Journal of Stomatology Oral and Maxillofacial Surgery最新文献

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Automatic detection of temporomandibular joint osteoarthritis radiographic features using deep learning artificial intelligence. A Diagnostic accuracy study. 利用深度学习人工智能自动检测颞下颌关节骨关节炎的影像学特征。诊断准确性研究。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-31 DOI: 10.1016/j.jormas.2024.102124
Louloua Mourad, Nayer Aboelsaad, Wael M Talaat, Nada M H Fahmy, Hams H Abdelrahman, Yehia El-Mahallawy
{"title":"Automatic detection of temporomandibular joint osteoarthritis radiographic features using deep learning artificial intelligence. A Diagnostic accuracy study.","authors":"Louloua Mourad, Nayer Aboelsaad, Wael M Talaat, Nada M H Fahmy, Hams H Abdelrahman, Yehia El-Mahallawy","doi":"10.1016/j.jormas.2024.102124","DOIUrl":"10.1016/j.jormas.2024.102124","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to investigate the diagnostic performance of a neural network Artificial Intelligence model for the radiographic confirmation of Temporomandibular Joint Osteoarthritis in reference to an experienced radiologist.</p><p><strong>Materials and methods: </strong>The diagnostic performance of an AI model in identifying radiographic features in patients with TMJ-OA was evaluated in a diagnostic accuracy cohort study. Adult patients elected for radiographic examination by the Diagnostic Criteria for Temporomandibular Disorders decision tree were included. Cone-beam computed Tomography images were evaluated by object detection YOLO deep learning model. The diagnostic performance was verified against examiner radiographic evaluation.</p><p><strong>Results: </strong>The differences between the AI model and examiner were non-significant statistically, except in the subcortical cyst (P=0.049*). AI model showed substantial to near-perfect levels of agreement when compared to those of the examiner data. Regarding each radiographic phenotype, the AI model reported favorable sensitivity, specificity, accuracy, and highly statistically significant Receiver Operating Characteristic (ROC) analysis (p<0.001). Area Under Curve ranged from 0.872, for surface erosion, to 0.911 for subcortical cyst.</p><p><strong>Conclusion: </strong>AI object detection model could open the horizon for a valid, automated, and convenient modality for TMJ-OA radiographic confirmation and radiomic features identification with a significant diagnostic power.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102124"},"PeriodicalIF":2.2,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565410","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
Open reduction and internal fixation of mandibular condyle fractures using AUTOFIX 2.0® cannulated compression screw system: A technical innovation with intraoperative CT-scan. 使用 AUTOFIX 2.0® 套管加压螺钉系统进行下颌骨髁突骨折的切开复位和内固定术:术中CT扫描技术创新。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-31 DOI: 10.1016/j.jormas.2024.102133
Alexandra Delay, Matthieu Olivetto, Georges Bettega, Déborah Dehaene, Rodolphe Lartizien
{"title":"Open reduction and internal fixation of mandibular condyle fractures using AUTOFIX 2.0® cannulated compression screw system: A technical innovation with intraoperative CT-scan.","authors":"Alexandra Delay, Matthieu Olivetto, Georges Bettega, Déborah Dehaene, Rodolphe Lartizien","doi":"10.1016/j.jormas.2024.102133","DOIUrl":"10.1016/j.jormas.2024.102133","url":null,"abstract":"<p><p>Condylar process fractures remain a matter of ongoing controversy in maxillofacial surgery because of variety of opinions and proposed treatment modalities offered in the literature. The trend is toward open reduction and internal fixation (ORIF) whenever there is displacement or dislocation combined with unstable occlusal conditions. The fundamental treatment goals are anatomical fixation and early return to function. However, ORIF of a fractured condyle carries significant risks, including facial nerve damage, and presents challenges in reducing and stabilizing the fractured segment in an area of limited access. We present here an innovative technique for ORIF of condylar head fractures. It consists in fracture reduction and stabilization with two Kirschner wires followed by osteosynthesis with two cannulated headless compression screws using the AUTOFIX 2.0® system (Stryker, Kalamazoo, USA). This new technique, combined with intraoperative CT scan, ensures satisfactory reduction and stabilization of the dislocated joint segment, thereby restoring the condyle to its physiologically normal position.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102133"},"PeriodicalIF":2.2,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565384","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
Clinicopathological analysis of hybrid carcinomas of the salivary glands: A systematic review. 唾液腺混合癌的临床病理分析:系统综述。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-31 DOI: 10.1016/j.jormas.2024.102132
Talita de Carvalho Kimura, Reydson Alcides de Lima-Souza, Luccas Lavareze, Erika Said Abu Egal, Albina Altemani, Fernanda Viviane Mariano
{"title":"Clinicopathological analysis of hybrid carcinomas of the salivary glands: A systematic review.","authors":"Talita de Carvalho Kimura, Reydson Alcides de Lima-Souza, Luccas Lavareze, Erika Said Abu Egal, Albina Altemani, Fernanda Viviane Mariano","doi":"10.1016/j.jormas.2024.102132","DOIUrl":"10.1016/j.jormas.2024.102132","url":null,"abstract":"<p><p>Hybrid carcinomas (HC) are the association of two or more malignant neoplasms arising within the same topographical area. The present study is a systematic review of HC of the salivary glands. This study aimed to assess HC clinicopathological features and molecular profile. Observational studies, case series, and case reports were included. PubMed, Scopus, EMBASE, Lilacs, Web of Science, and gray literature were searched until June 2024. A total of 18 articles including 34 patients were included. HC of the salivary glands is presented as a painless mass affecting mainly the parotid gland of adults with a preference for male patients. Histologically, adenoid cystic carcinoma and epithelial-myoepithelial carcinoma were the most prevalent association, being surgical excision with radiotherapy the most common treatment. The most aggressive component, even when representing only a small proportion of the tumor, should guide the patient's treatment. Further molecular studies are necessary to determine if HC are distinct entities or biologically identical to the individual neoplasms. In conclusion, this systematic review may contribute to a better understanding of this rare lesion, their biological behavior, treatments employed, and the outcome of these patients.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102132"},"PeriodicalIF":2.2,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565412","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
Impact of vertical facial type on alveolar bone thickness and tooth morphology: A retrospective CBCT-based clinical study. 垂直脸型对牙槽骨厚度和牙齿形态的影响:基于 CBCT 的回顾性临床研究。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-29 DOI: 10.1016/j.jormas.2024.102128
Tahseen A Yaseen, Hamza Younis, Sis Aghayants, Miao Yin, Bo Cheng
{"title":"Impact of vertical facial type on alveolar bone thickness and tooth morphology: A retrospective CBCT-based clinical study.","authors":"Tahseen A Yaseen, Hamza Younis, Sis Aghayants, Miao Yin, Bo Cheng","doi":"10.1016/j.jormas.2024.102128","DOIUrl":"10.1016/j.jormas.2024.102128","url":null,"abstract":"<p><strong>Introduction: </strong>The relationship between vertical facial patterns and the morphology of the alveolar bone and teeth is crucial for successful orthodontic treatment planning. This study aimed to evaluate the relationship between vertical facial patterns, bone thickness, and root-crown dimensions in the maxillary anterior teeth.</p><p><strong>Methods: </strong>This retrospective study screened 300 cone-beam computed tomography (CBCT) scans of orthodontic patients between December 2022 and November 2023, with 115 meeting the inclusion criteria. Buccal and lingual alveolar bone thickness, along with crown and root lengths of maxillary anterior teeth, were measured and compared across short, normal, and long facial types, classified according to the Frankfort-Mandibular Plane Angle. One-way ANOVA, independent-samples Kruskal-Wallis, and post-hoc tests were used for statistical analysis.</p><p><strong>Results: </strong>Significant differences in alveolar bone thickness were observed across facial types, with short facial types showing consistently greater thickness in the apical and mid-palatal regions compared to normal and long facial types (p < 0.05). No significant differences in crown or root lengths were found among the facial types.</p><p><strong>Conclusion: </strong>Facial type significantly influences alveolar bone thickness, particularly in short facial types, which demonstrate greater bone support. These findings underscore the importance of considering facial type in orthodontic treatment planning to minimize complications.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102128"},"PeriodicalIF":2.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559576","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
Characterizing the unseen: Clinical and radiographic perspectives on unilateral condylar hyperplasia. 描述看不见的东西:单侧髁状突增生的临床和影像学视角。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-29 DOI: 10.1016/j.jormas.2024.102129
Ezgi Ergezen, Ardakgul Salyut, Sıdıka Sinem Akdeniz, Seçil Çubuk
{"title":"Characterizing the unseen: Clinical and radiographic perspectives on unilateral condylar hyperplasia.","authors":"Ezgi Ergezen, Ardakgul Salyut, Sıdıka Sinem Akdeniz, Seçil Çubuk","doi":"10.1016/j.jormas.2024.102129","DOIUrl":"10.1016/j.jormas.2024.102129","url":null,"abstract":"<p><strong>Objectives: </strong>Unilateral condylar hyperplasia (UCH), marked by progressive condylar growth, occurs between ages 11-30 with unclear etiology. This retrospective study aims to clarify the clinical, radiographic, and demographic features of UCH to improve its diagnosis and treatment.</p><p><strong>Material and methods: </strong>Data for all patients included in this study were retrieved from the archive. Inclusion criteria were the diagnosis of UCH supported by a positive bone scan above 10% of condylar uptake in SPECT/CT, the patient's history of progressive facial asymmetry, symptoms confirmed by the orthodontist during follow-up, and clinical and radiological evaluation. Demographic characteristics, along with volumetric and linear measurements, were statistically evaluated.</p><p><strong>Results: </strong>Forty-one patients were included in this study with 70.73% female predominance. Patients were classified as transverse and vertical type condylar hyperplasia (CH) according to their prominent asymmetry characteristics. Eighteen patients were classified as vertical type CH and 23 patients were classified as transverse type CH. Twenty had left-side condylar overgrowth, and 21 had right-side overgrowth. Condylar volume difference was significantly higher in vertical type CH patients compared to transverse type CH (p = 0.004). No correlation was found between growth rate (bone scan uptake ratio) and condylar volume difference in patients with vertical type and transverse type CH patients (p = 0.205).</p><p><strong>Conclusion: </strong>Particularly in cases that exhibit a pronounced vertical growth tendency, volumetric and linear measurements can guide the timing and treatment planning process.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102129"},"PeriodicalIF":2.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559574","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
Clinicopathological and prognostic significance of indoleamine 2,3-dioxygenase (IDO) expression in head and neck squamous cell carcinoma: A systematic review and meta-analysis. 头颈部鳞状细胞癌中吲哚胺 2,3-二氧化酶 (IDO) 表达的临床病理和预后意义:系统综述和元分析。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-29 DOI: 10.1016/j.jormas.2024.102130
Hanan M Qasem, Ramez M Odat, Sakhr Alshwayyat, Jehad A Yasin, Osama M Younis, Ayham Mohammad Hussein, Hritvik Jain, Mohammad Abdelraheem, Bishr Quwaider, Dang Nguyen
{"title":"Clinicopathological and prognostic significance of indoleamine 2,3-dioxygenase (IDO) expression in head and neck squamous cell carcinoma: A systematic review and meta-analysis.","authors":"Hanan M Qasem, Ramez M Odat, Sakhr Alshwayyat, Jehad A Yasin, Osama M Younis, Ayham Mohammad Hussein, Hritvik Jain, Mohammad Abdelraheem, Bishr Quwaider, Dang Nguyen","doi":"10.1016/j.jormas.2024.102130","DOIUrl":"10.1016/j.jormas.2024.102130","url":null,"abstract":"<p><strong>Objective: </strong>Indoleamine 2,3-dioxygenase-1 (IDO1) is a promising antitumor target and predictive biomarker in a variety of cancers. Hence, we performed this meta-analysis to evaluate the clinicopathological and prognostic significance of IDO1 in head and neck squamous cell carcinoma (HNSCC).</p><p><strong>Methods: </strong>We searched PubMed, Embase, Web of Science and Scopus databases from inception to May 2024, to identify studies measuring the clinicopathological and prognostic significance of IDO1 in HNSCC. The role of IDO1 in HNSCC was evaluated by pooled hazard ratios (HR), odd ratios (OR) and 95% confidence intervals (CI). The meta-analysis was performed using the meta package in R. Omics analyses on IDO1 were also performed.</p><p><strong>Results: </strong>Ten studies (1,119 participants) were included in the review. The analysis showed an insignificant relationship between IDO1 expression and poor overall survival, and progression free survival as indicated by the pooled HR (HR: 1.65, 95% CI: 0.68-4.02), (HR: 1.73, 95% CI: 0.63-4.77), respectively. Additionally, elevated expression of IDO1 was significantly associated with tumor T stage (OR: 1.44, 95% CI: 1.06-1.94). However, it was insignificantly correlated with positive lymph node metastasis (N status) (OR: 1.11; 95% CI: 0.82-1.50) and tumor-node-metastasis (TNM) stage (OR: 1.14; 95% CI: 0.79-1.64).</p><p><strong>Conclusion: </strong>While higher IDO1 expression is associated with the risk of advanced tumor stage in HNSCC, its impact on overall and progression-free survival remains inconclusive. Further research is needed to elucidate its prognostic significance and therapeutic potential.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102130"},"PeriodicalIF":2.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559575","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
How does the profile appearance of females affect self-perception and self-expression? 女性的外形如何影响自我认知和自我表达?
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-28 DOI: 10.1016/j.jormas.2024.102126
Gamze Metin Gürsoy, Feridun Abay, Süleyman Kutalmış Büyük, Nehir Canigur Bavbek
{"title":"How does the profile appearance of females affect self-perception and self-expression?","authors":"Gamze Metin Gürsoy, Feridun Abay, Süleyman Kutalmış Büyük, Nehir Canigur Bavbek","doi":"10.1016/j.jormas.2024.102126","DOIUrl":"10.1016/j.jormas.2024.102126","url":null,"abstract":"<p><strong>Introduction: </strong>The significance of facial aesthetics has been steadily rising, leading people to seek different ways to improve their looks and self-esteem. The study aimed to evaluate the differences in facial satisfaction between participants with straight and convex profiles and the relationship between facial satisfaction and the different styles of self-expression.</p><p><strong>Materials and methods: </strong>The study was conducted from 110 extraoral profile photos of female participants. The questions in modules for FACE-QTM Aesthetic Appearance of the overall face, Craniofacial appearance of the Jaws, Teeth, Lips, and a survey regarding participants' demographic data and preferred self-expression methods were answered by the participants.</p><p><strong>Results: </strong>Facial Convexity Angle (p = 0.001), Total Facial Convexity Angle (p = 0.001), Nasal Proportion (p = 0.007) were great; lower Third Angle (p = 0.001), Nasolabial Angle (p = 0.010), nasofacial angle (p = 0.001), and lip-chin proportion (p = 0.001) were small in participants with straight profiles. There was no significant correlation between soft tissue measurements and FACE-Q subscale scores.</p><p><strong>Conclusion: </strong>The women with straight profiles preferred hair dyeing and nonsurgical aesthetics. Although the lip appearance was more satisfactory in the participants with a convex profile, they tended to have more piercings, tattoos, and aesthetic surgery.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102126"},"PeriodicalIF":2.2,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549182","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
Abnormal widening of the mandibular canal -A characteristic and valuable imaging phenomenon. 下颌管异常增宽--一种特征性和有价值的成像现象。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-28 DOI: 10.1016/j.jormas.2024.102125
Cong-Ying Ma, Yan-Yan Zhang, You-Ru Huang, Jing-Gang An, Yu-Xing Guo, Mu-Qing Liu, Jia-Zeng Su
{"title":"Abnormal widening of the mandibular canal -A characteristic and valuable imaging phenomenon.","authors":"Cong-Ying Ma, Yan-Yan Zhang, You-Ru Huang, Jing-Gang An, Yu-Xing Guo, Mu-Qing Liu, Jia-Zeng Su","doi":"10.1016/j.jormas.2024.102125","DOIUrl":"10.1016/j.jormas.2024.102125","url":null,"abstract":"<p><p>Abnormal widening of the mandibular canal (MC) is rarely observed on radiography. Nonetheless, as most of the current research on abnormal mandibular widening is limited to case reports and MCs have relatively deep and hidden positions, there are challenges in diagnosing and formulating treatment plans for patients with abnormal MC widening. To provide ideas for the differential diagnosis and treatment choices of the characteristic clinical sign, this study included patients with abnormal widening of the MC between July 2014 and October 2023. The patient's medical records were reviewed, general information, disease details and radiographic features (panoramic reconstructive computed tomography) of MC widening were collected. Patients were followed up to assess treatment outcomes. In conclusion, the abnormal widening of the MC often implies a pathological state of the mandible. And different morphologies of the widened MC are helpful for differential diagnosis of protential mandibular disease.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102125"},"PeriodicalIF":2.2,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549181","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
Does the modified inferior border osteotomy improve the surgical outcomes in bilateral sagittal split osteotomy? 改良下缘截骨术能否改善双侧矢状面劈裂截骨术的手术效果?
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-23 DOI: 10.1016/j.jormas.2024.102122
Cihan Topan, Suheyb Bilge, Ahmet Emin Demirbas
{"title":"Does the modified inferior border osteotomy improve the surgical outcomes in bilateral sagittal split osteotomy?","authors":"Cihan Topan, Suheyb Bilge, Ahmet Emin Demirbas","doi":"10.1016/j.jormas.2024.102122","DOIUrl":"10.1016/j.jormas.2024.102122","url":null,"abstract":"<p><strong>Background: </strong>To investigate the effect of lower border osteotomy on the lingual split pattern and IAN in BSSO procedures.</p><p><strong>Materials and methods: </strong>The study comprised 32 patients (64 operated sides) who underwent bilateral sagittal split osteotomy (BSSO) due to dentofacial abnormalities between the periods of April 2021 and April 2022. In the mandible, 32 sides (the conventional group) received standard BSSO surgery, while 32 sides (the modified group) additionally received lower border osteotomy. Data regarding the split difficulty of the mandibular in BSSO surgery and the recovery status of the inferior alveolar nerve (IAN) one year after surgery were obtained and evaluated from patient records. The fracture line was radiographically evaluated for the lingual split pattern following surgery.</p><p><strong>Results: </strong>A statistically significant difference was observed in favor of the modified group when the mandibular split difficulty of the groups was compared (p = 0.032). The split time of the modified group was found to be statistically shorter than the conventional group (p ≤ 0.001). The mean numbness level of the modified group one year after surgery was statistically significantly lower than that of the conventional group (p = 0.019). Although there was no statistically significant difference between the two groups in terms of lingual fracture pattern, the rate of type 1 (87.5 %) fracture was higher in the modified group compared to the other group (68.8 %) (p = 0.089).</p><p><strong>Conclusion: </strong>The lower border osteotomy performed in addition to the conventional BSSO surgery allows the split procedure easier and in a shorter time. The modification resulted in an increased incidence of type 1 lingual fracture pattern in the mandible. The neurosensory recovery capacity of the IAN in the postoperative period is higher in areas where lower-border osteotomies are performed.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102122"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513529","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
No association between periodontitis extent, severity, and progression rate with dental implant failure. 牙周炎的范围、严重程度和发展速度与植牙失败之间没有关联。
IF 2.2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-10-22 DOI: 10.1016/j.jormas.2024.102123
Georgios S Chatzopoulos, Larry F Wolff
{"title":"No association between periodontitis extent, severity, and progression rate with dental implant failure.","authors":"Georgios S Chatzopoulos, Larry F Wolff","doi":"10.1016/j.jormas.2024.102123","DOIUrl":"10.1016/j.jormas.2024.102123","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the relationship between extent, severity, and rate of progression of periodontitis with the implant outcome.</p><p><strong>Methods: </strong>Dental records of adult patients who had attended the dental clinics of the universities contributing data to the BigMouth network between 2011 and 2022 seeking implant therapy were evaluated. Patients' records were furthered examined for a periodontal diagnosis based on the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Patients were further categorized based on extent (generalized/localized), severity (stage I, II, III, IV), and rate of progression (grade A, B, C). Information including demographic characteristics, self-reported medical conditions, as well as the number of missing teeth were extracted from patients' electronic health records.</p><p><strong>Results: </strong>Records of 50,312 dental implants placed in 20,842 patients over a 12-year period were screened. Three hundred twenty-two records of implants were placed in patients with a recorded periodontitis diagnosis based on the 2017 periodontal classification. The mean age of the cohort was 57.53±12.95 years which consisted of 52.2 % males, 74.2 % non-Hispanic, 55.9 % white individuals, 9 % diabetics, 3.4 % tobacco users. The univariate analysis demonstrated that periodontitis extent, severity, and rate of progression were not significantly associated with the treatment outcome. The implant failure rate was estimated to be 5.6 %.</p><p><strong>Conclusions: </strong>Within the limitations of this retrospective study that utilized records of dental implants placed in institutions in the United States contributing data to the BigMouth network, the implant failure rate was estimated to be 5.6 %. Periodontitis extent, severity, and rate of progression were not significantly associated with the implant treatment outcome.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102123"},"PeriodicalIF":2.2,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513539","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
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