Current Trends in Oral and Maxillofacial Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (25 April 2024) | Viewed by 648

Special Issue Editors


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Guest Editor
Department of Implantology and Maxillofacial Surgery, Vithas Davó Instituto Dental, Medimar International Hospital, 03016 Alicante, Spain
Interests: maxillofacial; dentofacial deformities; implant surgery; oral and maxillofacial surgery

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Guest Editor
1. Department of Second Dental Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
2. College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
Interests: implant dentistry; oral surgery; dental implants; guided implant surgery; artificial intelligence; robotics

Special Issue Information

Dear Colleagues,

Traditionally, extensive bone grafting approaches have been considered as the gold standard for the rehabilitation of patients presenting extremely resorbed maxilla. For the last years, new approaches, new tools and new regenerative materials have been developed to improve the management and the outcomes for these challenging rehabilitations. A “patient-centric” perspective working toward an immediate normalization of quality of life seems to be the fundamental goal, with this being achieved by means of shortening the length and augmenting the predictability of the treatments.

The use of zygomatic implants, short implants, pterygoid implants, tilted implants or patient-specific implants (subperiostal implants) has undergone major developments. With the assistance of digital diagnostic and computer-aided surgery (static and dynamic) techniques, the accuracy of surgical performance and the outcomes could be improved in term of less risks and complications. The application of robotic surgery and Artificial Intelligence represent an emerging field that could lead to new advances and challenges.

This Special Issue searches for the current state and trends in the diagnosis and clinical management of the rehabilitation of extremely resorbed maxilla, in order to provide guidance and recommendations for clinical treatment.

Dr. Rubén Davó
Prof. Dr. Yiqun Wu
Guest Editors

Manuscript Submission Information

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Keywords

  • zygomatic implants
  • subperiostal implants
  • navigation surgery
  • guided surgery
  • tilted implants
  • bone augmentation
  • artificial intelligence
  • robotic surgery

Published Papers (1 paper)

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Research

18 pages, 1361 KiB  
Article
Cephalometric Screening Assessment for Superior Airway Space Narrowing—Added Value of Three-Dimensional Imaging
by Axel Meisgeier, Florian Dürrschnabel, Simon Pienkohs, Annabell Weiser and Andreas Neff
J. Clin. Med. 2024, 13(9), 2685; https://doi.org/10.3390/jcm13092685 - 2 May 2024
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Abstract
Background: Assessing the morphology of the superior airway space is a crucial diagnostic step in the treatment planning of patients with obstructive sleep apnea syndrome (OSAS) or prior to orthognathic surgery. The aim of this study is to evaluate the necessary scope [...] Read more.
Background: Assessing the morphology of the superior airway space is a crucial diagnostic step in the treatment planning of patients with obstructive sleep apnea syndrome (OSAS) or prior to orthognathic surgery. The aim of this study is to evaluate the necessary scope of a two-dimensional cephalometric assessment and the necessity of three-dimensional imaging in the identification of superior airway space narrowing (SASN). Methods: The computed tomography studies of 100 non-obese, non-OSAS patients were evaluated and analyzed retrospectively. Multiplanar reconstructions were created and underwent cephalometric evaluation. The three-dimensional superior airway morphology was segmented and measured for the minimal cross-sectional area (Amin) and volume (V0). Patients were grouped according to Amin < 80 mm2 and V0 < 12 cm3. Cephalometric parameters (CPs) were analyzed according to Amin and V0 with an unpaired t-test, Pearson correlation, and ROC-curve analysis. Results: The CPs regarding sagittal airway space dimensions (IPAS, MPAS, SPAS) and mandibular body length (GoGn) show the strongest correlation to the three-dimensional minimal cross-sectional area (Amin). The ROC-curve analysis classifying for SASN led to an AUC of 0.86 for IPAS, 0.87 for MPAS, 0.88 for SPAS, and 0.63 for GoGn. Three-dimensional imaging may further improve the diagnostic accuracy in the identification of SASN for IPAS below 13.5 mm, MPAS below 10.2 mm, SPAS below 12.5 mm, and GoGn below 90.2 mm. Conclusions: Two-dimensional cephalometric sagittal airway space diameters and mandibular body length are useful initial screening parameters in the identification of superior airway space narrowing. Nevertheless, as the correlation of two-dimensional cephalometric parameters with three-dimensional upper airway space narrowing is varying and highly dependent on acquisition circumstances, indications for three-dimensional imaging, if possible, in the supine position to evaluate upper airway space morphology should be provided generously, especially in patients with low but normal airway space parameters in two-dimensional cephalometry. Full article
(This article belongs to the Special Issue Current Trends in Oral and Maxillofacial Surgery)
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