The purpose of the study was to investigate the clinical application and long-term stability of maxillary setback in Le Fort I osteotomy using maxillary tuberosity removal or intentional pterygoid plate fracture (IPPF). Eighty adult class II patients who underwent Le Fort I osteotomy with bilateral sagittal split ramus osteotomy by the same surgeon between January 2013 and January 2019 were included in this retrospective study. Traditional maxillary tuberosity removal was performed in 40 patients...
Fri Aug 28, 2020 03:00
Defects to the lower lip remain surgically challenging to reconstruct. Restoration of aesthetics and function are crucial, of which the aims include restoring the tissues of the lower lip, maintaining oral competence, speech articulation, and restoring lip height and the vermillion. Further surgical techniques continue to be explored, with local flap surgery being the generally preferred method. However, many reconstructions leave the patient with pronounced deformity and morbidity. In this case...
Sun Aug 30, 2020 03:00
The British Association of Oral and Maxillofacial Surgeons (BAOMS) has been at the centre of the transition of our specialty in the UK from a branch of dentistry to one of the 10 UK surgical specialties. In this role it has, at different times, pushed boundaries against resistance from other specialties, and redirected the ambitions of the deputy chair of the Postgraduate Medical Education and Training Board (PMETB) review to produce recommendations that were exactly what OMFS needed. The editorial...
Sun Aug 30, 2020 03:00
It is 11 years since Cameron and Westcott published ‘Maxillofacial training is no longer than other surgical specialties’1. This showed that OMFS trainees completed training at ages comparable to their surgical peers. Much has changed in surgical training since then so an updated review was undertaken. Based on published training pathways specialty training in most surgical specialties should be ten years (two years foundation, two years core and six years specialty training). For OMFS specialty...
Sat Aug 29, 2020 03:00
Anastomotic couplers significantly expedite venous microvascular anastomoses with no increase in overall complications when compared with hand-sewn anastomoses.1 Here, we report a case of the extrusion of a venous coupler after radiotherapy, and provide details of the subsequent management.
Sat Aug 29, 2020 03:00
With the increasing threat of major incidents in the United Kingdom, it is essential that hospital staff have a thorough understanding of their local major incident policy.
Sat Aug 29, 2020 03:00
The purpose of this study was to analyse whether costochondral grafts (CCG) fulfil temporomandibular joint (TMJ) reconstructive goals in children with TMJ ankylosis. A total of 23 patients (12 male, 11 female, aged 3–16 years) with unilateral or bilateral TMJ ankylosis operated on between January 2014 to April 2018 were included in the study. Maximal incisal opening (MIO), frequency of reankylosis, and growth of CCG, were evaluated at one month and six months for one year, and after that once yearly.
Fri Aug 28, 2020 03:00
The oral and maxillofacial surgery (OMFS) community in the UK has always felt distinguished to be the only surgical specialty requiring dual qualification. There is no doubt that OMFS recruitment in the UK is in crisis, and we believe that the time has arrived to review the long training pathway. Policy-makers should think of alternative options to make the training programme more sustainable whilst maintaining the highest standards. The problem is serious, and the onus is on all consultants and...
Fri Aug 28, 2020 03:00
Non-neoplastic jaw cyst (NJC) is one of the most common lesions in oral cavity, but there are only few detailed and extended epidemiological data based on the 2017 WHO classification. The aim of this study was to perform an epidemiological analysis of all NJCs treated from 1990 to 2019 at the Marche Polytechnic University, and to compare these data with those published in the literature. This retrospective study considered 2060 patients treated from 1990 to 2019. The NJCs were classified according...
Fri Aug 28, 2020 03:00
Secondary care Trusts nationwide are continuing to fail the 18-week referral to treatment (RTT) target despite several initiatives to improve theatre efficiency (2018 NHS England review). A limitation of wasted theatre productivity is required to alleviate pressures on waiting lists. Productivity, which is a measure of treatment time as a proportion of available/allocated time, takes into consideration variations in operator performance, early (non-funded) theatre starts, and over-run, and its analysis...
Fri Aug 28, 2020 03:00
Publication date: Available online 27 August 2020Source: International Journal of Oral and Maxillofacial SurgeryAuthor(s): E. Yeung, P. Hopkins, G. Auzinger, K. Fan
Fri Aug 28, 2020 12:43
Publication date: Available online 30 August 2020Source: Archives of Oral BiologyAuthor(s): Robson Pchepiorka, Maria Stella Moreira, Nelise Alexandre da Silva Lascane, Luiz Henrique Catalani, Sérgio Allegrini-Júnior, Nelson Batista de Lima, e Flávia Gonçalves
Sun Aug 30, 2020 18:15
Publication date: Available online 29 August 2020Source: Archives of Oral BiologyAuthor(s): M. Christopher Dean, Adeline Le Cabec, Stijn J.M. Van Malderen, Jan Garrevoet
Sun Aug 30, 2020 18:15
Publication date: Available online 29 August 2020Source: Archives of Oral BiologyAuthor(s): Ally Chan, Kassapa Ellepola, Thuyen Truong, Preethi Balan, Hyun Koo, Chaminda Jayampath Seneviratne
Sun Aug 30, 2020 18:15
Publication date: Available online 29 August 2020Source: Archives of Oral BiologyAuthor(s): Silvia R.D.T. de Siqueira, Jose Tadeu T. de Siqueira, Manoel Jacobsen Teixeira
Sun Aug 30, 2020 18:15
Publication date: Available online 29 August 2020Source: Archives of Oral BiologyAuthor(s): Sivaporn Horsophonphong, Ashley Sercia, Cristiane M. França, Anthony Tahayeri, Ashok P. Reddy, Phillip A. Wilmarth, Rudee Surarit, Anthony J. Smith, Jack L. Ferracane, Luiz E. Bertassoni
Sun Aug 30, 2020 18:15
Publication date: Available online 29 August 2020Source: Archives of Oral BiologyAuthor(s): Gary Burnett, Marc Nehme, Charles Parkinson, Ritu Karwal, Thomas Badrock, Gavin Vaughan Thomas, Peter Hall
Sat Aug 29, 2020 22:51
Publication date: Available online 28 August 2020Source: Archives of Oral BiologyAuthor(s): Even Akemi Taira, Gabriel Carvalho, Carolina Ruis Ferrari, Tatiana Martini, Vinicius Taioqui Pelá, Talita Mendes Oliveira Ventura, Aline Salgado Dionizio, Edson Crusca, Reinaldo Marchetto, Marília Afonso Rabelo Buzalaf
Sat Aug 29, 2020 22:51
Publication date: Available online 27 August 2020Source: Archives of Oral BiologyAuthor(s): Kanittha Kijsamanmith, Noppakun Vongsavan, Bruce Matthews
Fri Aug 28, 2020 19:04
Abstract The first World Workshop on Oral AIDS was held in San Diego in 1988, organized by John and Deborah Greenspan who saw the need and advantages of getting together all those health workers globally who were interested in oral aspects of HIV with a common purpose of advancing the field collectively and collaboratively. Since that time and over the following 30 years, World Workshops on oral HIV have been held every four years or so. The aims of the first and all subsequent Workshops were to...
Sun Aug 30, 2020 22:00
Abstract Background Third molar surgery is a common procedure performed by oral and maxillofacial surgeons. This kind of surgery is predictable, and complications are infrequent. Immune deficiency is one of the considerations for the prevention of complications. HIV patients may be immune deficient. Third molar surgical procedures are associated with bleeding and increased risk of infection. Improvement in oral hygiene must be encouraged, such as pre‐operative scaling. Prophylactic antibiotics...
Sun Aug 30, 2020 11:42
Abstract Oral and genital mucosal epithelia are multistratified epithelial barriers with well‐developed tight and adherens junctions. These barriers serve as the first line of defense against many pathogens, including human immunodeficiency virus (HIV). HIV interaction with the surface of mucosal epithelial cells, however, may activate transforming growth factor‐beta (TGF‐β) and mitogen‐activated protein kinase signaling pathways. When activated, these pathways may lead to the disruption of epithelial...
Sun Aug 30, 2020 11:42
Abstract Dentists’ knowledge and attitudes are two main components that may have a role in reducing and preventing the severity of HIV infection. No recent data on this are available in Jakarta. Objective To evaluate the dental profession's experience based on knowledge and attitude toward HIV patients in West Jakarta. Subjects and Method A cross‐sectional study was conducted on 218 private dentists. The knowledge and attitude were assessed by validated questionnaire under informed...
Sun Aug 30, 2020 11:42
Abstract HIV is no longer a death sentence with early diagnosis and effective treatment contributing to a good prognosis. Surveillance data, however, suggest that one in four people globally living with HIV are unaware of their HIV infection and remains at risk of transmitting their infection if having unprotected sex. A wider array of testing opportunities and settings are thus needed to address this issue of public health significance. Evidence suggests there is a role for the dental team, particularly...
Sun Aug 30, 2020 11:42
Abstract People living with HIV (PLHIV) continue to endure stigma and discrimination in the context of health care despite global improvements in health outcomes. HIV stigma persists within healthcare settings, including dental settings, manifesting itself in myriad, intersecting ways, and has been shown to be damaging in the healthcare setting. Stigmatising practices may include excessive personal protective equipment, delaying the provision of care or unnecessary referral of PLHIV to specialist...
Sun Aug 30, 2020 11:42
Abstract Introduction Dentists have an important role in reducing new HIV infections by early diagnosis and need to know how to treat patients with HIV and understand universal cross‐infection control. In many parts of the world, healthcare professionals struggle to provide care because of barriers including stigma and cultural attitudes. Aim To investigate the effectiveness of a brief educational intervention in understanding/changing the views of dental school deans regarding the quality...
Sun Aug 30, 2020 11:42
Abstract Oral candidiasis (OC) is the most prevalent HIV‐related oral lesion in patients on combined anti‐retroviral therapy (cART) or without cART. Management is challenged in some patients by development of resistance to azole drugs, such as fluconazole. Recent scientific knowledge about OC pathogenesis, the role of OC in the immune reconstitution inflammatory syndrome (IRIS), the relationship of OC with the microbiome, and novelties in OC treatment was discussed in an international workshop format....
Sun Aug 30, 2020 11:42
Abstract We present three cases of oral hairy leukoplakia (OHL) in whom the diagnosis was established by EBV DNA detection in whole saliva. Three HIV‐infected patients came to the Oral Medicine Clinic with similar chief complaints of asymptomatic white lesions on the tongue. All patients were diagnosed with suspected OHL and oral thrush also in the first patient. A multiplex PCR DNA microarray was performed to detect EBV DNA in saliva collected by spitting method. All saliva samples showed positive...
Sun Aug 30, 2020 11:42
Abstract Self‐Testing for HIV (HIVST) was approved as additional testing modality by the WHO in December 2016. The South African National Department of Health has adopted these guidelines and has sanctioned the assessment of various testing modalities to scale up HIV testing in response to the UNAIDS 90‐90‐90 targets. HIV self‐tests are targeted at reaching infrequent, under‐tested and high‐risk populations. Herewith, we present the progress to date on the testing of various models of distribution...
Sun Aug 30, 2020 11:42
Abstract HIV Teaching A dental curriculum which fosters knowledge and attitude. Objectives A pilot study to explore dental students views of current HIV related teaching and to assess the impact of this teaching on the students’ self‐perceived confidence in delivering dental care to HIV patients. Methods A short cross‐sectional survey was conducted to gather the views of students on both objectives. Data was collected using an online self‐administered questionnaire. Descriptive data...
Sun Aug 30, 2020 11:42
Abstract Background Accurate HIV diagnosis is essential for appropriate patient care. Rapid tests (RTs) are considered key to HIV screening and management. Some studies have found RTs to be comparable with the ELISA test whilst others have reported lower sensitivity. Aim and study design The aim of this retrospective, descriptive study was to evaluate the sensitivity and specificity of the HIV 1/2/O Tri‐line rapid test (HIV‐TRT) device compared with ELISA. Method The study sample...
Sun Aug 30, 2020 11:42
Abstract The immune reconstitution inflammatory syndrome (IRIS) is a rare acute complication presenting in people living with HIV (PLWH) within the first 6 months of starting combined antiretroviral therapy (cART). While there is relevant information about its pathogenesis and clinical spectrum, IRIS‐oral lesions (IRIS‐OLs) have been scarcely described. Thus, to establish the incidence and clinical characteristics of IRIS‐OLs, data from a cohort of 158 HIV individuals starting cART, followed for...
Sun Aug 30, 2020 11:42
Abstract HIV is responsible for tremendous suffering and loss around the world, but many advances in HIV screening, diagnosis, treatment, and prevention provide hope for an end to the HIV epidemic. Global and national campaigns facilitate access to these HIV advances, but some individuals and communities still lack access, particularly in developing countries. To reach those who remain under‐served, campaigns encourage greater integration of HIV services with non‐HIV services. As members of the...
Sun Aug 30, 2020 11:42
Abstract We present here the first reported case of a non‐syndromic cleft lip and palate (NSCLP) in an HIV‐exposed newborn of a mother on antiretroviral therapy (ART) in Indonesia. Genetic testing was performed to confirm a suspected genetic condition. Genomic DNA was extracted from the blood, and genetic variations of the interferon regulatory factor 6 (IRF6) rs642961 (Mspl) (G>A) and transforming growth factor alpha (TGFA) BamHI (rs11466297, A>C) and RsaI (rs3732248, C>T) were performed...
Sun Aug 30, 2020 11:42
Abstract Objective A brief review of status of sexual and reproductive health and rights of women living with human immunodeficiency virus (HIV) in Asia with a focus on their access to related services. Subject(s) and methods The content has primarily emerged from several meetings, workshops and research studies that regional networks of women living with HIV have conducted in the region. We used published and unpublished literature in English after the year 2000. Results We found...
Sun Aug 30, 2020 11:42
Abstract Globally, one in four people living with HIV are unaware of their status. Current HIV testing services’ strategies are falling short of reaching all, and thus, HIV testing should be offered in more decentralized and non‐traditional settings such as the dental and community settings. The workshop titled “HIV Testing: What, Where, and How?” provided an overview of concepts and advances in HIV point of care and self‐testing diagnostics and a discussion on the implementation of HIV self‐test...
Sun Aug 30, 2020 11:42
Abstract A crucial aspect of mucosal HIV transmission is the interaction between HIV, the local environmental milieu and immune cells. The oral mucosa comprises many host cell types including epithelial cells, CD4 + T cells, dendritic cells and monocytes/macrophages, as well as a diverse microbiome predominantly comprising bacterial species. While the oral epithelium is one of the first sites exposed to HIV through oral‐genital contact and nursing infants, it is largely thought to be resistant to...
Sun Aug 30, 2020 11:42
Abstract HIV infection continues to be one of the world's greatest pandemics, affecting nearly every country on the globe. By September 2018, it is estimated that 38 million people were living with HIV, 30 million people are aware of their status, and 23 million people are taking anti‐retroviral therapy (8 million in 2010). Thus, currently 8 million people living with HIV are not aware that they are HIV‐positive and 15 million persons are not being treated. There are nearly 15 million orphans (aged...
Sun Aug 30, 2020 11:42
Abstract As a result of the extension of life span produced by increasing access to combined antiretroviral therapy, people living with HIV/AIDS (PLWH) face new challenges from comorbidities. Although advances in medical care for HIV infection have dramatically reduced opportunistic infections and AIDS‐defining cancers, some non‐AIDS‐defining cancers (NADC) and specific oral diseases such as periodontitis and salivary gland disease are now more prevalent. Cancer prevention is, therefore, a priority...
Sun Aug 30, 2020 11:42
Sun Aug 30, 2020 11:42
Abstract Objectives Significant pain from HIV‐associated sensory neuropathy (HIV‐SN) affects 40% of HIV‐infected individuals treated with antiretroviral therapy (ART). The most salient symptom of the neuropathy is pain, which frequently is moderate‐to‐severe intensity, associated with reduced activities and physical function, sleep disruption, increased severity of depression, and anxiety. Yet, evidence for managing painful HIV‐SN is poor. The purpose of this study was to verify by scientific...
Sun Aug 30, 2020 11:42
Abstract HIV incidence is still increasing in parts of Indonesia and in several Asian Countries. New cases of HIV in Indonesia have risen from 7,000 per year in 2006 to 48,000 per year in 2017. In spite of this increase, the number of newly diagnosed cases of AIDS has decreased from a peak of over 12,000 in 2013 to a little over 9,000 in 2017. The mean prevalence of HIV in Indonesia is 0.41% but there is a ten‐fold difference in the prevalence in different regions with the highest in Papua (5%)....
Sun Aug 30, 2020 11:42
The role of patient and public involvement in oral health and HIV/AIDS research, practice and policy
Abstract Patient and public involvement (PPI) is a process whereby patients, caregivers, service users and other relevant stakeholders, including the general public, are actively involved and engaged in activities to develop research. The dental research agenda has traditionally been driven by clinicians, where patients and the public have participated in research as subjects; patient and public involvement can contribute to the research agenda including the design and conduct of research by providing...
Sun Aug 30, 2020 11:42
Abstract This Basic Science Workshop addressed the oral microbiome. At the 7th World Workshop on Oral Health & Disease in HIV/AIDS in India in 2014, some aspects of the human microbiome were discussed, and research questions formulated. Since that time, there have been major advances in technology, which have stimulated a number of publications on many aspects of the human microbiome, including the oral cavity. This workshop aimed to summarize current understanding of the “normal” microbiome...
Sun Aug 30, 2020 11:42
Abstract The significance of the oral manifestations of HIV has been widely recognised since the start of the epidemic. It is estimated that more than 38 million people are living with HIV currently, with more than a third presenting with oral manifestations. Access to optimum clinical management and effective treatment in resource‐rich countries has led to a remarkable decrease in some of the oral manifestations in the HIV population but this is not mirrored in developing countries, where most...
Sun Aug 30, 2020 11:42
Abstract Objective To review the existing research literature on the paradigm that the oral lesions could be an indicator of the disease severity with the objective of documenting the current status of research, highlighting its major findings. Material and methods Publications were identified through a careful search, of which a majority focused on oral lesions as an indicator for HIV progression. A PubMed journal search of 10 years OF period publication (2009–2019) for “oral lesion, oral...
Sun Aug 30, 2020 11:42
Publication date: Available online 28 August 2020Source: The Journal of Prosthetic DentistryAuthor(s): Marzieh Akhlaghian, Amir-Alireza Khaledi, Mitra Farzin, Soheil Pardis
Sat Aug 29, 2020 17:41
Publication date: Available online 27 August 2020Source: The Journal of Prosthetic DentistryAuthor(s): Steven J. Sadowsky, John B. Brunski
Fri Aug 28, 2020 17:21
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