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Medicina
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Oral Surgery–Minimizing Postoperative Morbidity II
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Oral Surgery–Minimizing Postoperative Morbidity II

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry".

Deadline for manuscript submissions: closed (25 March 2022) | Viewed by 20974

Special Issue Editor

Prof. Dr. Gavriel Chaushu

E-Mail Website
Guest Editor
Departments of Oral & Maxillofacial Surgery, School of Dental Medicine, Tel Aviv University, Tel-Aviv 61000, Israel
Interests: oral surgery; minimally invasive surgery; postoperative morbidity; dental implants; bone substitutes; block graft; bone graft
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Performing surgery without postoperative morbidity is an ideal we all strive to achieve. The present Special Issue intends to introduce new manuscripts focused on cutting-edge and rapidly developing treatment modalities and their applications to oral surgery, focusing on minimum postoperative morbidity. Many presume that minimally invasive surgery equals minimum postoperative morbidity and vice versa. This is not always the reality. Advances in imaging, instrumentation, biomaterials, and techniques bring us closer to surgery with minimum postoperative morbidity. The manuscripts submitted to this Special Issue should discuss both the “how to” as well as the “why” behind the concept of oral surgery with minimum postoperative morbidity, as the aim of the Special Issue is to provide readers with guidance for a broad spectrum of procedures and coalesce information on the available technologies into one useful resource. “Oral Surgery—Minimizing Postoperative Morbidity” will be a useful new guide for a large variety of specialists seeking to refine their clinical expertise and minimize morbidity for their patients.

Prof. Dr. Gavriel Chaushu
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • oral surgery
  • navigation
  • minimally invasive surgery
  • flapless surgery
  • postoperative morbidity
  • dental implants
  • immediate implant placement
  • one stage surgery
  • immediate loading
  • bone substitutes
  • bone graft
  • block graft
  • sinus augmentation
  • socket preservation

Published Papers (6 papers)

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Research

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9 pages, 1451 KiB  
Article
A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
by Preethi Shankar, Burnice Nalina Kumari Chellathurai, S. Ashok Kumar, Jaideep Mahendra, Maryam H. Mugri, Mohammed Sayed, Mohammad Almagbol, Mohammed Hussain Dafer Al Wadei, Rajaram Vijayalakshmi, Namasivayam Ambalavanan, A. Thirumal Raj and Shankargouda Patil
Medicina 2022, 58(2), 278; https://doi.org/10.3390/medicina58020278 - 12 Feb 2022
Cited by 3 | Viewed by 4767
Abstract
Background and Objectives: Periodontal surgery requires local anesthetic coverage to alleviate patient discomfort. Needles and injections can engender feelings of fear and anxiety in individuals. This study aimed to assess the level of comfort and anxiety in patients during the administration of local [...] Read more.
Background and Objectives: Periodontal surgery requires local anesthetic coverage to alleviate patient discomfort. Needles and injections can engender feelings of fear and anxiety in individuals. This study aimed to assess the level of comfort and anxiety in patients during the administration of local anesthesia using needleless jet anesthesia (JA) when compared to a conventional syringe (CS) in periodontal surgery. Method and Materials: 60 sites were designated for injection in a split-mouth design in 30 subjects who required periodontal surgery. Local anesthesia was administered in two appointments scheduled one week apart using either a JA system or a CS. The Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), and Beck’s anxiety inventory were used to report the pain and anxiety levels while injecting local anesthesia. Statistical analysis of the results was performed using the Shapiro–Wilks test and Paired t-test. Results: Patients reported greater comfort with JA. The VAS and VRS values were statistically significant—(p = 0.003) and (p = 0.001), respectively. Patients showed fear and were nervous about receiving a local anesthetic using a CS. A few subjects experienced lingering pain with the CS, whereas greater comfort and no lingering soreness were reported post-operatively at the site of JA administration. Conclusions: This study provides the first comprehensive assessment of using JA for periodontal surgical procedures. Lower pain scores were consistently observed with the use of jet injectors. Patients were at ease and reported lesser anxiety and greater comfort with jet injectors, making it ideally suited for providing local anesthesia in periodontal surgery. Full article
(This article belongs to the Special Issue Oral Surgery–Minimizing Postoperative Morbidity II)
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9 pages, 268 KiB  
Article
Winds of Change in Antibiotic Therapy following Orthognathic Surgery
by Oren Peleg, Reema Mahmoud, Clariel Ianculovici, Shimrit Arbel, Shlomi Kleinman and Amir Shuster
Medicina 2022, 58(2), 263; https://doi.org/10.3390/medicina58020263 - 10 Feb 2022
Cited by 4 | Viewed by 2259
Abstract
Background and objectives: This retrospective cohort study aimed to compare three postoperative antibiotic protocols of different durations on surgical-site-infection (SSI) rates following orthognathic surgery for the correction of jaw deformities. Materials and methods: An analysis on data collected from the medical [...] Read more.
Background and objectives: This retrospective cohort study aimed to compare three postoperative antibiotic protocols of different durations on surgical-site-infection (SSI) rates following orthognathic surgery for the correction of jaw deformities. Materials and methods: An analysis on data collected from the medical files of 209 patients who underwent orthognathic surgery between 2010 and 2019 was conducted. The patients were divided into three groups according to the postoperative antibiotic protocol—Group 1 (24 h), Group 2 (2–3 days), and Group 3 (>3 days). Dependent and independent variables were collected, analyzed, and compared between the three groups. Results: Group 1 included 30 patients (14.3%), Group 2 included 123 patients (58.9%), and Group 3 included 56 patients (26.8%). The vast majority of the postoperative antibiotics were amoxicillinand clavulanic acid (87.1%). The duration of the surgery and the use of a feeding tube were significantly different between Groups 1 and 3 (p < 0.001 and p = 0.005, respectively). There was no significant difference in SSI rates between the three groups (p = 0.642). The use of antibiotics beyond the immediate postoperative period provides no increased benefit regarding infection prevention. Conclusions: In young and healthy patients undergoing orthognathic surgery, a 24hregimen of postoperative antibiotics may be sufficient. Full article
(This article belongs to the Special Issue Oral Surgery–Minimizing Postoperative Morbidity II)
20 pages, 11916 KiB  
Article
Genetic Pattern, Orthodontic and Surgical Management of Multiple Supplementary Impacted Teeth in a Rare, Cleidocranial Dysplasia Patient: A Case Report
by Alessio Danilo Inchingolo, Assunta Patano, Giovanni Coloccia, Sabino Ceci, Angelo Michele Inchingolo, Grazia Marinelli, Giuseppina Malcangi, Valentina Montenegro, Claudia Laudadio, Giulia Palmieri, Ioana Roxana Bordea, Emanuela Ponzi, Paola Orsini, Romina Ficarella, Antonio Scarano, Felice Lorusso, Gianna Dipalma, Massimo Corsalini, Mattia Gentile, Daniela Di Venere and Francesco Inchingoloadd Show full author list remove Hide full author list
Medicina 2021, 57(12), 1350; https://doi.org/10.3390/medicina57121350 - 10 Dec 2021
Cited by 31 | Viewed by 6384
Abstract
Background: Cleidocranial dysplasia (CCD) is a rare, autosomal dominant skeletal dysplasia with a prevalence of one per million births. The main causes of CCD are mutations in the core-binding factor alpha-1 (CBFA1) or runt-related transcription factor-2 (RUNX2), located at the 6p21 chromosomal [...] Read more.
Background: Cleidocranial dysplasia (CCD) is a rare, autosomal dominant skeletal dysplasia with a prevalence of one per million births. The main causes of CCD are mutations in the core-binding factor alpha-1 (CBFA1) or runt-related transcription factor-2 (RUNX2), located at the 6p21 chromosomal region. RUNX2 plays important roles in osteoblast differentiation, chondrocyte proliferation and differentiation, and tooth formation. The disease is characterized by clavicular aplasia or hypoplasia, Wormian bones, delayed closure of cranial suture, brachycephalic head, maxillary deficiency, retention of primary teeth, inclusion of permanent teeth, and multiple supernumerary teeth. Materials and Methods: A 22-year-old girl suffering from cleidocranial dysplasia with short stature, narrow shoulders, craniofacial manifestations (short face, broad forehead, etc.) and dental anomalies (different lower dental elements under eruption, supernumerary and impacted multiple teeth, etc.) was examined at our service (Complex Operative Unit of Odontostomatology of Policlinico of Bari). RX Orthopantomography (OPG) and cone beam computed tomography (CBCT) were requested to better assess the position of the supernumerary teeth and their relationships with others and to evaluate the bone tissue. Results: Under eruption was probably caused by dental interferences with supernumerary teeth; hence, extractions of supernumerary upper canines and lower premolars were performed under general anaesthesia. Surgery outcome was excellent with good tissue healing and improvements in the therapeutic possibilities with future orthodontics. Conclusions: The objective of this article is to give an update about radiological, clinical, and molecular features of CCD and to alert the health team about the importance of establishing an early diagnosis and an appropriate treatment in these patients to prevent impacted teeth complications and to offer them a better quality of life. Full article
(This article belongs to the Special Issue Oral Surgery–Minimizing Postoperative Morbidity II)
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9 pages, 1034 KiB  
Article
Patients’ Perception of Recovery after Dental Implant Placement
by Adrian Kahn, Daya Masri, Tamir Shalev, Haya Meir, Alon Sebaoun and Liat Chaushu
Medicina 2021, 57(10), 1111; https://doi.org/10.3390/medicina57101111 - 15 Oct 2021
Cited by 4 | Viewed by 2049
Abstract
Background and Objectives: The success rates of surgical dental implant insertions are high. However, knowledge of patients’ recovery is still lacking. “Health-related quality of life” (HRQOL) questionnaires are gaining popularity in all fields of medicine. The present survey assessed the perception of [...] Read more.
Background and Objectives: The success rates of surgical dental implant insertions are high. However, knowledge of patients’ recovery is still lacking. “Health-related quality of life” (HRQOL) questionnaires are gaining popularity in all fields of medicine. The present survey assessed the perception of recovery after the surgical placement of dental implants. Materials and Methods: Forty individuals (26 women and 14 men; mean age, 55 ± 12 years) filled a questionnaire evaluating patients’ perception of recovery for 7 consecutive days post-surgery. Confounding factors included age, gender, oral habits, smoking, bruxism, bone quality (tactile evaluation) and quantity, implant location, number of implants, implant type, length and diameter, one-stage vs. two-stage, and the need for bone grafting. Results: The most serious difficulties were found in swelling, which became minimal after 5 days, followed by eating everyday food, ability to enjoy everyday food, maximal pain and average pain (3 days); analgesics consumption (2.5 days); limitations in daily routine, mouth opening, and speech (2 days); swallowing and sleep (1.5 days); and, within 1 day, all other measures attained minimal levels. Gender, and implant location (anterior vs. posterior) were significant predictor variables exerting their different characteristic delayed recoveries. Conclusions: (1) Patients should expect, in general, recovery within 4 days after dental implant placement; (2) women will experience a delayed recovery, (3) implants placed in the intercanine area will result in postoperative eating difficulties for nearly one week, and (4) the number of implants placed during the same appointment has no effect on post treatment recovery. Full article
(This article belongs to the Special Issue Oral Surgery–Minimizing Postoperative Morbidity II)
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9 pages, 4871 KiB  
Case Report
Multiple Free Flap Reconstruction of a Complex Intraoral Defect after Squamous Cell Carcinoma Excision: A Case Report
by Manlio Santilli, Gianmaria D’Addazio, Imena Rexhepi, Bruna Sinjari and Arnaldo Filippini
Medicina 2022, 58(1), 54; https://doi.org/10.3390/medicina58010054 - 30 Dec 2021
Cited by 3 | Viewed by 1841
Abstract
Background: Squamous cell carcinoma is the most frequent malignant cancer of the oral cavity. Metastasis involvement is one of the most relevant prognostic factors in terms of survival probability. Patients with oral cancers often undergo extensive en bloc resective surgery of the mandible [...] Read more.
Background: Squamous cell carcinoma is the most frequent malignant cancer of the oral cavity. Metastasis involvement is one of the most relevant prognostic factors in terms of survival probability. Patients with oral cancers often undergo extensive en bloc resective surgery of the mandible and maxilla, with or without cervical nodal dissection, based on the presence or occult risk of regional metastases. Several factors affect the choice of flap, to recover aesthetics and function. Case Presentation: The case of a 60-year-old man who underwent maxillectomy with neck dissection as well as a reconstruction with a combination of multiple vascularized free flaps is presented. Conclusions: The excellent integration of the free flaps and the total absence of complications led to a high-quality aesthetic and functional performance of the reconstruction obtained through two different flaps. More specifically, the fibular free flap for bone reconstruction allows a two-team approach and maintains an excellent vascularization, even in case of several osteotomies for the maxillary reconstruction as reported. In addition, the use of free radial forearm flap for soft tissue reconstruction permits to obtain long caliber vessels, thus facilitating surgery without repositioning of the patient during surgery and therefore, consequently reducing surgery times. Full article
(This article belongs to the Special Issue Oral Surgery–Minimizing Postoperative Morbidity II)
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6 pages, 6351 KiB  
Case Report
Use of the Cover-Lifting Technique in Mandibular Cemento-Ossifying Fibroma Excision to Preserve the Inferior Alveolar Nerve
by Juan-You Qiu, Kuan-Min Huang and Nan-Chin Lin
Medicina 2021, 57(12), 1383; https://doi.org/10.3390/medicina57121383 - 19 Dec 2021
Cited by 3 | Viewed by 2937
Abstract
Cemento-ossifying fibroma (also known as ossifying fibroma or cementifying fibroma) is a benign osteogenic neoplasm. Pain and paresthesia are rarely associated with cemento-ossifying fibroma; thus, nerves must be preserved during excision. With the advent of computer-aided techniques, the use of virtual surgical planning [...] Read more.
Cemento-ossifying fibroma (also known as ossifying fibroma or cementifying fibroma) is a benign osteogenic neoplasm. Pain and paresthesia are rarely associated with cemento-ossifying fibroma; thus, nerves must be preserved during excision. With the advent of computer-aided techniques, the use of virtual surgical planning and a customized template can improve the precision of resection and reconstruction, reduce operating time, and improve postoperative outcomes. In this report, we describe a case of cemento-ossifying fibroma in a female patient who underwent segmental mandibulectomy and reconstruction with an iliac bone graft. Additionally, we describe a simple and effective way to preserve the inferior alveolar nerve. Full article
(This article belongs to the Special Issue Oral Surgery–Minimizing Postoperative Morbidity II)
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