Necrotizing periodontitis or medication-related osteonecrosis of the jaw (MRONJ) in a patient receiving Bemcentinib —a case report
We present a male 81-year-old patient with a manifestation of alveolar bone necrosis at the central upper incisors following a 2-month regimen with the AXL-inhibitor Bemcentinib, administered for the treatment of secondary acute myeloblastic leukemia (sAML). Due to the duration of less than 8 weeks, the osteonecrosis was diagnosed as necrotizing periodontitis, but the intraoral clinical and radiographic findings were also compatible with the differential diagnosis of medication-related osteonecrosis of the jaw (MRONJ, stage II). Following to discontinuation of Bemcentinib, the affected bone was surgically revised including...
Source: Oral and Maxillofacial Surgery - May 21, 2020 Category: ENT & OMF Source Type: research

Repair of orbital floor fractures via the transantral approach with osteosynthesis plate
ConclusionTransantral access approach may be a technique of choice in treating patients with orbital floor fractures; it is safe, minimally traumatic, and effective in the early posttraumatic period when the injured area is located in the posterior parts of the floor of the orbit. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - May 16, 2020 Category: ENT & OMF Source Type: research

Temporal region myeloid sarcoma: When to suspect and how to approach?
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - May 12, 2020 Category: ENT & OMF Source Type: research

A suggested protocol to increase the accuracy of prosthetic phases in case of full-arch model-free fully guided computer-aided implant placement and immediate loading
ConclusionThe use of a reference template used to transfer the digital project to the surgical field increased the accuracy and the integration of the surgical and prosthetic phases during the entire workflow. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - May 8, 2020 Category: ENT & OMF Source Type: research

Reply to Letter to the Editor commenting on the article “Myeloid sarcoma on the temporal region before the onset of the acute myeloid leukemia: an extremely rare case report”
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - May 7, 2020 Category: ENT & OMF Source Type: research

Influence of the position of the antrostomy in sinus floor elevation on the healing of mini-implants: a randomized clinical trial
ConclusionsBased on the present study, the choice of one or the other position of antrostomy did not influence significantly the outcome and, therefore, should be left to the preference of the surgeon. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - May 3, 2020 Category: ENT & OMF Source Type: research

Investigation of fluctuations in blood glucose level due to dietary restrictions during impacted mandibular third molar extraction under intravenous sedation: effect of perioperative glucose administration
ConclusionsFollowing a restriction on eating and drinking 4  h prior to surgery, the blood glucose level gradually decreased in the perioperative period but remained within the reference range until 90 min following surgery. The administration of 100 mL 5% glucose solution immediately after surgery was sufficient for the prevention of postoperative hypogl ycemia. This approach may be useful for perioperative glycemic control during third molar extraction. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 27, 2020 Category: ENT & OMF Source Type: research

Key factors influencing short implant success
ConclusionThe findings of this review showed that, when used correctly, short implants achieve predictable and promising long-term outcomes, provided they are placed following a comprehensive surgical and prosthetic protocol, based on the different biomechanical parameters essential to optimize long-term prognosis.Clinical significanceThe use of short implants in clinical practice has considerably increased in a wide variety of cases, given that they offer several advantages for both patient and practitioner. Recent literature shows that, when specific criteria are respected, new generations of short implants present high,...
Source: Oral and Maxillofacial Surgery - April 23, 2020 Category: ENT & OMF Source Type: research

Evaluation of complications following stock replacement of the temporomandibular joint performed between the years 2006 and 2015: a retrospective study
ConclusionsAs with any surgical procedure, TMJR can have complications. The results of this study demonstrate that the most common post-operative complication was continued pain. Chronic pain after TMJR was more common in patients with a preoperative diagnosis of degenerative joint disease. Also, the incidence of post-operative TMJR pain increased with the duration of symptoms prior to TMJR, leading to a question of the best timing for TMJR. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 23, 2020 Category: ENT & OMF Source Type: research

A clinical-based protocol of diagnosis of temporomandibular joint open lock and treatment with arthrocentesis
ConclusionsAll patients of the present study improved from the open lock and disc click of the affected TMJ for 6  months after arthrocentesis. The clinical-based protocol of diagnosis of TMJ open lock reported in the present study, followed by the treatment with arthrocentesis is a reasonable, low-cost, and safe method to treat patients with the acute open lock. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 22, 2020 Category: ENT & OMF Source Type: research

Retropharyngeal internal carotid artery: a review of three cases
ConclusionKnowledge of the anatomy and variations of the ICA is important for oral and maxillofacial radiologists and surgeons to enable clinicians to take necessary precautions to decrease complications if performing any procedure in the region. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 21, 2020 Category: ENT & OMF Source Type: research

Accuracy of orthopantomograms in the assessment of implant position following alloplastic temporomandibular joint replacement
ConclusionThis study presents a clinically applicable and accurate first-line radiographic screening tool to assess TMJ implant position. When combined with clinical assessment, OPGs can help reduce the need for further imaging and radiation exposure post-operatively. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 18, 2020 Category: ENT & OMF Source Type: research

A comparison of tooth-borne and bone-anchored expansion devices in SARME
ConclusionThe SARME technique without PMD is highly effective at treating adults with maxillary transverse deficiencies, and the type of expander selected depends on the location of the larger maxillary constriction region of each patient. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 14, 2020 Category: ENT & OMF Source Type: research

Full-staged digital and prosthetic guided protocol for the insertion of dental implants in autogenous free bone grafts after reconstruction of segmental mandibular defects
ConclusionThe clinical and radiographic assessments demonstrated sound base bone grafts, which succeeded not only to restore the native mandibular continuity and configuration but also to direct the fair-sized embedded dental implants into favorable coastal locations and axial projections, which influenced a smooth prosthetic rehabilitation. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - April 14, 2020 Category: ENT & OMF Source Type: research

A decade of reconstructive surgery: outcome and perspectives of free tissue transfer in the head and neck. Experience of a single center institution
ConclusionsPreoperative radiation therapy and intraoperative revision of anastomosis significantly impair outcome of microvascular flaps in the head and neck and oral cavity, whereas patient ’s age is not a predictor of flap failure. Increasing case number and experience reduces time of flap surgery as well as rate of complications and flap failure. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - March 20, 2020 Category: ENT & OMF Source Type: research

Treatment of odontogenic abscesses: comparison of primary and secondary removal of the odontogenic focus and antibiotic therapy
AbstractPurposeTo examine the time of removal of the odontogenic focus, antibiotic therapy and risk factors in odontogenic abscesses.PatientsFrom January 2012 to December 2015, inpatients undergoing incision due to odontogenic abscesses were identified in a retrospective study. All the patients were evaluated for time of removal of the odontogenic focus, antibiotic therapy, germ spectrum, complications and risk factors.ResultsTwo hundred ten patients completed the study. In 89 cases (42.4%), the odontogenic focus was removed as part of the abscess treatment (group A). In 121 cases (57.6%), the focus was secondarily removed...
Source: Oral and Maxillofacial Surgery - March 11, 2020 Category: ENT & OMF Source Type: research

Success rate and complications of sialendoscopy and sialolithotripsy in patients with parotid sialolithiasis: a systematic review
ConclusionsSialendoscopy and sialolithotripsy are best suited as first choice treatment —if conservative therapy failed—for the management of parotid gland sialolithiasis. It is a valuable and feasible treatment option with no major complications. Selection of cases will ensure the best prognosis. Although there is no indefinite stone size, the smaller the calculus, the greater the probability of a symptom-free patient. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - March 11, 2020 Category: ENT & OMF Source Type: research

The use of optical scanner for the fabrication of maxillary obturator prostheses
ConclusionsDigital technology for the fabrication of maxillary obturator prosthesis may be effective and useful. The reduced laboratory working time, the avoidance of the risk of aspiration of impression materials, and the overcome of the difficulties associated with whole tissue undercut impression are just some of the most important advantages that have been encountered thanks to this promising technology. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - March 9, 2020 Category: ENT & OMF Source Type: research

Laser surgery in management of medication-related osteonecrosis of the jaws: a meta-analysis
ConclusionLaser surgery was significantly superior to LLLT (p 
Source: Oral and Maxillofacial Surgery - February 13, 2020 Category: ENT & OMF Source Type: research

The relationship between the status and position of third molars and the presence of mandibular angle and condylar fractures
AbstractIntroductionThe aim of this study was to assess the relationship between the status and position of third molars, and the presence of mandibular angle and/or condylar fractures, in a group of patients treated for mandibular fractures, thus hoping to contribute to the knowledge of potential predictors of these fractures.MethodsA retrospective study was designated to include all the patients who were diagnosed and treated with open reduction and internal fixation for isolated mandibular angle fractures or isolated mandibular condylar fractures between 1st of January 2012 and 31st of December 2018. The following data ...
Source: Oral and Maxillofacial Surgery - February 10, 2020 Category: ENT & OMF Source Type: research

Perforation of the Schneiderian membrane during sinus floor elevation: a risk factor for long-term success of dental implants?
ConclusionRegarding the long-term success, there was no increased risk for implant failure or other persisting complications, e.g., sinusitis, after intraoperative perforation during sinus floor elevation in this study. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 30, 2020 Category: ENT & OMF Source Type: research

Myeloid sarcoma on the temporal region before the onset of the acute myeloid leukemia: an extremely rare case report
ConclusionMasses of a rapid increase in the maxillofacial region should always raise suspicion of being an MS even in asymptomatic patients. Following a protocol of initial assessment and diagnosis will decrease the period between the initial appearance of the MS and effective treatment aimed to prevent or delay the manifestation of leukemia, improving the prognosis and survival of these patients. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 22, 2020 Category: ENT & OMF Source Type: research

A single-center experience in the management of head and neck lymphangiomas
ConclusionsAll modes of treatment are important in properly selected patients affected by lymphangiomas. OK-432 therapy is a safe and effective option in the treatment of head and neck lymphangiomas. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 20, 2020 Category: ENT & OMF Source Type: research

Adenoid ameloblastoma in the posterior maxilla: a case report and review of the literature
ConclusionAs odontogenic tumors are rare, some entities are infrequently encountered, making the diagnosis more difficult. Clinicians, oral and  maxillofacial surgeons and oral pathologists should be familiar with the adenoid ameloblastoma and its differential diagnosis for accurate diagnosis and management. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 11, 2020 Category: ENT & OMF Source Type: research

Basaloid squamous cell carcinoma: a 31-year retrospective study and analysis of 214 cases reported in the literature
ConclusionThe features presented in this study are more similar than different when compared with the literature data. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 8, 2020 Category: ENT & OMF Source Type: research

Tongue flap: a “workhorse flap” in repair of recurrent palatal fistulae
ConclusionUse of tongue flap for repair of palatal fistulae is a successful technique as it provides appreciable quality and quantity of well-vascularized tissue for fistula closure with negligible functional and esthetic morbidity associated with donor site. As per our study, it is a reliable technique for palatal fistula closure. It even provides good speech improvement over time. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 6, 2020 Category: ENT & OMF Source Type: research

Comparative analysis between developmental and inflammatory odontogenic cysts: retrospective study and literature review
AbstractPurposeTo assess epidemiological, clinical, and radiographic characteristics of odontogenic cysts (OCs) in a South Brazilian sample and to compare the results with international literature.MethodsFor the main study purposes, biopsy and histopathological records were retrospectively analyzed from December 2006 to December 2018, OC cases were selected, and data about clinical characteristics were evaluated. Further, a literature review was performed for similar studies.ResultsIn the main study, the prevalence of OCs was 11.26% (n = 406), the majority of patients was male (56.73%), and the mean age was 39 ± 17....
Source: Oral and Maxillofacial Surgery - December 19, 2019 Category: ENT & OMF Source Type: research

A primary cutaneous anaplastic large cell lymphoma mimicking labial herpes
ConclusionPrimary cutaneous anaplastic large cell lymphoma is a rare disease of difficult diagnosis and may be confused with chronic infectious diseases, postponing treatment. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 19, 2019 Category: ENT & OMF Source Type: research

Endoscopic orbital decompression for proptosis in non-thyroid eye disease
ConclusionsEndoscopic orbital decompression can be performed for patients with proptosis associated with a large globe, facial dysplasia or medial and infero-medial orbital lesions. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 19, 2019 Category: ENT & OMF Source Type: research

Surgical management of unilateral body fractures of the edentulous atrophic mandible
ConclusionsTreatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients ’ preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 17, 2019 Category: ENT & OMF Source Type: research

Treatment of calcium pyrophosphate deposition in the temporomandibular joint with resection and simultaneous reconstruction using a custom joint prosthesis
ConclusionThis case demonstrates the feasibility of a one-stage procedure with reconstruction using a custom-made prosthesis and virtual planning. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 16, 2019 Category: ENT & OMF Source Type: research

Surgical osteoplasty and soft tissue excision as treatment for facial deformities in patients with renal osteodystrophy: three case reports
ConclusionsLong hemodialysis periods and elevated PTH levels were the probable factors for the development of facial deformities in this group of patients. The main complications associated to the surgical management of facial deformities in ROD patients are directly related to end-stage renal disease, with increased risks for hemorrhage and systemic drug accumulation. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 12, 2019 Category: ENT & OMF Source Type: research

The potentialities of the Anatomage Table for head and neck pathology: medical education and informed consent
DiscussionThe examination of the different slices and the application of different filters represent a promising tool both for the education of students/residents and for an improved informed consent by the patients. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 12, 2019 Category: ENT & OMF Source Type: research

A mucinous adenocarcinoma of the lip with elevated serum carcinoembryonic antigen levels: a case report
ConclusionsGenerally, serum CEA levels have not been used as tumor markers for salivary gland malignancies; however, it may be useful for MAC arising from salivary glands. We recommend prospective research to determine whether serum CEA estimation is useful as a component of routine pre-treatment workup for MACs arising from the salivary glands. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 11, 2019 Category: ENT & OMF Source Type: research

Comparison of histomorphometry and microCT after sinus augmentation using xenografts of different particle sizes in rabbits
ConclusionHistological and microCT analyses yielded different outcomes when a xenograft with higher density and higher mineral content compared with the natural bone was used. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 9, 2019 Category: ENT & OMF Source Type: research

Optimising the management of concurrent symphyseal/parasymphyseal and bilateral extracapsular condylar fractures using three-dimensional printing
ConclusionsThe construction of digitally reduced 3D models and custom adapted plates enables the surgeon to achieve accurate fixation of complex fracture patterns in theatre which is clearly of benefit to patients. The potential for reduced theatre time also renders this approach more desirable, making this a worthwhile investment despite the additional non-clinical time associated with training and initial expenditure. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 9, 2019 Category: ENT & OMF Source Type: research

A prospective split-mouth clinical study: comparison of piezosurgery and conventional rotary instruments in impacted third molar surgery
AbstractPurposeOur purpose was to compare the effects of piezosurgery and conventional rotary instruments on postoperative pain, swelling, trismus, and patients ’ comfort after mandibular third molar surgery.MethodsThirty patients (27 women and 3 men) with bilateral impacted mandibular third molars were included in this split-mouth clinical study. Sixty impacted third molars were divided into a control group (n = 30), in which the osteotomies were performed using a conventional rotary handpiece technique and an experimental group (n = 30), in which the osteotomies were done by piezosurgery technique. Duration of the ...
Source: Oral and Maxillofacial Surgery - December 7, 2019 Category: ENT & OMF Source Type: research

Rehabilitation strategies in maxillofacial trauma: systematic review and meta-analysis
ConclusionsThere is diversity among the proposed rehabilitation techniques, and types of fractures and there are few numbers of included participants in each study. The results obtained in this review do not promote evidence to guide the use of non-drug rehabilitation techniques in patients with maxillofacial trauma after surgical intervention. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 4, 2019 Category: ENT & OMF Source Type: research

A case of myeloid sarcoma of the mandibular gingiva as extramedullary relapse of acute myeloid leukemia
ConclusionThe prognosis of IMS is extremely poor in general, and a diagnostic delay can prevent adequate therapy by hematologists and oncologists. All dental clinicians must keep the possibility of IMS in mind and carefully examine all patients with AML. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 1, 2019 Category: ENT & OMF Source Type: research

Success rate 1 year after apical surgery: a retrospective analysis
ConclusionThe results of the present study suggest that apical surgery with retrograde root-end filling is a reliable therapy for the preservation of teeth. Furthermore, there are limited factors that affect the treatment outcome. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 22, 2019 Category: ENT & OMF Source Type: research

Comparison of primary and secondary closure with a buccal mucosal-advancement flap on postoperative course after mandibular impacted third molar surgery
ConclusionThis study concludes that the buccal mucosal-advancement flap technique was a superior closure technique with less pain, swelling, trismus, and satisfactory wound healing compared with both primary and secondary closure after mandibular third molar surgery. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 15, 2019 Category: ENT & OMF Source Type: research

Change in allodynia of patients with post-lingual nerve repair iatrogenic lingual nerve disorder
ConclusionsThis study shows that microsurgical lingual reconstructions are effective in patients with preoperative allodynia, but a small number of patients may have remaining allodynia after surgery. Large-scale, more detailed analysis of such cases is required. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 15, 2019 Category: ENT & OMF Source Type: research

Comparison of biting force when using a combination of one microplate and one miniplate versus two miniplates for fixation of parasymphyseal mandibular fracture: the use of microplates for parasymphyseal mandibular fracture
ConclusionConsequently a combination of one microplate and one miniplate is efficient for the management of isolated parasymphyseal mandibular fracture in the same way as two miniplates. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 12, 2019 Category: ENT & OMF Source Type: research

Idiopathic spontaneous sublingual hematoma: a case report and literature review
ConclusionsClinical work-up is necessary to look for a cause of a spontaneous sublingual hematoma. Idiopathic spontaneous hematoma is only a rare entity. Aggressive airway management should be the first step in treatment. To date, there is no consensus about the management regarding the hematoma itself. Mostly, clinicians start with observation for spontaneous resolution of the hematoma and when possible to treat causative factors. Surgical drainage is performed when conservative treatment is not sufficient. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 12, 2019 Category: ENT & OMF Source Type: research

Long-term quality of life after surgery of head and neck cancer with microvascular reconstruction: a prospective study with 4.9-years follow-up
AbstractPurposeThe aim of this study was to evaluate the long-term health-related quality of life (HRQoL) of head and neck cancer patients with microvascular surgery. Surgical treatment causes great changes in patient HRQoL. Studies focusing on long-term HRQoL after microvascular reconstruction for head and neck cancer patients are scarce.MethodsWe conducted a prospective study of 93 patients with head and neck cancer and microvascular reconstruction in Helsinki University Hospital Finland. HRQoL was measured using the 15D instrument at baseline and after a mean 4.9-years follow up. Results were compared with those of an a...
Source: Oral and Maxillofacial Surgery - November 5, 2019 Category: ENT & OMF Source Type: research

Factors related to patients ’ nutritional state after orthognathic surgery
ConclusionsThese results indicate that long operation time caused body weight loss in orthognathic surgery. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 4, 2019 Category: ENT & OMF Source Type: research

Imaging and histomorphometric evaluation of mandible and tibia of rats treated with bisphosphonates
ConclusionAccording to our results, we conclude that (1) BD was not altered by bone type or by type of BP administered, and (2) treatment with zoledronic acid or clodronate did not affect BV in the mandible or tibia of test groups. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 4, 2019 Category: ENT & OMF Source Type: research

Pneumonia due to aspiration of povidine iodine after preoperative disinfection of the oral cavity
ConclusionAlthough PI solution for an oral disinfection is used routinely, all operators need to be aware of the risk for PI aspiration (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 1, 2019 Category: ENT & OMF Source Type: research

Volumetric analysis of MRONJ lesions by semiautomatic segmentation of CBCT images
ConclusionsImage analysis and volumetric measurements of osteolytic lesions of MRONJ patients is a helpful tool to further understand the clinical appearance and identify compromised anatomic landmarks. Volumetric analysis aids in pre-surgical planning and visualizes the individual extent of the disease for each patient. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 31, 2019 Category: ENT & OMF Source Type: research

Dental implants in patients with epidermolysis bullosa: a systematic review
ConclusionsThe dental implant failure rate in EB patients seems to be very low, although the few cases reported in the literature were followed up for a short mean period, i.e., just a little bit longer than 3  years. More cases followed up for a long period are needed in order to be able to make a more reliable prognosis for the long-term oral rehabilitation of EB patients with dental implants. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 28, 2019 Category: ENT & OMF Source Type: research