Journal of Stomatology Oral and Maxillofacial Surgery最新文献

{"title":"A distraction assembly system with fully-customized fixation plate unit and factory-manufactured distraction unit: Overview and accuracy validation for mandibular distraction osteogenesis","authors":"Sang-Hoon Kang ,&nbsp;Sang-Hwy Lee","doi":"10.1016/j.jormas.2024.101992","DOIUrl":"10.1016/j.jormas.2024.101992","url":null,"abstract":"<div><div>A distraction assembly system (DAS), consisting of a distractor of fully individualized fixation plate unit and factory-engineered distraction unit, was recently developed to enhance the accuracy, stability, and workability of distraction osteogenesis (DO). We here wanted to evaluate the accuracy of DAS for mandibular DO, focusing on the consequences of the distractor design and manufacturing method.</div><div>The bar-type distractor unit showed smaller discrepancies than did the cylinder-type one, both units showing far fewer discrepancies than those of a conventional distractor. And there were no significant differences in morphological accuracy between the plates produced by milling and 3D printing. These accuracies feature the promising application in clinical setting, and further work is anticipated to refine DAS for successful computer-aided DO.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101992"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the reproducibility and validity of maximal mouth opening measurement techniques","authors":"Maximiliaan Smeets ,&nbsp;Tomas-Marijn Croonenborghs ,&nbsp;Jeroen Van Dessel ,&nbsp;Renée Beckers ,&nbsp;Reinhilde Jacobs ,&nbsp;Robin Willaert ,&nbsp;Michel Bila","doi":"10.1016/j.jormas.2024.102107","DOIUrl":"10.1016/j.jormas.2024.102107","url":null,"abstract":"<div><h3>Objectives</h3><div>A limitation of the maximal mouth opening (MMO) is a frequent complication of oral (cancer) surgery. The measurement between the right central incisors is considered the golden standard for assessing MMO, although it has been noted to overestimate MMO in edentulous patients. This study aims to evaluate the reproducibility and validity of four MMO techniques and to determine the extent to which they are dependent on the remaining dentition.</div></div><div><h3>Materials and Methods</h3><div>Four methods for capturing the MMO were recorded in consecutive patients with mixed dentition. The degree of agreement between the different measurement methods was compared using Bland-Altman plots. To investigate the reproducibility of each method, intersession, interobserver and intraobserver reliability were calculated for measurements performed by two clinicians across two sessions. Two subgroups were created based on dentition: (A) cases missing at least one right central incisor, and (B) patients with both right central incisors present.</div></div><div><h3>Results</h3><div>All but one intraclass correlation coefficient (ICC) demonstrated excellent reproducibility (ICC &gt; 0.9). The highest ICC values were found for the intraoral MMO(iMMO) and corrected intraoral MMO(ciMMO) method. A significant relationship between the MMO in both subgroups was identified only for the intraoral Range of Motion (iROM) method (<em>p</em>=.010*).</div></div><div><h3>Conclusion</h3><div>The findings suggest that the current golden standard for measuring MMO does not adequately account for the absence of the right central incisor(s). Two of the proposed methods, which include corrections for missing incisors, should be incorporated into future clinical trials on MMO.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 4","pages":"Article 102107"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of bone density in edentulous maxillae using cone beam computed tomography (CBCT)","authors":"","doi":"10.1016/j.jormas.2024.101825","DOIUrl":"10.1016/j.jormas.2024.101825","url":null,"abstract":"<div><h3>Introduction</h3><div>In edentulous maxillae, the anterior maxilla is the region of interest for implant placement due to posterior bone resorption and sinus pneumatization. This study aimed to assess variations in bone density in different regions of the edentulous maxilla according to sex and age, using cone beam computed tomography (CBCT).</div></div><div><h3>Materials and methods</h3><div>69 CBCT from edentulous maxilla were analyzed. Six virtual implants were planned between the maxillary sinuses at incisor, canine, and premolar sites. Bone densities (in Hounsfield units HU) were recorded at six points on the neck, body, and apex of the buccal and lingual areas of each virtual implant. We used the two-sample <em>t</em>-test to compare male and female bone densities, and the Spearman correlation coefficient to analyze the correlation between mean bone density and age. One-way analysis of variance with post hoc pairwise <em>t</em>-tests was used to analyze the differences in density between three sites of the edentulous maxilla and the differences in density between three parts of the implant. The significance level was set at 5%.</div></div><div><h3>Results</h3><div>Mean bone density in males was significantly higher than in females. There was a significant correlation between mean bone density and age in females. Incisor sites showed the highest mean bone density, followed by canine and premolar sites. There was a significant decline in bone density from the neck to the apex.</div></div><div><h3>Conclusions</h3><div>Bone density varied within and among edentulous maxillae. Bone density of the edentulous maxilla seemed to be influenced by age in women and by sex.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101825"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159656","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}

{"title":"3D evaluation of cranial and dentofacial morphological differences between individuals with mouth breathing and nasal breathing","authors":"","doi":"10.1016/j.jormas.2024.101854","DOIUrl":"10.1016/j.jormas.2024.101854","url":null,"abstract":"<div><h3>Introduction</h3><div>The present study aimed to identify the morphological differences in cranial and dentofacial structures between individuals with mouth-breathing and nasal-breathing.</div></div><div><h3>Materials and Methods</h3><div><span>The study included 120 individuals, 60 each in the nasal breathing<span> (NB) and mouth breathing (MB) groups. 3D stereophotogrammetry, lateral </span></span>cephalometric radiographs, and intraoral examination results were recorded by the researchers to determine the morphological differences between the MB group and the NB group. The study utilized cephalometric radiographs for 2D hard tissue measurements and 3D stereophotogrammetric records for linear and angular measurements.</div></div><div><h3>Results</h3><div>Statistically significant differences were found between the NB and MB groups’ SNB angles (respectively, 79.3 ± 3.04, 76.6 ± 4.24, and <em>p</em> <em>=</em> <em>0.002</em>). Also, the NB group's SN-GoGn angle was lower than the MB group's (respectively, 31.5 ± 5.12, 36.0 ± 5.55, and <em>p</em> <em>=</em> <em>0.002</em>). Considering the Jarabak ratio, the NB group's Jarabak ratio was higher than the MB group (respectively,65.7 ± 4.16, 62.6 ± 4.10, and <em>p</em> <em>=</em> <em>0.014</em>). In 3D stereophotogrammetry measurements, increased Li-Me’ was detected in the MB group than in NB group.</div></div><div><h3>Conclusion</h3><div>Mouth breathing results in significant morphological differences that affect the development of both soft tissues and skeletal structures. Orthodontists utilize these characteristic features observed in mouth-breathing anomalies for early diagnosis and consider referring their patients for medical treatment of mouth breathing.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101854"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Haptic devices as an educational approach for oral and maxillofacial surgical procedures","authors":"","doi":"10.1016/j.jormas.2024.101856","DOIUrl":"10.1016/j.jormas.2024.101856","url":null,"abstract":"<div><h3>Objective</h3><div>Developing the skills of a proficient surgeon with a deep understanding of force requires extensive training and repetitive practice. Traditionally, dental students and surgical trainees observed and participated in procedures using models, animals, or cadavers under expert supervision before performing the procedures independently. To address these challenges, interactive simulators with visuo-haptic features have been introduced in surgical training, providing visual and tactile feedback that replicates the sense of touch through applied forces, vibrations, or motions.</div></div><div><h3>Study Design</h3><div>Two independent reviewers employed a specific search strategy to explore online databases such as PubMed, Scopus, and Web of Science (WoS). This strategy included keywords such as \"haptic device,\" \"education,\" \"oral surgery,\" \"surgery,\" and \"maxillofacial surgery.\" All types of studies related to maxillofacial surgery, except for case reports, reviews, and eBooks, were considered for inclusion.</div></div><div><h3>Results</h3><div>A total of 22 articles meeting the screening criteria were identified. The use of haptic devices for training dental students in oral surgery, anesthesia, as well as oral and maxillofacial trainees and surgeons in various surgical procedures, was evaluated.</div></div><div><h3>Conclusion</h3><div>Incorporating tactile devices into the training of residents and maxillofacial surgeons<span> offers numerous advantages, including improved technical skills and enhanced patient safety.</span></div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101856"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In response to: “Endoscopic temporalis tendon extension”","authors":"","doi":"10.1016/j.jormas.2024.101839","DOIUrl":"10.1016/j.jormas.2024.101839","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101839"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative facial prediction for mandibular defect based on surface mesh deformation","authors":"Wen Du ,&nbsp;Hao Wang ,&nbsp;Chenche Zhao ,&nbsp;Zhiming Cui ,&nbsp;Jiaqi Li ,&nbsp;Wenbo Zhang ,&nbsp;Yao Yu ,&nbsp;Xin Peng","doi":"10.1016/j.jormas.2024.101973","DOIUrl":"10.1016/j.jormas.2024.101973","url":null,"abstract":"<div><div><em>Objectives:</em> This study aims to introduce a novel predictive model for the post-operative facial contours of patients with mandibular defect, addressing limitations in current methodologies that fail to preserve geometric features and lack interpretability.</div><div><em>Methods:</em> Utilizing surface mesh theory and deep learning, our model diverges from traditional point cloud approaches by employing surface triangular mesh grids. We extract latent variables using a Mesh Convolutional Restricted Boltzmann Machines (MCRBM) model to generate a three-dimensional deformation field, aiming to enhance geometric information preservation and interpretability.</div><div><em>Results:</em> Experimental evaluations of our model demonstrate a prediction accuracy of 91.2 %, which represents a significant improvement over traditional machine learning-based methods.</div><div><em>Conclusions:</em> The proposed model offers a promising new tool for pre-operative planning in oral and maxillofacial surgery. It significantly enhances the accuracy of post-operative facial contour predictions for mandibular defect reconstructions, providing substantial advancements over previous approaches.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101973"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of probiotics on severe oral mucositis in cancer patients undergoing chemotherapy and/or radiotherapy: A meta-analysis","authors":"ZhiYi Zhu ,&nbsp;Wenting Pan ,&nbsp;Xianqing Ming ,&nbsp;Jiale Wu ,&nbsp;Xinyue Zhang ,&nbsp;Junfeng Miao ,&nbsp;Wei Cui","doi":"10.1016/j.jormas.2024.101983","DOIUrl":"10.1016/j.jormas.2024.101983","url":null,"abstract":"<div><h3>Purpose</h3><div>Oral mucositis is a frequent adverse reaction in cancer treatment. Probiotics exhibit anti-inflammatory and immunomodulatory properties that could prevent the occurrence of severe oral mucositis (SOM) induced by chemotherapy or radiation therapy in patients. This meta-analysis aimed to investigate the influence of probiotics on the incidence of SOM in cancer patients undergoing chemotherapy and/or radiotherapy.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search in PubMed, Embase, the Cochrane Library, and the China National Knowledge Infrastructure (CNKI) from their inception to September 2023. Dichotomous variables are analyzed with odds ratios (ORs) with 95% CIs, and statistical significance was set at a two-tailed P &lt;0 .05. The primary outcome indicator was the effect of probiotics on SOM. Secondary outcome indicators included the effect of probiotics on oral mucositis and the ratio of diarrhoea. Statistical analysis was conducted using RevMan (5.4) and Stata 17.0 software.</div></div><div><h3>Results</h3><div>The study included a total of 12 articles and involved 1055 patients. All patients had undergone either radiotherapy or chemotherapy. Our findings revealed that the experimental group, which received probiotics for treatment, exhibited a lower ratio of SOM compared to the control group that received traditional placebo treatment (OR=0.37, 95%CI [0.28, 0.50], P&lt;0.01). Subgroup analysis revealed variations in the ratio of SOM based on therapeutic regimen, tumor type, and region. The overall ratio of oral mucositis was significantly lower in the experimental group compared to the control group (OR=0.19, 95%CI [0.09-0.39], P&lt;0.01). The ratio of diarrhea in the two patient groups showed no significant difference (OR=0.85, 95%CI [0.24, 3.01], P&gt;0.05).</div></div><div><h3>Conclusion</h3><div>The results of this meta-analysis suggest that probiotics could decrease the occurrence of SOM.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101983"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074637","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}

{"title":"A trans-eyebrow zig-zag approach for frontal bone fractures✰","authors":"Daniel Dilworth,&nbsp;David Johnston,&nbsp;Donal McAuley,&nbsp;Peter Gordon","doi":"10.1016/j.jormas.2024.101972","DOIUrl":"10.1016/j.jormas.2024.101972","url":null,"abstract":"<div><div>Frontal bone fractures are amongst the most common facial fractures and surgical management, which has traditionally involved access via a coronal flap, can result in unsightly scarring, alopecia, paraesthesia, facial nerve weakness and temporal hollowing. Alternative approaches include use of endoscopically-assisted surgery, often through the eyebrow, which minimises the risk of unsightly scarring but may also sacrifice access in the process. In this technical note, we discuss a surgical technique for open reduction and internal fixation of fractures of the bone overlying the frontal sinus and supra-orbital rim, which the authors have not found in the literature, which involves the making of a “zig-zag” incision through the eyebrow in a trichophytic manner which reduces the risk of unsightly scarring whilst simultaneously allowing for sufficient surgical access to the fracture site.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101972"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of buccolingual inclination between the alveolar bone and first molar in different vertical facial types: A CBCT study","authors":"Xingyu Cui ,&nbsp;Huajing Tang ,&nbsp;Yunlin Zhang ,&nbsp;Yuanna Zheng ,&nbsp;Xingnan Lin","doi":"10.1016/j.jormas.2024.101974","DOIUrl":"10.1016/j.jormas.2024.101974","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to investigate the differences in the buccolingual inclination and transverse width of maxillary and mandibular first molars among different vertical facial types.</div></div><div><h3>Methods</h3><div>In all, 78 samples were divided into three groups based on the GoGn-SN angle: the low-angle group (<em>n</em> = 26, mean age=24.21±5.11), average-angle group (<em>n</em> = 26, mean age=22.66±3.72), and high-angle group (<em>n</em> = 26, mean age=22.23±2.43). Cone beam computed tomography (CBCT) measurements were used to assess the buccolingual inclination of the axis of the maxillary and mandibular first molars, as well as the buccolingual inclination of the alveolar bone, the dental arch width, and the basal bone width. One-way ANOVA, the LSD test, and Pearson correlation analysis were performed.</div></div><div><h3>Results</h3><div>The high-angle group showed significantly greater lingual inclination of the maxillary alveolar bone than the low-angle group and average-angle group (<em>p</em> &lt; 0.001; <em>p</em> &lt; 0.05). The difference in buccolingual inclination of the axis of the maxillary first molar and the alveolar bone was significantly greater in the high-angle group than in the low-angle group (<em>p</em> &lt; 0.05). Both the maxillary and mandibular dental arch were significantly narrower in the high-angle group than in the other two groups. The mandibular basal bone was also significantly narrower in the high-angle group than in the low-angle group and average-angle group (<em>p</em> &lt; 0.001; <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>The alveolar bone of maxillary first molar in the high-angle group was more palatal inclined than that the low-angle group and the average-angle group, which suggests that orthodontists should pay more attention to the root-bone relationship in the high-angle group during expansion treatment to prevent bone fenestration and dehiscense.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"125 5","pages":"Article 101974"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753470","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}