Journal of Stomatology Oral and Maxillofacial Surgery最新文献_第3页

Comment on "Treatment approaches in cases of mandibular osteoradionecrosis: A systematic meta-analysis". “下颌骨放射性骨坏死的治疗方法：一项系统荟萃分析”评论。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-17 DOI: 10.1016/j.jormas.2025.102379

Shubham Kumar, Renu Sah

引用次数: 0

Slide preservative rhinoplasty stabilized with intra oral titanium plates in deviated nose - a technical note. 滑梯保存鼻成形术与口腔内钛板稳定在偏鼻-一个技术说明。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-16 DOI: 10.1016/j.jormas.2025.102373

Paul Moulin, Aubéri Deygat, Anne-Claire Ray, Jean-Baptiste Morvan, Jean-Baptiste Caruhel

引用次数: 0

Clinical effectiveness of 3D SPECT/CT imaging in determining osteotomy range for surgical treatment of medication-related osteonecrosis of the jaw: a retrospective study. 三维SPECT/CT成像在确定药物相关性颌骨骨坏死手术治疗截骨范围中的临床效果：一项回顾性研究

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-15 DOI: 10.1016/j.jormas.2025.102375

Yubo Wei, Dongpo Li, Meng Wang, Congcong Wang, Xinfeng Liu, Yingying Zhang, Shuangyi Wang, Guoliang Li

{"title":"Clinical effectiveness of 3D SPECT/CT imaging in determining osteotomy range for surgical treatment of medication-related osteonecrosis of the jaw: a retrospective study.","authors":"Yubo Wei, Dongpo Li, Meng Wang, Congcong Wang, Xinfeng Liu, Yingying Zhang, Shuangyi Wang, Guoliang Li","doi":"10.1016/j.jormas.2025.102375","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102375","url":null,"abstract":"Objective: This study aims to evaluate the clinical effectiveness of 3D SPECT/CT imaging in determining the osteotomy range during surgical treatment of Medication-Related Osteonecrosis of the Jaw (MRONJ) when combined with composite tissue flap techniques.Methods: A retrospective analysis was conducted involving 12 patients diagnosed with MRONJ. Each patient underwent a 3D SPECT/CT examination prior to surgery, where the region of interest (ROI) was outlined in the 3D images. During surgery, the affected bone was excised 0.5 cm beyond the delineated ROI. Various types of composite tissue flaps were utilized to close the defects based on their size and location.Results: Patients were followed for an average of 7.9 months (range: 6-12 months), with all 12 achieving successful outcomes devoid of complications such as pyorrhea.Conclusion: The utilization of 3D SPECT/CT enhances the precision of determining the osteotomy range in MRONJ surgeries. Coupled with composite tissue flap techniques for defect closure, this approach yields favorable clinical outcomes.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102375"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029708","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}

引用次数: 0

Effect of the oral microbiota, blood metabolome, and inflammatory proteins on oral cavity cancer: A bidirectional two-sample Mendelian randomization study and mediation analysis. 口腔微生物群、血液代谢组和炎症蛋白对口腔癌的影响：双向双样本孟德尔随机研究和中介分析。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-15 DOI: 10.1016/j.jormas.2025.102372

Qiwu Lian, Linsheng Dong, Qiaoyu Zhou, Qian Yuan

{"title":"Effect of the oral microbiota, blood metabolome, and inflammatory proteins on oral cavity cancer: A bidirectional two-sample Mendelian randomization study and mediation analysis.","authors":"Qiwu Lian, Linsheng Dong, Qiaoyu Zhou, Qian Yuan","doi":"10.1016/j.jormas.2025.102372","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102372","url":null,"abstract":"Objective: Oral Cavity Cancer (OCC) pathogenesis is complex, extending beyond traditional risk factors. While observational studies link oral microbiome dysbiosis, metabolic disturbances, and inflammation to OCC, inherent confounding limits causal inference regarding the putative 'microbiome-metabolite-inflammation' axis in OCC. Establishing causality is crucial.Methods: We employed a two-sample Mendelian randomization (MR) framework using large-scale GWAS data to address this gap. We systematically evaluated causal effects of 43 oral microbial taxa, 1400 diverse circulating metabolites, and 91 inflammatory proteins on OCC risk. We performed univariable MR (UVMR) for direct effects, multivariable MR (MVMR) adjusting for interactions, and mediation MR dissecting causal pathways.Results: UVMR identified protective effects for Clostridiales (OR = 0.89) and Rothia sp. ASV0016 (OR = 0.91), and increased risk for Bacteroidales (OR = 1.09). Furthermore, 60 metabolites (e.g., glycohyocholate increasing risk; 16α-hydroxy DHEAS-3-sulfate decreasing risk) and two proteins (Cystatin D increasing risk, OR = 1.26; MCP-1 decreasing risk, OR = 0.69) showed causal links to OCC. Crucially, mediation analyses indicated protective microbial effects were partially mediated via specific metabolites, including 5α-androstan-3α,17β-diol disulfate (Clostridiales) and carboxyethyl-GABA (Rothia sp.).Conclusions: This study provides robust genetic evidence supporting causal roles for specific oral microbes and metabolites in OCC etiology. It offers mechanistic insights into the 'oral microbiome-host metabolism' axis, providing a basis for novel microbiome/metabolite-based biomarkers for early detection and risk assessment, and identifying potential preventative or therapeutic targets.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102372"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059443","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}

引用次数: 0

Buccal pad of fat, advanced platelet-rich fibrin, fibrin glue, and oxidized cellulose plug in the management of oroantral communication: A comparative clinical study. 口腔脂肪垫、高级富血小板纤维蛋白、纤维蛋白胶和氧化纤维素塞在口窦交通管理中的比较临床研究。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-15 DOI: 10.1016/j.jormas.2025.102376

Nermine Ramadan Mahmoud

{"title":"Buccal pad of fat, advanced platelet-rich fibrin, fibrin glue, and oxidized cellulose plug in the management of oroantral communication: A comparative clinical study.","authors":"Nermine Ramadan Mahmoud","doi":"10.1016/j.jormas.2025.102376","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102376","url":null,"abstract":"Oroantral communication (OAC) is a significant complication following the removal of maxillary posterior teeth that is a consequence of them being close to the maxillary sinus floor. The current study evaluated the efficacy of four treatment modalities for OAC management: buccal fat pads (BFPs), advanced platelet-rich fibrin (A-PRF), fibrin glue, and oxidized regenerated cellulose plugs. Twenty-four patients with OAC were randomly assigned to four treatment groups (n = 6 each) and clinically assessed for facial swelling, healing outcomes, and patient-reported pain at baseline, on day 3, and at weekly intervals for 4 weeks after their respective treatments. A linear mixed-effects model found a significant reduction in pain over time in all groups. Intergroup and intragroup comparisons of postoperative pain showed statistically significant differences between the groups at baseline and after 1 week. The BFP group had the highest scores for initial pain, while the A-PRF group had the least, with a consistent reduction throughout the study. The BFP group displayed significantly increased facial swelling on day 3, which had subsided after 2 weeks; the fibrin glue group followed a similar pattern but stabilized quickly. The A-PRF group showed minimal swelling and rapid tissue regeneration, while the oxidized regenerated cellulose group displayed less responsiveness for larger OACs. The choice of therapeutic technique for managing OACs should therefore be chosen according to the defect size and anatomical considerations. While BFP and fibrin glue were more efficacious for larger defects, the A-PRF technique showed rapid healing and less discomfort.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102376"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058960","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}

引用次数: 0

Comparison of two subperiosteal implant designs in total maxillectomy: A 3-D finite element analysis. 两种骨膜下种植体设计在上颌全切除术中的比较：三维有限元分析。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-15 DOI: 10.1016/j.jormas.2025.102377

Ilgın Ari, Gülin Acar

{"title":"Comparison of two subperiosteal implant designs in total maxillectomy: A 3-D finite element analysis.","authors":"Ilgın Ari, Gülin Acar","doi":"10.1016/j.jormas.2025.102377","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102377","url":null,"abstract":"Objective: This study aims to compare two different subperiosteal implant designs using three-dimensional finite element analysis (FEA) and to investigate the load distribution on the prosthetic components and the surrounding bone.Material and method: This study was conducted using a 3D representation of a Class II fully resected maxillary bone, generated. Two treatment scenarios were developed: SC-1 featured a conventional subperiosteal design, and SC-2 applied a diagonal bar design in the zygomatic region. A total force of 450 Newtons in a vertical direction and 93 Newtons in an oblique force were applied to mimic mastication forces. The maximum and minimum principal stress values on bone and von Mises stress (VMs) values on implant components' were measured.Results: The results showed that under vertical forces, the SC-2 design exhibited higher maximum stress (Pmax) values in the zygomaticomaxillary area. Under oblique forces, stress values were higher in SC-2 in both areas compared to SC-1. VMs values on the screws were lower in SC-1 under vertical forces, while under oblique forces, they were lower in SC-2.Conclusion: The findings suggest that the SC-2 design did not provide significant advantages over the conventional subperiosteal implant design. Future studies should focus on enhancing the conventional design by incorporating support from different anatomical areas.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102377"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018957","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}

引用次数: 0

Efficacy of Acellular dermal matrix simultaneous with implant placement: A systematic review and meta-analysis of clinical trials. 脱细胞真皮基质同时植入的疗效：临床试验的系统回顾和荟萃分析。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-11 DOI: 10.1016/j.jormas.2025.102371

Malik Alkabazi, Nawel Ouakouak, Ebtesam Aldieb

{"title":"Efficacy of Acellular dermal matrix simultaneous with implant placement: A systematic review and meta-analysis of clinical trials.","authors":"Malik Alkabazi, Nawel Ouakouak, Ebtesam Aldieb","doi":"10.1016/j.jormas.2025.102371","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102371","url":null,"abstract":"Purpose: The vertical soft tissue thickness over the implant is essential for long-term procedure success and for biological integration of the suprabony soft tissue component, consequently, development of alternatives to autogenous soft tissue grafts such as allogeneic and xenogeneic grafts were needed. Acellular dermal matrix (ADM) is utilized to provide structural support for angiogenesis, revascularization and tissue remodeling in soft tissue augmentation, recession, and increasing the keratinized tissue width. At this point, the aim of this systematic review was to evaluate the amount of soft tissue height (STH) gained after augmenting the ADM in combination with the dental implants.Methods: A systematic search was performed in five databases. The primary outcome measure was STH change. Secondary outcomes included marginal bone loss (MBL) and pocket probing depth (PPD) at implant sites.Results: Six studies, with 200 participants, and reported pre- and post-operative mean of vertical tissue thickness, MBL, and PPD around implants were included in the meta-analysis. The pooled mean difference (MD) of STH was 0.84 (95 % CI:0.28 to 1.39) with a p-value < 0.0001. A total of three studies, reported MBL. The pooled MD of MBL around implants, comparing the mean change from baseline to 12 months. The random effect model revealed a MD of 0.07mm (95 % CI: -0.21 to 0.35 mm, p= 0.6325). Calculation of pooled MD of PPD at implant sites, comparing ADM groups to the control groups in three studies; the random effect model revealed a MD of -0.13mm (95 % CI: -0.47 to 0.22 mm, p= 0.4742).Conclusion: While Acellular dermal matrix significantly improves vertical soft tissue thickness, it does not significantly impact marginal bone loss or pocket probing depth.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102371"},"PeriodicalIF":2.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059223","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}

引用次数: 0

Magnetic resonance neurography: Preoperative assessment of facial nerve invasion in malignant parotid gland tumors. 磁共振神经造影：恶性腮腺肿瘤面神经侵犯的术前评估。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-10 DOI: 10.1016/j.jormas.2025.102329

Xiao Hu, Wei Wang, Yi-Wei Zhong, Pu-Gen An, Jie Zhang, Wen-Jie Wu

{"title":"Magnetic resonance neurography: Preoperative assessment of facial nerve invasion in malignant parotid gland tumors.","authors":"Xiao Hu, Wei Wang, Yi-Wei Zhong, Pu-Gen An, Jie Zhang, Wen-Jie Wu","doi":"10.1016/j.jormas.2025.102329","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102329","url":null,"abstract":"Backgrounds: Facial nerve invasion (FNI) in parotid gland malignancies significantly impacts treatment outcomes and prognosis. Accurate preoperative assessment of FNI is crucial for surgical planning and tumor staging. Conventional imaging modalities often fail to visualize the facial nerve and assess FNI.Objects: This study aims to evaluate the predictive efficacy of magnetic resonance neurography (MRN) in detecting FNI in parotid gland malignancies, with the goal of aiding tumor staging and treatment decision-making.Methods: 28 patients with parotid gland malignancies were included. MRN was utilized to visualize the intraparotid facial nerve and determine its relationship with the tumor. MRN results were then used to predict FNI and re-evaluate the clinical T stage. Surgical records were used for validation. Statistical analysis was performed using chi-square tests and net reclassification improvement (NRI).Results: The display rates of the main trunk and other divisions (temporofacial and cervicofacial) of the intraparotid facial nerve were 100 %, 96.4 %, and 96.4 %, respectively. Twenty-three patients (82.1 %) matched the surgical findings (P < 0.01). MRN-indicated infiltration performed better than facial paralysis in predicting FNI. Tumors of stage T4a were underestimated in 22.7 % of cases (n = 5), and evaluation of clinical T stage with MRN was superior to that without MRN (NRI > 0, Z = 2.17, P = 0.03).Conclusions: MRN can provide valuable information for predicting FNI in parotid gland malignancies, thereby improving tumor staging and aiding treatment decision-making.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102329"},"PeriodicalIF":2.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046868","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}

引用次数: 0

The application of external incision in correcting bulbous nasal tip caused by skin thickness in East Asian patients. 外切口在矫正东亚患者因皮肤厚度造成的球根状鼻尖中的应用。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-10 DOI: 10.1016/j.jormas.2025.102327

Hongli Zhao, Xiancheng Wang, Jiandong Ye, Pei Zou, Kai Yang, Weiliang Zeng, Zhihua Qiao, Yikun Ju

{"title":"The application of external incision in correcting bulbous nasal tip caused by skin thickness in East Asian patients.","authors":"Hongli Zhao, Xiancheng Wang, Jiandong Ye, Pei Zou, Kai Yang, Weiliang Zeng, Zhihua Qiao, Yikun Ju","doi":"10.1016/j.jormas.2025.102327","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102327","url":null,"abstract":"Background: Bulbous nasal tips in East Asian patients are often caused by thick skin and soft tissue hypertrophy, presenting challenges in rhinoplasty. This study evaluates the efficacy and safety of supratip excision combined with cartilage reshaping to address nasal tip hypertrophy and minimize scarring.Methods: A retrospective analysis was performed on patients who underwent bulbous nasal tip correction from January 2021 to October 2023. The surgical approach involved midline elliptical supratip excision, cartilage grafting (from septum, rib, or ear), and lateral crural adjustments. Outcomes were assessed using anthropometric measurements (nasal length, tip projection [NTP], nasolabial angle [NLA]), the Rhinoplasty Outcome Evaluation (ROE) score, and the Patient and Observer Scar Assessment Scale (POSAS).Results: Thirteen East Asian patients (mean age: 29.23 years) met the inclusion criteria. Postoperative results showed a 20 % reduction in nasal length (7.29 cm to 5.83 cm, p < 0.001), 8.3 % increase in NTP (18.98 mm to 20.56 mm, p < 0.001), and 7.2° improvement in NLA (82.59° to 88.64°, p < 0.001). ROE scores improved significantly (p < 0.001). Scar satisfaction was 96.16 %, with minimal irregularities noted in 15.38 % of cases.Conclusion: Supratip excision effectively corrects bulbous nasal tips in East Asian patients, resulting in refined nasal contours and high patient satisfaction. Careful patient selection and scar management are paramount to ensure the success of the procedure. Further studies with larger cohorts are needed to confirm long-term outcomes.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102327"},"PeriodicalIF":2.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053589","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}

引用次数: 0

Oral stent for peri-implant soft tissue management on jaw reconstruction: A simple, fast, and predictable technique. 口腔支架用于颌骨重建种植体周围软组织管理：一种简单、快速、可预测的技术。

IF 2.2 3区医学

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.jormas.2025.102325

Chloé Mense, Emmanuelle Lasserre, Yassine Bouabid, Benjamin Pomes

引用次数: 0