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Medication‐related osteonecrosis of the jaw: Shortfalls in UK‐based guidance for management of established cases 药物相关性颌骨坏死:英国已确诊病例管理指南的不足之处
Q3 Dentistry Pub Date : 2024-04-09 DOI: 10.1111/ors.12888
Heather Dawar
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引用次数: 0
Exacerbation of pleomorphic adenoma in the upper lip after a traumatic event: An uncommon presentation 外伤后上唇多形性腺瘤恶化:一种不常见的表现
Q3 Dentistry Pub Date : 2024-04-08 DOI: 10.1111/ors.12893
L. Santana, Thairo Fillipe Macêdo Dantas de Araújo, Arthur Gama Freire, Estela Moura Lima, Lara Góis Floresta, Yuri Lins Lobo, L. Borges, C. L. Trento, Gláuquer Sávio Alves da Silva
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引用次数: 0
How do we review coronectomies? A national survey 我们如何审查冠状切除术?全国调查
Q3 Dentistry Pub Date : 2024-03-20 DOI: 10.1111/ors.12885
Thomas Turner, Matthew Cousins, C. Wemyss, Christine Goodall
Coronectomy of a mandibular third molar is a surgical procedure which aims to protect the inferior alveolar nerve (IAN) by removing the crown of the tooth, whilst leaving the roots in‐situ. There is an anecdotal variation in practice regarding the post‐operative clinical and radiographic review of patients who have undergone this procedure, which may be attributable to a lack of high‐quality evidence or guidance. The aim of this study was to establish current practice within the United Kingdom (UK) for a post‐operative review following a coronectomy.An online survey was distributed to 50 Oral Surgery speciality registrars working within Oral Surgery and Oral and Maxillofacial departments across the UK during June 2022. Two reminder emails were sent, and participants were asked to respond on behalf of their departments.Twenty responses were received from trainees, on behalf of 20 separate departments. Fifty percent (n = 10) of the responding departments discharged patients without intra‐operative complications immediately following the procedure. The remaining 50% of departments discharged patients at points ranging from 2 weeks to 12 months. Departments who review patients who have undergone a coronectomy without intra‐operative complications do so between 1 and 3 times, with the most common time for the first review being at 1‐month post‐procedure (n = 3). When reviewing these patients, 54.5% (n = 6) of departments utilise face‐to‐face only reviews, whereas 36.4% (n = 4) of departments utilise a combination of face‐to‐face and remote reviews. Sixty‐five percent (n = 13) of departments do not routinely take postoperative imaging for these patients. Many departments also reported variation in practice within their departments, regarding discharge timing, clinical review and radiographic review.This survey has suggested that there is variation in practice within the secondary and tertiary care Oral Surgery and Oral and Maxillofacial Surgery centres within the United Kingdom in relation to the post‐operative clinical and radiographic coronectomy review. Consideration should be given to further high‐quality research into these areas, including the merits of patient‐initiated reviews and the development of guidelines for post‐operative management of coronectomy patients.
下颌第三磨牙牙冠切除术是一种外科手术,旨在通过切除牙冠保护下牙槽神经(IAN),同时将牙根留在原位。由于缺乏高质量的证据或指导,对接受这种手术的患者进行术后临床和放射学检查的做法存在轶事差异。本研究旨在确定英国目前冠状动脉切除术后复查的做法。2022 年 6 月,我们向英国各地口腔外科和口腔颌面部的 50 名口腔外科专业注册医师发放了一份在线调查问卷。我们发送了两封提醒邮件,并要求参与者代表其所在科室进行回复。在回复的科室中,50%(n = 10)的科室在手术后立即让没有术中并发症的患者出院。其余50%的科室则在2周至12个月内让患者出院。对接受冠状动脉切除术但未出现术中并发症的患者进行复查的科室会进行 1 到 3 次复查,其中最常见的首次复查时间是术后 1 个月(n = 3)。在对这些患者进行复查时,54.5%(n = 6)的科室仅采用面对面复查的方式,而 36.4%(n = 4)的科室采用面对面和远程复查相结合的方式。65%的科室(n = 13)不对这些患者进行术后常规影像检查。这项调查表明,英国的二级和三级口腔外科和口腔颌面外科中心在冠状切除术术后临床和放射复查方面的做法存在差异。应考虑在这些领域开展进一步的高质量研究,包括患者主动复查的优点以及冠状切除术患者术后管理指南的制定。
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引用次数: 0
Histological analysis of bone grafts fixed with ethyl‐cyanoacrylate and fixed with titanium screw: An experimental study on rats 用氰基丙烯酸乙酯固定和用钛螺钉固定的骨移植组织学分析:大鼠实验研究
Q3 Dentistry Pub Date : 2024-03-14 DOI: 10.1111/ors.12884
Paula Carolina de Souza Chandretti, Rodrigo Falci Santos, Isabelle Cristina Garcia Júlio, Ana Gabriela Carvalho Rocha, Yuri de Lima Medeiros, Ângela Maria Gollner, N. Assis
The aim of this study was to evaluate, through qualitative and semi‐quantitative histological analysis, onlay autologous bone grafts fixed with ethyl‐cyanoacrylate adhesive and titanium screw, in order to verify whether the method of applying the adhesive would interfere with the graft incorporation.Fourteen rats underwent bone graft surgery: seven grafts were fixed with ethyl‐cyanoacrylate (SB group, n = 7) and seven grafts were fixed with titanium screws (TS group, n = 7). After 30 days, the grafts were histologically analysed for vitality, adhesive presence, tissue reaction with formation of osteoid matrix, bone resorption presence, capillaries formation, inflammatory infiltrate, fibroblastic proliferation, presence of osteoblasts, osteocytes and osteoclasts. The data were submitted to non‐parametric tests, Mann–Whitney, Fisher's Test, Wilcoxon and McNemar and to statistical analysis (p < 0.05).No significant differences were found in the qualitative evaluations. While findings of more osteocytes (p = 0.035) in the TS group in greater inflammation (p = 0.030) and more osteoclasts (p = 0.048) in the SB. Despite the fact that the titanium screw has presented bone neoformation with welding points, there was no complete incorporation and the adhesive affected the bone repair in a way that not even neoformation points could be seen in 30 days.The method of applying the adhesive did not show an advantage according to the histological aspects studied, as there was the formation of a dead space at the interface of the SB group and the adhesive acted as a barrier.
本研究的目的是通过定性和半定量组织学分析,评估用氰基丙烯酸乙酯粘合剂和钛螺钉固定的嵌体自体骨移植物,以验证粘合剂的应用方法是否会影响移植物的结合。14 只大鼠接受了骨移植物手术:7 个移植物用氰基丙烯酸乙酯固定(SB 组,n = 7),7 个移植物用钛螺钉固定(TS 组,n = 7)。30 天后,对移植物进行组织学分析,以确定移植物的活力、是否存在粘合剂、组织反应与类骨基质的形成、是否存在骨吸收、毛细血管的形成、炎症浸润、成纤维细胞增殖、是否存在成骨细胞、骨细胞和破骨细胞。对这些数据进行了非参数检验、曼-惠特尼检验、费雪检验、Wilcoxon 检验和 McNemar 检验,并进行了统计分析(P < 0.05)。在定性评估中未发现明显差异,而在定量评估中发现 TS 组有更多的骨细胞(p = 0.035),SB 组有更多的炎症(p = 0.030)和更多的破骨细胞(p = 0.048)。尽管钛螺钉出现了带焊接点的骨质新生,但并没有完全融入,粘合剂影响了骨质修复,30 天后甚至看不到新生点。根据组织学方面的研究,粘合剂的应用方法并没有显示出优势,因为在 SB 组的界面上形成了死腔,粘合剂起到了屏障的作用。
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引用次数: 0
Role of intraoperative tumour spillage in prognostic outcome of pleomorphic adenoma: A systematic review 术中肿瘤溢出对多形性腺瘤预后的影响:系统综述
Q3 Dentistry Pub Date : 2024-02-26 DOI: 10.1111/ors.12883
Mansi Agrawal, Vini Mehta, Namrata Sengupta, S. Sarode, Shruti Singh, Rahul Anand, Gargi Sarode
Pleomorphic adenoma (PA) is the most common neoplasm of salivary gland origin. The exact cause of PA recurrence is ambiguous. Incomplete surgical excision and violation or accidental rupture of tumour capsule are the widely accepted causes.To study intraoperative tumour spillage‐associated recurrence and prognosis in cases of PA of the parotid gland.A systematic literature search was performed to include case series and observational studies discussing about intraoperative tumour spillage and recurrence in PA of the parotid gland. Quality assessment for the included studies cases was performed based on Joanna Briggs Institute checklist.A total of 27 studies were included in this review. The majority of the studies reported about cases of intraoperative tumour spillage in PA of the parotid gland. Overall, 12 studies specifically mentioned about the relation of tumour spillage with tumour recurrence. A total of 3 studies observed the association between the mode of treatment and tumour spillage and recurrence.Intraoperative tumour spillage is a major factor responsible for PA recurrence. A comprehensive knowledge of the recurrence risk factors is of utmost importance. The results of this systematic review aim to make clinicians and surgeons aware that the capsular status of PA is a principal aspect to be taken care of.
多形性腺瘤(PA)是最常见的唾液腺肿瘤。PA复发的确切原因尚不明确。为了研究腮腺多形性腺瘤术中肿瘤溢出相关的复发和预后,我们进行了系统性文献检索,纳入了讨论腮腺多形性腺瘤术中肿瘤溢出和复发的系列病例和观察性研究。本综述共纳入 27 项研究。大多数研究报告了腮腺PA术中肿瘤溢出的病例。共有 12 项研究特别提到了肿瘤溢出与肿瘤复发的关系。共有 3 项研究观察到治疗方式与肿瘤溢出和复发之间的关系。全面了解复发风险因素至关重要。本系统综述的结果旨在让临床医生和外科医生意识到,PA的囊膜状态是需要注意的一个主要方面。
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引用次数: 0
Exacerbation of oral pemphigus vulgaris after COVID‐19 vaccine: Coincidence or potential adverse effect? 接种COVID-19疫苗后口腔丘疹性荨麻疹加重:巧合还是潜在的不良反应?
Q3 Dentistry Pub Date : 2024-02-05 DOI: 10.1111/ors.12882
Lucas Alves da Mota Santana, L. Borges, Marina dos Santos Barreto, R. S. Santos, D. M. R. R. Silva, E. E. D. Silva, B. Barbosa, Lara Góis Floresta, Lucas Morais Rodrigues Melo, C. E. Repeke, Maria Amália Gonzaga Ribeiro, C. L. Trento
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引用次数: 0
Exacerbation of oral pemphigus vulgaris after COVID‐19 vaccine: Coincidence or potential adverse effect? 接种COVID-19疫苗后口腔丘疹性荨麻疹加重:巧合还是潜在的不良反应?
Q3 Dentistry Pub Date : 2024-02-05 DOI: 10.1111/ors.12882
Lucas Alves da Mota Santana, L. Borges, Marina dos Santos Barreto, R. S. Santos, D. M. R. R. Silva, E. E. D. Silva, B. Barbosa, Lara Góis Floresta, Lucas Morais Rodrigues Melo, C. E. Repeke, Maria Amália Gonzaga Ribeiro, C. L. Trento
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引用次数: 0
Oral surgery in Australasia 大洋洲的口腔外科
Q3 Dentistry Pub Date : 2024-01-31 DOI: 10.1111/ors.12881
P. Taneja
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引用次数: 0
Is patient‐reported symptom onset associated with odontogenic infection severity? 患者报告的症状发作与牙源性感染严重程度有关吗?
Q3 Dentistry Pub Date : 2024-01-31 DOI: 10.1111/ors.12880
T. Neal, T. Schlieve
The purpose of this study was to determine if there is a relation between odontogenic infection severity score (OISS) and the time interval from patient‐reported symptom onset to emergency department (ED) presentation. The working hypothesis was that higher OISSs would be found in patients who developed symptoms and delayed ED presentation compared with patients who presented earlier.The study population was composed of consecutive patients who were admitted to the University of Texas Southwestern Medical Center and surgically treated in the operating room for severe odontogenic infections from January 2016 to December 2020. Odontogenic infection severity was measured using a numerical severity index. Three cohort groups were predefined to evaluate the relation between patient‐reported symptom onset in days and OISS.There were 115 patients who met the inclusion and exclusion criteria. There was no significant difference in the OISSs between the three cohorts. In patients who received antibiotics prior to ED presentation, there was no difference in OISS. Male sex and diabetes diagnosis were related to higher OISSs.Patient‐reported symptom onset is unrelated to OISS in patients treated surgically for severe odontogenic infections. Other patient‐specific factors such as diabetes diagnosis are related to higher OISSs.
本研究的目的是确定牙源性感染严重程度评分(OISS)与患者报告症状出现到急诊科(ED)就诊的时间间隔之间是否存在关系。研究对象为 2016 年 1 月至 2020 年 12 月期间因严重牙源性感染入住德克萨斯大学西南医学中心并在手术室接受手术治疗的连续患者。牙源性感染严重程度采用数字严重程度指数进行测量。为评估患者报告的症状发作天数与OISS之间的关系,预先设定了三个队列组。三组患者的 OISSs 无明显差异。在急诊室就诊前接受抗生素治疗的患者中,OISS没有差异。在接受手术治疗的严重牙源性感染患者中,患者报告的症状发作与OISS无关。其他患者特异性因素(如糖尿病诊断)与较高的OISSs有关。
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引用次数: 0
Initial observations into the viability of remote preoperative assessment in secondary and tertiary oral surgery services 对二级和三级口腔外科远程术前评估可行性的初步观察
Q3 Dentistry Pub Date : 2024-01-28 DOI: 10.1111/ors.12879
Antonio Gagliardi‐Lugo, Monica Thomas, Rosario Mela, Adel Elrasheed
The SARS‐CoV‐2 pandemic triggered an increased need in a method of delivering healthcare that simultaneously do not put patients at an increased risk of transmission. A remote consultation service (Telemed) for patients referred for dentoalveolar procedures was trialled.To investigate the outcome of the Telemeds and if treatment booked as a result of the Telemeds was successful, and could be made common practice.Data was collected from Telemeds between 04 August 2020 and 30 November 2020. Data collected included whether treatment was booked as a result of the Telemed, if the treatment was successfully completed at the resulting appointment (one‐stop treatment), if an additional face‐to‐face (F2F) consultation was required and any related reasons as to why this was the case.After 499 Telemeds, 46.3% (N = 231) of patients required a F2F appointment being booked, 43.0% (N = 215) resulted in treatment being booked, 6.6% (N = 33) were discharged and 4% (N = 20) of patients did not answer when contact was attempted. Of the 215 patients who had a Telemed that led to booking of treatment, 110 had attended their follow up appointment and 95.4% (N = 105) successfully had their treatment carried out in one visit.Remote consultations are a feasible, successful and useful tool in assessing and booking dentoalveolar cases suitable for one‐stop treatment under local anaesthesia, as long as there is a specific and organized triage process, regardless of the number of teeth to be extracted or the patient's medical history. Patients requiring general anaesthesia, sedation or further radiographic imaging did not benefit from Telemeds as they needed to attend F2F anyway for pre‐operative assessment or to have their further imaging taken in the department.
由于 SARS-CoV-2 的流行,人们更加需要一种既能提供医疗服务又不会增加患者感染风险的方法。为了调查远程医疗的结果,以及远程医疗后预约的治疗是否成功,并使之成为普遍做法,我们对 2020 年 8 月 4 日至 2020 年 11 月 30 日期间的远程医疗进行了数据收集。收集的数据包括远程医疗后是否预约了治疗,预约后是否成功完成了治疗(一站式治疗),是否需要额外的面对面(F2F)咨询,以及出现这种情况的相关原因。499 次远程医疗后,46.3%(N = 231)的患者需要预约 F2F,43.0%(N = 215)的患者预约了治疗,6.6%(N = 33)的患者出院,4%(N = 20)的患者在尝试联系时没有应答。远程会诊是一种可行、成功且有用的工具,只要有一个特定的、有组织的分诊过程,无论要拔除的牙齿数量或患者的病史如何,远程会诊都能评估和预约适合在局部麻醉下进行一站式治疗的牙槽骨病例。需要全身麻醉、镇静或进一步放射成像的患者无法从远程医疗中获益,因为他们无论如何都需要到口腔科进行术前评估或进一步成像。
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引用次数: 0
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Oral Surgery
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