraj Bansal, Anjali Verma, Hemavathy S, Arpit Gupta, Chayanika Sharma","doi":"10.1007/s10006-025-01419-2","DOIUrl":"10.1007/s10006-025-01419-2","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to assess the cumulative role of oral posaconazole, post-debridement Hyperbaric Oxygen (HBO) therapy, along with local application and steam inhalation with methylene blue as an adjunct to surgery to prevent further progression of COVID-19 associated sino-maxillary or mandibular mucormycosis.</p><p><strong>Methods: </strong>A retrospective observational study was conducted on patients diagnosed with sino-maxillary or mandibular mucormycosis associated with COVID-19. A total of 38 patients underwent surgical debridement and received adjunctive treatment with posaconazole, hyperbaric oxygen therapy, and local application and steam inhalation of methylene blue. Medical records were analyzed for COVID-19-related hyperglycemia, prolonged hospitalization, immunosuppressive/steroid therapy, and the use of iron or zinc supplements, which may be linked to increased mucormycosis incidence. Outcomes were evaluated for association with any concurrent infection, complications, need for sequential debridement, and further progression of disease.</p><p><strong>Results: </strong>A total of 38 patients (range: 23-68) were included, comprising 24 males and 14 females. Isolated sino-maxillary involvement was observed in 32 cases (84.21%), and mandibular involvement in 5 cases (13.15%). No further disease progression was noted during the 2-year follow-up, based on clinical evaluation and postoperative computed tomography (CT) scans. Actinomycosis co-infection was identified in 21.05% of cases. Complications included wound dehiscence (39.47%), pus discharge (5.26%), reversible hearing impairment during HBO therapy (5.26%), and flap necrosis (2.63%). Four patients (10.52%) required sequential surgical debridement for sequestrum removal.</p><p><strong>Conclusion: </strong>It was concluded that concurrent use of oral posaconazole, adjunct HBO therapy and methylene blue prevents further progression of COVID-19 associated sino-maxillary and mandibular mucormycosis.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"126"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328487","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":"Risk factors for delayed-onset infection after lower third molar surgery: a retrospective case-control study.","authors":"Nongpanga Jitpreeda, Chonatee Chinkrua","doi":"10.1007/s10006-025-01420-9","DOIUrl":"https://doi.org/10.1007/s10006-025-01420-9","url":null,"abstract":"<p><strong>Purpose: </strong>Delayed-onset infection (DOI) is an uncommon postoperative complication of lower third molar surgery, typically occurring around one month after the procedure. This study aimed to identify risk factors for DOI to support improved prevention and management.</p><p><strong>Methods: </strong>A retrospective case-control study was conducted using records from patients who underwent lower third molar surgery between January 2015 and December 2022. Seventy-four cases of DOI were identified and matched to 296 controls in a 1:4 ratio. Univariable and conditional multivariable logistic regression analyses were employed to identify significant risk factors.</p><p><strong>Results: </strong>The incidence of DOI was 0.66%, with a mean onset of 36.5 days postoperatively. Univariable analysis revealed nine potential risk factors, mesioangular and horizontal impaction, including Pell & Gregory classification Class III, Position B and C, Nolla's stage ≤ 8, Ganss ratio ≤ 0.5, bone retention, and postgraduate/experienced operator. However, multivariable analysis identified three independent predictors: Pell & Gregory classification Class III (OR = 5.89, 95% CI: 1.52-22.79), Pell & Gregory classification Position B (OR = 4.19, 95% CI: 1.70-10.31), and postgraduate/experienced operator (OR = 4.54, 95% CI: 1.59-12.98).</p><p><strong>Conclusions: </strong>Postgraduate/experienced operator, Pell & Gregory class III, and position B were identified as significant risk factors for DOI in our institution. Although the incidence is low, the potential impact on patient quality of life highlights the importance of early recognition, risk stratification, and close postoperative follow-up in high-risk individuals.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"124"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328489","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":"Evaluation of local and systemic photobiomodulation in only single-implant insertion: a randomized clinical trial.","authors":"Daniel Sartorelli Pucca, Sérgio Luiz Pinheiro","doi":"10.1007/s10006-025-01424-5","DOIUrl":"10.1007/s10006-025-01424-5","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effects of local and systemic photobiomodulation (PBM-T) after dental surgery for single-tooth implant placement in healed sites.</p><p><strong>Materials and methods: </strong>Fifty-one patients were included and randomly assigned to 2 groups: PBM-T (n = 26), with local and systemic PBM-T application immediately after implant site drilling and suturing; and control group (n = 25), with PBM-T simulation. The parameters used for local PBM-T were low-intensity laser diode (Therapy EC, DMC, São Carlos, SP, Brazil), 1 J of energy per point for 10 s, energy density of 10.20 J/cm², output spot of 0.09842 cm², infrared wavelength of 808 nm and power of 100 mW/cm². Systemic PBM-T was performed using the same low-intensity laser diode. Patients received a single 10-minute systemic transdermal irradiation over the radial artery immediately after suturing, with a total energy of 60 J, energy density of 306.12 J/cm², wavelength of 660 nm, and power of 100 mW. Postoperative pain via visual analog scale (VAS), analgesic use, healing, and quality of life using the Oral Health Impact Profile (OHIP-14) were assessed. Results were analyzed using the Kruskal-Wallis test (Student-Newman-Keuls) and chi-square test.</p><p><strong>Results: </strong>There was no significant difference in VAS pain scores between the control and PBM-T groups (p = 0.5217). The number of analgesics taken by participants in the control group was 2.37 times higher than that taken by the PBM-T group. A significant difference in healing grades was observed between the control and PBM-T groups at both the 3-day and 7-day assessments (p = 0.0029 and p = 0.0002, respectively), with the PBM-T group demonstrating marked improvement. There was no negative impact on quality of life at any point after implant placement in the PBM-T group, as all OHIP-14 scores remained lower than those obtained before surgery.</p><p><strong>Conclusions: </strong>The combined use of local and systemic PBM-T decreased the need for postoperative analgesics, enhanced postoperative healing, and improved quality of life for patients undergoing single-tooth implant placement in healed sites.</p><p><strong>Clinical relevance: </strong>The clinical application of systemic PBM-T enhances the effects of local PBM-T after dental surgery for implant placement.</p><p><strong>Trial registration number: </strong>Brazilian Registry of Clinical Trials (ReBEC), with the identifier RBR-7f42fs5, on Nov 30, 2023.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"125"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328488","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":"Pain control and adverse effects of parecoxib after wisdom teeth surgery: a quantitative systematic review.","authors":"Othoniel Hugo Aragon-Martinez, Eduardo Gómez-Sánchez, Ronell Bologna-Molina, Nelly Molina-Frechero, Sandra López-Verdín, Nicolás Serafín-Higuera, Juan Manuel Guzmán-Flores, Maikel Hermida-Rojas, Mario Alberto Isiordia-Espinoza","doi":"10.1007/s10006-025-01416-5","DOIUrl":"10.1007/s10006-025-01416-5","url":null,"abstract":"","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"123"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311205","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":"Does Kinesio taping and/or transdermal diclofenac patch reduce postoperative pain and swelling after open reduction and internal fixation of mandibular angle fractures?","authors":"Sai Prasanna Patruni, Shivaji Raju, Divya Puvvada, Kishore Moturi, Anil Budumuru, Meghana Vadupu","doi":"10.1007/s10006-025-01404-9","DOIUrl":"10.1007/s10006-025-01404-9","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative pain and facial swelling are frequent complications following open reduction and internal fixation (ORIF) of mandibular angle fractures, impacting recovery and early postoperative quality of life. This study assesses the effectiveness of Kinesio taping (KT) and transdermal diclofenac patches (TDP), both individually and in combination, in managing postoperative pain and swelling. By comparing these non-invasive interventions, we aim to determine their role in enhancing patient comfort and postoperative recovery.</p><p><strong>Methods: </strong>A triple-blind randomised controlled trial was conducted at a tertiary trauma centre in rural South India, enrolling 60 patients (18-55 years) with isolated unilateral mandibular angle fractures. Patients were randomly assigned to KT + TDP, KT alone, or TDP alone and Intramuscular Diclofenac (IM-control) groups. Primary outcomes measured were postoperative swelling (measured using a 5-linetechnique), pain (10-point Visual Analog Scale), and the amount of rescue analgesics consumed, analysed using ANOVA and post hoc tests (P < 0.05).</p><p><strong>Results: </strong>Swelling peaked on postoperative day 2, with the KT + TDP group showing significantly less swelling than other groups (P < 0.05). Pain scores were highest in the KT-only group (P = 0.00), while TDP and IM groups showed comparable pain reduction. Statistical analysis confirmed the significant differences among the groups (p < 0.05).</p><p><strong>Conclusion: </strong>The combination of a transdermal diclofenac patch and Kinesio tape offers the most effective relief, significantly reducing postoperative pain and swelling, indicating a synergistic effect. Integrating these non-invasive modalities into postoperative care protocols can enhance patient comfort and recovery following ORIF of mandibular angle fractures.</p><p><strong>Trial registration: </strong>This trial was registered in Clinical Trials Registry of India, on 29/07/2021 holding Registration number CTRI/2021/07/035272 and was registered prospectively.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"122"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311204","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":"Conservative management of pediatric mandibular fractures with cap splints- A systematic review.","authors":"Namita Kumari, Jhunjhunwala Garima, Morankar Rahul, Nitesh Tewari, Vijay Prakash Mathur, Kalpana Bansal","doi":"10.1007/s10006-025-01405-8","DOIUrl":"10.1007/s10006-025-01405-8","url":null,"abstract":"<p><strong>Background: </strong>Mandible is the second most common bone involved among pediatric facial fractures, and the open reduction and internal fixation (ORIF) technique used for its management results in faster bone remodeling and quicker functional recovery. However, it can lead to damage to the periosteum and surrounding tooth buds, and may require a second surgery for removal. Therefore, conservative methods always remain mainstay for management among pediatric patients. This systematic review evaluates the use of cap splints in managing pediatric mandibular fractures and compares this approach with other closed reduction methods.</p><p><strong>Methods: </strong>A priori protocol was prepared, and registered in the International Prospective Register of Systematic Reviews (CRD42024531959). A comprehensive literature search was performed electronically in PubMed, EMBASE, Web of Science, and Scopus till December 31, 2024, whereas a grey literature search was carried out on Google Scholar and open grey. Two reviewers independently assessed the methodological quality of the included studies by using the appropriate Joanna Briggs Institute's (JBI) critical appraisal checklist for case reports, case series, and retrospective cohort studies. For a prospective cohort study, the risk of bias in non-randomized studies of intervention was used for quality assessment.</p><p><strong>Result: </strong>The database search revealed 2308 records, and 48 records were obtained from grey literature and citation search. A total of 47 studies (28 case reports, 13 case series, three retrospective studies, and three prospective non-randomized interventions) were finally included in the review. The different modalities used were cap splint with luting cement, circum-mandibular wiring, interdental wiring, and arch bar fixation. Among the included studies, one case report and three case series had a high risk of bias. Similarly, all retrospective studies had a high risk of bias.</p><p><strong>Conclusion: </strong>Cap splint can be recommended as a treatment option for non-displaced pediatric mandibular fractures that do not involve the condyle. Luting cement can be used as an alternative to circum-mandibular wiring.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"121"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295649","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}