International journal of oral and maxillofacial surgery最新文献_第2页

Evaluation of the success rate, prosthesis-related quality of life, and satisfaction in patients undergoing rehabilitation with an implant-supported auricular prosthesis.

International journal of oral and maxillofacial surgery Pub Date : 2025-02-24 DOI: 10.1016/j.ijom.2025.02.006

H M Hashemi, S K Aval, A M Hashemi

{"title":"Evaluation of the success rate, prosthesis-related quality of life, and satisfaction in patients undergoing rehabilitation with an implant-supported auricular prosthesis.","authors":"H M Hashemi, S K Aval, A M Hashemi","doi":"10.1016/j.ijom.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.006","url":null,"abstract":"The aim of this study was to evaluate the success rate, prosthesis-related quality of life (QoL), and satisfaction of patients undergoing rehabilitation with endosseous implants in the auricular region. This was a retrospective mixed cohort study involving 22 consecutive eligible patients (11 female, 11 male) with ear defects, treated during 1999-2019. The variables analysed were sex, age at the time of implant placement, date of last prosthesis delivery, level of education, aetiology of the deformity, and radiation history. The questionnaire results were analysed using IBM SPSS Statistics software. The correlation between QoL and satisfaction was evaluated using the Pearson correlation coefficient. Implant success was calculated clinically using the number of integrated implants, mobility, and presence of a purulent discharge. For the 22 patients, the mean duration since prosthesis placement was 10.2 ± 5.2 years. Among 47 implants inserted, one failed because of osseointegration failure. Hence, the overall success rate of the auricular implants was 97.9%. The mean ± standard deviation total QoL score and satisfaction score were 52.5 ± 7.10 (maximum possible score 80) and 42.1 ± 6.29 (maximum possible score 55), respectively. The results demonstrate the importance of prosthetic rehabilitation for improved patient QoL and satisfaction.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of dynamic navigation systems in dental implantology: a systematic literature review of in vitro studies. 牙科种植中动态导航系统的比较：体外研究的系统性文献综述。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-19 DOI: 10.1016/j.ijom.2025.02.005

K Matvijenko, R Borusevičius

{"title":"Comparison of dynamic navigation systems in dental implantology: a systematic literature review of in vitro studies.","authors":"K Matvijenko, R Borusevičius","doi":"10.1016/j.ijom.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.005","url":null,"abstract":"Dynamic navigation is an innovative technology in implant surgery that enhances the precision of implant placement through real-time guidance for clinicians. This technology allows on-the-spot adjustments during surgery, reducing the risk of complications and improving implant outcomes. The aim of this systematic review was to assess the accuracy of various dynamic navigation systems in implant placement using in vitro models. A comprehensive literature search was performed across several databases, focusing on studies published between 2016 and 2024 that reported three-dimensional (3D) and angular deviations. Seven in vitro studies were included, analysing five dynamic navigation systems (ImplaNav, Navident, Denacam, X-Guide, and DCARER), with 649 implants evaluated. Results showed mean coronal 3D deviations between 0.46 mm and 1.58 mm, while apical deviations ranged from 0.48 mm to 2.12 mm. Angular deviations varied between 1.01° and 4.24°. Maximum deviations reached up to 4.80 mm for coronal 3D deviation and 10.70° for angular deviation. All systems demonstrated high accuracy within clinically acceptable limits, with X-Guide showing the lowest numerical errors. Factors like tracking technology, calibration methods, and user experience were found to influence accuracy. Overall, dynamic navigation significantly improves implant placement accuracy compared to freehand methods but remains dependent on technical factors.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multimodal approaches to postoperative pain management in orthognathic surgery: a comprehensive review.

International journal of oral and maxillofacial surgery Pub Date : 2025-02-17 DOI: 10.1016/j.ijom.2025.02.004

M V Joachim, M Miloro

{"title":"Multimodal approaches to postoperative pain management in orthognathic surgery: a comprehensive review.","authors":"M V Joachim, M Miloro","doi":"10.1016/j.ijom.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.004","url":null,"abstract":"Effective postoperative pain management in orthognathic surgery is essential for optimizing recovery and patient comfort. This comprehensive review was performed to examine multimodal strategies for managing post-orthognathic surgery pain. A literature search identified 13 studies (with 430 patients); 11 of them were randomized controlled trials. The interventions for pain were categorized into four approaches: cooling therapies, light-based treatments, enhanced recovery protocols, and targeted techniques. A narrative synthesis was performed due to the considerable heterogeneity across the studies. Hilotherapy demonstrated superior pain and swelling reduction compared to conventional cooling methods. Light-based therapies, including low-level laser therapy and photobiomodulation, improved early postoperative pain control and functional recovery. Enhanced Recovery After Surgery (ERAS) protocols were associated with lower pain scores and opioid requirements. Targeted analgesic approaches, such as ultrasound-guided trigeminal nerve blocks and acupoint stimulation, showed promise for acute pain relief. The findings highlight the importance of combining multiple modalities to optimize pain management while minimizing opioid use. The quality of the evidence varied, with some studies limited by small sample sizes and short follow-up periods. The synthesis of results was structured into an evidence-based recommendations table, suggesting that an individualized multimodal approach may provide the most effective pain control in orthognathic surgery.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of autogenous tooth bone graft in osseous defects after the surgical removal of mandibular third molars: a systematic review and meta-analysis of randomized controlled trials.

International journal of oral and maxillofacial surgery Pub Date : 2025-02-17 DOI: 10.1016/j.ijom.2025.02.003

B Mahardawi, P H Thet, C Phrueksotsai, S Arunjaroensuk, B Kaboosaya, A Pimkhaokham

{"title":"Use of autogenous tooth bone graft in osseous defects after the surgical removal of mandibular third molars: a systematic review and meta-analysis of randomized controlled trials.","authors":"B Mahardawi, P H Thet, C Phrueksotsai, S Arunjaroensuk, B Kaboosaya, A Pimkhaokham","doi":"10.1016/j.ijom.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.003","url":null,"abstract":"The objective of this systematic review and meta-analysis was to collectively summarize the available evidence on the use of autogenous tooth bone graft (ATBG) in osseous defects following mandibular third molar surgery. A literature search was performed in Scopus, MEDLINE/PubMed, and Cochrane Library to find randomized clinical trials that used ATBG to augment bone defects following impacted mandibular third molar surgery and compared this with normal healing or with other materials. Eight studies were included, six of which were included in the meta-analysis. The results showed that sites grafted with ATBG yielded significantly higher bone defect fill (standardized mean difference (SMD) 1.10, 95% confidence interval (CI) 0.20-1.99, P = 0.016) and significantly less probing depth (SMD -1.46, 95% CI -2.53 to -0.39, P = 0.007) when compared to the control, at 6 months postoperatively. Based on the GRADE system, the level of evidence on these outcomes was judged as moderate. Within the limitations, this study showed that the ATBG could be an alternative to other materials for augmenting bone defects following the surgical removal of an impacted mandibular third molar, offering the option of using the extracted tooth to produce a material that can be used for bone regeneration.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between condylar repositioning, resorption, and mandibular relapse post-orthognathic surgery with the straight locking miniplate technique in patients with Class II and III malocclusion: a retrospective study.

International journal of oral and maxillofacial surgery Pub Date : 2025-02-14 DOI: 10.1016/j.ijom.2025.02.002

H Umezawa, H Takasu, T Ohya, Y Yamashita, M Hirota, K Mitsudo

{"title":"Correlation between condylar repositioning, resorption, and mandibular relapse post-orthognathic surgery with the straight locking miniplate technique in patients with Class II and III malocclusion: a retrospective study.","authors":"H Umezawa, H Takasu, T Ohya, Y Yamashita, M Hirota, K Mitsudo","doi":"10.1016/j.ijom.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.002","url":null,"abstract":"This study investigated the relationship between condylar position, condylar volume, and mandibular relapse following orthognathic surgery in which the proximal segments were temporarily fixed with a positioning device to maintain the condylar position. Computed tomography data (pre-surgery, immediately post-surgery, and 1 year post-surgery) from 12 patients with Class II malocclusion and 20 with Class III were analysed. Condylar volume was significantly lower in Class II patients than in Class III patients at all time-points (P < 0.001), and only Class II patients showed a significant volume reduction from immediately post-surgery to 1 year post-surgery (P < 0.001). Three-dimensional condylar movements from pre-surgery to immediately post-surgery and from pre-surgery to 1 year post-surgery were significantly greater in Class II patients than in Class III patients (both P < 0.001). Additionally, Class II patients exhibited more restoration movements to the preoperative position from immediately post-surgery to 1 year post-surgery, correlating with the volume reduction (r = -0.53, P = 0.007), which in turn correlated significantly with mandibular relapse (r = 0.63, P < 0.001). These findings suggest an association between preoperative volume, intraoperative movement, condyle movement restoration, volume reduction, and postoperative mandibular relapse, particularly in the Class II group. Accurate condylar positioning appears crucial for mitigating mandibular relapse in Class II cases.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of chlorhexidine, povidone-iodine, and hydrogen peroxide irrigation on pain and swelling after mandibular third molar surgery: randomized controlled trial.

International journal of oral and maxillofacial surgery Pub Date : 2025-02-13 DOI: 10.1016/j.ijom.2025.01.021

M Shahraki, A H Khazaei, S Hakimi, M Hasheminasab, S A Haradasht

{"title":"Effect of chlorhexidine, povidone-iodine, and hydrogen peroxide irrigation on pain and swelling after mandibular third molar surgery: randomized controlled trial.","authors":"M Shahraki, A H Khazaei, S Hakimi, M Hasheminasab, S A Haradasht","doi":"10.1016/j.ijom.2025.01.021","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.01.021","url":null,"abstract":"The objective of this study was to compare the effects of irrigation solutions containing chlorhexidine, povidone-iodine, or hydrogen peroxide on pain and swelling following mandibular third molar surgery. This prospective randomized controlled trial employed a single-blind design. Overall, 112 patients were randomized to four groups based on the antiseptic assigned for the intervention: control, chlorhexidine (CHX), povidone-iodine (PI), and hydrogen peroxide (HP). The patients were followed up on days 1, 3, 7, and 15 after surgery, and pain and swelling were assessed. Data were analysed using ANOVA and post hoc multiple comparison tests. The CHX and HP groups demonstrated significantly lower mean pain scores compared to the control group on days 3 (P = 0.021, P = 0.033) and 7 (P = 0.002, P = 0.017). Regarding the difference in swelling from baseline (before surgery) on each follow-up day, the CHX and HP groups showed significantly less swelling compared to the control group on days 1 (P = 0.023, P = 0.012), 3 (P = 0.007, P = 0.001), and 7 (P = 0.002, P = 0.018). Moreover, the CHX and HP groups demonstrated significantly lower mean swelling changes from baseline compared to PI: CHX vs PI on day 7 (P = 0.032), HP vs PI on day 1 (P = 0.037). In conclusion, chlorhexidine and hydrogen peroxide solutions are highly beneficial options for socket irrigation following mandibular third molar surgery. This study showed a more prominent reduction in pain and swelling with chlorhexidine and hydrogen peroxide solutions compared to povidone-iodine solution.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term outcomes of open treatment of condylar head fractures using cannulated headless bone screws-a retrospective analysis.

International journal of oral and maxillofacial surgery Pub Date : 2025-02-13 DOI: 10.1016/j.ijom.2025.01.018

A Franke, J B Matschke, P Sembdner, A Seidler, N M H McLeod, H Leonhardt

{"title":"Long-term outcomes of open treatment of condylar head fractures using cannulated headless bone screws-a retrospective analysis.","authors":"A Franke, J B Matschke, P Sembdner, A Seidler, N M H McLeod, H Leonhardt","doi":"10.1016/j.ijom.2025.01.018","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.01.018","url":null,"abstract":"The treatment of mandibular fractures affecting the condylar head (CHF) can be either closed or open. In the case of an open approach, the headless bone screw (HBS) is an option. This study was performed to investigate the efficacy of osteosynthesis with HBS using three-dimensional radiographic imaging and clinical evaluation over long-term follow-up. This was a single-centre retrospective study. Clinical parameters and three-dimensional radiographic scans were collected during follow-up, DICOM datasets were segmented, and model analysis was conducted. Forty-five patients who received a HBS and met the eligibility criteria were included. There were significant improvements in all clinical parameters (mouth opening, protrusion, laterotrusion; all P < 0.05) except for the laterotrusion of the unaffected side (P = 0.071). Mean volume and surface area changes (from postoperative (mean 1.9 days) to final follow-up (mean 1675 days)) were 127.2 mm3 and -22.4 mm2, respectively, and were not statistically significant (P = 0.18 and P = 0.51). There were radiographic signs of condylar remodelling. Nine HBS in nine patients required removal due to the screw penetrating the articular surface of the healing condylar head. This single-centre retrospective study found good functional outcomes using HBS for CHF, with a screw removal rate of 20%.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pretreatment nutritional indices are associated with survival and T-cell exhaustion in recurrent or metastatic oral squamous cell carcinoma patients treated with immune checkpoint inhibitors: a retrospective cohort study. 治疗前营养指数与接受免疫检查点抑制剂治疗的复发性或转移性口腔鳞状细胞癌患者的生存期和T细胞衰竭有关：一项回顾性队列研究。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-11 DOI: 10.1016/j.ijom.2025.01.010

T Ooyama, M Hirayama, Y Seki, A Iwamoto, R Yoshida, H Nakayama

{"title":"Pretreatment nutritional indices are associated with survival and T-cell exhaustion in recurrent or metastatic oral squamous cell carcinoma patients treated with immune checkpoint inhibitors: a retrospective cohort study.","authors":"T Ooyama, M Hirayama, Y Seki, A Iwamoto, R Yoshida, H Nakayama","doi":"10.1016/j.ijom.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.01.010","url":null,"abstract":"Pretreatment immune dynamics and nutritional status are important predictors of survival outcomes in various malignancies. This study was performed to evaluate the relationships between survival outcomes and the pretreatment nutritional indices - Onodera's prognostic nutritional index (OPNI) and neutrophil-to-lymphocyte ratio (NLR) - in 42 patients with recurrent or metastatic oral squamous cell carcinoma (OSCC) who underwent treatment with immune checkpoint inhibitors (ICI). Additionally, the relationships between these nutritional indices and T-cell exhaustion in the peripheral blood of the patients were analysed. As a result, the Kaplan-Meier method revealed that lower OPNI was significantly associated with poorer overall survival (OS) and progression-free survival (PFS) (both P < 0.001). Likewise, the results of the multivariate analysis showed that a low OPNI was independently associated with poor 5-year OS (hazard ratio 4.36, P = 0.008) and PFS (hazard ratio 4.04, P = 0.010). Patients with a low OPNI had a significantly higher frequency of PD-1+ CD8+ T-cells than those with a high OPNI (P = 0.009). These findings demonstrate that pretreatment OPNI is a valuable independent prognostic indicator of OS and PFS in OSCC patients following treatment with ICI. The OPNI might reflect T-cell exhaustion in the peripheral blood of OSCC patients.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to the comment on "Deep convolutional neural network for automatic segmentation and classification of jaw tumors in contrast-enhanced computed tomography images".

International journal of oral and maxillofacial surgery Pub Date : 2025-02-08 DOI: 10.1016/j.ijom.2025.01.019

K Warin, W Limprasert, T Paipongna, S Chaowchuen, S Vicharueang

引用次数: 0

Comment on: "Deep convolutional neural network for automatic segmentation and classification of jaw tumors in contrast-enhanced computed tomography images".

International journal of oral and maxillofacial surgery Pub Date : 2025-02-07 DOI: 10.1016/j.ijom.2025.01.020

C M Ardila, P K Yadalam

引用次数: 0