1.Vaccine-associated complications: a comparative multicenter evaluation among dental practitioners and dental students—which candidate vaccine is more safe in SARS COV II, Gam-COVID-Vac (Sputnik V), ChAdOx1 nCoV-19 (AstraZeneca), BBV152 (Covaxin), or BBIBP-CorV(Sinopharm)?
Behzad HOUSHMAND ; Seied Omid KEYHAN ; Hamid Reza FALLAHI ; Shaqayeq RAMEZANZADE ; Erfan SADEGHI ; Parisa YOUSEFI
Maxillofacial Plastic and Reconstructive Surgery 2022;44(1):3-
Background:
The rapidly developed vaccines against the severe acute respiratory syndrome coronavirus 2 carry a risk of provoking side effects. This study aimed to evaluate current vaccination non-serious/serious side effects.
Methods:
A multicenter electronic questionnaire via an online platform was conducted over a 1-week period among vaccinated dental staff and dental students inquiring whether they experienced vaccine-related side-effects after vaccine administration.
Results:
A total of 1205 respondents with a mean age of 39 (SD: 12) were retained for the analyses. The following vaccines were reported; Gam-COVID-Vac (Sputnik V), ChAdOx1 nCoV-19 (AstraZeneca), BBV152 (Covaxin), or BBIBP-CorV (Sinopharm). The majority of respondents received ChAdOx1 nCoV-19 (51.1%) and Gam-COVID-Vac (37.6%). The symptoms most frequently reported after vaccination were fatigue (79%), local pain in the injection site (77.4%), malaise (73%), and body pain (71.1%). Enrollees reported more onset of reactions on 0–12 h (44.1%) and 12–24 h (29.0%) after vaccine administration (p value <0.001). In 75.7%, the side effects last for up to 3 days. Merely 5.5% of cases reported the presence of side effects after the first week. Individuals with a history of SARSCoV-2 and other infections (MERS, influenza, and EBV) were more likely to report a number of unserious systemic side effects.
Conclusion
The commonly reported adverse events were in line with similar studies. We have concerns with the frequency of serious adverse effects. This work necessitates the need for further clinical assessments with larger sample sizes.
2.Use of piezoelectric surgery and Er:YAG laser:which one is more effective during impacted third molar surgery?
Seied Omid KEYHAN ; Hamid Reza FALLAHI ; Behzad CHESHMI ; Sajad MOKHTARI ; Dana ZANDIAN ; Parisa YOUSEFI
Maxillofacial Plastic and Reconstructive Surgery 2019;41(1):29-
BACKGROUND:
Reduction in postoperative complications is of vital considerations in impacted third molar teeth surgery. The aim of this study was to compare postoperative complications of impacted third molar surgeries for bone removal using laser, piezoelectric equipment, and conventional rotary instruments.
METHODS:
To address the research purpose, the investigator designed the prospective double-blind clinical trial study. The sample size was determined 20 (40 teeth) by sampling formula in any kind of operation. The data of patients were obtained in the different periods in terms of pain, trismus, swelling, ecchymosis, and patient's satisfaction and then analyzed using SPSS 20 software via paired t test and Wilcoxon and McNemar's tests.
RESULTS:
The pain immediately after surgery and 2 days and 7 days after surgery was higher in the laser group. The swelling immediately after surgery was more in the laser group but not significant. The amount of mouth opening immediately after surgery and 2 days and 7 days after surgery was significantly lower in the laser group than in the piezosurgery group. The total duration of surgery and duration of osteotomy were significantly longer in the laser group. The patient's satisfaction from surgery with piezosurgery was more than that with laser, but this difference was not significant.
CONCLUSION
Due to the rising demand for impacted wisdom tooth surgery, the present study suggests that hard tissue laser surgery and piezosurgery can clear the future of impacted molar surgery, and these approaches are more efficient in reducing postoperative complications compared to the conventional surgeries.
3.Zygomatic implants placed in atrophic maxilla: an overview of current systematic reviews and meta-analysis
Shaqayeq RAMEZANZADE ; Julian YATES ; Frank J. TUMINELLI ; Seied Omid KEYHAN ; Parisa YOUSEFI ; Jose LOPEZ-LOPEZ
Maxillofacial Plastic and Reconstructive Surgery 2021;43(1):1-
Background:
Zygomatic implants are a treatment option for severely atrophic maxilla.Main text: This study aimed to summarize and evaluate systematic reviews assessing the clinical outcomes of zygomatic implants including survival/failure rate and complications. PubMed-MEDLINE, Google Scholar, LILACS, and the Cochrane Database were searched up to April 2020. Risk of bias assessment was conducted by the AMSTAR tool. Initial searches yielded 175 studies. These were assessed, and following title abstract and full-text evaluation, 7 studies (2 meta-analyses) were included in the final review. According to the AMSTAR tool, 1 was deemed high quality, 4 were classified as medium, and 2 as low quality. The mean AMSTAR score (±SD) was 5.28 of 9 (±2.36) ranging from 2/9 to 9/9. The reported survival rates ranged from 95.2 to 100% except for resected maxillas, which established higher failure rates up to 21.43%. Concerning the complications with the zygomatic implants, various surgical and prosthetic complications were reported with sinusitis being the most frequently observed complication. Zygomatic implants appears to offer a promising alternative to formal bone grafting techniques with lower costs, less complications, less morbidity, shorter treatment times, and comparably high survival rates.
Conclusion
Complications were rare and usually easy to manage. However, the treatment should be directed by appropriately trained clinicians with noticeable surgical experience.
4.Computer-assisted horizontal translational osseous genioplasty: a simple method to correct chin deviation
Seied Omid KEYHAN ; Abbas AZARI ; Parisa YOUSEFI ; Behzad CHESHMI ; Hamid Reza FALLAHI ; Mohammad Amin VALIPOUR
Maxillofacial Plastic and Reconstructive Surgery 2020;42(1):36-
Background:
Different genioplasty techniques are applied for the adjustment of chin area deformities such as chin deviation.
Results:
Thirty patients with simple facial asymmetry due to chin deviation underwent computer-assisted horizontal translational osseous genioplasty. In this technique, a surgical guide was used to cut a bone strip from the side where the chin should be transferred to; then, the same bone strip was used for the filling of the gap that was formed on the opposite side.
Conclusion
According to the experience gained from this study, the authors believe that computer-assisted horizontal translational osseous genioplasty is a simple and reliable technique for patients with facial asymmetry due to chin deviation.
5.Computer-assisted horizontal translational osseous genioplasty: a simple method to correct chin deviation
Seied Omid KEYHAN ; Abbas AZARI ; Parisa YOUSEFI ; Behzad CHESHMI ; Hamid Reza FALLAHI ; Mohammad Amin VALIPOUR
Maxillofacial Plastic and Reconstructive Surgery 2020;42(1):36-
Background:
Different genioplasty techniques are applied for the adjustment of chin area deformities such as chin deviation.
Results:
Thirty patients with simple facial asymmetry due to chin deviation underwent computer-assisted horizontal translational osseous genioplasty. In this technique, a surgical guide was used to cut a bone strip from the side where the chin should be transferred to; then, the same bone strip was used for the filling of the gap that was formed on the opposite side.
Conclusion
According to the experience gained from this study, the authors believe that computer-assisted horizontal translational osseous genioplasty is a simple and reliable technique for patients with facial asymmetry due to chin deviation.
6.Artificial intelligence applications and ethical challenges in oral and maxillo‑facial cosmetic surgery: a narrative review
Rata ROKHSHAD ; Seied Omid KEYHAN ; Parisa YOUSEFI
Maxillofacial Plastic and Reconstructive Surgery 2023;45(1):14-
Artificial intelligence (AI) refers to using technologies to simulate human cognition to solve a specific problem. The rapid development of AI in the health sector has been attributed to the improvement of computing speed, exponential increase in data production, and routine data collection. In this paper, we review the current applications of AI for oral and maxillofacial (OMF) cosmetic surgery to provide surgeons with the fundamental technical elements needed to understand its potential. AI plays an increasingly important role in OMF cosmetic surgery in various settings, and its usage may raise ethical issues. In addition to machine learning algorithms (a subtype of AI), convolutional neural networks (a subtype of deep learning) are widely used in OMF cosmetic surgeries. Depending on their complexity, these networks can extract and process the elementary characteristics of an image. They are, therefore, commonly used in the diagnostic process for medical images and facial photos. AI algorithms have been used to assist surgeons with diagnosis, therapeutic decisions, preoperative planning, and outcome prediction and evaluation. AI algorithms complement human skills while minimizing shortcomings through their capabilities to learn, classify, predict, and detect. This algorithm should, however, be rigorously evaluated clinically, and a systematic ethical reflection should be conducted regarding data protection, diversity, and transparency. It is possible to revolutionize the practice of functional and aesthetic surgeries with 3D simulation models and AI models. Planning, decision-making, and evaluation during and after surgery can be improved with simulation systems. A surgical AI model can also perform timeconsuming or challenging tasks for surgeons.
7.Reopening of dental clinics during SARS-CoV-2 pandemic: an evidence-based review of literature for clinical interventions
Seied Omid KEYHAN ; Hamid Reza FALLAHI ; Amin MOTAMEDI ; Vahid KHOSHKAM ; Paymon MEHRYAR ; Omid MOGHADDAS ; Behzad CHESHMI ; Parsa FIROOZI ; Parisa YOUSEFI ; Behzad HOUSHMAND
Maxillofacial Plastic and Reconstructive Surgery 2020;42(1):25-
Background:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes serious acute respiratory diseases including pneumonia and bronchitis with approximately 2.3% fatality occurrence.Main bodyThis study argues the main concepts that need to be considered for the gradual reopening of dental offices include treatment planning approaches, fundamental elements needed to prevent transmission of SARS-CoV-2 virus in dental healthcare settings, personal protection equipment (PPE) for dental health care providers, environmental measures, adjunctive measures, and rapid point of care tests in dental offices.
Conclusion
This article seeks to provide an overview of existing scientific evidence to suggest a guideline for reopening dental offices.
8.Reopening of dental clinics during SARS-CoV-2 pandemic: an evidence-based review of literature for clinical interventions
Seied Omid KEYHAN ; Hamid Reza FALLAHI ; Amin MOTAMEDI ; Vahid KHOSHKAM ; Paymon MEHRYAR ; Omid MOGHADDAS ; Behzad CHESHMI ; Parsa FIROOZI ; Parisa YOUSEFI ; Behzad HOUSHMAND
Maxillofacial Plastic and Reconstructive Surgery 2020;42(1):25-
Background:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes serious acute respiratory diseases including pneumonia and bronchitis with approximately 2.3% fatality occurrence.Main bodyThis study argues the main concepts that need to be considered for the gradual reopening of dental offices include treatment planning approaches, fundamental elements needed to prevent transmission of SARS-CoV-2 virus in dental healthcare settings, personal protection equipment (PPE) for dental health care providers, environmental measures, adjunctive measures, and rapid point of care tests in dental offices.
Conclusion
This article seeks to provide an overview of existing scientific evidence to suggest a guideline for reopening dental offices.