ABSTRACT Aim The objective of this study was to assess the influence of low‐level laser therapy (LLLT) on postoperative pain after dental implant placement. Material and Methods Data from two randomised controlled trials were used, where patients reported their maximum postoperative pain using a visual analogue scale (VAS) and the frequency of analgesic intake within the first postoperative week. LLLT (Therapy XT, DMC Group, Sao Carlos, Brazil) gallium aluminium arsenide diode (GaAlAs) with 808 nm wavelength and 100 mW was applied in six points (80 s in each point of application; energy density = 11 J/cm 2 ) prior to bone perforation. The number of placed implants and the bone bed (extraction socket or healed site) were also recorded. The influence of the treatment and patient characteristics on the outcome was assessed using unadjusted and adjusted Poisson regression models. Result A total of 114 implants were placed in 62 patients. Lower postoperative pain scores were given in the LLLT group ( p = 0.013); however, no difference was observed in the analgesic intake ( p = 0.314). Also, no differences were observed when comparing single or multiple implants placement ( p = 0.121) and the bone bed site ( p = 0.502). Conclusion A single session of LLLT at the implant placement seems to be effective in reducing postoperative pain, regardless of the number of implants and the bone bed site.

The author declares no conflicts of interest.

ABSTRACT Introduction The aim of this study was to obtain the views of oral surgeons (OS) and oral and maxillofacial surgeons (OMFS) in the United Kingdom on labial frenectomies regarding their indication, timing and preferred surgical techniques. Materials and Methods This was a cross‐sectional, questionnaire‐based study. A 20‐item online questionnaire was sent to both OS and OMFS by distribution through the British Association of Oral Surgeons (BAOS) and British Association of Oral and Maxillofacial Surgeons (BAOMS). It included demographics of respondents, diagnostic methods for aberrant labial frenums as well as their preferred timing, surgical techniques, and instruments for labial frenectomies. Descriptive statistics were used to summarise the study sample characteristics and questionnaire responses. Results One hundred and thirty‐nine OS and 41 OMFS responded to the questionnaire with a response rate of 18.3% and 3.4% respectively. 84.4% of OS and 68.3% of OMFS believed that a low and hypertrophic frenum can be an important aetiological factor in the development of a median diastema. If a labial frenectomy was to be carried out as part of orthodontic treatment, the preferred timing among OS was just before closure of the median diastema (37.0%) while the majority of OMFS felt that timing did not matter (31.7%). More than half (55.7%) of the respondents used the Archer and Kruger classical technique exclusively for frenectomies, and a large majority (94.3%) preferred the use of a scalpel over electrosurgery or lasers. Conclusions Considerable variation was found in the diagnostic approach to aberrant frenums and preferred timing of frenectomies among OS and OMFS; however, some consensus was noted in their choice of surgical technique and instrument. Further studies are required to provide more insight on the appropriate indication and timing for labial frenectomies as well as the need for adjunctive orthodontic treatment for the closure of median diastemas following frenectomy procedures.

ABSTRACT Aim Secretory carcinoma (SC), also known as mammary analogue secretory carcinoma, is a rare malignant neoplasm of the salivary glands, named for its histological and molecular resemblance to mammary secretory carcinoma. The aim of this study is to present a new case of SC occurring in the lower lip, initially diagnosed as a mucocele, and to provide a comprehensive review of reported cases in minor salivary glands. Materials and Methods A 40‐year‐old woman presented with a nodular lesion of the lower lip clinically diagnosed as a mucocele. An excisional biopsy was performed, and histopathological and immunohistochemical analyses confirmed the diagnosis of SC. The patient was referred to an oncology referral centre for therapeutic planning. In addition, a literature review was performed. Results Identifying 55 articles published between 2010 and 2025 and documenting 96 cases of SC in minor salivary glands. SC showed a slight female predominance (48.9%, n = 47), with a mean age of 46.27 ± 17.47 years, and most commonly affected the lip (34.3%, n = 33). Local recurrence (44.7%, n = 43) and metastasis (41.6%, n = 40) were infrequently reported, and most patients remained alive without evidence of disease at follow‐up (55.2%, n = 53). Conclusion SC is a rare malignant tumour with overlapping clinical and histological features that may mimic other soft tissue lesions. This case, combined with data from the literature, highlights the importance of considering SC in the differential diagnosis of nodular lesions of the oral mucosa and emphasises the need for accurate diagnosis and long‐term follow‐up.

ABSTRACT Objective Adenoid ameloblastoma (AA) is a recently described subtype of ameloblastoma that poses a diagnostic challenge and carries a potential risk of infiltration and recurrence. We aimed to report an AA located in the posterior maxillary region, treated by marginal resection, with an excellent postoperative result. Methods A 46‐year‐old female presented with a 5‐month evolution asymptomatic tumour located in the right maxilla, extending from the first molar region to the tuberosity. Medical history was non‐contributory. Incisional biopsy revealed adenoid ameloblastoma. The lesion and associated teeth were resected with a 1.5 cm margin. Result After 5 years of marginal resection, there is no clinical or tomographic evidence of fistula or recurrence. Conclusion AA has a high infiltrative capacity, suggesting a more aggressive treatment to reduce recurrence. Additionally, given limited information about the tumour, it is essential to report well‐documented cases to better understand the lesion.

The data that support the findings of this study are available from the corresponding author upon reasonable request.

ABSTRACT Background Orthognathic surgery has been a common practice among Oral & Maxillofacial surgeons for many years, to correct dentoskeletal discrepancies and consequently improve facial harmony. Among the different mandibular osteotomies used, the far most used is the bilateral sagittal split osteotomy (BSSO). During this time, the design of BSSO has undergone various technical changes. The aim of this historical review was to provide an overview of the modern alterations of the BSSO and to stimulate future discussions regarding the minimally invasive concept in orthognathic surgery. Methods This scoping review assessed the literature related to the BSSO in orthognathic surgery and performed a comprehensive review of the technical changes that have taken place in the design of this osteotomy over the years. Results The authors have observed that the most recent modifications in the osteotomy design are related to a shorter osteotomy, which is paradoxical as it seeks to overcome the disadvantages found in the traditional design. This modification has created a certain level of debate among the surgeons, leading to questions about the technique. The bilateral sagittal split osteotomy has undergone significant changes in recent years, and the minimally invasive concept in orthognathic surgery remains a topic of ongoing discussion. Conclusions The authors hope that this historical review will encourage further debates and research in this field.

ABSTRACT Background Periapical cysts are the most common inflammatory odontogenic cysts and are typically managed through root canal therapy (RCT), with/without surgical intervention. However, when a vital tooth is involved, retrograde/conservative/biologically guided alternatives may be considered in carefully selected cases. Case Presentation A 41‐year‐old female presented with an asymptomatic, well‐defined radiolucent lesion involving the apices of the maxillary right first and second premolars. Cone‐beam computed tomography revealed a large cystic lesion extending toward the maxillary sinus. The first premolar had an acceptable previous RCT, while the second premolar responded positively to pulp vitality tests and showed no clinical signs/symptoms. Surgical enucleation of the lesion was performed using a conservative flap design. Root‐end resection and root‐end filling/sealing with calcium‐enriched mixture (CEM) cement were completed for both teeth. The second premolar was not endodontically treated, as its apex was exposed during surgery. Histopathologic examination confirmed a radicular cyst. Radiographic follow‐ups at 1 and 7 years demonstrated complete healing and long‐term periapical stability. Conclusion This case suggests that periapical healing may occur in an intact vital tooth following root‐end filling/sealing with a bioactive material _without conventional RCT_ when the lesion is thoroughly enucleated and apical sealing is achieved. The 7‐year follow‐up underscores the potential durability of this conservative approach. However, such management requires meticulous case selection, acknowledgment of diagnostic limitations, and long‐term monitoring. Further clinical investigations are warranted to determine the broader applicability/safety of this approach.