Body dysmorphic disorder (BDD) in the orthodontic and orthognathic setting: A systematic review

What comes first: teeth or face? Recommendations for an interdisciplinary collaboration between facial esthetic surgery and dentistry

OBJECTIVE

The aim of the present study was to provide recommendations in order to facilitate communication between dental professionals and surgeons who are collaborating in the field of dentofacial esthetics.

CLINICAL CONSIDERATIONS

Smile esthetics are beyond the scope, both of the surgeons who are collaborating with facial esthetics and of the dentists, as a wide range of treatment options from both sides is available. It can be difficult for the surgeon or the dentist that first comes in contact with the patient to conduct an individualized global treatment plan, in order to find out how the various phases of the treatment can be sequenced, as a workflow for an efficient interaction between facial surgery and dentistry still does not exist in the scientific literature.

CONCLUSIONS

Facial cosmetic procedures and dental treatment have to be planned as individual elements of the whole dentofacial esthetic rehabilitation. The treatment has to be initiated with the design of the smile and the intraoral mock-up, followed by the required surgical interventions, and to be finished with the delivery of the definitive dental restoration.

CLINICAL SIGNIFICANCE

Dentofacial esthetics require comprehensive communication between surgeons and dentists. Following the proposed recommendations, an individualized interdisciplinary treatment plan can be conducted, defining the role of each specialty.

Exploring the relationship between the number of systematic reviews and quality of evidence: an orthognathic surgery-based study

OBJECTIVE

We analyzed the quality and quantity of systematic reviews (SRs) of orthognathic surgery, the most frequently published topic in maxillofacial surgery.

STUDY DESIGN

We searched the PubMed database for SRs of orthognathic surgery with no restriction on the language of publication date. We assessed the certainty of evidence presented according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol and the Leiden Manifesto using the Grading of Recommendations Assessment, Development, and Evaluation approach. We analyzed the data using descriptive statistics, Pearson´s correlation test, and linear regression.

RESULTS

Of the 171 SRs evaluated, approximately one fifth presented evidence with a high level of certainty. The number of orthognathic surgery SRs has been increasing, and many SRs were published after very similar topics had already been published. There is no relationship between the impact factor and the certainty of evidence.

CONCLUSIONS

An excessive number of SRs of orthognathic surgery are published, and many SRs are superfluous, simply reporting previous findings. Clinicians should not base treatment decisions solely on the evidence presented in SRs, and journal editors and reviewers should evaluate these SRs more critically, particularly when they address topics that have already been covered in the literature.

Robust PbO2 modified by co-deposition of ZrO2 nanoparticles for efficient degradation of ceftriaxone sodium

In recent years, PbO2 electrodes have received widespread attention due to their high oxygen evolution reaction (OER) activity. However, due to the brittle nature of the plating layer, it is easy to cause the active layer to fall off. Pb2+ will leach out with the electrochemical process causing secondary pollution. The starting point of this study is established to improve the stability and adhesion of the electrode coating. Electrochemical oxidation technology has the characteristics of high treatment efficiency, wide range of applications, and non-polluting environment. In this study, conventional PbO2 electrodes were modified by using co-deposition of ZrO2 nanoparticles. In addition, α-PbO2 was added to increase the stability of the electrodes. At a high current density of 1 A/cm2, the accelerated life of the pure PbO2 electrode is 648 h, the accelerated life of the PbO2-ZrO2 electrode is 1.37 times that of the pure PbO2, and the electrode with an added α-PbO2 layer is 1.69 times that of the pure PbO2 electrode. The amount of dissolved Pb2+ was only 29% of that of pure PbO2. The electrochemical performance of the electrode is evaluated by studying the degradation effect of ceftriaxone sodium (CXM). The addition of ZrO2 nanoparticles alters the particle size and deposition content of PbO2, leading to a unique crystal structure distinct from pure PbO2. Compared to conventional PbO2 electrodes, the PbO2-ZrO2 can remove chemical oxygen demand (COD) and pollutants more efficiently, removing for 59% increased by 38.47%. Therefore, PbO2-ZrO2 is of great value in the field of electrochemical degradation of industrial pollutants.

Evidence-based review: Screening body dysmorphic disorder in aesthetic clinical settings

BACKGROUND

Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences.

AIMS

To identify validated BDD screening tools and critically appraise current literature regarding its implementation and efficacy in aesthetic medicine and surgery scenarios, with the purpose of transposing the findings to the broad clinical settings in the field.

METHODS

Data was collected using advanced search from PubMed (MEDLINE). Having satisfied the search parameters, 12 studies referring BDD definition according to Diagnostic and Statistical Manual of Mental Disorder (DSM-5) criteria and including a BDD screening tool in clinical aesthetic settings were selected.

RESULTS

While BDD screening enables the recognition of at-risk individuals, further work is required to uncover the best screening tool for general aesthetic clinical practice. Level III evidence favored BDD Questionnaire (BDDQ)/BDDQ-Dermatology Version (DV), and The Dysmorphic Concern Questionnaire (DCQ) among the limited available validated screening instruments to be used outside the psychiatric environment. Based on level II self-classification, one study selected BDDQ-Aesthetic Surgery (AS) version for rhinoplasty patients. The validation process of both BDDQ-AS and Cosmetic Procedure Screening Questionnaire (COPS) had limitations. For BDD screening potential in avoiding postoperative complications, the limited studies found evaluating the outcomes following aesthetic treatments using validated BDD screening measures showed a trend toward less satisfaction with aesthetic treatment outcome among positive screening population against non-BDD counterparts.

CONCLUSION

Further research is necessary to establish more effective methods to identify BDD and evaluate the impact of positive findings on aesthetic intervention outcomes. Future studies may elucidate which BDD characteristics best predict a favorable outcome and provide high-quality evidence for standardized protocols in research and clinical practice.