{"title":"Virtual surgical planning of inferior alveolar nerve microsurgery and benign pathology of the mandible: case reports","authors":"C. Gory, V. Ziccardi","doi":"10.21037/fomm-21-84","DOIUrl":"https://doi.org/10.21037/fomm-21-84","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46430266","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":"Epidemiological study designs and statistical methods for clinical research in oral and maxillofacial surgery: a narrative review","authors":"Tim T. Wang, S. Chuang","doi":"10.21037/fomm-21-16","DOIUrl":"https://doi.org/10.21037/fomm-21-16","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68332353","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":"A conservative therapy for patient with unicystic ameloblastoma and impacted premolar using decompression combined with orthodontic treatment—a case report","authors":"Yabing Dong, Jingang Yang, Quan Yu, Shanghui Zhou","doi":"10.21037/fomm-21-17","DOIUrl":"https://doi.org/10.21037/fomm-21-17","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68332402","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}
A clinical case series is presented in this practice guideline review that identifies the various types of peri-implantitis defects in the esthetic zone along with their therapeutic management. Remediation of problems in the esthetic zone requires meticulous attention to preserving the pre-existing esthetics and the employment of biologically-sound surgical approaches that allow for such, all while resolving the underlying disease. The aim of this report is to provide a clinically-oriented guideline for the clinician who is often faced with treating such complex problems. Diagnosing and identifying the various factors that may influence the clinical end result is critical. There are three possible scenarios of peri-implantitis in the esthetic zone, categorized dependent upon the absence or presence of bone loss or soft tissue loss. The first scenario consists of a peri-implant soft tissue deformity with no accompanying bone loss; the second, a peri-implant hard tissue defect with no soft tissue loss; and the third describes a combination of both hard and soft tissue loss. In addition to elaborating on these different scenarios, this report will explain the biologicallyand prosthetically-based decision making process and treatment modalities for each and demonstrate via a case series the clinical management of such defects.
{"title":"Peri-implantitis in the esthetic zone: a guideline for decision making and treatment modalities","authors":"D. Tarnow, Stephanie Chu, S. Chu","doi":"10.21037/fomm-21-59","DOIUrl":"https://doi.org/10.21037/fomm-21-59","url":null,"abstract":"A clinical case series is presented in this practice guideline review that identifies the various types of peri-implantitis defects in the esthetic zone along with their therapeutic management. Remediation of problems in the esthetic zone requires meticulous attention to preserving the pre-existing esthetics and the employment of biologically-sound surgical approaches that allow for such, all while resolving the underlying disease. The aim of this report is to provide a clinically-oriented guideline for the clinician who is often faced with treating such complex problems. Diagnosing and identifying the various factors that may influence the clinical end result is critical. There are three possible scenarios of peri-implantitis in the esthetic zone, categorized dependent upon the absence or presence of bone loss or soft tissue loss. The first scenario consists of a peri-implant soft tissue deformity with no accompanying bone loss; the second, a peri-implant hard tissue defect with no soft tissue loss; and the third describes a combination of both hard and soft tissue loss. In addition to elaborating on these different scenarios, this report will explain the biologicallyand prosthetically-based decision making process and treatment modalities for each and demonstrate via a case series the clinical management of such defects.","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46990873","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":"Association between implant surface roughness, smoking habits and implant site location on the occurrence of peri-implantitis: a pooled retrospective cohort study","authors":"L. Ferrantino, M. Simion, A. Zanetti, A. Zambon","doi":"10.21037/fomm-21-95","DOIUrl":"https://doi.org/10.21037/fomm-21-95","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49413777","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}
Javier Romero-Millán, Javier Aizcorbe-Vicente, David Soto-Peñaloza, M. Peñarrocha-Diago, M. Peñarrocha-Diago, D. Peñarrocha-Oltra
{"title":"Influence of the area of the lateral window upon the radiological parameters and implant success in patients with direct sinus lift after 5–12 years of follow-up","authors":"Javier Romero-Millán, Javier Aizcorbe-Vicente, David Soto-Peñaloza, M. Peñarrocha-Diago, M. Peñarrocha-Diago, D. Peñarrocha-Oltra","doi":"10.21037/fomm-21-52","DOIUrl":"https://doi.org/10.21037/fomm-21-52","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41779702","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}
Background: Lingual nerve injury can occur through a multitude of etiologies. Platelet Rich Plasma has been studied since the 1990s and it is known that platelets are capable of secreting growth factors. The purpose of the study is to evaluate the effect of platelet rich plasma (PRP) on functional sensory recovery and time to recovery following lingual nerve microsurgery. Methods: All patients had lingual nerve microsurgery and neurosensory testing performed by surgeon between 2015 and 2019. Description of procedures performed, sensory testing, and patient information were obtained by a retrospective review of hospital records and office charts after institutional review board approval (reference number CR00003274). Those patients who underwent lingual nerve microsurgery (primary neurorrhaphy with-out use of nerve grafts) with and without the use of PRP during this study period were included. The functional sensory recovery was determined by subjective and objective neurosensory testing. The objective findings were correlated to a Medical Research Council System score, with grades S2, S2+, S3, S3+, and S4. Functional Sensory Recovery was determined at S3, S3+, and S4. Results: The effect of PRP on sensory recovery for lingual nerve microsurgery was compared to the group without platelet rich plasma using a non-parametric tests (Mann Whitney U test). The mean total functional sensory recovery achieved was functional sensory recovery S3+. Follow-up time was from 3 to 18 months (mean, 9.32 months; SD, 3.67 months). The follow-up time until achieving functional sensory recovery was 5.5 months for the PRP group and 9.5 for the non-PRP group. Conclusions: Although there were no statistical differences in neurosensory testing between the 2 groups studied, the time to achieve functional sensory recovery was expedited in the PRP group. Due to the small incremental improvements with or without the use of PRP; no significant differences between the groups were noted except in time to functional sensory recovery with the PRP group showing shorter duration. The shorter duration to functional sensory recovery with the use of PRP was statistically significant and clinically relevant.
{"title":"Lingual nerve sensory outcomes of non-grafted microsurgery using platelet rich plasma: retrospective study","authors":"David Serratelli, V. Ziccardi, Shuying Jiang","doi":"10.21037/fomm-21-33","DOIUrl":"https://doi.org/10.21037/fomm-21-33","url":null,"abstract":"Background: Lingual nerve injury can occur through a multitude of etiologies. Platelet Rich Plasma has been studied since the 1990s and it is known that platelets are capable of secreting growth factors. The purpose of the study is to evaluate the effect of platelet rich plasma (PRP) on functional sensory recovery and time to recovery following lingual nerve microsurgery. Methods: All patients had lingual nerve microsurgery and neurosensory testing performed by surgeon between 2015 and 2019. Description of procedures performed, sensory testing, and patient information were obtained by a retrospective review of hospital records and office charts after institutional review board approval (reference number CR00003274). Those patients who underwent lingual nerve microsurgery (primary neurorrhaphy with-out use of nerve grafts) with and without the use of PRP during this study period were included. The functional sensory recovery was determined by subjective and objective neurosensory testing. The objective findings were correlated to a Medical Research Council System score, with grades S2, S2+, S3, S3+, and S4. Functional Sensory Recovery was determined at S3, S3+, and S4. Results: The effect of PRP on sensory recovery for lingual nerve microsurgery was compared to the group without platelet rich plasma using a non-parametric tests (Mann Whitney U test). The mean total functional sensory recovery achieved was functional sensory recovery S3+. Follow-up time was from 3 to 18 months (mean, 9.32 months; SD, 3.67 months). The follow-up time until achieving functional sensory recovery was 5.5 months for the PRP group and 9.5 for the non-PRP group. Conclusions: Although there were no statistical differences in neurosensory testing between the 2 groups studied, the time to achieve functional sensory recovery was expedited in the PRP group. Due to the small incremental improvements with or without the use of PRP; no significant differences between the groups were noted except in time to functional sensory recovery with the PRP group showing shorter duration. The shorter duration to functional sensory recovery with the use of PRP was statistically significant and clinically relevant.","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42013981","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}
Behavior—what a person does to attain a goal—relevant to temporomandibular disorders (TMDs) can be classified into three types: organ system-level functional behaviors, organ system-level non-functional behaviors, and person-level behaviors. Despite decades of productive research regarding the importance of behavior, taken broadly, as encompassing multiple risk factors for another prevalent musculoskeletal pain disorder (low back pain), behavioral research related to TMDs remains in the early stages. Clinically, behavioral factors are complex with regard to adequate assessment, and they require specific conceptual and management skills. Consequently, providing due diligence to their importance is challenging in many medical arenas. The sparse data that exist supporting the role of behavior in TMD onset and persistence indicate that excessive extent of masticatory system non-functional and possibly functional behaviors contributes to painful TMD onset and appear to contribute to chronicity. In addition, TMD-relevant behaviors can be amplified by chronic pain, among other stressors, suggesting a complex reciprocal relationship. Both the reciprocal relationship between TMD pain and functional and non-functional behaviors and the person-level behaviors create multiple interactive feedback loops which then serve as barriers to behavioral change. These barriers need to be addressed in a step-like manner with treatment, such that motor control and sensory perception undergo re-learning. At present, the evidence regarding treatments or their efficacy is minimal and mostly indirect. The field needs to develop better theories regarding how behavior fits within the available evidence pertaining to TMD etiology and persistence. With better theories and transfer of knowledge from other pain fields, better treatment research can be implemented for TMDs.
{"title":"Behavioral therapy for temporomandibular disorders","authors":"R. Ohrbach, Sonia Sharma","doi":"10.21037/fomm-20-65","DOIUrl":"https://doi.org/10.21037/fomm-20-65","url":null,"abstract":"Behavior—what a person does to attain a goal—relevant to temporomandibular disorders (TMDs) can be classified into three types: organ system-level functional behaviors, organ system-level non-functional behaviors, and person-level behaviors. Despite decades of productive research regarding the importance of behavior, taken broadly, as encompassing multiple risk factors for another prevalent musculoskeletal pain disorder (low back pain), behavioral research related to TMDs remains in the early stages. Clinically, behavioral factors are complex with regard to adequate assessment, and they require specific conceptual and management skills. Consequently, providing due diligence to their importance is challenging in many medical arenas. The sparse data that exist supporting the role of behavior in TMD onset and persistence indicate that excessive extent of masticatory system non-functional and possibly functional behaviors contributes to painful TMD onset and appear to contribute to chronicity. In addition, TMD-relevant behaviors can be amplified by chronic pain, among other stressors, suggesting a complex reciprocal relationship. Both the reciprocal relationship between TMD pain and functional and non-functional behaviors and the person-level behaviors create multiple interactive feedback loops which then serve as barriers to behavioral change. These barriers need to be addressed in a step-like manner with treatment, such that motor control and sensory perception undergo re-learning. At present, the evidence regarding treatments or their efficacy is minimal and mostly indirect. The field needs to develop better theories regarding how behavior fits within the available evidence pertaining to TMD etiology and persistence. With better theories and transfer of knowledge from other pain fields, better treatment research can be implemented for TMDs.","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45134075","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":"The role of a reconstruction subspecialty group in the national surgical specialty association: the journey, experiences and output for the advancement of head and neck reconstruction","authors":"M. Ho, M. Nugent","doi":"10.21037/fomm-21-3","DOIUrl":"https://doi.org/10.21037/fomm-21-3","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43839935","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":"Health-related quality of life and patient-reported outcome measurement in Head and Neck Oncology","authors":"A. Kanatas, S. Rogers","doi":"10.21037/fomm-21-120","DOIUrl":"https://doi.org/10.21037/fomm-21-120","url":null,"abstract":"","PeriodicalId":93098,"journal":{"name":"Frontiers of oral and maxillofacial medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42230390","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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