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Weber Boysen posted an update 3 months, 2 weeks ago
Despite lower alveolar bone density, this option remains viable, but additional caution is critically important. Although preclinical investigations have examined the osteoinductive capabilities of statins, a thorough analysis of the outcomes is paramount before considering clinical implementation. There is a lack of a meta-analysis concerning the effect of statins on bone formation in the vicinity of implants placed in osteoporotic animal models.
PubMed, Embase, and Cochrane databases were searched to identify studies analyzing the effect of statins on bone implant contact (BIC %), bone mineral density (BMD %), and bone volume (BV %) around implants at the 2, 4, and 12-week intervals. Statins administered via various routes to osteoporotic animal subgroups were subjected to meta-analysis.
Findings from 12 quantitative studies demonstrated a favorable impact of statins on bone tissue surrounding implanted structures. Significant improvement was observed in the BIC (parenteral) treatment group after four weeks, exhibiting a standardized mean difference of 433 (289–577).
A measurement of =3%) is performed along with BMD (local [SMD=133 (051, 215)]).
BV (local [SMD=158 (076, 240); =0%]), a significant component of the overall design.
Optimal strategy, in a return to form, brought about this exceptional outcome, marking a resurgence. The BIC’s SMD configuration is 140, with supporting data points being 089 and 190.
Considering =0%, and the value of BV [SMD=391 (233, 550)].
After 12 weeks of oral administration in the experimental group, a 43% increase was observed.
Investigating statins as prospective bone graft materials could boost the predictability of osseointegration, especially in those with osteoporosis. Future research efforts should prioritize the generation of homogenous data sets, leading to conclusive recommendations applicable to clinical trials.
Supplementary material for the online version is accessible at the link 101007/s12663-023-01873-z.
The online content’s supplemental materials are hosted at the URL 101007/s12663-023-01873-z.
This research project focuses on the evaluation and comparison of the clinicopathological presentation of giant cell tumor (GCT), central giant cell granuloma (CGCG), and peripheral giant cell granuloma (PGCG).
From 2006 to 2016, a comprehensive retrieval of all histopathologically diagnosed GCT cases was undertaken by the Department of Pathology at T.N.M.C, Mumbai, with the Department of Oral Pathology at Nair Hospital Dental College, Mumbai, also contributing data on CGCG and PGCG. The clinicopathological characteristics were statistically analyzed using IBM SPSS Statistics version 21.0. Comparisons of all variables across two groups were made using a t-test; the Kruskal-Wallis test and one-way ANOVA were employed for analyses involving more than two groups.
During a period spanning eleven years, a compilation of twelve GCT cases, thirty-one CGCG cases, and thirty-nine PGCG cases emerged. On average, GCT appeared at 3041 years, CGCG at 2769 years, and PGCG at 3403 years. Long bones exhibited GCT, whereas CGCG and PGCG predominantly affected the mandible. GCT, under histological assessment, showed evenly distributed giant cells; nuclei were aggregated. Conversely, CGCG and PGCG displayed aggregated giant cells, but the nuclei were evenly distributed. The average count of giant cells and their nuclei was greatest in GCT (2733, 3350) and decreased progressively to CGCG (2356, 1551) and then PGCG (2145, 1132).
Analysis of the clinicopathological disparities between GCT, CGCG, and PGCG supports the notion of their representing biologically independent entities.
At the cited URL, 101007/s12663-022-01724-3, you’ll find extra material for the online version.
Included with the online version are supplementary materials available at the cited location: 101007/s12663-022-01724-3.
The clinicopathological characteristics of salivary gland cancers, a rare and heterogeneous group of neoplasms, are complex and associated with distinct biological behavior. Clinicians grappling with parotid gland cancer must meticulously consider clinical, imaging, cytological, and histological factors to achieve an appropriate diagnosis and management plan. This study explored how preoperative fine-needle aspiration cytology (FNAC) and intraoperative frozen section (FS) contributed to deciding on the most appropriate surgical and postoperative procedures for parotid gland malignancies.
48 patients with primary parotid gland malignancies treated surgically at the Maxillo-Facial Surgery Division of the University Hospital of Parma, Italy, from January 1st, 2008, to June 30th, 2017, were chosen for this study. Maligant parotid cancer was determined histologically after the operation in the patients, who were monitored for over five years.
The 48 patients in this study displayed an average age of 567 years. igfprotein Carcinoma ex pleomorphic adenoma, mucoepidermoid carcinoma, and acinic cell carcinoma were the most prevalent parotid gland cancers, occurring in 229%, 167%, and 146% of cases respectively. Forty-eight patients underwent fine-needle aspiration cytology (FNAC) prior to surgery. Of these, 29 (60.4%) suggested a possible diagnosis of malignant lesions, while 19 (39.6%) were indicative of benign conditions. Thirty-one patients experienced functional assessment during their surgical procedures.
A markedly lower diagnostic sensitivity of fine-needle aspiration cytology (FNAC) for parotid gland cancers was observed in this study, compared with earlier research. Repeat expert analysis of cytological specimens, preoperative core needle biopsy, and/or intraoperative FS analysis of the suspected mass can potentially elevate preoperative diagnostic accuracy for suspected malignant cases.
Earlier research on parotid gland cancers exhibited higher levels of diagnostic sensitivity compared to the significantly lower findings of the current study, utilizing fine-needle aspiration cytology (FNAC). Improving preoperative diagnostic accuracy for suspected malignant cases can be achieved through repeat cytological specimen analysis by experts, preoperative core needle biopsies, or intraoperative frozen section (FS) analysis of the suspected mass.
Surgical and non-surgical treatment options for intraosseous mandibular tumors in children require careful consideration and strategy. The study focused on the interplay between clinical and pathological features, surgical management, and final outcomes in pediatric patients with benign intraosseous mandibular tumors.
A cohort study, prospectively evaluating patients under 18 years with benign intraosseous tumors of the mandible, involved surgical intervention. A statistical analysis was conducted on the gathered clinical and surgical data.
A study of 84 patients (38 men and 46 women) indicated that 66.7 percent had non-odontogenic tumors; conversely, 33.3 percent exhibited odontogenic tumors. Central giant cell granulomas topped the list of non-odontogenic tumors, making up 31% of the total. Ninety-five percent of the most prevalent odontogenic tumors were odontomas. With equal emphasis, both conservative surgery and radical resection were executed. Among the various treatment modalities, curettage was the most common, representing 274% of interventions. Costochondral rib grafts (429%) and free fibula flaps (71%) were employed to reconstruct 50% of the cases. One patient exhibited a return of their previous medical issue. Every case achieved both functional and aesthetic success.
Tumors of non-dental origin were observed more frequently than those originating from dental structures. Odontomas, the most frequent type of odontogenic tumor, were contrasted by the prevalence of central giant cell granulomas as the most common non-odontogenic tumor. Treatment options were tailored to the specifics of the condition, encompassing type, size, and degree of malignancy. A straightforward and gratifying pediatric mandibular reconstruction was achieved using costochondral rib grafts. The success rates of microsurgical reconstruction were remarkably high. The project’s management, being appropriate, brought about pleasing aesthetics and useful functionality.
Tumors of non-dental origin were observed with greater frequency than tumors originating from dental structures. Central giant cell granulomas, topping the list of non-odontogenic tumors, were juxtaposed with odontomas, the most prevalent odontogenic tumors. Aggressiveness, size, and type of the affliction determined the appropriate treatment approach. The pediatric mandibular reconstruction process, employing costochondral rib grafts, produced a simple and highly satisfactory result. Microsurgical reconstruction procedures frequently yielded high success rates. Strategic management produced a positive impact on the aesthetic appeal and functionality of the project.
The infrequency of coronoid process fractures of the mandible is reflected in the paucity of scholarly work dedicated to this type of injury. While the condition’s prevalence is low, the possible severity of complications mandates a meticulously planned approach to care. The treatment’s contentious nature is exacerbated by the absence of a standardized treatment protocol. A comparative analysis of treatment outcomes across various modalities is the goal of this systematic review.
The study’s unique identifier within the PROSPERO registry is CRD42020200700. Research was performed systematically across multiple databases, including PubMed, Google Scholar, ProQuest, and Wiley Online. All clinical trials conducted up to January 2021, encompassing participants aged 14 years and older, were integrated into the analysis. Reports of individual cases, collections of similar cases, and research studies that did not detail the course of treatment were not included in the analysis. The eligibility criteria were used by the authors to select the studies for shortlisting. The risk of bias was determined by applying the MINORS tool and the JBI checklist.
Five studies were analyzed collectively. One retrospective case-control study was observed, along with four retrospective studies. Two studies exhibited a high risk of bias, two others showed a moderate risk, and one study indicated a low risk of bias.