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Introduction: This article comprehensively explores Dirofilariasis, focusing on Dirofilaria repens and Dirofilaria immitis as rare zoonotic ailments. Emphasis is placed on their prevalence, life cycle intricacies, and symptoms, particularly the rising incidence of Dirofilaria repens in Europe, notably Lithuania. The report details three cases of oral dirofilariasis, presenting clinical histories, diagnostics, interventions, and species identification. The discussion highlights the rarity of maxillo-mandibular dirofilariasis, addressing diagnostic challenges and diverse treatment options., Objective: The objective is to investigate the emergence, clinical aspects, and management of Dirofilariasis, with a focus on Dirofilaria repens, emphasizing its prevalence in Europe, particularly Lithuania., Materials and Methods: The article presents three cases of oral dirofilariasis, providing detailed clinical histories, diagnostic procedures, interventions, and species identification. A thorough examination of Dirofilaria repens prevalence and characteristics in Europe, especially Lithuania, is conducted., Results: The discussion reveals insights into the rarity of maxillo-mandibular dirofilariasis, highlighting diagnostic challenges and diverse treatment options. The cases contribute valuable information on clinical and diagnostic aspects, enhancing the understanding of this unusual condition., Conclusion: The conclusion emphasizes the critical need for heightened awareness and a comprehensive diagnostic approach in managing oral dirofilariasis. It serves as a reminder to healthcare professionals about the importance of increased awareness for effective management in medical practice.

Objectives: The review aims to study dental implant placement purposefulness for patients who have been treated or are on treatment with bisphosphonate medication., Material and Methods: Structured search strategy was applied on electronic databases: MEDLINE, PubMed, PubMed Central and ResearchGate. Scientific publications in English between 2006 and 2017 were identified in accordance with inclusion, exclusion criteria. Publication screening, data extraction, and quality assessment were performed. Outcome measures included implant failure or implant-related osteonecrosis of the jaw., Results: In total, 32 literature sources were reviewed, and 9 of the most relevant articles that are suitable to the criteria were selected. Heterogeneity between the studies was found and no meta-analysis could be done. Five studies analysed intraoral bisphosphonate medication in relation with implant placement, three studies investigated intravenous bisphosphonate medication in relation with implant placement and one study evaluated both types of medication given in relation with implant placement. Patients with intraoral therapy appeared to have a better implant survival (5 implants failed out of 423) rate at 98.8% vs. patients treated intravenously (6 implants failed out of 68) at 91%; the control group compared with intraoral bisphosphonate group appeared with 97% success implant survival rate (27 implants failed out of 842), showing no significant difference in terms of success in implant placement., Conclusions: Patients treated with intravenous bisphosphonates seemed to have a higher chance of developing implant-related osteonecrosis of the jaw. The intraorally treated patient group appeared to have more successful results. Implant placement in patients treated intraorally could be considered safe with precautions.

Objectives: The purpose of this study was to evaluate the influence of leukocyte- and platelet-rich fibrin (L-PRF) on impacted mandibular third molar (IMTM) extraction wound healing, patient postoperative discomfort, and incidence of alveolar osteitis., Method and Materials: Thirty-four patients (20 female, 14 male) who met the inclusion criteria for this split-mouth randomized clinical trial were enrolled and 30 patients completed the study. Patients were randomized and underwent bilateral IMTM surgical extractions. Following extraction, one socket randomly received L-PRF, and the other socket served as a regular blood clot control. Postoperatively, the soft tissue healing index (HI), pain according to visual analog scale (VAS), facial swelling using a horizontal and vertical guide, and incidence of alveolar osteitis were evaluated 1, 3, 7, and 14 days after surgery., Results: Sites treated with L-PRF resulted in improved HI (P = .001) and lower pain VAS scores (P = .001) in the first postoperative week. Significant reduction of facial swelling was recorded on first (P = .035) and third (P = .023) postoperative days in L-PRF sites versus controls, ceasing to nonsignificant difference at day 7 (P = .224). None of the L-PRF sites and four control sites were affected by alveolar osteitis (P = .001)., Conclusion: Within the limitations of this split-mouth study, L-PRF improved soft tissue healing and reduced postoperative pain, swelling, and incidence of alveolar osteitis after IMTM surgical extractions.

Objectives: There aren't any objective methods that may help in standard evaluation of oral surgery patient's psycho-emotional status. Without any standardized evaluation, two main problems appear: heterogeneity between studies and ineffective patient's evaluation. Therefore, Universal Scale in Oral Surgery (USOS) for patient's psycho-emotional status rating has previously been proposed by authors. The aim of present study is to assess the clinical effectivity and validate the Universal Scale in Oral Surgery in case of outpatient tooth extraction for adult healthy patients., Material and Methods: Clinical trial to validate the USOS for patient's psycho-emotional status rating was performed. In total 90 patients, that came for outpatient dental extraction to Lithuanian University of Health Sciences Oral and Maxillofacial Surgery Department ambulatory, were enrolled in clinical trial. Patients filled self-reported questionnaires before the procedure. Operating surgeon rated USOS for patient's psycho-emotional status rating doctor's part questionnaire after the procedure. 4 - 6 weeks later all patients were asked to fill USOS for patient's psycho-emotional status rating questionnaire retrospectively., Results: According to the statistical analysis, the final composition of USOS for patient's psycho-emotional status rating that would fit to reliability coefficient should be composed from 6 patient part questions and 3 general doctor part questions., Conclusions: Universal Scale in Oral Surgery for patient's psycho-emotional status rating is a novel, doctor and patient rated scale which is suitable for clinical and scientific usage.

Background: The aim of this study was to present and validate a new classification system for the maxillary anterior extraction socket based upon soft and hard tissue parameters., Methods: Twenty-five maxillary anterior teeth from 25 subjects (15 men and 10 women; aged 18 to 51 years; mean age = 32.4 years) were used to validate the new proposed classification system. Two independent surgeons recommended a treatment approach based upon the classification proposed. These suggestions were verified at the time of surgery. Weighted Cohen's kappa was used to calculate interobserver reliability. Statistical analysis was performed using the paired t, Kolmagorov-Smirnov, and marginal homogeneity tests., Results: Interobserver agreement and weighted Cohen's kappa were 96% and 0.94, respectively. This indicated a high reliability for the proposed classification system. No peri-implant soft tissues were classified as deficient when the newly developed classification was used to recommend treatment. Overall, 80% of sockets were graded as adequate based on soft tissue parameters (P <0.001)., Conclusion: The extraction socket classification proposed here is an objective and helpful tool for socket assessment and for promoting future implant esthetics.

The authors have investigated functional state of infraorbital nerve of 479 patients with zygomatic fractures. The degree of nerve damage was evaluated according to changes of pain threshold during damaged nerve stimulation. It was estimated that in 64.3% of zygomatic fractures the infraorbital nerve was affected. The nerve damage degree could be mild, moderate and severe. In 43.18% of moderate and severe nerve damage cases the neuropathy develops. The symptoms, signs and treatment of neuropathy have been described. The neuropathy with clinical symptoms as permanent soreness and paresthesias (itch, "running ant", fibrillations of cheek tissues etc.) in the infraorbital nerve innervation zone occur to 43.18% of the patients after moderate and severe damage of the nerve. The treatment of neuropathy was analysed. In cases of moderate and severe nerve damages, authors recommend to perform decompression of the nerve, because if not applied, the function of nerve does not recover.