Journal of Craniomaxillofacial Research最新文献

{"title":"Denosumab, an adjunctive method in central giant cell granuloma treatment: A case report","authors":"A. Rezaie, Zahra Dalili Kajan, D. Maleki, Reza Shokuhi Fard, Hadi Golshekan","doi":"10.18502/jcr.v8i4.11076","DOIUrl":"https://doi.org/10.18502/jcr.v8i4.11076","url":null,"abstract":"\u0000 \u0000 \u0000Central giant cell granuloma (CGCG) is a benign intraosseous pathology. A 17 years old male pa- tient was referred and diagnosed with CGCG from mandibular right first molar to mandibular left second premolar. Enucleation and curettage of the lesion were completed as the main treatment. Involved teeth on the right, 41, 42, 43, 44, and 45 (FDI) were extracted. As adjunctive therapy, 120 mg Denosumab was injected subcutaneously. The patient received sixteen sessions of therapy through 11 months. Two, sixteen, and eighteen months follow-up after the first session of injection showed an acceptable improvement in bone contour. The patient experienced no functional or aesthetic impairment. Alongside the promising results of Denosumab as adjunctive therapy in the management and treatment of diseases such as CGCG, some questions have remained unanswered and no protocol has been determined. The authors of the current study recommend further re- searches to confirm Denosumab as a potential adjunctive or alternative in the treatment of CGCG. \u0000 \u0000 \u0000","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48897964","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":"Comparison of the Effect of Interactive versus Non-interactive Virtual Education on General Physicians Knowledge and Attitude toward Oral Health in Diabetic Patients and Evaluation of their Satisfaction","authors":"Zahra Shevidi, M. Zolfaghari, S. Mohebbi","doi":"10.18502/jcr.v8i4.11073","DOIUrl":"https://doi.org/10.18502/jcr.v8i4.11073","url":null,"abstract":"Introduction: Due to the high prevalence of diabetes in communities and the various oral health complications of this disease, a need for training the physicians treating diabetic patients is felt ؛This study aimed to compare the effect of interactive versus non-interactive virtual education on the knowledge and attitudes of physicians about oral health in diabetic patients and to assess their satisfaction from the programs. \u0000Materials and Methods: The educational intervention was implemented through the online continuous medical education (CME) site of Tehran University of Medical Sciences. Physicians applying to participate in the CME entered in one of the interactive or the non-interactive groups. After the training, the study questionnaires to assess knowledge (7 questions), attitude (8 questions), and backgrounds (6 questions), and physicians' satisfaction (12 questions) with the training in this project, was provided to them through the same site. The analyzes were performed by linear regression test in SPSS version 26. \u0000Results: Totally 57 physicians, 27 in the interactive and 30 people in the non-interactive group participated. The score of knowledge and attitude were not different between the two groups after the intervention. Physicians' satisfaction with interactive education was significantly higher. Physicians' age showed a significant direct association (p < 0.100) and the percentage of diabetic patients examined by learners showed a significant negative association (p = 0.024) with their knowledge score. \u0000Conclusion: Since physicians' satisfaction with interactive education has been significantly higher, it is suggested that this method be used in online CMEs.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49306542","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":"Metastasis of mucinous adenocarcinoma of colon to the mandible: A case report","authors":"Samira Derakhshan, Monir Moradzadeh Khiavi, Hossein Borhani, Narges Matloubi","doi":"10.18502/jcr.v9i1.11084","DOIUrl":"https://doi.org/10.18502/jcr.v9i1.11084","url":null,"abstract":"Metastatic disease to the oral cavity is rare, representing only 1-8% of oral malignancies, and involvement of the mandibular ramus is even less prevalent. This report is a unique case of metastatic adenocarcinoma of the colorectal to the mandible. Clinical presentation can be quite variable, and most often a primary malignancy is already known. Jawbone metastasis are a sign of disseminated malignant neoplasms, with poor prognosis and usually an indication for palliative therapy. The requirement for arrival at an appropriate and prompt diagnosis is crucial for determining the most appropriate treatment regimens and improved outcomes. The oral metastatic lesion may be the first indication of an undiscovered distant primary tumor, making timely evaluation and treatment critical from an oncologic perspective. Here we report a known case of mucinous adenocarcinoma of colon who was referred due to a mandibular lesion. \u0000 ","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43143169","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 the temporomandibular disorders after orthognathic surgeries: a review","authors":"Mina Khayamzadeh, F. Razmara, Majid Salehi Karizmeh","doi":"10.18502/jcr.v9i1.11077","DOIUrl":"https://doi.org/10.18502/jcr.v9i1.11077","url":null,"abstract":"Objective: Maxillofacial Orthognathic surgery is performed to repair or correct the skeletal anomalies of the jaw and its associated dental and facial structures. There is a conflict on whether orthognathic surgery has a negative or positive effect on temporomandibular disorders (TMD). The aim of this study is to review the disorders of the temporomandibular joint after orthognathic surgery. \u0000Materials and Methods: Data for this review was obtained from the articles published be- tween 2010-2020 via PubMed, Google scholar, Web of Sciences, and Scopus engines. The content keywords matched those used in PubMed and Mesh engines. Based on the inclusion and exclusion criteria; 27 articles were included. \u0000Results: Most of the selected articles were retrospective reviews and performed on class II and class III patients. Ages ranged from 19- 47 years. Pain reduction was reported in 11 studies, while 8 studies reported a click reduction post orthognathic operation. In 2 studies, decreased joint noises was reported after orthognathic operation, and 7 articles reported a decrease in maximum mouth opening. Three studies reported a Bilateral Sagittal split Osteotomy (BSSO) and in one study, re- duced and improved symptoms after Le Fort I + (BSSO) were reported. One study exhibited that BSSO orthognathic surgery is less predictable in reducing TMD symptoms in retrognathic patients. Three articles showed that orthognathic patients with TMJ click have a high predictive value. \u0000Conclusion: To accomplish accurate results regarding temporomandibular joint disorders post orthognathic surgery; a larger number of subjects and clinical trial studies are required, as well as extended long term follow-up.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44251603","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":"The association between education received and working hours of nurses with knowledge, attitude, and practice regarding the oral health of elderly in retirement homes","authors":"Saeedeh Yoosefi, K. Sargeran, M. Rahimi","doi":"10.18502/jcr.v8i4.11075","DOIUrl":"https://doi.org/10.18502/jcr.v8i4.11075","url":null,"abstract":"Background and Aim: Elderly people living in retirement homes are at higher risk of oral and maxillofacial diseases. Evidence has shown a clear relationship between poor oral health and possibility of aspiration pneumonia and gastrointestinal bleeding in old patients. \u0000Aim: The aim of this study was to determine the association between education received and working hours of nurses with their knowledge, attitude, and practice regarding the oral health of elderly in retirement homes. \u0000Methods: In this analytical study conducted in 2021 in Tehran, nurses working in retirement homes were invited to complete a questionnaire including demographics, knowledge (8 questions), attitude (7 questions), practice (10 questions) and barriers (1 question). The results were analyzed with SPSS-25 using linear regression.  \u0000Results: The mean age of the participants (n=78) was 40.28±8.9 years and 53.8% were female. Lack of cooperation among elders (56.4%) as well as lack of time (41.0%) were the most important barriers to oral health maintenance. Receiving education as a nurse/caregiver had positive relationship with the scores of knowledge, attitude, and practice. Age, frequency of regular dental visits and working time per week were significantly associated with practice. \u0000Implications for Practice: Education received as a nurse/caregiver was an important predictor of oral health knowledge, attitude, and practice of nurses regarding elders. Due to the importance of oral health in general health of elderly, planning is needed to provide continuing education for nurses to oral health care and maintenance in older people.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44761228","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":"Assessment of knowledge and management of dentofacial traumatic injuries among Zanjan medical interns students (2021-2022)","authors":"Shima Onagh, M. Mirkeshavarz","doi":"10.18502/jcr.v9i1.11083","DOIUrl":"https://doi.org/10.18502/jcr.v9i1.11083","url":null,"abstract":"Background and Aims: Maxillofacial traumas are common injuries caused by accidents and occurrences such as falls or injuries. In this study, we examined the knowledge and practice of medical interns in this field, due to the fact that after the accident general physicians and medical interns are the first line of treatment. \u0000Materials and Methods: A two-part questionnaire was prepared including knowledge and practice that presents different scenarios of trauma emergencies. Questionnaires were distributed among medical interns. A total of 152 questionnaires were received and the data was analysed, statistically \u0000Results: The results obtained from this study showed that the level of dependent parameters, i.e. knowledge and practice of participants did not have a significant relationship with independent variables, i.e. age, gender and the duration of internship expressed as months past. On the other hand, it was found that there is a low level of knowledge and poor practice (mean score of 22.2 and 55.5, respectively) among medical interns. \u0000Conclusion: A focused training program is highly recommended and workshop sessions should be held to elevate the level of awareness and practice regarding dental trauma among medical interns.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47302597","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":"Prevalence of oral soft tissue lesions: A review","authors":"M. Jolehar, Azadehzeinab Titidej","doi":"10.18502/jcr.v8i4.11071","DOIUrl":"https://doi.org/10.18502/jcr.v8i4.11071","url":null,"abstract":"Statement of the Problem: Mesenchymal tissue origin is one of the most common lesion in oral cavity. Most of these lesions are exuberant response to local irritation produces a soft tissue enlargement which are similar to neoplastic pathologic processes. Due to this diagnostic challenge the present study was conducted for reviewing the prevalence of soft tissue lesions. \u0000Search strategy: The English articles in scientific databases including Google Scholar, Science Direct, Medline, and PubMed, published between 2007 and 2019, were searched by using relevant keywords including oral soft tissue lesion, oral mucosal lesion, neoplastic soft tissue lesion, reactive lesion, hyperplastic lesion and non-neoplastic soft tissue lesion. Finally, forty-nine articles were reviewed in this study. \u0000Conclusion: Findings showed that the most diagnosed lesions were benign in nature, and inflammatory in origin. Among this reactive/non-neoplastic lesions, fibrotic lesions, such as irritation fibroma or fibrous hyperplasia, were the most abundant lesions reported. There is a pronounced female predilection, and reactive lesions are most common in the fourth to sixth decades of life.  Regarding the location of reactive lesions, the gingival mucosa was the most common site of involvement. Tumoral lesions with the origin of vascular, fibrotic and fat were the most commonly reported tumors.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49500440","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 the relationship between polymorphism of galactose mutarotase gene by creating jaw sound in patients with temporomandibular disorder (TMD)","authors":"Shamsolmolouk Najafi, Hassan Roudgari, Nafiseh Sheikh Bahaei, Zahra Tajik, Shadi Asadighalhari","doi":"10.18502/jcr.v9i1.11081","DOIUrl":"https://doi.org/10.18502/jcr.v9i1.11081","url":null,"abstract":"Objective: One of the concerns of dentists is the referral of patients with temporomandibular prob- lems. Temporomandibular joint disorders (TMD) is a complex multifactorial clinical problem that involves masticatory muscles, temporomandibular joint and related structures. This complication is one of the three common chronic pains after headache and low back pain, which can manifest as pain in the temporoman- dibular region and limitation in joint movements, or even as clicking, crepitus, and popping sounds during temporomandibular joint movements. For the first time, the american association for oral pain (AAOP) proposed the role of genetic factors in the development of TMD. It is thought that a complex disorder such as TMD is multidimensional and can be subjected to environmental conditions as well as multiple gene polymorphisms. Identification of single nucleotide polymorphisms in the human genome can play an important role in clinical setting for diagnosis, prognosis and therapeutic interventions in various diseases including TMD. The aim of this study was to evaluate the relationship between polymorphism of galactose mutarotase gene by creating jaw sound in patients with temporomandibular disorder in a population with high similarity to the whole Iranian population and using the results in prevention and targeted treatment of affected patients. \u0000Study Design: 101 patients with TMD using DC/TMD criteria among those referred to Tehran University School of Dentistry and 103 healthy subjects for TMD that have age and gender matched were selected to control groupfrom those referring to the Oral and Maxillofacial Diseases and Oral and Maxillo- facial Pain departments. Blood samples were taken in 5cc and DNA extracted from the blood of both groups by applying the technique PCRARMS in terms of polymorphism rs4776783 in Galm gene were Compared. \u0000Results: 101 patients with TMD along with 103 healthy individuals without a history of TMD were evaluated to investigate rs4776783 polymorphism in GALM gene. The average age of the patients was 35.92, and 21 were men and 80 were women. According to the questionnaire, 61 people felt the sound in their jaw while moving. On the other hand, according to the TMD/DC criterion, the number of people who have crepitus in the right and left jaws is equal. The average age of the patients was 35.92, and 21 were men and 80 were women. According to the questionnaire, 61 people felt the sound in their jaw while moving. On the other hand, according to the TMD/DC criterion, the number of people who have crepitus in the right and left jaws is equal. The low prevalence of crepitation with p=0.734 has a significant relationship with the genotype of people. \u0000Conclusion: This study showed that there is a significant relationship between the rs4776783 poly- morphism in Galm gene and the occurrence of temporomandibular disorder (TMD), jaw sound and pain in many masticatory muscles such as lateral pterygoid and temporal. Therefore, i","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42553521","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":"The proximal segment in sagittal split ramus osteotomy","authors":"Reza Sharif, Majid Beshkar, G. Shirani","doi":"10.18502/jcr.v9i1.11079","DOIUrl":"https://doi.org/10.18502/jcr.v9i1.11079","url":null,"abstract":"Bilateral sagittal split ramus osteotomy is one of the most versatile techniques in orthognathic surgery that allows for the repositioning of the mandible in all directions. This osteotomy splits the mandible into two proximal condyle-bearing segments and one distal tooth-bearing segment. Intraoperatively, the surgeon is usually focused primarily on the proper positioning of the distal segment to achieve the planned amount of advancement or setback. However, particular attention should be paid to the position of the proximal segment, as improper positioning of the proximal segment during fixation gives rise to immediate or late relapse of the surgical outcomes. The goal of this paper is to provide some background knowledge about the proximal segment for the novice surgeons, based on a review of the relevant literature. What is the proper position of the proximal segment, and what is the best technique to guide the proximal segment into its proper position?. These questions do not have clear-cut answers that the majority of surgeons agree on.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42838208","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":"Influence of interdental embrasures on interdental papilla","authors":"Sameer Kedia, K. Kumathalli, R. Sridhar, S. Parwani, S. Tekade, Ashish Warekar","doi":"10.18502/jcr.v8i4.11074","DOIUrl":"https://doi.org/10.18502/jcr.v8i4.11074","url":null,"abstract":"Background: There is growing attention on anterior esthetics by both dentists and patients, which emphasizes the need for conduct of study encompassing the anatomical features of an embrasure and correlating with papilla fill. Hence the present study has been designed to meet these parameters, including food lodgement. \u0000Aim:  To assess the influence of anatomical and morphological characteristics of interdental embrasures on interdental papilla and food lodgement. \u0000Objectives: were set as the following: \u00001.Correlation of Modified Papilla Index Score (PIS) with interdental anatomical measurements as follows: \u0000a. Distance between Contact Point and Bone Crest (CP-BC). b. Interdental Distance (IDD).c. Embrasure Space Area (EA).d. Crown Form (CF).e. Papilla Length (PL). \u00002.To determine the optimal dimensions of interdental embrasure between maxillary incisors so as to be completely filled by normal healthy interdental papilla. \u00003.To correlate occurrence of food lodgement with Modified Papilla Index Score (PIS) and Embrasure Space Area (EA). \u0000Materials and methods : 532 patients aged 18-58 years who had fully erupted permanent dentition and healthy gingiva with probing depth ≤ 3mm were included into the study. Quantitative analysis of interdental papillae were done using clinical parameters along with radiographic examination. \u0000Results : The clinical and radiographic assessment of 1312 interdental papillae revealed that the interdental anatomical factors viz (which are) CP-BC distance, IDD, EA, CF and PL significantly influenced the degree of papilla fill. The study also highlighted the possible occurrence of food lodgment in patients with open embrasures. \u0000Conclusion : Embrasure anatomical parameters and papillary heightvary widely among individuals. Interdental papillary deficiency is a relative phenomenon since it is an outcome of net influence of all the other parameters.","PeriodicalId":52622,"journal":{"name":"Journal of Craniomaxillofacial Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48741492","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}