Objectives: The aim of this study is to analyze the incidence, causes and consequences of head and maxillofacial injuries in the 2022 FIFA World Cup. Methods: This retrospective study, following the STROBE guideline, conducted an online investigation during the 2022 World Cup, with a specific focus on injuries resulting in player substitutions or absences of at least one match. To mitigate potential injury exaggeration, journalistic reports were prioritized over video analysis. The analysis of injuries involved the utilization of descriptive statistics, the Kolmogorov-Smirnov test, and the Pearson correlation test, with a significance threshold set at p<0.05. The analytical tools Microsoft Excel and RStudio were employed. Comparative insights were derived from previous FIFA World Cup data; however, injuries lacking sufficient recovery time were classified as preseason injuries, potentially introducing an element of bias to the analysis. Results: During the FIFA World Cup 2022, a comprehensive analysis revealed a total of 123 injuries leading to player substitutions or subsequent game absences, of which seven were localized in the head or maxillofacial region. Statistical analysis indicated a departure from normal data distribution, and a robust correlation was observed between the number of players in national leagues and injury incidence. Noteworthy is the participation of 42 distinct national soccer leagues in contributing players to the tournament's national squads, with no specific league demonstrating a predisposition to higher injury rates. Within the dataset, three maxillofacial injuries were identified. It is of interest that five athletes opted for facemasks as protective measures for the maxillofacial region, and remarkably, only one of them experienced an injury during the World Cup but subsequently resumed play in subsequent matches, while the remaining four athletes had sustained injuries prior to the tournament. Conclusion: The 2022 FIFA World Cup was associated with a low number of head and maxillofacial injuries, with collisions with other players being the most common cause. Despite their limited occurrence, these injuries can have severe implications. In response to the increase in concussions, FIFA implemented an improved safety protocol, which involves immediate game halts for medical assessment and allows player substitutions without affecting the team's allotted substitutions. This change has been well-received by stakeholders. Furthermore, the use of protective equipment, such as custom-made shields, is growing in popularity and has the potential to reduce injury severity and shorten recovery time. Modern technology enables the creation of comfortable and effective protective gear, enhancing player safety. Overall, the study emphasizes the importance of injury prevention strategies in sports, calling for continued advancements in protective equipment design and increased transparency in injury reporting.
Background Symptomatic irreversible pulpitis (SIP) or symptomatic apical periodontitis (SAP) are two painful conditions often warranting emergency treatment. The most common emergency treatments supported by evidence are pulpotomy and pulpectomy and are normally performed under time-constrained circumstances. However, there is no strong evidence of which treatment suggested in literature a clinician can use to reduce endodontic pain effectively. Therefore, the aim of this systematic review is to investigate the present knowledge on postoperative pain related to the two types of emergency treatments available for treating SIP and SAP. Methods Randomized controlled trials investigating postoperative pain after emergency treatments (pulpotomy and/or pulpectomy) on permanent dentition with signs and symptoms of SIP and/or SAP were searched in three major databases from 1978 until 2022. Risk of bias was assessed with Cochrane's tool. Results Only five studies fulfilled the inclusion criteria. The included studies indicated that pulpotomy and pulpectomy are both suitable treatment options for SAP and SIP, as they provide sufficient alleviation of pain in permanent dentition. However, inconsistent results were found between the included trials on which emergency treatment is more effective in reducing pain. Cochrane's tool revealed that the studies had a low risk of bias. Limitations found in the design of the included randomized control trials decreased the level of evidence. None of the included studies accounted for essential confounding variables, such as factors affecting pain (including the psychological aspects). Moreover, possible non-odontogenic pain was not assessed, and therefore, it was not excluded; hence, affecting the internal validity of the studies. Conclusion There are controversies within the available randomized control trials on which treatment is most effective in reducing emergency pain. This could be due to some weaknesses in the design of the clinical trials. Thus, further well-designed studies are warranted to draw conclusions on which emergency treatment is more effective in reducing pain. Systematic Review Registration PROSPERO (CRD42023422282).
Several methods for cleft lip repair have been developed over time, with no clear method considered the standard. In the authors' department, the use of a modified rotation-advancement technique rather than the traditional rotation-advancement technique in unilateral complete cleft lip repair has increased over the past decade. This study aimed to determine which technique provides better outcomes.This retrospective study was conducted by analyzing the preoperative and postoperative aesthetic nasal and labial anthropometric measurements of the frontal and basal views of 213 consecutive patients treated between October of 2013 and June of 2019. A total of 141 participants were treated with the traditional rotation-advancement technique, and 72 with the modified rotation-advancement technique. The inclusion criteria were nonsyndromic unilateral complete cleft lip repair with high-resolution, good-quality photographs; no presurgical nasoalveolar molding; no revision in the lip or nose areas; and at least 1 year of follow-up.Patients who received the modified rotation-advancement technique had significantly improved Cupid's bow position and orientation ( P < 0.02 and P < 0.01, respectively) and enhanced vertical lip height symmetry ( P < 0.01) while preserving the lip width. The columellar length ( P < 0.03) and angulation ( P < 0.045) were also significantly improved, with enhanced nostril inclination in this group ( P < 0.06).According to the findings of the current study, modified rotation-advancement technique assisted surgeons in improving symmetrical leveling of the Cupid's bow and significantly aided in correcting lip height without compromising lip width. Moreover, the modified rotation-advancement technique resulted in better aesthetic nasal outcomes.Therapeutic, III.
Abstract Background : The aim of this bibliometric research was to identify and analyze the top 100 cited systematic reviews in the field of oral and maxillofacial surgery. Methods : Using the Web of Science-database without restrictions on publication year or language, a bibliometric analysis was performed for the five major journals of oral and maxillofacial surgery: International Journal of Oral and Maxillofacial Surgery, Journal of Oral and Maxillofacial Surgery, Journal of Cranio-maxillofacial Surgery, British Journal of Oral & Maxillofacial Surgery and Oral Surgery Oral medicine Oral pathology Oral radiology. Discussion : The most top-cited systematic review was published in 2015 with a total of 200 citations on survival and success rates of dental implants, consistent with the finding that “pre- and peri-implant surgery and dental implantology”, and “craniomaxillofacial deformities and cosmetic surgery” were the most frequently-cited topics (22% each). The International Journal of Oral and Maxillofacial Surgery displayed both most citations in total and in average per publication. The outcome of this article can be used as a source of information not just for researchers but also for clinicians and students, and of which areas have a large impact on the field of oral and maxillofacial surgery but cannot reflect the quality of the included systematic reviews. Systematic review registration: not applicable
Purpose: To compare the effect of intramuscular administration of dexamethasone versus Traumeel S® on patients' oral health-related quality of life (OHRQoL) after surgical extraction of impacted lower third molars (3M). Patients and methods: A randomized, triple-blinded clinical trial was conducted. The sample was composed of 17 patients with asymptomatic bilateral lower 3M positioned as class IIB according to the Pell and Gregory classification. The patients were randomly assigned into 2 groups: intramuscular dexamethasone or Traumeel S®. The OHRQoL was assessed using the Oral Health Impact Profile (OHIP) version 14. It was considered patients' perception regarding different quality of life dimensions, in the first seven postoperative days. Results: There was a significant OHRQoL improvement in the dexamethasone group when compared to Traumeel S® group. It was noted a significant decrease of psychological disability and psychological discomfort in patients receiving dexamethasone vs those receiving Traumeel S®. Conclusion: Intramasseteric injection of dexamethasone showed a greater improvement of the OHRQoL following 3M surgeries when compared to Traumeel S® injection.
Abstract The effective management of odontogenic keratocyst (OKC) remains a subject of interest and confusion in the Oral and Maxillofacial surgery literature. Currently, there is a lack of consensus regarding the most appropriate treatment for patients with odontogenic keratocyst. Of the various treatment options available, no modality to date has been shown to demonstrate a zero-or near zero recurrence rates except wide resection with clear margins. With the prevailing dearth of evidence based surgical protocols for the management of patients with odontogenic keratocyst in the literature, this study aims to present a surgical algorithm, based on meta-analysis results, that hopefully will be beneficial in enhancing treatment of patients with this condition. Using parameters of; size, lesion type (primary or secondary), syndromic or solitary nature of the lesion, presence of cortical perforations, and locularity; we present a decision tree, to aid treatment planning and help attain the least chance of recurrence in the management of the odontogenic keratocyst.
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