Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology RSS feed: Current Issue. The Journal is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for four societies, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology , is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library. The Journal is ranked 37th for impact factor out of 77 Dentistry, Oral Surgery and Medicine titles on the 2010 Journal Citation ReportsÂ®, published by Thomson Reuters. It is the highest ranked Oral and Maxillofacial Surgery title by number of citations.
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Objective: This study investigated the effect of temporomandibular disorders on quality of life (QOL) of patients with dentofacial deformities.Study Design: A case-control study was performed involving 3 age- and gender-matched groups: 38 preoperative participants, 38 postoperative participants, and 39 control participants. Temporomandibular joints were assessed using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD axis I), and QOL was assessed using the Orthognathic Quality of Life Questionnaire (OQLQ) and the Short-Form Health Survey (SF-36).Results: Significantly lower OQLQ scores were found in postoperative patients with one or more RDC/TMD findings; the domains in which these occurred were mental health, dentofacial esthetics, and awareness of dentofacial esthetics for patients with myofascial pain; social aspects and awareness of dentofacial esthetics for patients with disk displacement with reduction; and all domains for patients with arthritis (all P < .05).Conclusions: Despite the variable effect of orthognathic treatment on TMDs, the presence of TMDs in patients after treatment can have a negative effect on their QOL.
Objective: To investigate the preventive effect of locally applied sodium bicarbonate on bisphosphonate-related osteonecrosis of the jaw (BRONJ).Study Design: Thirty-six Sprague-Dawley rats were divided into 4 groups. Animals in group I received 0.1 mg/kg sterile saline 3 times per week for 8 weeks. Groups II, III, and IV received intraperitoneal zoledronate injection in the same manner with the same frequency and duration. The right first molar tooth was extracted in groups III and IV. One mL 8.4% sodium bicarbonate (SB) was applied to the extraction socket at the time of extraction in group IV. The effect of locally applied SB as an alkalizing agent was evaluated by histomorphometric analysis.Results: BRONJ was observed in none of the animals in the control groups, 67% of the animals in the tooth extraction group, and none of the animals in the local SB application group (P < .01).Conclusions: Administration of locally applied SB had positive effects on the prevention of BRONJ in animals, but further studies are required to verify the effectiveness of this form of treatment before its use in humans.
Objective: This study examined the effect of conscious (“moderate”) sedation with amnestic effects and local anesthetic, versus local anesthetic alone, on recall of pain and anxiety related to surgical tooth extraction. Greater anxiety and pain were hypothesized in the local anesthesia–alone group.Study Design: Patients undergoing tooth extraction, receiving moderate sedation plus local anesthetic (n = 27) or local anesthetic alone (n = 27), were assessed on trait dental anxiety, preextraction state pain and anxiety, anticipated pain and anxiety, and 1-month recall of pain and anxiety.Results: Patients with moderate sedation, compared with those administered only local anesthetic, recalled less procedural pain and anxiety after 1 month. The local anesthetic–alone group reported more preextraction pain and anticipated more procedural anxiety.Conclusions: Moderate sedation had the desired effect of lower recalled pain and anxiety associated with extraction, even 1 month later. Anticipating moderate sedation also prompts expectation of less anxiety during the procedure.
Objective: A new surgical approach, denoted as the minor parotid anterior approach, was designed to treat medial or low mandibular condylar fractures.Study Design: Sixty patients (72 sides) with medial or low condylar fractures were treated surgically. Thirty-six patients (42 sides) were treated with the minor parotid anterior approach, and 24 patients (30 sides) were treated with a retromandibular approach. Data on the surgical procedures and complications were recorded. The follow-up period was 3 to 12 months.Results: Four patients suffered facial nerve injury in the group treated with the retromandibular approach. No cases of facial nerve injury occurred in the minor parotid anterior approach group.Conclusions: The minor parotid anterior approach avoided facial nerve injury, resulted in less visible facial scarring, and required less manipulation time. Therefore, the minor parotid anterior approach is worth application in the clinical setting.
Regarding the article “Bisphosphonate related osteonecrosis of the jaws: spontaneous or dental origin?,” the authors Sarina E. C. Pichardo and J. P. Richard van Merkesteyn should be commended for a landmark discovery. They have answered the question posed in the title of their article—it can be concluded that bisphosphonate-related osteonecrosis of the jaws is caused by dental procedures. This malady is not spontaneous or mysterious; it occurs with invasive, and usually elective, dental surgical procedures. This fact has largely been overlooked, as epidemiologic studies in populations who have not had dental surgery are often cited as proof that bisphosphonate-related osteonecrosis of the jaws (BRONJ) is very rare. For example, the American Dental Association states that the incidence of this malady is only 0.10%. However, when one looks at the incidence of BRONJ in populations of patients who have taken oral bisphosphonates before dental surgery, the incidence is far higher.