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Oral and Maxillofacial Surgery

Carlos Fernando de Almeida Barros Mourão, Mônica Diuana Calasans-Maia, Rafael Coutinho de Mello Machado, Rodrigo Figueiredo de Brito Resende, Gutemberg Gomes Alves
The control of postoperative bleeding represents one of the main intercurrent events associated with soft tissue surgical procedures in the oral cavity. In this context, platelet-rich fibrin (PRF) membranes are materials with great potential for optimizing soft tissue healing and induction of hemostasis. This interventional case series describes the treatment of 10 patients with excisional biopsy of benign oral cavity lesions, following a screening sequence at the surgery clinic of a Brazilian dental school between the years of 2015 and 2017...
June 26, 2018: Oral and Maxillofacial Surgery
Zoltán Fábián, Zsolt Németh, Sándor Bogdán
No abstract text is available yet for this article.
June 18, 2018: Oral and Maxillofacial Surgery
Arpan Tahim, Sarah Ali, Leo Cheng
INTRODUCTION: The aim of surgical management of benign facial skin lumps is to remove the lesion in its entirety, with minimal damage to adjacent tissue structures, while maintaining facial aesthetics. A method to achieve these goals is to remove peri-oral lesions in the labial and buccal zones via an intra-oral approach. We report an extended cases series of facial skin lumps that were excised using an intra-oral approach. METHODS: A retrospective analysis was performed on all patients who underwent excisions of benign cutaneous lesions on the face via an intra-oral approach...
June 16, 2018: Oral and Maxillofacial Surgery
Margherita Dessy, Federica Giovanditto, Marco Cucurullo, Ambra Dionisio, Carlotta Liberale, Giacomo Colletti
No abstract text is available yet for this article.
June 14, 2018: Oral and Maxillofacial Surgery
Anne Kelly de Oliveira Nicolau Mantovani, Ivete Aparecida de Mattias Sartori, Luciana Reis Azevedo-Alanis, Rodrigo Tiossi, Flávia Noemy Gasparini Kiatake Fontão
PURPOSE: This retrospective chart review study assessed patient records to determine implant insertion torque (IT) and implant stability quotient (ISQ) values during implant placement to evaluate the correlation with cortical bone anchorage (mono- or bicortical). METHODS: Primary stability data (IT during implant placement surgery and ISQ values immediately after implant placement) and cone beam computed tomography of 33 patients (165 implants) were assessed. Patients were divided into the following groups: G1, implants with apical cortical bone contact; G2, implants with bicortical bone contact (apical and cervical regions); and G3, implants with cervical cortical bone contact...
June 6, 2018: Oral and Maxillofacial Surgery
Ioannis Tilaveridis, Maria Lazaridou, Lambros Zouloumis, Ioannis Dimitrakopoulos, Vasilis Tilaveridis, Sofia Tilaveridou
OBJECTIVE: The primary aim of our study was to evaluate the efficacy of mineralized bone allograft alone in sinus floor augmentation with simultaneous implant placement in cases with severe atrophy of the residual maxillary bone (bone height < 4 mm). METHODS: Thirty-five dental implants were placed in 29 patients who underwent sinus augmentation via traditional lateral window technique from 2008 to 2013. Patients with residual alveolar height between 1 and 3 mm at the site of implantation were included in the study...
June 1, 2018: Oral and Maxillofacial Surgery
Saikrishna Degala, Asad Nehal
BACKGROUND: The aim of this study was to assess the better postoperative analgesic, tramadol, and ketorolac, in patients with maxillofacial trauma and who had undergone maxillofacial surgery, i.e., open reduction internal fixation, under general anesthesia. MATERIALS AND METHODS: After taking ethical approval from the institution and informed consent, 46 ASA grade I-II patients were block randomized (ABAB) based on inclusion and exclusion criteria and equally divided into two groups in which one group of patients was given intravenous tramadol 100 mg and another group of patients was given intravenous ketorolac 30 mg at the time of closure of skin and was repeated after 8 and 16 h following surgery...
May 29, 2018: Oral and Maxillofacial Surgery
Guilherme Klein Parise, Maria Isabela Guebur, Gyl Henrique Albrecht Ramos, Anne Karoline Groth, Alfredo Benjamin Duarte da Silva, Laurindo Moacir Sassi
The mandibular defects caused by mandibulectomies can involve esthetic and functional sequelae in patients. The fibula presents positive aspects and can be used as an option for mandibular reconstruction after tumor resections or extensive traumas. Furthermore, this retrospective study of the patients who have passed through a mandibular reconstruction with a microvascular fibular flap over the last 17 years describes the experience of the Oral and Maxillofacial SurgeryService at the ErastoGaertner Hospital, Curitiba/PR...
May 25, 2018: Oral and Maxillofacial Surgery
Suhani Ghai, Yogesh Sharma, Neha Jain, Mrinal Satpathy, Ajay Kumar Pillai
Three-dimensional (3-D) printing is a method of manufacturing in which materials like plastic or metal are deposited onto one another in layers to produce a 3-D object. Because of the complex anatomy of craniomaxillofacial structures, full recovery of craniomaxillofacial tissues from trauma, surgeries, or congenital malformations is extremely challenging. 3-D printing of scaffolds, tissue analogs, and organs has been proposed as an exciting alternative to address some of these key challenges in craniomaxillofacial surgery...
May 25, 2018: Oral and Maxillofacial Surgery
Lukas B Seifert, Sebastian H Hoefer, Swantje Flammiger, Miriam Rüsseler, Florian Thieringer, Michael Ehrenfeld, Robert Sader
PURPOSE: To investigate the current status of undergraduate training in oral and maxillofacial (OMF) surgery in Germany using a nationwide survey and hence contribute to an educational improvement in the field. METHODS: A 39-item questionnaire was sent to all university clinics with an OMF surgery chair in Germany (n = 34). RESULTS: Ninety-two percent of OMF clinics are involved in the curricular training in medicine and 100% in dentistry...
May 24, 2018: Oral and Maxillofacial Surgery
Pavan Kumar Pachipulusu, Manjula S
AIM: Aim of the study is to compare the primary and secondary healing after surgical removal of impacted mandibular third molars, in terms of swelling, severity of pain, trismus, and periodontal healing between two types of closure. MATERIALS AND METHODS: A total of 60 patients, divided into two groups randomly: group A, with 30 patients in which primary closure was done; group B, with 30 patients in which secondary closure was done. A comparison between two groups was done in terms of postoperative pain, swelling, trismus at first, third, and seventh postoperative days, and periodontal healing near adjacent second molar after 6 months...
May 23, 2018: Oral and Maxillofacial Surgery
Srimathy S Arora, Tanvi Phull, Ish Kumar, Arun Kumar, Nilesh Kumar, Hem Singh
INTRODUCTION: The aim of this clinical study was to evaluate and compare the relative efficacy of two different dosages of dexamethasone, i.e., 4 and 8 mg injected submucosally to reduce postoperative discomfort after mandibular third molar surgery. METHODOLOGY: A prospective randomized study was conducted on 45 patients requiring surgical removal of an impacted third molar. Selected patients were divided randomly into three groups of 15 patients each: group I patients received one regimen single dose of 4 mg dexamethasone submucosally, group II received one regimen single dose of 8 mg dexamethasone submucosally, and group III (control group), no dexamethasone was given but only received injection of normal saline submucosally after establishing local anesthesia...
May 12, 2018: Oral and Maxillofacial Surgery
Divya Kumar, G Sivaram, B Shivakumar, Tss Kumar
BACKGROUND: Dental implant-supported restorations have long been used as a successful modality for replacing missing teeth. There are two well-established methods of implant placement. The traditional approach to implant surgery involves raising a mucoperiosteal flap and the alternative approach does not involve reflecting a flap, each having its own advantages and disadvantages. The purpose of the present study was to compare and evaluate the soft and hard tissue changes around endosseous implants placed using flap and flapless surgery in mandibular posterior edentulous sites over a period of time...
May 5, 2018: Oral and Maxillofacial Surgery
Gabriel Silva Andrade, Abrahão Cavalcante Gomes de Souza Carvalho, Tibério Gomes Magalhães, Edson Luiz Cetira Filho, Roberta Barroso Cavalcante, Renato Luiz Maia Nogueira
Hyperparathyroidism (HPT) is an endocrine metabolic disorder characterized by increased secretion of parathyroid hormone. Untreated secondary HPT leads to renal osteodystrophy (ROD). Facial skeletal abnormalities in patients with ROD are rare. The purpose of this paper is to report a conservative surgical approach of exuberant osteitis fibrosa lesions in patient with chronic kidney disease. A 24-year-old female was referred to maxillofacial surgery department with giants ROD affecting palate, maxilla, and mandible, resulting in esthetic and functional impairment...
May 4, 2018: Oral and Maxillofacial Surgery
Roy Abou Fadel, Rawad Samarani, Carole Chakar
PURPOSE: The aim of the present study was to evaluate histologically and histomorphometrically the bone regeneration in critical size calvarial defects in rats grafted with either a deproteinized bovine bone mineral (DBBM) alone or in combination with a single or double layer of native bilayer collagen membrane (NBCM). The secondary objective was to evaluate histologically and histomorphometrically the residual DBBM in these defects. MATERIAL AND METHODS: Thirty-two Wistar rats were divided into two groups: a control group of 16 rats with two critical size calvarial defects (CSD) of 5 mm performed each on either side of the median sagittal suture, where the frontal defect remained without any filling (negative control), while the occipital defect (positive control) was filled with DBBM; and then a test group of 16 rats, with two CSD filled with DBBM and covered by either a single (SM) or a double layer (DM) of NBCM...
June 2018: Oral and Maxillofacial Surgery
Zoltán Fábián, György Szabó, Cecilia Petrovan, Karin Ursula Horváth, Botond Babicsák, Kálmán Hüttl, Zsolt Németh, Sándor Bogdán
Intraosseous vascular malformations (VascM) of the facial skeleton are rare entities, raising difficulties even today in their treatment. We present a case for zygomatic intraosseous venous malformation of traumatic etiology with growth dynamics presentation and a multidisciplinary treatment approach, with intravascular embolization surgical ablation and primary reconstructruction using a titanium patient-specific implant (PSI), and a review of the literature for intraosseous vascular lesions of the facial skeleton focusing on the diagnostic syntagms used by the involved medical personnel, to shed light on the confusions over these terms...
June 2018: Oral and Maxillofacial Surgery
Magno Liberato Silva, Andréia Ferreira Ribeiro, Fábio Ricardo Loureiro Sato, Roger William Fernandes Moreira
PURPOSE: The systemic inflammatory response syndrome (SIRS) is the body's response to an insult, such as infection, trauma, burn, and surgical stress linked to several factors deemed potential for multiple organ failure if left untreated. Thus, the aim of this paper was a prospective study to examine the incidence of SIRS in postoperative patients who underwent orthognathic surgery from June/2013 to July/2016. METHODS: The sample consisted of 80 patients who underwent bimaxillary orthognathic surgery, with data on vital signs and white blood cell count collected preoperatively, and the same data collected in the immediate postoperative period, in addition to CO2 pressure in arterial blood by blood gas analysis...
June 2018: Oral and Maxillofacial Surgery
Amanda Lury Yamashita, Lilian Cristina Vessoni Iwaki, Gustavo Nascimento de Souza Pinto, Bárbara Aline Gerke, Mariliani Chicarelli, Liogi Iwaki Filho
PURPOSE: The aim of this retrospective study was to evaluate the accuracy of two-dimensional (2D) virtual surgical planning (VSP) of pharyngeal airway space (PAS) in patients submitted to bimaxillary orthognathic surgery. METHODS: This study was conducted with lateral cephalograms acquired through cone-beam computed tomography records of 33 patients, divided into group 1-patients submitted to maxillary advancement and mandibular setback (n = 17) and group 2-patients submitted to maxillomandibular advancement (n = 16)...
June 2018: Oral and Maxillofacial Surgery
Christoph Klingelhöffer, Andreas Gründlinger, Gerrit Spanier, Stephan Schreml, Maximilian Gottsauner, Steffen Mueller, Johannes K Meier, Torsten E Reichert, Tobias Ettl
OBJECTIVES: The purpose of this study was to evaluate the necessity of elective bilateral neck dissection for treating strict unilateral squamous cell carcinoma (SCC) of the tongue. METHODS: A cohort of 169 patients with unilateral non-midline crossing SCCs of the tongue treated by local resection and neck dissection was investigated. Study endpoints were nodal relapse and overall survival. The mean follow-up was 7.4 years. RESULTS: A total of 146 (88...
June 2018: Oral and Maxillofacial Surgery
Carllini Barroso Vicentini, Juliana Cama Ramacciato, Francisco Carlos Groppo, Rubens Gonçalves Teixeira, Rogério Heládio Lopes Motta
PURPOSE: The aim of the present study was to compare two therapeutic protocols of dexamethasone for the prevention of postoperative swelling, pain, and other complications after the extraction of impacted third molars, in a prospective, randomized, crossover, double-blinded clinical trial. METHODS: Fifty patients with symmetrical impaction of third molars were randomly assigned to two different protocols of dexamethasone for each side. Patients underwent two sessions performed at a 21-day interval...
June 2018: Oral and Maxillofacial Surgery
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