Sequelae of third molar impaction (TMI) surgery, including pain, limited jaw movement, and edema, may be mitigated by dexamethasone injected into the pterygopalatine fossa (PPF).

Oral and maxillofacial surgeons frequently prescribe antibiotics, yet their prescribing patterns are not well studied on a national level.

The pectoralis major myocutaneous (PMMC) flap remains a widely utilized reconstructive option for oral cavity cancers, especially where microvascular surgery may not be feasible. However, its application in female patients presents unique challenges, including higher risk of flap failure and significant donor site deformity, notably breast disfigurement. To address these issues, we developed the mammoplasty-driven PMMC (MD-PMMC) technique, which integrates principles of breast mammoplasty to preserve donor site aesthetics without compromising flap viability. This innovative method maintains breast mound and minimizes displacement of the nipple-areola complex, thus preserving overall breast cosmesis. Applied in a cohort of 51 female patients, the MD-PMMC technique resulted in only 1 case of total flap loss. More than 80% of patients reported satisfaction with breast contour, with no instances of breast mound flattening. MD-PMMC offers an effective, reproducible reconstructive solution that balances optimal recipient site outcomes with superior donor site aesthetics in female patients.

Medication-related osteonecrosis of the jaw (MRONJ) is a rare complication associated with antiresorptive therapies commonly prescribed for conditions such as osteoporosis. While MRONJ is extensively studied in adult populations, its occurrence and characteristics in pediatric patients remain underexplored. Dental clearance, defined as evaluation by a dental provider prior to initiation of certain medications or surgical interventions to ensure dental and oral health, has been extensively studied in the adult population. Its utility, however, in the setting of MRONJ in the pediatric population, remains to be assessed extensively.

Orbital floor fractures may cause enophthalmos, diplopia, and facial asymmetry, often requiring surgical intervention to restore form and function. Advances in virtual planning enable customized reconstruction; however, the influence of specific planning techniques on surgical accuracy remains uncertain.

Concentrated growth factors (CGFs) are autologous biomaterials with notable regenerative potential, particularly relevant in oral surgical applications. Optimizing postoperative recovery after third molar extraction is a clinically significant concern.

Alveolar ridge resorption following tooth extraction or periodontal disease often necessitates bone augmentation to restore sufficient volume for stable and esthetic implant placement. However, conventional guided bone regeneration using collagen membranes demonstrates limited space maintenance and graft stability, particularly in complex defects. Additionally, harvesting autogenous bone requires a secondary surgical site, increasing morbidity and prolonging recovery. To address these limitations, we present the modified bone ring tenting technique, which utilizes autogenous bone blocks to achieve stable bone regeneration without a secondary donor site. Ring-shaped bone grafts are placed to create a stable tent-like scaffold that preserves the regenerative space and allows for simultaneous implant placement. Preliminary evidence from a clinical case series demonstrated favorable outcomes, with postoperative cone-beam computed tomography confirming predictable bone regeneration and stable implant integration. The modified bone ring tenting technique reduces invasiveness, avoids donor-site complications, and shortens recovery time, offering a reliable and esthetically favorable solution for implant rehabilitation in the esthetic zone.

Fibula and iliac crest flaps are widely used for mandibular reconstruction, but accurate restoration of the mandibular angle using iliac flaps remains challenging and may affect postoperative aesthetics.

Palatal and maxillary defects after oncologic resection impair speech, swallowing, and cosmesis. The reverse flow nasolabial (RFNL) flap, based on the angular artery, is a reliable and versatile choice for restoring function and reasonable aesthetics. This technical note describes our experience and outcomes with RFNL flap from a tertiary cancer center in South India. Between January 2022 to May 2023, 30 patients underwent reconstruction using 40 RFNL flaps. One patient (3.34%) had partial flap loss. While the facial scar healed well in 83% of patients, 17% developed a hypertrophic scar. Grade II oral incompetence was noted in 4 patients (13%). Deviation of angle of the mouth was obvious in 3 (10%) and slight in 12 (40%). None of the patients experienced venous congestion, wound dehiscence, parotid duct injury, or donor-site recurrence. The RFNL flap is easy to harvest, close to surgical site, and versatile for palatal defect reconstruction. Patients should be counseled on potential facial scarring, commissure deviation, and minimal risk of oral incompetence.

Condylar fractures lack clear treatment guidelines and may have a lasting effect on temporomandibular joint function. Platelet-rich plasma (PRP), containing growth factors enhances healing in orthopedic fractures, but its role in condylar fractures remains unexplored.

Temporomandibular joint (TMJ) arthroscopy requires continuous irrigation to maintain visualization during the procedure. Conventional draping methods often fail to contain irrigation fluid effectively, resulting in loss of field control, ergonomic discomfort, and potential contamination of nonsterile areas.

The association between long-term skeletal relapse and the perioperative positioning of the mandibular condyles and the proximal segments in maxillomandibular advancement (MMA) surgery is poorly understood.

Orbital fractures are common facial injuries that may cause lasting functional and esthetic complications, but the link between orbital volume variation and persistent postoperative outcomes remains unclear.

First bite syndrome (FBS) is a rare pain disorder characterized by sharp parotid pain triggered by the first bite of each meal and diminishing with continued mastication. It is most often reported as a complication of parapharyngeal or sympathetic chain surgery, with an incidence of approximately 6% to 10% in surgical series. Idiopathic cases, in which no prior surgery or local cause is identified, are exceedingly uncommon, with fewer than 10 described in the literature. Several of these involved patients with diabetes mellitus, suggesting a possible role for autonomic neuropathy. We present a 63-year-old woman with poorly controlled type 2 diabetes who developed parotid pain consistent with idiopathic FBS, without any history of head or neck surgery. Imaging was normal, and neurologic testing confirmed diabetic autonomic neuropathy. With reinitiation of insulin and improved glycemic control, symptoms resolved in parallel with hemoglobin A1c reduction. This case highlights a presentation clinically compatible with idiopathic FBS secondary to diabetic autonomic neuropathy and underscores the importance of recognizing systemic contributors to parotid pain, which may resolve with metabolic optimization.