Journal of Oral and Maxillofacial Surgery最新文献

{"title":"RE: Does Pterygoid Hamulotomy During Palatoplasty Affect Hearing Outcomes in Nonsyndromic Cleft Palate Patients?","authors":"Austin Gaal DDS, MPH","doi":"10.1016/j.joms.2025.09.005","DOIUrl":"10.1016/j.joms.2025.09.005","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Page 1451"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623288","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}

{"title":"Bridging Innovation: Why Critical Size Defect Models Must Evolve","authors":"Pascal Eber MD , Yannick M. Sillmann DDS , Fernando P.S. Guastaldi DDS, MSc, PhD","doi":"10.1016/j.joms.2025.06.233","DOIUrl":"10.1016/j.joms.2025.06.233","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1446-1450"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623287","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}

{"title":"Can Patient-Specific Titanium Meshes Achieve Predictable Bone Volume in Extensive Alveolar Defects?","authors":"Matthias Tröltzsch MD, DMD ,&nbsp;Johanna Caca DMD ,&nbsp;Sven Otto MD, DMD ,&nbsp;Markus Tröltzsch MD, DMD","doi":"10.1016/j.joms.2025.07.006","DOIUrl":"10.1016/j.joms.2025.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Reconstructing alveolar defects with titanium meshes is challenging and prone to complications. The introduction of patient-specific titanium meshes was expected to overcome these drawbacks.</div></div><div><h3>Purpose</h3><div>The aim of this study was to evaluate the association between planned and achieved augmentation volumes using patient-specific titanium meshes (Yxoss Customized Bone Regeneration ; ReOss, Filderstadt, Germany) and to identify factors associated with the clinically achieved augmentation volumes.</div></div><div><h3>Study Design, Setting, and Sample</h3><div>A single-center, retrospective cohort study was performed in an outpatient clinic. Inclusion criteria were patients aged &gt;18 who underwent jaw augmentation with custom titanium meshes and a complete follow-up (postoperative healing, implant placement, and loading) between 2018 and 2023. Exclusion criteria were objection or inability to submit informed consent, loss to follow-up, and incomplete documentation.</div></div><div><h3>Predictor variable</h3><div>The predictor was the planned augmentation volume (in mm³).</div></div><div><h3>Outcome variable</h3><div>The primary outcome variable was the achieved augmentation volume (in mm³) about 3 months after mesh placement, determined by cone beam computed tomography analysis using Slicer 3D software (Brigham and Women's Hospital, Boston, MA).</div></div><div><h3>Covariates</h3><div>The covariates were sex, wound healing disturbances, rigidity of mesh fixation (number of screws), and mesh exposure.</div></div><div><h3>Analyses</h3><div>Descriptive and inferential statistics were computed (<em>P</em> &lt; .05).</div></div><div><h3>Results</h3><div>During the study interval, 82 patients were treated, and 53 (64%) were excluded due to incomplete radiological data or loss to follow-up. The sample was composed of 29 subjects with a mean age of 61.8 years (±12.75), in whom 33 augmentation procedures were performed. Eight (27.8%) subjects were male. The mean planned and achieved augmentation volumes were 1488.73 mm³ (±949.03 mm³) and 763.23 mm³ (±510.2 mm³), respectively (<em>P</em> &lt; .001; Pearson correlation coefficient 0.73). A more rigid mesh fixation significantly increased the achieved bone volume (β = 0.34; <em>P</em> = .006). Wound healing disturbances occurred frequently (42%) but did not reduce the achieved bone volume. During the median follow-up period of 23 months (interquartile range: 14-31), none of the 60 implants placed in the augmented bone failed.</div></div><div><h3>Conclusion and relevance</h3><div>Despite a significant complication rate, adequate bone volume for implant placement can be attained with custom titanium meshes.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1526-1539"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821638","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}

{"title":"Can Occlusal Splint or Botulinum Toxin A Therapy Reduce Masseter Muscle Thickness in Patients With Bruxism?","authors":"Emel Taşdemir DDS ,&nbsp;Şükriye Ece Doğan DDS ,&nbsp;Elif Aslı Gülşen DDS ,&nbsp;Çiğdem Şeker DDS","doi":"10.1016/j.joms.2025.08.009","DOIUrl":"10.1016/j.joms.2025.08.009","url":null,"abstract":"<div><h3>Background</h3><div>Bruxism can cause masseter hypertrophy, discomfort, and facial asymmetry. Occlusal splints are widely used to manage pain and improve mandibular function, while botulinum toxin A (BTX-A) has gained interest for directly reducing masseter muscle thickness. However, the comparative effectiveness of these treatments remains unclear.</div></div><div><h3>Purpose</h3><div>The study purpose was to measure and compare masseter muscle thickness among patients treated with occlusal splints, BTX-A, or combination, using ultrasonography.</div></div><div><h3>Study design, setting, sample</h3><div>This randomized, nonblind clinical trial was conducted at the Department of Prosthodontics, Zonguldak Bulent Ecevit University, between April to July 2023. Subjects presenting bruxism and masseter muscle hypertrophy were enrolled. Inclusion criteria included tooth wear, clenching or grinding, masticatory pain, morning stiffness in the temporomandibular joint, and masseter hypertrophy. Exclusion criteria included active caries, acute dental pain, history of temporomandibular joint surgery, systemic or psychiatric disorders, and psychoactive medication use.</div></div><div><h3>Independent variable</h3><div>Independent variable was treatment group; no treatment (C), occlusal splint (O), BTX-A (B), or combination splint and BTX-A (OB).</div></div><div><h3>Main outcome variable(s)</h3><div>Primary outcome was masseter thickness, measured using ultrasonography at baseline (T0), 1 (T1), 3 (T2) and 6 months (T3). Secondary outcomes included maximum incisal opening and pain intensity.</div></div><div><h3>Covariates</h3><div>Covariates were age and sex.</div></div><div><h3>Analyses</h3><div>Analyses conducted using SPSSv28.0 (<em>P</em> &lt; .05). Two-way and repeated-measures analysis of variance were used for continuous variables; χ² test for categorical data. Post-hoc tests applied where appropriate.</div></div><div><h3>Results</h3><div>A total of 48 subjects (40 females [83%], mean age 30.3 ± 7.5 years) were included. At rest, masseter thickness significantly decreased at 1 month in B and OB groups (<em>P</em> &lt; .001). This difference persisted at 3 months, with the control group showing the highest values. During contraction, significant reductions were observed at 1 month in Group O, B, and OB, while Group C remained stable. However, by 6 months, all group values had become similar in both positions, reflecting a decline in effects of treatment.</div></div><div><h3>Conclusions and relevance</h3><div>BTX-A was more effective than splints in early masseter thickness reduction. Combination therapy offered no additional benefit. BTX-A may be minimally invasive, short-term option for managing bruxism-related hypertrophy, reducing pain and supporting individualized, cost-effective care strategies.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1453-1460"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040368","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}

{"title":"Can Chatbots Provide Accurate and Readable Information for Patients With Temporomandibular Disorders?","authors":"Luís Eduardo Charles Pagotto DDS, MSc, PhD ,&nbsp;Dennys Ramon de Melo Fernandes Almeida DDS, MSc, PhD ,&nbsp;Thiago de Santana Santos DDS, MSc, PhD ,&nbsp;Everton Freitas de Morais DDS, MSc, PhD","doi":"10.1016/j.joms.2025.08.012","DOIUrl":"10.1016/j.joms.2025.08.012","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Temporomandibular disorders (TMDs) are common musculoskeletal and neuromuscular conditions that impair jaw function and quality of life. Patients often lack access to reliable health information. Large language models (LLMs) have introduced chatbots as potential educational tools, yet concerns remain regarding accuracy, readability, empathy, and citation integrity.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;This study evaluated whether LLM-based chatbots can provide clinically accurate, empathic, and readable responses to patient-friendly questions about TMDs and whether their cited references are authentic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design, Setting, Sample&lt;/h3&gt;&lt;div&gt;This cross-sectional in silico study was conducted in March 2025. Twenty-three standardized TMD-related questions were used as prompts for each chatbot.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor/Exposure/Independent Variable&lt;/h3&gt;&lt;div&gt;The predictor variable was the chatbot platform, reflecting distinct LLM architectures: GPT-4 (transformer-based autoregressive model, OpenAI), Gemini Pro (multimodal transformer, Google), and DeepSeek-V3 (mixture-of-experts transformer, DeepSeek).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Variables&lt;/h3&gt;&lt;div&gt;Accuracy was defined as the proportion of responses judged clinically correct by two board-certified oral medicine specialists. Empathy was assessed by expert scoring of tone. Readability was determined with Flesch–Kincaid Reading Ease and Grade Level. Citation reliability was assessed by verifying whether references were authentic and retrievable in PubMed or other authoritative databases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;No formal covariates were included; exploratory correlations between variables were performed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;Descriptive statistics, 1-way analysis of variance with Tukey's post hoc tests, Pearson correlation, and χ&lt;sup&gt;2&lt;/sup&gt; tests were performed. Statistical significance was set at &lt;em&gt;P&lt;/em&gt; &lt; .05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;No statistically significant differences were observed in accuracy (&lt;em&gt;P&lt;/em&gt; = .2) or empathy (&lt;em&gt;P&lt;/em&gt; = .2). The mixture-of-experts transformer provided the most readable content (Flesch–Kincaid Reading Ease = 28.47; Flesch–Kincaid Grade Level = 12.19; &lt;em&gt;P&lt;/em&gt; &lt; .001). The transformer-based autoregressive model produced the highest proportion of hallucinated references (47.2%), compared with the multimodal transformer (18.8%) and the mixture-of-experts transformer (10.1%) (&lt;em&gt;P&lt;/em&gt; &lt; .001). A weak positive correlation was found between accuracy and readability (r = 0.27; &lt;em&gt;P&lt;/em&gt; = .03), with no correlation between accuracy and empathy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions and Relevance&lt;/h3&gt;&lt;div&gt;While all LLM-based chatbots delivered generally accurate and empathetic responses, the mixture-of-experts transformer outperformed others in readability and citation reliability. The high rate of hallucinated references in the transformer-based autoregressi","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1461-1469"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092045","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}

{"title":"Bridging Medicine and Dentistry: The University of Alabama at Birmingham OMS Reverse-Track Residency Program—A Path Forward in a Changing Residency Recruitment World","authors":"Kirav Patel MD ,&nbsp;Timothy M. Weber Jr. MD, DMD ,&nbsp;Kathlyn K. Powell DMD, MD ,&nbsp;Brian E. Kinard DMD, MD","doi":"10.1016/j.joms.2025.06.232","DOIUrl":"10.1016/j.joms.2025.06.232","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1439-1441"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623082","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}

{"title":"What is the Role of Depth of Invasion With Site Specificity in Managing the Clinically Negative Neck for Patients With Stage I Oral Cavity Squamous Cell Carcinoma? (cT1N0)","authors":"Paul L. Shivers DMD, MD ,&nbsp;Jonathan Troost PhD ,&nbsp;Brent B. Ward DDS, MD","doi":"10.1016/j.joms.2025.09.001","DOIUrl":"10.1016/j.joms.2025.09.001","url":null,"abstract":"<div><h3>Background</h3><div>Guidelines for elective neck dissection (END) in oral cavity squamous cell carcinoma (OSCC) remain controversial with observation, sentinel lymph node biopsy or END in all subjects inconsistently proposed. The current study evaluated the performance of the (D)OI (depth of invasion) and (S)site to determine (E)lective (N)eck (D)issection (DSEND) algorithm in recommending END for cT1N0 OSCC subjects.</div></div><div><h3>Study design, setting, sample</h3><div>This is a retrospective case series of subjects treated between 2017 and 2023. All cT1N0 subjects treated with the DSEND algorithm were included. Exclusion criteria included subjects with recurrent disease, prior radiation therapy of the head and neck, or follow-up less than 1 year.</div></div><div><h3>Predictor</h3><div>The predictor variable was management of the neck—observation versus END per DSEND algorithm. Subjects who reached the site-specific threshold were treated with END. A secondary analysis compared preoperative depth and intraoperative depth to evaluate if one was more accurate compared to final pathology depth.</div></div><div><h3>Outcome variable</h3><div>The outcome variable was isolated neck recurrence (yes/no) during the follow-up period. The secondary analysis outcome variable was depth of invasion measured preoperative, intraoperative and on final pathology.</div></div><div><h3>Covariates</h3><div>The covariates were age, sex (male/female), smoking and alcohol status (yes/no), tumor size (cm), nodal status (positive/negative), anatomical subsite and final pathology depth of invasion (mm).</div></div><div><h3>Analyses</h3><div>We report descriptive statistics, accuracy of DSEND, comparison of preoperative versus intraoperative frozen section to final pathology depth of invasion using Student's t-test, setting <em>P</em> &lt; .05 as statistically significant.</div></div><div><h3>Results</h3><div>The sample was composed of 88 subjects with a mean age of 63.7 (standard deviation 13.2). Females represented 51% (45 of 88) of the subjects. DSEND protocol was used for 80 subjects. Observation of the neck was recommended in 57.5% (46 of 80) of subjects with only 1 developing isolated neck recurrence (false negative 2% (1 of 46)). In patients managed with END 6% (2 of 33) experienced isolated neck recurrence. The difference between final pathology and intraoperative depth was significantly smaller than final pathology compared to preoperative depth.</div></div><div><h3>Conclusions and Relevance</h3><div>The DSEND algorithm applied to cT1N0 OSCC allowed for nonsurgical management of the neck in 57.5% (46 of 80) of subjects with a 2% (1 of 46) false negative. Frozen section analysis was more accurate than preoperative depth of invasion from biopsy.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1560-1569"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182080","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}

{"title":"Is Tranexamic Acid Associated With a Reduced Need for Hypotensive Anesthesia During Orthognathic Surgery?","authors":"Timothy M. Weber Jr. MD, DMD ,&nbsp;Brendan Squier DMD, MD ,&nbsp;Brian E. Kinard DMD, MD","doi":"10.1016/j.joms.2025.08.013","DOIUrl":"10.1016/j.joms.2025.08.013","url":null,"abstract":"<div><h3>Background</h3><div>No prior study in orthognathic surgery has isolated the effects of tranexamic acid (TXA) from deliberate hypotensive anesthesia (HA). Due to hypoperfusion risks with HA, it is valuable to evaluate the efficacy of TXA in the absence of HA as the utility of TXA to decrease blood loss may potentially make HA an unnecessary risk.</div></div><div><h3>Purpose</h3><div>The study purpose was to assess surgical site visualization and measure blood loss among subjects exposed to TXA during bimaxillary orthognathic surgery without deliberate HA.</div></div><div><h3>Study Design, Setting, Sample</h3><div>A prospective cohort study was performed at the University of Alabama at Birmingham for subjects ages 14 to 75 who received TXA during bimaxillary orthognathic surgery. Exclusion criteria included those who underwent single jaw surgery or could not receive TXA.</div></div><div><h3>Predictor Variable</h3><div>The predictor variable was the percentage of time spent under HA; either greater or less than 10%.</div></div><div><h3>Main Outcome variables</h3><div>The main outcome variable was blood loss measured by surgical field visibility, estimated blood loss, and changes in hemoglobin and hematocrit.</div></div><div><h3>Covariates</h3><div>Covariates included age, sex, race, American Society of Anesthesiologists physical status classification score, surgery length, osteotomy type, and concomitant procedures.</div></div><div><h3>Analyses</h3><div>Bivariate analyses were used to measure the association between level of HA and blood loss. <em>P</em> value of &lt; 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The sample was composed of 115 subjects with a mean age of 26.1 ± 11.4 and 69 (60.0%) were female. There were 51 (44.3%) subjects with less than 10% of the case under HA versus 64 (55.7%) with greater than 10% HA. There was no statistically significant difference between the cohorts in terms of surgical field visibility, estimated blood loss, or changes in hemoglobin or hematocrit (<em>P</em> values &gt; 0.1).</div></div><div><h3>Conclusions and Relevance</h3><div>TXA use maintains surgical visibility and blood loss under normotensive conditions that is not inferior to HA. Usage of normotensive anesthesia may decrease costs secondary to medication usage, usage of invasive monitoring, and contributes to efficiency of surgical care. These findings may decrease reliance on HA and its inherent risk of end organ damage; a randomized controlled trial is necessary to confirm these findings.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1470-1477"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102657","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}

{"title":"December 2025 AAOMS News and Announcements","authors":"","doi":"10.1016/j.joms.2025.09.011","DOIUrl":"10.1016/j.joms.2025.09.011","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Pages 1577-1583"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623000","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}

{"title":"RE: Role of Nasolabial Flap Versus Platysma Myocutaneous Flap in Surgical Management of Oral Submucous Fibrosis: A Comparative Study","authors":"Gaurav Jain MDS (Oral and Maxillofacial Surgery),&nbsp;Shubham Gaur MDS (Oral and Maxillofacial Surgery)","doi":"10.1016/j.joms.2025.08.019","DOIUrl":"10.1016/j.joms.2025.08.019","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 12","pages":"Page 1452"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623290","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}