Bulletin of Stomatology and Maxillofacial Surgery

Aim: To develop and assess a protocol proposed for sex determination using frontal sinus height and width measured from two dimensional lateral cephalometric radiographs. Material and Methods: The frontal sinus index was measured on sixty-four cephalometric scans (32 males &amp; 32 females). The maximum height and width of the sinus were measured. The data was tabulated and independent t test was done to determine the correlation to gender. Results: There was a high statistically significant difference between the frontal sinus width measured between male and female groups. The p value for width was found to be 0.02 which is significant. Conclusion: Measuring the frontal sinus height and width by the proposed protocol is promising. Multicentric study is recommended to reach a solid evidence-based result. Also testing the reliability of the standardization protocol is recommended by applying it on multiple drawn sinus borders by multiple experienced radiologists.

Pooja Manghnani

Ruchik Anerao

Chaitanya Buddhikot

Suchit Shrimali

S. Anuraga

Saurabhchandra Pawar

BULLETIN OF STOMATOLOGY AND MAXILLOFACIAL SURGERY

A RETROSPECTIVE LATERAL CEPHALOMETRIC STUDY ON FRONTAL SINUS HEIGHT AND WIDTH MEASUREMENT PROTOCOL FOR GENDER DETERMINATION

性别判定的额窦高度和宽度测量方案回顾性侧位头影研究

Objective: The purpose of the study was to compare intraoperative factors and postoperative outcomes between the image-guided acute dissection technique and the endoscopic image-guided acute dissection technique. Material and methods: The study was conducted in 153 patients (81 men and 72 women, average age 26.4 years) who underwent tonsillectomy (2018-2023). Patients were randomly assigned 2 group 52% percent of patients(group1) underwent tonsillectomy with acute dissection technique under visual control, and 48% of patients (group 2) underwent tonsillectomy with acute dissection technique under endoscopic visualization using a 4.0 mm 0° endoscope (Karl Storz, Tuttlingen, Germany). Indications for tonsillectomy were hypertrophy of the tonsils in 82 patients, recurrent tonsillitis in 23 patients and focal infection of the tonsils in 48 patients. Tonsillectomy was performed under general anesthesia using an oral speculum specifically designed for tonsillectomy. All patients were assessed and compared for postoperative pain, bleeding, recurrence, or tonsil tissue growth in the immediate and late postoperative period. The removed adenoid is sent for histology. Clinical diagnosis: Chronic decompensated tonsillitis. Pathohistological diagnosis: Within the limits of the examined material, the histological picture corresponds to chronic tonsillitis, hypertrophy of nasopharyngeal adenoid tissue. Results: There were no serious intra- or postoperative complications. Bleeding points were identified in 47 patients (31 patients group1 and 16 patients group 2). The source of bleeding was observed in the central deep part of the adenoids - in 18 patients, in the lateral parts of the adenoids - in 16 patients, adenoids on both sides in 13. Remnants of adenoid tissue were found in 23 patients, (17 patients group 1 and 6 patients group 2). Remnants of adenoid tissue were removed using bipolar diathermy under image guidance. The operation time for endoscopic tonsillectomy is shorter than for traditional procedures. Conclusions: The visibility provided Tonsillectomy by endoscopic techniques improves the ease and precision of surgery. Clinical significance determines the need for further testing of already proposed means and methods.

Araik Garibyan

Sona Gevorkyan

Angela Chahoyan

Mariam Ohanyan

COMPARATIVE STUDY OF VARIOUS TECHNIQUES TONSILLECTOMY

各种扁桃体切除术技术的比较研究

This case report describes a rare presentation of a giant cell fibroma (GCF) on the labial mucosa of a 24-year-old female. GCF is a benign fibrous connective tissue neoplasm, typically occurring on the gingiva and tongue. The patient presented with a small, pedunculated nodule on the lower lip. A clinical diagnosis of irritational fibroma was made, and excisional biopsy confirmed the presence of GCF based on histopathological examination, revealing characteristic stellate-shaped giant fibroblasts. The lesion was successfully excised with no recurrence at the one-year follow-up. This case highlights the importance of considering GCF in the differential diagnosis of benign fibrous lesions, even in atypical locations like the labial mucosa. Increased awareness and reporting of such cases can aid in better understanding the etiology and pathogenesis of GCF, ensuring accurate diagnosis and effective management.

Bhavani Sangala

Pratibha Kavle

Sanpreet Sachdev

Kirti Buva

Sneha Deshpande

Pallavi Kale

Giant cell Fibroma of Lip: A case report

唇巨细胞纤维瘤：一例报告

Post-traumatic neuropathy is one of the complications of endodontic treatment, represents a serious problem, manifested by sensory disturbances and has a significant negative impact on the quality of life of patients. Mechanical pressure on the filler causes swelling and hematoma and, due to the chemical action of the substance, neurotoxicity. The decision to treat a patient with trigeminal neuropathy requires complex treatment. Early surgical removal of excess endodontic material resulting from endodontic treatment provides the best prognosis for recovery. With the development of modern digital technologies, advances have been made in the endodontic treatment process. The presented clinical case describes original method for the treatment of endodontic inferior alveolar nerve injuries associated with endodontic therapy using surgical template obtained by three-dimensional software modeling. Using computed tomography software, a template was developed for drilling the bone in the projection of the localization of the material. The surgical template is printed with a 3D printer, after installation in the oral cavity, osteotomies are made under X-ray and excess material is removed, after which the patient is prescribed complex treatment. Results: After 2 weeks, the patient&amp;#39;s complaints disappeared. Sensory impairments were restored and had a positive impact on the patient’s quality of life. A control X-ray examination revealed regeneration of young bone tissue at the osteotomy site. Conclusion: The introduction of digital planning software and the use of 3D printed surgical guides in endodontic microsurgery have significantly improved treatment planning as well as operative and psychological comfort for patients.

Karen Sevterteryan

Vladislav Tarasenok

Lyudmila Tatintsyan

TREATMENT OF YATROGENIC POST-TRAUMATIC NEUROPATHY ASSOCIATED WITH ENDODONTIC THERAPY USING 3D TECHNOLOGIES

使用3D技术治疗与牙髓治疗相关的医源性创伤后神经病变

Background: Up-to-date methods of root canal obturation applying gutta-percha do not provide an accurate and predictable result. The different anatomy of the root canal apical third requires the selection of an optimal method that avoids voids and high sealer content. This study compared standard and modified lateral compaction techniques in root canals with different morphologies using computed tomography. Objective: To come up with an optimal method for filling the apical third of the root canal, considering its anatomical structure and to evaluate the quality of obturation using the computed tomography method. Materials and methods: The research was performed on 46 root canals of extracted teeth. All teeth were divided into two groups depending in the obturation technique used. The study included a lateral compaction technique with modification in oval-shaped root canals, followed by control using computed tomography. Results: Basing on the study, it has been revealed that even at the stage of computed tomography it is possible to plan the most appropriate method of root canal obturation, depending on their shape. Conclusion: To increase the endodontic treatment efficiency it is necessary to take into account the individual anatomical and morphological structure of the root canals. Root canals that have an oval shape in the apical third may require an obturation technique different from a standard one.

Lyudmila Ermolaeva

Marina Chibisova

Ekaterina Mikhailova

Svetlana Tumanova

Valeria Kudrinskaya

ANALYSIS OF THE ROOT CANAL APICAL THIRD OBTURATION QUALITY DEPENDING ON THE TOOTH ROOT INDIVIDUAL ANATOMY

根管尖三分之一充填质量分析：基于牙根个体解剖结构的影响

Background: Polyamide dentures have added advantages over the acrylic dentures in terms of esthetics, comfort and versatility to adapt to the undercut areas. However, the effect of flexibility of these dentures from the view of residual ridge resorption has always been obscure. The aim of this study is to compare the type of denture base with the distribution of masticatory forces by examining the changes on the alveolar mucosa in the histological picture before and after insertion of two widely used dentures. Materials and methods: A total of 20 participants were included in the study, among which 10 patients were allocated for acrylic removable partial dentures and 10 patients were allocated for polyamide flexible removable partial dentures. The patients were asked to rinse their mouth and cement spatula was used to collect the epithelial mucous cells noninvasively by scraping the crest of the residual alveolar ridge with light pressure in premolar-molar area both before insertion and 2 weeks after insertion of the removable partial dentures. The said swab was then smeared on a clean glass slide and fixed in 95% ethyl alcohol and was stained by Papanicolaou (PAP) stain. The PAP-stained smear was analyzed for the presence of keratinized cells and the number of keratinocytes was counted for both acrylic and polyamide denture groups. Results: The results show that both types of denture bases altered the alveolar mucosal keratinization but there was a significant difference in number of keratinized cells between all the three groups. Polyamide flexible partial dentures showed more ortho-keratinized epithelium, which favours better occlusal load distribution. Conclusion: The results concluded that there was decreased masticatory load on the residual alveolar ridge under polyamide denture group due to the flexibility of the denture base material compared to that of the acrylic denture group.

Ajila Theresita

Ilakkiya Shanmuganathan

Alex Muruppel

POLYAMIDE FLEXIBLE DENTURES – A BETTER OR WORSE STRATEGY

聚酰胺弹性义齿——更好的还是更糟的策略

Background: Local anesthetics (LAs) are frequently utilized in dentistry. Despite their generally well-tolerated nature, they can occasionally induce adverse reactions of varying types and severity. The actual prevalence of allergic reactions to these agents remains unknown. The review objectives were to evaluate the occurrence of immediate adverse events in individuals undergoing local anaesthetic injections for dental procedures, observe the frequency of anaphylactic allergic reactions among documented adverse events, and scrutinize the relationship between the atopic history of these patients and documented allergic reactions

Alessio Rosa

Luca Fiorillo

Cesare D’Amico

Alberto Pujia

Artak Heboyan

Gabriele Cervino

Vincenzo Ronsivalle

Arcuri Claudio Arcuri Claudio

LOCAL ANESTHETIC-INDUCED ALLERGIC REACTIONS IN DENTISTRY: CURRENT PERSPECTIVES AND KEY CONSIDERATIONS

牙科局部麻醉剂引起的过敏反应：当前观点与关键考虑

Background: Therole of caregivers in the rehabilitation process is crucial, yet the impact of caregiving on their well-beingis not fully understood.This study aims to analyze the psycho-physical load on caregivers of chronic stroke patients, evaluate the variables affecting their health, and assess the significance of physiotherapists in improving patient rehabilitation outcomes. Materials: A sample of 30 chronic strokepatients and their caregivers involving home-based rehabilitation services was examined over eight weeks. The study utilized various scales such as the Short Form Health Survey 36 (SF-36), Barthel Index, Stroke Impact Scale 3.0, Modified Rankin Scale, and Caregiver Burden Inventory to assess the health status of patients and the burden on caregivers before and after the intervention. Results: The study found significant improvements in patient health metrics (SF-36, Barthel Index, Stroke Impact Scale, Modified Rankin Scale) post-rehabilitation. Similarly, a notable reduction in caregiver burden was observed, highlighting the effectiveness of targeted physiotherapy interventions in alleviating the psycho-physical stress on caregivers.

Roberto Materia

Ankita Mathur

Alessandra Cuffaro

Rosario Bruna

Mariana Pastore

Antonio Moschella

Francesca Gorassini

Luca Luca

SURVEY ON CAREGIVERS' BURDEN OF CARE PATIENTS WITH CHRONIC STROKE AND CONSIDERATIONS ON THE ROLE OF THEPHYSIOTHERAPIST

慢性中风患者照护者负担调查及物理治疗师角色考量

Background: The rehabilitation of the atrophic maxilla with zygomatic implants appears to be a complex challenge as this surgery is not without complications. For this reason, the operator approaching it must be aware of the possible surgical complications. The aim of this study was firstly to assess the incidence of complications following zygomatic implant operations performed using the intrasinus technique and to compare the data obtained with the results already present in the literature. Materials And Methods: The methods chosen for the evaluation of implant success were those reported in the article by Chrcanovic et al which refers to factors such as implant survival rate, percentage of failed implants and,incidence of post-operative complications. A total of 174 implants were included in the study. The study comprised three phases: Phase 1 -collection of the personal, anamnestic, clinical and radiological data of each patient participating in the study -detection of the number of zygomatic implants, the number of failed implants and any post- operative complications resulting from the intrasinus technique and subsequent comparison with data reported in the literature. Phase 2 -comparison of complications arising with intrasinusal and extrasinusal technique Phase 3 -administration of the satisfaction questionnaire of patients treated with the extrasinusal technique. Results: Complications occurred in 14 patients and the most frequent complication was sinusitis, followed by soft tissue infections, 3 implants failed. Specifically, the most frequent complication related to intrasinusal technique surgery is sinusitis, caused by invasion of the Higmoro antrum by the implant. Frequency analysis of the patient questionnaire shows high satisfaction with implant-prosthetic rehabilitation with zygomatic implants. Patients appear very satisfied with the aesthetics and functionality provided by the rehabilitation. Conclusion: Zygomatic implants allow the fixed rehabilitation of patients with severe upper jaw atrophies, and although complications may occur, patient satisfaction was very high as it allows them to fully recover aesthetics and function, facilitating a rapid return to social life.

T Pizzolante

L Memè

A Ciccariello

E Andreoli

Fabrizio Bambini

F Inchingolo

S. Mummolo

Complications of zygomatic implantology: observational clinical study

颧骨种植并发症：观察性临床研究

Background:Dentistry is about appropriate diagnosis and effective management. Diagnosis and management can be done through various ways. The most important diagnostic aid in dental evaluation include imaging through X-rays, cone beam computed tomography, ultrasound and magnetic resonance imaging. Purpose:Evaluate the diagnostic significance of ultrasound in dentistry and oral and maxillofacial surgery MetodsUpon doing an search across PubMed, Scopus, Web of Science, Cochrane Library, and Google Schola 62, published were found. 38 of the chosen articles met the requirements for a analysis when inclusion and exclusion were applied. Results:Ultrasound is a form of real time imaging technique which acts as therapeutic as well as diagnostic aid in dental and medical field. Conventional radiography has certain disadvantages such as cost, radiation etc.These drawbacks of convetional radiography can overcomed by ultrasounds in dentistry. Also, to shift from radiating to non-radiating imaging and repeated imaging have demanded for ultrasonography in dental filed.The main advantages of ultrasound include non-ionizing radiation, portability possibility of repeated examinations and is economical. Though therapeutic ultrasound in dentistry is still in infancy, its use in treating myofascial pain dysfunction syndrome,temporomandibular joint disorders, sialolitotripsy, descaling, endodontic procedures, ultrasonic cleaning of dentures and in periodontal regeneration techniques are being employed. Standardization of intensities, frequencies, time period of ultrasounds should be standardized to ensure maximum beneficial effects. Conclusion:Use of ultrasound in dentistry is gradually increasing and will gain even more space if proper research is encouraged. Clinicians should be aware of the advantages of ultrasound in dentistry which include non-invasive, non-ionizing, painless, accurate, patient friendly, which makes it easy as well as interesting. To improve and increase the utilization of ultrasound in dentistry, further studies should be conducted with the goal of achieving better diagnostic and therapeutic aids.

Lahari Muppalla

Lakshmi Kalluri

Lakshmi Kolaparthy

Boyapati Ramanarayana

DENTAL ULTRASOUND- A REDEFINED MODALITY AS DIAGNOSTIC AND THERAPEUTIC AID: REVIEW

牙科超声——一种重新定义的诊断与治疗辅助手段：综述

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基本数据	创刊年份: 2022，原创研究文献占比: ，自引率:， Gold OA占比:

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