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Winocur-Arias O, Amitai BC, Winocur E, Shmuly T, Grinstein Koren O, Reiter S. The prevalence of bruxism and oral parafunction activities among Israeli juveniles with autism spectrum disorder: A preliminary study during the COVID-19 pandemic. Cranio 2023:1-9. [PMID: 37964571 DOI: 10.1080/08869634.2023.2277618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
OBJECTIVE To evaluate the prevalence of oral habits, bruxism, and Temporomandibular Disorders (TMD) injuvenileswithautisticspectrumdisorder(ASD). METHODS Data included 165 juveniles diagnosed with ASD, allocated to younger group aged 6 21 (n=86) and older group aged 13-21 (n=79). RESULTS Sleep bruxism was reported by 26.7% in the younger group and by 5% in the older group. Awake bruxism was reported by 22% and 17.7%, respectively. Oral habits were reported by 43% of all participants, with similar rate in both groups. TMD related p ain was low in both groups (6.3% and 7% respectively). The influence of the COVID 19 pandemic on oral parafunction was moderate in the younger group (17.4%) and mild in the older group (8.6%), influence on bruxism was mild in both groups (5.8% and 2.5%, respectively). CONCLUSION The prevalence of bruxism and oral parafunctions was similar to the reported in the literature for the general population.
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Affiliation(s)
- Orit Winocur-Arias
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Bat-Chen Amitai
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Efraim Winocur
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tom Shmuly
- Department of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Osnat Grinstein Koren
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shoshana Reiter
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
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Heiliczer S, Shmuly T, Avishai G, Zlotogorski-Hurvitz A, Vered M, Mamber L, Kaplan I. Histopathological and histomorphometric analysis of glandular odontogenic cyst-A diagnostic aid. Oral Dis 2023; 29:3306-3312. [PMID: 36305228 DOI: 10.1111/odi.14415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 09/18/2022] [Accepted: 10/10/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Compare recognized microscopic parameters, including variations in width, plaque-like thickenings, intra-epithelial microcysts, clefts, mucous, hob-nail, ciliated and clear cells, between glandular odontogenic cyst (GOC) and GOC-like cysts, investigate the extent of cyst circumference exhibiting these features, and inflammation. MATERIALS AND METHODS Archival records of cysts with histological features of GOC evaluated between 2000 and2020 were retrieved. Slides were revised, and the expression of features throughout the cyst wall was analyzed. Cysts with at least 5 features were classified as GOC, cysts with 3-4 features as GOC-like. RESULTS The study included 74 cysts, 47 males M, 25 females (2 unknown gender), aged 19-81 years, 62 (83.8%) GOC, 12 (16.2%) GOC-like. Mandible was involved in 44 (59.5%), maxilla in 30 (40.5%), 18 (25%) were associated with unerupted teeth. Cyst classified as GOC had significantly higher rates of all parameters investigated, (except ciliated and clear cells), than GOC-like cysts (p ≤ 0.05). 26 (40.6%) cases showed GOC features in >50% of cyst circumference, 21 (32.8%) involved 25-50%, 17 (26.6%) <25%. More than 50% circumference involvement was highly and independently predictive for a diagnosis of GOC, <25% was highly and independently predictive for GOC-like (p = 0.003). Hobnail cells (p = 0.008) and plaque-like thickenings (p = 0.038) were significantly more frequent in inflamed cysts. CONCLUSION Besides the number and type of histological features, GOC can be characterized by their distribution within the cyst circumference (focal Vs diffuse), and it may serve as a new diagnostic aid. It is suggested that GOC and GOC-like may represent a single spectrum.
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Affiliation(s)
- Shimrit Heiliczer
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Tom Shmuly
- Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Unit of Oral and Maxillofacial surgery, Kaplan Medical Center, Rehovot, Israel
| | - Gal Avishai
- Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Beilinson Hospital, Petach-Tikva, Israel
| | - Ayelet Zlotogorski-Hurvitz
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Marilena Vered
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Letizia Mamber
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Ilana Kaplan
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
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Kahn A, Masri D, Kats L, Kolerman R, Naishlos S, Shmuly T, Allon D, Chaushu L. Referral Patterns of General Dental Practitioners for Implant Surgery Procedures. Oral Health Prev Dent 2023; 21:325-330. [PMID: 37753854 DOI: 10.3290/j.ohpd.b4438887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Abstract
PURPOSE The growing demand for implants has led to their implementation by general dental practitioners (GDPs) in clinical practice. The present study assessed referral patterns of GDPs for the surgical phase of implant dental treatment. MATERIALS AND METHODS One hundred fifty GDPs were asked to fill out a structured questionnaire containing their demographic data and answer six questions characterising their referral patterns for implant dentistry. RESULTS Forty-one (41%) percent performed the surgical phase, and 87% provided implant restoration. Gender was the only influencing factor for the surgical phase, as 51.4% of male GDPs and 6.5% of female GDPs performed implant surgery themselves. Experience and practice set-up did not influence the referring decision. Fifty-four percent of the practitioners referred 0 to 5 patients per month, and the chosen specialists were: 80% oral and maxillofacial surgeon, 11% periodontist, and 9% selected a specialist depending on the individual case. The major reasons influencing the referral pattern were the complexity of the surgical procedure, followed by systemic medical compromise of the patient. CONCLUSIONS Most implant surgeries in Israel are still performed by specialists.
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Shmuly T, Ben Zvi Y, Chaushu G, Kaplan I. Oral Solitary Fibrous Tumor: A Retrospective Clinico-Pathological Study and Long-Term Follow-Up. Medicina (Kaunas) 2021; 57:152. [PMID: 33567630 PMCID: PMC7914433 DOI: 10.3390/medicina57020152] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 01/28/2021] [Accepted: 02/03/2021] [Indexed: 12/16/2022]
Abstract
Background and Objectives: This was a retrospective single-center study to analyze and describe the clinical and histological features of all cases of oral solitary fibrous tumor (SFT). Study design: the study included all consecutive cases of oral SFT diagnosed between 2008-2018 at a single tertiary center. Materials and Methods: Clinical data was retrieved from medical charts. The diagnosis of oral SFT was based upon the morphologic features of the lesions, in routine hematoxylin and eosin (H&E) stained sections and confirmed by immunohistochemical analyses including CD34, CD99, Bcl2, and stains for STAT6. Results: Seven cases of oral SFT were found. Of these, three (42%) were in males and four (58%) in females. The age range was 24-63 years (mean 47 ± 13). Four (58%) lesions were located in the buccal mucosa, two (28%) in the labial mucosa and one (14%) on the floor of the mouth. The diameter ranged between 3-50 mm (mean 22 ± 14 mm). All patients were treated with local excision. Follow-up periods were between 2-74 months (mean 41 ± 27). No recurrences were reported. Conclusions: We present a series of oral SFT, which were all non-aggressive in presentation and did not recur after conservative surgery (local excision) over a relatively long follow-up period.
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Affiliation(s)
- Tom Shmuly
- Oral and Maxillofacial Surgery Department, Kaplan Medical Center, Rehovot 7642001, Israel
- Oral and Maxillofacial Surgery Department, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 6934206, Israel;
| | - Yehonatan Ben Zvi
- Oral and Maxillofacial Surgery Department, Rabin Medical Center, Petah-Tikva 4941492, Israel;
| | - Gabriel Chaushu
- Oral and Maxillofacial Surgery Department, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 6934206, Israel;
- Oral and Maxillofacial Surgery Department, Rabin Medical Center, Petah-Tikva 4941492, Israel;
| | - Ilana Kaplan
- Pathology Department, Rabin Medical Center, Petah-Tikva 4941492, Israel;
- Oral Pathology Department, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 6934206, Israel
- Pathology Department, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv 6934206, Israel
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Shmuly T, Allon D. Nasolabial angle changes after orthognathic maxillary repositioning. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.1116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Shmuly T, Allon DM, Vered M, Chaushu G, Shlomi B, Kaplan I. Can Differences in Vascularity Serve as a Diagnostic Aid in Fibro-Osseous Lesions of the Jaws? J Oral Maxillofac Surg 2016; 75:1201-1208. [PMID: 27998739 DOI: 10.1016/j.joms.2016.11.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2015] [Revised: 11/02/2016] [Accepted: 11/12/2016] [Indexed: 11/26/2022]
Abstract
PURPOSE Different lesions in the fibro-osseous group share microscopic features; thus, establishing a definitive diagnosis based on microscopic features alone can be a challenge. There is a need for additional microscopic tools to aid in differentiating these lesions. This study compared parameters related to vascularity among 3 lesions in the fibro-osseous group: fibrous dysplasia (FD), central ossifying fibroma (COF), and cemento-osseous dysplasia (COD). MATERIALS AND METHODS This study was a cross-sectional analysis of biopsied lesions retrieved from 3 medical centers over a 14-year period. The primary predictor variables were the vascularity parameters (number, perimeter, and area). The outcome variables were diagnoses of FD, COF, and COD. Diagnosis was based on clinical, microscopic, and radiologic correlations. From each histopathologic slide, 5 representative fields were captured with a computerized digital camera. The number of blood vessels was counted, and the surface area and vascular perimeter were measured by tracing the perimeter of each vessel. Data were statistically analyzed using analysis of variance with logarithmic transformation and a Tukey adjustment. RESULTS Sixty-six cases were included in the study (26 in FD group, 26 in COF group, and 14 in COD group). The mean number of vessels showed only a tendency to be larger in the FD group compared with the COF and COD groups (5.4 ± 2.6, 3.7 ± 2.3, and 3.6 ± 1.7, respectively), but the results did not reach the threshold for significance. The mean vascular perimeter was 1,385.8 ± 859.2 pixels in the FD group and 742.6 ± 661.8 in COF group after logarithmic transformation (P = .012). The perimeter in the COD group was smaller (941.1 ± 502) compared with that in the FD group, but the difference did not reach the threshold for significance. The mean area was 25,061 ± 24,875.6 in the FD group and 11,773.8 ± 21,734.4 in the COF group after logarithmic transformation (P = .004). The perimeter in the COD group was smaller (13,011.1 ± 8,338.3) compared with the FD group, but the difference did not reach the threshold for significance. CONCLUSION The vascular content of the FD group was markedly higher than of the COF group. These vascular changes can aid in differentiating these lesions microscopically.
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Affiliation(s)
- Tom Shmuly
- Resident, Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petach-Tikva, Israel.
| | - Dror M Allon
- Senior, Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petach-Tikva; Professor, Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Marilena Vered
- Professor and Head, Department of Oral Pathology and Medicine, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Gavriel Chaushu
- Head, Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petach-Tikva; Professor and Head, Department of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Benjamin Shlomi
- Head, Unit of Oral and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
| | - Ilana Kaplan
- Head of Oral Pathology Service, Institute of Pathology, Rabin Medical Center, Petach-Tikva; Head of Oral Pathology Service, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel. Clinical Professor, Department of Oral Pathology and Medicine, Goldschleger School of Dental Medicine, and Clinical Professor, Department of Pathology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
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Shmuly T, Zini A, Yitschaky M, Yitschaky O. Can black extrinsic tooth discoloration predict a lower caries score rate in young adults? Quintessence Int 2016; 45:439-44. [PMID: 24634908 DOI: 10.3290/j.qi.a31535] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The aim of this study was to examine the association between black extrinsic tooth discoloration and caries prevalence in an adult population. This association has been previously shown in children and adolescents but has never been examined in an adult population. METHOD AND MATERIALS Young adults, aged 18 to 29 years old, were examined for black extrinsic tooth discoloration and caries prevalence. The study group included 110 young adults with black stain; the control group consisted of 170 young adults without black stain. The decayed, missing, or filled teeth (DMFT) index score was determined for each subject. The mean DMFT score was calculated for both groups and compared between groups (independent t test). Multiple logistic regression analysis was applied to identify independent influences (age, pigmentation, gender, and smoking) on DMFT. RESULTS Mean DMFT score was 4.2 ± 3.9 for the study group and 5.98 ± 4.8 for the control group, which was statistically significant (P < .001). Mean D score (untreated caries) was 1.6 ± 2.5 (study) and 2.4 ± 3.5 (control) (P < .05). Age had a positive correlation with the DMFT score; however, gender and smoking were negatively correlated. CONCLUSION The association between black stain and reduced rates of dental caries was demonstrated in a young adult population for the first time.
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Allon DM, Shmuly T. [Perceived attractiveness and other characteristics of different male facial types before and after orthognathic surgery]. Refuat Hapeh Vehashinayim (1993) 2015; 32:19-67. [PMID: 26548147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Orthognathic intervention has not only profound implications on the individual's function and esthetics, but also on the perception of his surrounding environment. In this study, frontal and profile photographs of 3 groups of men (a control group with normal profile and prognathic and retrognathic profiles, before and after orthognathic surgery) were shown in random order to a group of 83 women, who were asked to rate the pictures according to attractiveness and several personality traits on an analog scale. Results show that men with normal profiles got the most positive scores on all categories. Men with prognathic profiles were perceived as more aggressive and assertive, while men with retrognathic profiles were perceived as less intelligent and reliable. After orthognathic intervention both retrognathic and prognathic groups had a significant improvement in their scores, which were closer to the normal profile group.
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Zadik Y, Levin L, Shmuly T, Sandler V, Tarrasch R. Recurrent aphthous stomatitis: stress, trait anger and anxiety of patients. J Calif Dent Assoc 2012; 40:879-883. [PMID: 23270132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In this case-control study, recent stress and trait anger/anxiety of otherwise healtlhy patients with active recurrent aphthous stomatitis were compared to those of dental patients with no history of RAS (controls). RAS group reported more angry/anxious feelings than controls (2.11 +/- 0.38/1.84 +/- 0.30, respectively; p < 0.001), and more recent stress (2.81 +/- 1.36/1.96 +/- 1.02; p < 0.01). Among subjects with high angriness/ anxiety, RAS subjects showed higher stress level (p < 0.005). The study revealed that anger/anxiety level mediates the relationship between stress level and RAS.
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Affiliation(s)
- Yehuda Zadik
- Israeli Air Force Surgeon General Headquarters, Israel Defense Forces, Tel Hashomer, Israel.
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