ABSTRACT
Facial paralysis can affect patients undergoing full mouth rehabilitation, regardless of what caused their paralysis. A procedure known as modified selective neurectomy of the facial nerve can enhance the movement of facial muscles in individuals with facial synkinesis safely and effectively. This approach is proposed as an alternative to more invasive surgical options when used independently as a treatment for incomplete facial palsy. Selective neurectomy offers a promising surgical option for managing nonflaccid facial paralysis and synkinesis, enhancing patients' quality of life. However, treatment plans should be individually tailored considering the complexity of facial paralysis and the unique needs of each patient, taking into account the timing and type of treatment. The objective of this review is to explore the use of selective neurectomy as a treatment for facial paralysis based on previously published papers.
ABSTRACT
Background Patients are frequently exposed to misleading information about dental implants on social media or from dental marketing businesses. Patients' selection of an implant specialist for placing dental implants may vary due to several factors, including cost, social media, dentist qualification, and previous patient experience. Objective This study aims to assess and evaluate the factors that influence the choice of implant specialist in the Saudi population. Materials and methods The data were collected from 625 participants in Riyadh, Saudi Arabia, from January 2023 to April 2023. The study targeted males and females over 20 years old living in Riyadh, Saudi Arabia, and excluded those under 20 years old or not living in Riyadh, Saudi Arabia. Results The dentist's qualification (80.2%), dental implant cost (77.3%), and clinic or hospital (68.2%) were the most frequently agreed-upon factors for selecting an implant specialist. The study found that 13.7% of respondents disagreed or strongly disagreed that social media could influence the choice of an implant specialist. Among females, those with higher educational levels, middle-income groups, and those who had ever replaced a missing tooth, the importance of a dentist's specialty to perform a dental implant increased significantly. Conclusion Different factors contributed to the selection of an implant specialist among the population, with dentist qualification followed by dental implant cost being the most commonly discussed factors in the study.
ABSTRACT
The sternocleidomastoid (SCM) flap has been used for a long time in protective coverage of major vessels, reconstruction of intraoral pharyngeal, closure of pharyngo-cutaneous fistulas, and augmentation of soft tissue defects in the oral and maxillofacial region. However, this flap is not yet commonly used due to doubtful blood supply to the flap. This flap offers favorable esthetic results, combined flap, rich vascularization, and the possibility of shifting the two heads of the muscle. Thus, this flap has been used broadly in the maxillofacial region to reconstruct the defects of the post-parotidectomy, mandible, pharynx, and floor of the mouth defects. Previous studies discussed the use of a SCM flap following parotidectomy. However, few studies explained the use of SCMs in facial reconstruction. This study aims to review published articles discussing the use of SCMs for facial reconstruction.
ABSTRACT
Orthognathic surgery can alter the dental, skeletal, soft tissue, and dimensional changes in the oropharyngeal region. Studies have shown a posterior positioning of the hyoid bone and tongue position after mandibular setback surgery, this in turn can have a negative influence on the upper airway space that could lead to breathing problems such as obstructive sleep apnea. Mandibular setback surgery is commonly used for functional and aesthetic correction in mandibular prognathism patients. There are still some controversial opinions regarding the effect of mandibular setback surgery on the pharyngeal airway space and oxygen saturation. This study aims to review and illustrate the changes in pharyngeal airway space and oxygen saturation following mandibular setback surgery.
ABSTRACT
Background A dental implant is used in the treatment of complete and partial edentulism. Implant application has increased significantly in modern dentistry. The anatomy, medical condition, practitioner knowledge, and surgical technique are key factors that eventually affect the overall outcome of dental implants. For a better treatment outcome for dental implants, adequate multidisciplinary communication, cooperation, and support must be achieved while considering the periodontics, prosthodontics, and oral surgery specialties. Objective This study aims to compare the knowledge and skills regarding up-to-date implant techniques among prosthodontists, periodontists, and oral surgeons in Riyadh, Saudi Arabia. Materials and methods The data were collected from prosthodontists, periodontists, and oral surgeons working in Riyadh, Saudi Arabia from April 2022 to August 2022. The targeted subjects were residents, specialists, and consultants working in Riyadh, Saudi Arabia. Results A total of 181 dentists were surveyed in the current study. A significantly higher proportion of oral surgeons have perceived that the BTI brand (BTI Biotechnology Institute, Álava, Spain) had a high load torque before screw fracture (p = 0.025). Periodontists had significantly higher knowledge levels related to the technique with the lowest marginal bone loss (p = 0.003). Knowledge levels were significantly higher among prosthodontists for the items related to the fact that both early and late implant placement following alveolar ridge placement would have the least changes in periodontal parameters (p = 0.013). Conclusion All the targeted specialties exhibited a comparable impression regarding implant techniques and their outcomes. Each specialty had its own aspect of treatment during the placement of dental implants depending on multiple factors. Significant knowledge was observed from each specialty regarding implant brands, techniques, and antibiotic prescriptions for dental implants.
