Journal of Stomatology Oral and Maxillofacial Surgery最新文献

{"title":"Orthognathic surgery in instability of the TMJ using surgical guides and customized plates: 3 case reports","authors":"Kiatanant Boonsiriseth ,&nbsp;Nutnicha Naknual ,&nbsp;Chedtha Puncreobutr ,&nbsp;Sukkarn Themkumkwun","doi":"10.1016/j.jormas.2025.102689","DOIUrl":"10.1016/j.jormas.2025.102689","url":null,"abstract":"<div><h3>Purpose</h3><div>Patients with facial deformities and temporomandibular joint (TMJ) instability present unique challenges in orthognathic surgery (OGS). This report presents three complex cases of syndromic or post-traumatic deformities treated with virtual surgical planning (VSP), surgical guides, and customized fixation plates.</div></div><div><h3>Methods</h3><div>Three patients with syndromic or post-traumatic deformities and TMJ instability underwent OGS. Planning was performed using Dolphin Imaging software. Surgical guides and patient-specific plates were designed with CAD software and fabricated via selective laser melting. Surgical workflows incorporated bone- and tooth-borne guides, with fixation achieved using customized titanium plates. Postoperative accuracy was evaluated by superimposing pre- and postoperative computed tomography (CT) scans.</div></div><div><h3>Results</h3><div>Superimposition analysis revealed maximum surface deviations of less than 2 mm in all patients, with the maxilla demonstrating superior accuracy (&lt;1 mm). Clinically, all patients showed improved facial symmetry, occlusion, and profile. The use of surgical guides and customized plates enhanced intraoperative precision and reduced the risk of root and nerve injury.</div></div><div><h3>Conclusion</h3><div>Guided surgery with customized fixation improve surgical accuracy and outcomes in patients with complex deformities and TMJ instability. These results support the application of surgical guides and customized plates in challenging orthognathic cases.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102689"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800945","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":"Chatbot content analysis of patient information on orthodontic tooth extractions","authors":"Şule Gökmen ,&nbsp;Ebru Yurdakurban ,&nbsp;Kübra Gülnur Topsakal ,&nbsp;Gökhan Serhat Duran","doi":"10.1016/j.jormas.2025.102675","DOIUrl":"10.1016/j.jormas.2025.102675","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to evaluate the quality, accuracy, readability, and understandability of patient information provided by various Artificial intelligence (AI)-based chatbots regarding orthodontic tooth extractions</div></div><div><h3>Materials and methods</h3><div>Two researchers created a list of questions for patients to ask the chatbots. The questions were categorized into ‘Pre-extraction’ and ‘Post-extraction’, with 20 questions in each category. Four different criteria were used to evaluate the chatbot responses to 40 questions: the Global Quality Scale (GQS), the Simple Measure of Gobbledygook (SMOG), and the Understandability and Accuracy Index. Jamovi (The Jamovi Project, 2022, version 2.3; Sydney, Australia) software was used for all statistical analyses.</div></div><div><h3>Results</h3><div>The highest mean values were observed in Claude 3.5 sonnet for GQS, Readability, and Accuracy Index. In terms of readability, as measured by the SMOG index, all three AI-based chatbots required a college-level education for comprehension. In the 'Pre-extraction' and 'Post-extraction' sections, Claude 3.5 Sonnet demonstrated the highest mean values for the GQS, readability, and accuracy indices. In terms of Understandability subcriteria 1 and 2, statistically significant differences were observed among the three chatbots, primarily due to the variation between Gemini and Claude 3.5 Sonnet.</div></div><div><h3>Conclusion</h3><div>AI-based chatbots with a variety of features have generally provided answers of high quality, reliability, and difficult readability to questions. Although the medical information related to orthodontic tooth extraction supplied by chatbots is of higher quality, it is recommended that individuals consult their healthcare professionals on this issue.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102675"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727338","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 use of the mental foramen as a guide for marginal mandibulectomy in oral squamous cell carcinoma patients with tumor-free margins: experience of 15 years","authors":"Luz Walker ,&nbsp;Matthias Schlund ,&nbsp;Claire Majoufre ,&nbsp;Justine Duvernay","doi":"10.1016/j.jormas.2025.102701","DOIUrl":"10.1016/j.jormas.2025.102701","url":null,"abstract":"<div><h3>Background</h3><div>Preserving an adequate residual mandibular height during marginal mandibulectomy is essential to reduce the risk of postoperative fracture while maintaining oncologic safety in patients with oral squamous cell carcinoma (OSCC).</div></div><div><h3>Purpose</h3><div>The aim of this study was to evaluate the oncologic outcomes of marginal mandibulectomy guided by the mental foramen and to assess its relevance as an anatomical landmark for osteotomy.</div></div><div><h3>Material and methods</h3><div>Patients treated for OSCC by marginal mandibulectomy with localization of the mental foramen between 2007 and 2022 were retrospectively included. The primary endpoint was bone resection margin status. Secondary endpoints included local recurrence-free survival, disease-free survival, and overall survival. An anatomical analysis of the mental foramen position relative to the inferior osteotomy line was performed using postoperative computed tomography.</div></div><div><h3>Results</h3><div>A total of 150 patients met all inclusion criteria. Clear bone margins (R0) were achieved in 98 % of cases. Bone invasion (pT4) was observed in 41.3 % of patients. At 5 years, local recurrence-free survival, disease-free survival, and overall survival were consistent with outcomes reported for selected OSCC treated by marginal mandibulectomy. No immediate postoperative mandibular fractures were observed. The inferior osteotomy line showed a consistent relationship with the mental foramen.</div></div><div><h3>Conclusion</h3><div>Marginal mandibulectomy guided by the mental foramen allows reproducible bone resection while achieving satisfactory oncologic outcomes. The mental foramen constitutes a reliable anatomical landmark for osteotomy in carefully selected patients with OSCC.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102701"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896342","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":"Enhancing AI-driven diagnostics for supernumerary teeth: data consistency and dataset balance","authors":"Weihao Cheng ,&nbsp;Hangyu Zhu","doi":"10.1016/j.jormas.2025.102671","DOIUrl":"10.1016/j.jormas.2025.102671","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102671"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643121","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":"Comment on: “Refractory oral manifestations of Crohn's disease”","authors":"Lucas Alves da Mota Santana ,&nbsp;Carlos Eduardo Palanch Repeke ,&nbsp;Rajiv Gandhi Gopalsamy ,&nbsp;Juliana Batista Melo da Fonte ,&nbsp;Lysandro Pinto Borges","doi":"10.1016/j.jormas.2025.102664","DOIUrl":"10.1016/j.jormas.2025.102664","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102664"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598455","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":"Deep neck infections caused by foreign bodies: Literature review","authors":"Hiroki Kimura ,&nbsp;Eiji Iwata ,&nbsp;Joe Iwanaga ,&nbsp;Chizuru Kobayashi ,&nbsp;Yuki Kunisada ,&nbsp;Norie Yoshioka ,&nbsp;Akira Tachibana ,&nbsp;Masaya Akashi ,&nbsp;Soichiro Ibaragi","doi":"10.1016/j.jormas.2025.102669","DOIUrl":"10.1016/j.jormas.2025.102669","url":null,"abstract":"<div><h3>Background</h3><div>Deep neck infections (DNIs) are potentially life-threatening diseases that are mainly caused by odontogenic and peritonsillar infections. Although DNI has also been reported to be caused by foreign bodies, no review articles exist to date.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted using PubMed for articles published between 2005 and 2025.</div></div><div><h3>Results</h3><div>A total of 131 relevant articles were identified. Frequently reported foreign bodies included injectable materials used in facial filler and fish bone. The latency to symptom onset varied widely, ranging from within 1 h after foreign body insertion to as long as 25 years, with substantial differences observed depending on the type of foreign body.</div></div><div><h3>Conclusion</h3><div>Although foreign bodies are rare causes of DNIs, various type of foreign bodies have been reported. Recognizing the possibilities of DNIs caused by foreign bodies will help oral and maxillofacial surgeons to search for the cause rapidly and determine treatment plans and prevent recurrence.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102669"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625062","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":"Prevalence of bruxism in users of selective serotonin reuptake inhibitors and serotonin–norepinephrine reuptake inhibitors: A retrospective cross-sectional study","authors":"Isabela Menezes Santos ,&nbsp;Emily Vieira Machado ,&nbsp;Dhelfeson Willya Douglas de Oliveira ,&nbsp;Olga Dumont Flecha ,&nbsp;Brender Leonan-Silva","doi":"10.1016/j.jormas.2026.102710","DOIUrl":"10.1016/j.jormas.2026.102710","url":null,"abstract":"<div><h3>Introduction</h3><div>Bruxism is a repetitive jaw-muscle activity, involving teeth clenching, grinding, and mandibular bracing or thrusting, occurring during wakefulness or sleep. Its multifactorial etiology includes neurophysiological, psychosocial, and pharmacological factors. Increasing evidence suggests an association between serotonergic antidepressants—especially SSRIs and SNRIs—and the onset or worsening of bruxism. This study aims to assess bruxism prevalence among SSRI/SNRI users and explore its correlation with demographic, occupational, and psychosocial factors.</div></div><div><h3>Material and methods</h3><div>A retrospective cross-sectional analysis was conducted based on clinical records of patients treated at the Temporomandibular Disorders Clinic of the Federal University of the Jequitinhonha and Mucuri Valleys (Brazil) between 2013 and 2024. Bruxism diagnosis was based on self-report and clinical evidence of tooth wear. Because the database spans years predating the publication of the STAB consensus, standardized STAB-based diagnostic protocols could not be retrospectively applied. Data were analyzed using Pearson’s chi-square and logistic regression (α = 0.05).</div></div><div><h3>Results</h3><div>Among 583 patients evaluated, 400 (68.6%) presented signs of bruxism. Fifty-three (9.1%) were SSRI/SNRI users, of whom 43 (81.1%) exhibited bruxism. Logistic regression revealed that antidepressant users were 2.5 times more likely to present bruxism than non-users (OR = 2.52; 95% CI: 1.21–5.23; <em>p</em> = 0.014). Occupational stress, particularly among students, was also significantly associated (OR = 1.77; <em>p</em> = 0.004). Axis II–related symptoms (stress, anxiety, and depression) showed no statistical significance.</div></div><div><h3>Discussion</h3><div>The use of serotonergic antidepressants, especially SSRIs, was significantly associated with bruxism. These findings underscore the importance of considering psychopharmacological and psychosocial factors in the diagnostic and therapeutic management of bruxism.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102710"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936223","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":"Programmed death-ligand 1 (PDL-1) expression in the oral mucosa of smokeless tobacco users from a low and middle-income country","authors":"Shella S ,&nbsp;Najma Baseer ,&nbsp;Muhammad Shahzad ,&nbsp;Sana Safi","doi":"10.1016/j.jormas.2025.102665","DOIUrl":"10.1016/j.jormas.2025.102665","url":null,"abstract":"<div><h3>Background</h3><div>Smokeless tobacco use is one of the most common causes of oral cancer globally. Naswar, a type of locally manufactured smokeless tobacco product in Pakistan is also associated with high risk of oral cancer but the underlying mechanism of carcinogenicity is not known. Programmed Death-Ligand 1 (PDL-1) is a crucial protein in immune response regulation, particularly in cancer, and its role in Naswar users' oral mucosa remains poorly understood.</div></div><div><h3>Objective</h3><div>To investigate PDL-1 expression in the oral mucosa of Naswar users, elucidating its potential implications for oral health and cancer development.</div></div><div><h3>Methodology</h3><div>This lab-based comparative observational study involves male Naswar users and non-users (<em>n</em> = 50 each group) from Peshawar, Pakistan. Following a written informed consent, data on demographics, Naswar usage and oral health and hygiene practices were collected using standardized questionnaires. Clinical examinations, cytological smears, and saliva samples were obtained for analysis. Immunohistochemistry techniques were employed to assess PDL-1 expression in oral mucosa cells, and for statistical analyses SPSS-v27 was used to analyze the association between the Naswar usage and PDL-1 expression profile.</div></div><div><h3>Results</h3><div>Naswar users exhibited lower adherence to oral hygiene practices compared to non-users. Immunohistochemical analysis revealed varying levels of PDL-1 expression among Naswar users, with 86 % showing no expression, 10 % demonstrating weak expression, and 4 % exhibiting moderate expression, with a significant difference of <em>p</em> = 0.023, in contrast to non-users. Additionally, no significant association was found between oral hygiene status and PDL-1 expression among naswar users.</div></div><div><h3>Conclusion</h3><div>Naswar users exhibited higher levels of PD-L1, potentially suggesting a heightened immunomodulatory response or adaptive mechanism the immune system employs to dampen immune responses and maintain tissue homeostasis in the face of chronic irritation and potential cellular damage caused by toxic Naswar constituents.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102665"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598442","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":"Ameloblastoma in Chongqing children and adolescents: a review of 16 cases","authors":"Ying Xu,&nbsp;Xiao-Juan Fu,&nbsp;Li Xiang,&nbsp;Wan-Shan Li","doi":"10.1016/j.jormas.2025.102687","DOIUrl":"10.1016/j.jormas.2025.102687","url":null,"abstract":"<div><h3>Background</h3><div>Ameloblastoma is a benign tumor of odontogenic epithelial origin, characterized by local aggression and a high recurrence rate in adults. Although rare in children, it accounts for 10 to 15 % of all ameloblastoma cases. However, a consensus on the clinicopathological features and treatment protocols for this condition remains lacking.</div></div><div><h3>Purpose</h3><div>This study aims to summarize the clinicopathological characteristics of ameloblastoma in pediatric patients within the oral and maxillofacial regions.</div></div><div><h3>Methods</h3><div>Clinical, radiological, and histological data from sixteen pediatric patients who underwent surgical curettage followed by pathological diagnosis of ameloblastoma were retrospectively analyzed.</div></div><div><h3>Results</h3><div>The cohort comprised 11 males and 5 females, yielding a male-to-female ratio of 2.1:1. Patient age at diagnosis ranged from 2 to 13 years (mean age: 7.6 years). Lesions were located in the maxilla in two cases and the mandible in fourteen. Within the mandible, lesions were predominantly found in the posterior teeth region (7 cases, 50.0 %), followed by the mandibular angle (3 cases, 21.43 %), the angle and ramus (1 case, 7.14 %), the ramus (1 case, 7.14 %), the midline of the mandible (1 case, 7.14 %), and the anterior mandible (1 case, 7.14 %). Painless swelling was the most common symptom, observed in 9 of 16 patients (56.25 %). All patients were treated surgically. Radiological findings revealed unilocular lesions in 14 cases, while 2 cases exhibited multilocular lesions. Histologically, 14 cases presented with the solid type, and 2 cases with the unicystic type. Postoperative follow-up ranged from 1 to 81 months, with one recurrence.</div></div><div><h3>Conclusions</h3><div>The recurrence rate of ameloblastoma in children is relatively low. Unicystic ameloblastoma is more prevalent in this population. Simple surgical curettage typically results in a favorable prognosis with minimal recurrence. Early and accurate recognition of the disease’s clinical, radiological, and histological features is critical in reducing misdiagnosis.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102687"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800895","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":"Success rate of dental implants in HIV patients: an overview of systematic reviews","authors":"Ana Waleska Pessôa Barros de AGUIAR ,&nbsp;Pedro Henrique da Hora SALES ,&nbsp;Marco MELETI ,&nbsp;Alessandra Albuquerque Tavares CARVALHO ,&nbsp;Paolo VESCOV ,&nbsp;Jair Carneiro LEÃO","doi":"10.1016/j.jormas.2025.102685","DOIUrl":"10.1016/j.jormas.2025.102685","url":null,"abstract":"<div><div>Aims: To identify whether individuals with positive serology for HIV have a higher risk of losing the dental implant for this treatment. Methods and results: This study was conducted according to PRISMA guidelines and registered in the international prospective registry of systematic reviews, PROSPERO. The databases consulted were MEDLINE via PubMed, Scopus, DARE Cochrane, LILACS, Base, and Google Scholar. The search descriptors: “HIV,” “dental implants” and “AIDS” were used. To assess methodological quality, the AMSTAR 2 tool was used, and the entire process was reviewed in pairs, in addition, a third evaluator was consulted in case of disagreement. Four systematic reviews were included, encompassing 1239 implants in 450 patients with positive serology for HIV. Success rate of the dental implants was 94.72%, with a standard deviation of 0.455%. Three were classified as critically low-quality and one as moderate-quality. Conclusion: Similar implant survival rates were observed in HIV-negative patients. Therefore, the disease itself does not appear to have a significant influence on osseointegration. New controlled studies with low bias and high methodological quality are needed to ensure rehabilitation with dental implants with greater predictability and safety for HIV individuals.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 3","pages":"Article 102685"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800940","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}