Renata Silveira Sagnori, Vitor José da Fonseca, Luciano Henrique Ferreira Lima, D. Goulart, L. Asprino, M. de Moraes, A. Sverzut
There are several causes related to early dental implant failure, and infection is one of the most common risk factors in the initial phase of osseointegration. The aim of this retrospective study was to evaluate early dental implant failure associated with postoperative infection and identify the factors associated with such failure.A retrospective study was conducted, and the main predictor variable was early dental implant failure. The main cause of failure was postoperative infection, including factors related to early loss due to infection, such as installation site, type of implant–abutment connection used and presence of previous bone graft. Appropriate descriptive and multivariate statistics were computed, and Chi‐square tests and logistic binary regression were used to identify the factors related to early failure.The study sample consisted of 1674 patients, who had 4886 implants installed and were selected for statistical analysis. A total of 3219 implants were inserted in women and 1667 in men. The main outcome variable was early implant failure due to infection. There were 164 early failures in the study, accounting for 3.3% of the sample. Of those failures, 35 were a consequence of postoperative infection, resulting in 21.34% of early failures. The main risk factor identified was the presence of infection (odds ratio [OR] = 53.67, with 95% confidence interval [CI]).The study's results suggest that infection may be considered a risk factor for early failure of osseointegrated implants.
{"title":"Early dental implant failure associated with postoperative infection: A retrospective 21‐year study","authors":"Renata Silveira Sagnori, Vitor José da Fonseca, Luciano Henrique Ferreira Lima, D. Goulart, L. Asprino, M. de Moraes, A. Sverzut","doi":"10.1111/ors.12875","DOIUrl":"https://doi.org/10.1111/ors.12875","url":null,"abstract":"There are several causes related to early dental implant failure, and infection is one of the most common risk factors in the initial phase of osseointegration. The aim of this retrospective study was to evaluate early dental implant failure associated with postoperative infection and identify the factors associated with such failure.A retrospective study was conducted, and the main predictor variable was early dental implant failure. The main cause of failure was postoperative infection, including factors related to early loss due to infection, such as installation site, type of implant–abutment connection used and presence of previous bone graft. Appropriate descriptive and multivariate statistics were computed, and Chi‐square tests and logistic binary regression were used to identify the factors related to early failure.The study sample consisted of 1674 patients, who had 4886 implants installed and were selected for statistical analysis. A total of 3219 implants were inserted in women and 1667 in men. The main outcome variable was early implant failure due to infection. There were 164 early failures in the study, accounting for 3.3% of the sample. Of those failures, 35 were a consequence of postoperative infection, resulting in 21.34% of early failures. The main risk factor identified was the presence of infection (odds ratio [OR] = 53.67, with 95% confidence interval [CI]).The study's results suggest that infection may be considered a risk factor for early failure of osseointegrated implants.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"15 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139603758","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}
Paris Tamiolakis, Maria Georgaki, Panagiotis Christopoulos, N. Nikitakis
Calcifying odontogenic cyst (COC) is a relatively uncommon cyst of odontogenic origin, occurring in the second decade of life, with no jaw predilection. Radiographically, it typically appears as a well‐defined unilocular radiolucency containing irregular calcifications of varying size and opacity. Treatment consists of conservative surgical excisions with low recurrence rates. The purpose of this paper is to report a rare case of late COC recurrence and review the pertinent literature. A 42‐year‐old female patient presented for evaluation of a painless swelling in the palate, which had been present for 5 years with a gradual, slow increase in dimensions. Twenty years before, a lesion at the same site was surgically excised with a diagnosis of COC. Clinical examination revealed a hard‐in‐consistency swelling in the anterior segment of the hard palate. Radiographically, a radiopaque lesion with an irregular outline was noticed in the left palate adjacent to the left maxillary canine and first premolar, along with a well‐defined radiolucent lesion between the maxillary central incisors. Both lesions were surgically excised, and histopathological examination revealed that the main lesion in the left palate was consistent with recurrent COC, while the lesion between the central incisors was compatible with a nasopalatine duct cyst. Even though the recurrence rate of COC is low, estimated at 3.4% based on our review of the relevant English‐language literature, the current case highlights the possibility of a late recurrence, even several years after the initial diagnosis and treatment, and therefore the need for long‐term follow‐up.
{"title":"Late recurrence of calcifying odontogenic cyst: Report of a rare case and review of the literature","authors":"Paris Tamiolakis, Maria Georgaki, Panagiotis Christopoulos, N. Nikitakis","doi":"10.1111/ors.12877","DOIUrl":"https://doi.org/10.1111/ors.12877","url":null,"abstract":"Calcifying odontogenic cyst (COC) is a relatively uncommon cyst of odontogenic origin, occurring in the second decade of life, with no jaw predilection. Radiographically, it typically appears as a well‐defined unilocular radiolucency containing irregular calcifications of varying size and opacity. Treatment consists of conservative surgical excisions with low recurrence rates. The purpose of this paper is to report a rare case of late COC recurrence and review the pertinent literature. A 42‐year‐old female patient presented for evaluation of a painless swelling in the palate, which had been present for 5 years with a gradual, slow increase in dimensions. Twenty years before, a lesion at the same site was surgically excised with a diagnosis of COC. Clinical examination revealed a hard‐in‐consistency swelling in the anterior segment of the hard palate. Radiographically, a radiopaque lesion with an irregular outline was noticed in the left palate adjacent to the left maxillary canine and first premolar, along with a well‐defined radiolucent lesion between the maxillary central incisors. Both lesions were surgically excised, and histopathological examination revealed that the main lesion in the left palate was consistent with recurrent COC, while the lesion between the central incisors was compatible with a nasopalatine duct cyst. Even though the recurrence rate of COC is low, estimated at 3.4% based on our review of the relevant English‐language literature, the current case highlights the possibility of a late recurrence, even several years after the initial diagnosis and treatment, and therefore the need for long‐term follow‐up.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"30 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602920","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}
{"title":"Comment on ‘ChatGPT‐4 as auxiliary tool in the temporomandibular disorders diagnostic: An opinion’","authors":"John Lennon Silva Cunha","doi":"10.1111/ors.12876","DOIUrl":"https://doi.org/10.1111/ors.12876","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"123 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613690","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}
O. Hamdy, Aya Mahmoud, Samar Attia, Nirmeen Megahed, B. Elged, Manar Mansour, S. Awny, Mohamed Ezat
Myopericytoma is defined as a rare benign myxoid tumour that is usually found in distal extremities. However, it may rarely affect the oral cavity. Few cases of oral myopericytoma were reported in the literature. A 56‐year‐old female patient presented with a mouth floor lesion. A wedge biopsy performed from the lesion revealed an atypical round cell proliferation, which may be plasmablastic lymphoma or plasmacytoma. Post‐contrast neck MRI described a well‐defined lobulated lesion at the right sublingual region measuring 14 × 21 mm. Transoral wide local excision of the ulcer was performed, and reconstruction of the defect was done using an inferiorly‐based nasolabial flap. Microscopic examination of the excised swelling revealed a tumour proliferation formed of bland‐looking spindle cells alternating with fibroblasts and intervening vascular spaces. No detected mitosis or necrosis in the examined material. IHC staining of the tumour cells was positive for Caldesmon and alpha smooth muscle actin, while Ki67 was positive in 3% of cellularity. Desmin, ALK, B‐catenin, ERG, CD31, and CD138 showed a negative reaction. This led to the diagnosis of bland spindle cell proliferation suggestive of oral myopericytoma with free all surgical margins. Myoepricytoma is a rare benign tumour that rarely affects the oral cavity. Surgical excision is the mainstay of treatment. Local flaps constitute a good choice for the reconstruction of the resection defect.
{"title":"Myopericytoma of the mouth floor: The diagnostic and therapeutic challenge—A case report and literature review","authors":"O. Hamdy, Aya Mahmoud, Samar Attia, Nirmeen Megahed, B. Elged, Manar Mansour, S. Awny, Mohamed Ezat","doi":"10.1111/ors.12878","DOIUrl":"https://doi.org/10.1111/ors.12878","url":null,"abstract":"Myopericytoma is defined as a rare benign myxoid tumour that is usually found in distal extremities. However, it may rarely affect the oral cavity. Few cases of oral myopericytoma were reported in the literature. A 56‐year‐old female patient presented with a mouth floor lesion. A wedge biopsy performed from the lesion revealed an atypical round cell proliferation, which may be plasmablastic lymphoma or plasmacytoma. Post‐contrast neck MRI described a well‐defined lobulated lesion at the right sublingual region measuring 14 × 21 mm. Transoral wide local excision of the ulcer was performed, and reconstruction of the defect was done using an inferiorly‐based nasolabial flap. Microscopic examination of the excised swelling revealed a tumour proliferation formed of bland‐looking spindle cells alternating with fibroblasts and intervening vascular spaces. No detected mitosis or necrosis in the examined material. IHC staining of the tumour cells was positive for Caldesmon and alpha smooth muscle actin, while Ki67 was positive in 3% of cellularity. Desmin, ALK, B‐catenin, ERG, CD31, and CD138 showed a negative reaction. This led to the diagnosis of bland spindle cell proliferation suggestive of oral myopericytoma with free all surgical margins. Myoepricytoma is a rare benign tumour that rarely affects the oral cavity. Surgical excision is the mainstay of treatment. Local flaps constitute a good choice for the reconstruction of the resection defect.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"102 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614573","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}
N. Fidele, Julia Zinio Mabanza, F. Titinchi, Zhi‐Jun, Edize Inganya Ekofo, Liu Bing
There is a paucity of studies evaluating the preservation and recovery vitality of teeth associated with cystic lesions in the jaws.The purpose of the present study was to evaluate whether the use of the marsupialization treatment method in the large cystic lesions of the jaws associated within involved teeth would save the pulp vitality.It was a cohort study of patients treated at the Department of Oral and Maxillofacial Surgery from April 2019 to April 2023. Patients with primary cystic lesions associated teeth, with a cyst diameter of >3.4 cm, along with dental root resorption of less than half the root length, and treated by marsupialization were included. Patient age, gender, location, associated teeth, size, management, dental pulp vitality before and after marsupialization, and the duration of treatment were evaluated. Pulp vitality of involved teeth was assessed with electrical pulp tester.It was the treatment method.The primary outcome variable was the recovery or preservation of pulp vitality.The study variables were demographic, clinical features of the cysts, clinical features of associated teeth, and treatment method.Categorical data were presented in mean with standard deviation, and set the level of statistical significance at p < 0.05.The sample included 73 patients with large cystic lesions; 47 (64.4%) were male and 26 (35.6%) were female. The age range was 9 to 68 years (mean ± standard deviation, 22.4 ± 4). The 73 patients had 305 teeth associated with large cystic lesions. Of these dentitions, 85.9% of teeth had normal pulp vitality and 14.1% were negative before marsupialization. Following marsupialization, preservation of pulp vitality was noted in 61.3% and 18.0% of teeth lost their vitality. Of those without normal dental pulp vitality, 70.9% of teeth recovered their vitality of which 46.5% had recovered their vitality 9 to 12 months following marsupialization.Marsupialization followed by second surgery maybe a treatment option for preserving and recovering the pulp vitality of teeth associated with large cystic jaw lesions.
{"title":"The effect of marsupialization of large cystic lesions of the jaws on pulp vitality","authors":"N. Fidele, Julia Zinio Mabanza, F. Titinchi, Zhi‐Jun, Edize Inganya Ekofo, Liu Bing","doi":"10.1111/ors.12874","DOIUrl":"https://doi.org/10.1111/ors.12874","url":null,"abstract":"There is a paucity of studies evaluating the preservation and recovery vitality of teeth associated with cystic lesions in the jaws.The purpose of the present study was to evaluate whether the use of the marsupialization treatment method in the large cystic lesions of the jaws associated within involved teeth would save the pulp vitality.It was a cohort study of patients treated at the Department of Oral and Maxillofacial Surgery from April 2019 to April 2023. Patients with primary cystic lesions associated teeth, with a cyst diameter of >3.4 cm, along with dental root resorption of less than half the root length, and treated by marsupialization were included. Patient age, gender, location, associated teeth, size, management, dental pulp vitality before and after marsupialization, and the duration of treatment were evaluated. Pulp vitality of involved teeth was assessed with electrical pulp tester.It was the treatment method.The primary outcome variable was the recovery or preservation of pulp vitality.The study variables were demographic, clinical features of the cysts, clinical features of associated teeth, and treatment method.Categorical data were presented in mean with standard deviation, and set the level of statistical significance at p < 0.05.The sample included 73 patients with large cystic lesions; 47 (64.4%) were male and 26 (35.6%) were female. The age range was 9 to 68 years (mean ± standard deviation, 22.4 ± 4). The 73 patients had 305 teeth associated with large cystic lesions. Of these dentitions, 85.9% of teeth had normal pulp vitality and 14.1% were negative before marsupialization. Following marsupialization, preservation of pulp vitality was noted in 61.3% and 18.0% of teeth lost their vitality. Of those without normal dental pulp vitality, 70.9% of teeth recovered their vitality of which 46.5% had recovered their vitality 9 to 12 months following marsupialization.Marsupialization followed by second surgery maybe a treatment option for preserving and recovering the pulp vitality of teeth associated with large cystic jaw lesions.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"31 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139528337","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}
Intraosseous lipomas (IL) are rare benign neoplasms of bone which very rarely occur in the facial bones such as the mandible. Of the documented cases, many are often asymptomatic and consequently, are an incidental finding discovered by the practitioner.The following case report recounts a 22‐year‐old patient referred for extraction of a carious molar at an Oral and Maxillofacial unit with an incidental finding of pathology involving the contralateral lower left wisdom tooth (LL8) on radiographic examination. Further investigations showed associated external root resorption of the lower left wisdom tooth and a provisional diagnosis of a radicular cyst was made. The case was managed by extracting the associated tooth and enucleating the lesion. During the procedure, fatty tissue was curetted at the apex instead of the expected cystic content. Subsequent histopathology confirmed the diagnosis of an IL.To the authors' knowledge, this is only the second documented case of an IL associated with tooth resorption. Findings from this case further our knowledge of the relatively uncommon pathology of intraosseous lipomas in the mandible and highlight the need for histopathological documentation and reporting of apical lesions.
{"title":"A rare case of an intraosseous lipoma associated with the resorption of a mandibular third molar","authors":"O. Ryder, M. Rehman, S. A. Kurram, O. Hussain","doi":"10.1111/ors.12868","DOIUrl":"https://doi.org/10.1111/ors.12868","url":null,"abstract":"Intraosseous lipomas (IL) are rare benign neoplasms of bone which very rarely occur in the facial bones such as the mandible. Of the documented cases, many are often asymptomatic and consequently, are an incidental finding discovered by the practitioner.The following case report recounts a 22‐year‐old patient referred for extraction of a carious molar at an Oral and Maxillofacial unit with an incidental finding of pathology involving the contralateral lower left wisdom tooth (LL8) on radiographic examination. Further investigations showed associated external root resorption of the lower left wisdom tooth and a provisional diagnosis of a radicular cyst was made. The case was managed by extracting the associated tooth and enucleating the lesion. During the procedure, fatty tissue was curetted at the apex instead of the expected cystic content. Subsequent histopathology confirmed the diagnosis of an IL.To the authors' knowledge, this is only the second documented case of an IL associated with tooth resorption. Findings from this case further our knowledge of the relatively uncommon pathology of intraosseous lipomas in the mandible and highlight the need for histopathological documentation and reporting of apical lesions.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139620341","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}
Felipe Gomes Dallepiane, André Felipe dos Santos Teles, Maria Eduarda Bernardo, Natalia de Oliveira Miranda, M. Trentin, João Paulo De Carli
{"title":"Exploring precision: Robotic surgery revolutionizing dental implants","authors":"Felipe Gomes Dallepiane, André Felipe dos Santos Teles, Maria Eduarda Bernardo, Natalia de Oliveira Miranda, M. Trentin, João Paulo De Carli","doi":"10.1111/ors.12872","DOIUrl":"https://doi.org/10.1111/ors.12872","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"47 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139528158","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}
{"title":"Sustainable Practices in Oral Surgery: Nurturing a Green Future","authors":"Helen J. Petersen","doi":"10.1111/ors.12865","DOIUrl":"https://doi.org/10.1111/ors.12865","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"27 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139530933","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}
Jabes Gennedyr da Cruz Lima, R. Gonçalo, J. Pinheiro, Gabriel Gomes da Silva, Carla Samily de Oliveira Costa, L. Queiroz, Patricia Teixeira de Oliveira
This retrospective study aimed to perform a clinicopathological analysis of oral lymphangioma cases diagnosed at a reference service in oral pathology.A total of 40 cases with reviewed and confirmed histopathological diagnoses for oral lymphangioma were included in the study.It was found that Caucasian women represented most of the sample, with the tongue and lower lip being the most affected sites. The most frequent clinical presentation of the lesions was as an asymptomatic reddish nodule. As for morphological characteristics, there was a slight predominance of simple lymphangioma (55%). Surgical removal was the therapeutic approach adopted in most cases.Despite OL being rare, it is essential that dentists and other professionals recognize variations in the clinical presentation and histopathological aspects of these lesions, differentiating them from other vascular lesions, and implementing correct treatment in each case.
{"title":"Oral lymphangioma: A clinicopathological analysis of 40 cases and review of the literature","authors":"Jabes Gennedyr da Cruz Lima, R. Gonçalo, J. Pinheiro, Gabriel Gomes da Silva, Carla Samily de Oliveira Costa, L. Queiroz, Patricia Teixeira de Oliveira","doi":"10.1111/ors.12873","DOIUrl":"https://doi.org/10.1111/ors.12873","url":null,"abstract":"This retrospective study aimed to perform a clinicopathological analysis of oral lymphangioma cases diagnosed at a reference service in oral pathology.A total of 40 cases with reviewed and confirmed histopathological diagnoses for oral lymphangioma were included in the study.It was found that Caucasian women represented most of the sample, with the tongue and lower lip being the most affected sites. The most frequent clinical presentation of the lesions was as an asymptomatic reddish nodule. As for morphological characteristics, there was a slight predominance of simple lymphangioma (55%). Surgical removal was the therapeutic approach adopted in most cases.Despite OL being rare, it is essential that dentists and other professionals recognize variations in the clinical presentation and histopathological aspects of these lesions, differentiating them from other vascular lesions, and implementing correct treatment in each case.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"83 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440383","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}
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