Background: Osseointegration is fundamental to achieving successful implant therapy in dentistry. However, the heat generated during implant placement emerges as a critical factor predisposing to implant failure. Objective: This study aimed to analyze the different factors related to heat generation during implant placement, offering insights to clinicians in their daily clinical practice. Methods: Utilizing the PubMed, Web of Science, and Embase databases, we conducted an electronic search for articles published between January 2013 and December 2023. The analysis focused on several factors including bone type, drill shape, drill speed, drill material, drilling force, osteotomy depth, drill load, drilling technique (intermittent or continuous), presence of a surgical guide, irrigation methods, drill wear, and preparation tools available. Results: Initially, 2525 records were identified. After applying the inclusion and exclusion criteria and full-text assessment, 93 articles were included in this scoping review. Additionally, some articles published before 2013 were incorporated in the bibliography to ensure completeness of the review. Conclusions: Heat generation during implant placement arises from a complex interplay of multiple factors. While irrigation and bone hardness appear to be crucial determinants of heat generation during the osteotomy phase, the involvement of other factors remains less clear. Further studies are needed to better understand the precise contribution of these factors towards increasing temperature at the implant site.
A healthy man in his 40s was referred to the Oral Surgery and Implantology Unit of Geneva University Hospital for diagnosis and management of facial swelling affecting the right side of his lower jaw. The patient’s history revealed that the patient had been hit by several punches to the face a few months earlier. To investigate the swelling, an intra-oral radiograph, an orthopantomographic radiograph, and computed tomography were performed, which revealed no fracture of the lower jaw but the presence of a partly impacted fractured wisdom tooth (third molar). This finding, together with the clinical status, indicated cellulitis most likely related to the presence of a fractured wisdom tooth. The decision was made to proceed with tooth extraction, and follow-up at 3 weeks showed good healing and complete resolution of facial swelling. This case highlights that odontogenic infection can also occur as a result of necrosis following the fracture of an impacted wisdom tooth.
Background: Venous malformation, formerly designated as cavernous hemangioma, is a rare vascular lesion characterized by significant endothelial cells proliferation, predominantly affecting young females. Diagnosis is challenging due to its low incidence and variety of clinical, radiological, and histological presentations. Objectives: The aim was to review the current scientific understanding of maxillary venous malformation based on the available literature and present an additional rare case of venous malformation of the upper maxilla. Methods: A systematic review was conducted across PubMed, Google Scholar, and Embase databases for studies published between January 1990 and April 2025. Inclusion criteria encompassed meta-analyses, systematic reviews, randomized controlled trials, non-randomized controlled trials, cohort studies, and case reports describing cavernous hemangiomas and venous malformation of the maxilla. All clinical and radiological characteristics were considered. Results: Out of 10,021 studies identified through our database search, 22 met the inclusion criteria, describing 28 (29 with our case) clinical cases of maxillary venous malformation. Conclusions: Maxillary venous malformation presents complex and varied clinical and radiological aspects, which are crucial for preoperative assessment and management. Appropriate measures may be necessary to prevent bleeding complications during lesion removal. To the best of our knowledge, this is the first comprehensive review on venous malformation of the maxilla. In addition, we report an unusual case identified incidentally during implant planning and successfully removed through isolated bone augmentation.
Background: Misdiagnosis on radiographic examination is a significant risk for dentists and medical practitioners. This review focuses on an anatomical variation of the maxillary sinus that can mimic a radicular (periapical) cyst. Knowledge of morphological variations, their prevalence, and the radiographic criteria distinguishing these variations from true lesions is essential to ensure accurate diagnosis and appropriate treatment and to prevent unnecessary or potentially harmful interventions. Objective: The aim of this study was to perform a systematic literature search of published cases and to present a clinical case illustrating a specific maxillary sinus variant, an enlarged sinus with a prominent alveolar recess that can mimic a periapical cyst on radiographs. Methods: After defining specific MeSH terms, a systematic literature search was conducted across three databases: Web of Science, PubMed, and Embase. Relevant articles reporting on enlarged maxillary sinuses with alveolar recesses resembling radicular cysts were identified and analyzed. Results: Four articles describing the presence of an enlarged maxillary sinus with an alveolar recess resembling a periapical cyst were extracted from the literature. Conclusion: Knowledge gaps regarding the alveolar recess of the maxillary sinus remain in the literature and should be addressed to avoid misdiagnosis. The findings also underscore the importance of three‐dimensional imaging, such as CT or CBCT, for accurate detection of this anatomical variant.
Background: Solitary bone cysts (SBCs) are non‐epithelialized intraosseous cavities that predominantly affect the posterior mandible of children and young adults. Their occurrence in the anterior mandible is uncommon, and available data remain limited. Aim: This study aimed to systematically review the available literature on SBCs of the anterior mandible, synthesizing epidemiological, clinical, radiological and surgical findings. In addition, two well‐documented clinical cases are presented to illustrate the diagnostic challenges and therapeutic outcomes associated with this uncommon yet clinically relevant entity, emphasizing the importance of a cautious and structured diagnostic approach. Methods: A systematic literature search was conducted in PubMed, Embase and Web of Science databases in accordance with PRISMA guidelines. Studies reporting SBCs exclusively located in the anterior mandible were included. Data extraction focused on patient demographics, clinical presentation, lesion localization, radiographic characteristics, treatment modalities and follow‐up outcomes. Results: Twenty articles published between 1990 and 2026 were included and two documented clinical cases have been added, comprising 56 individual cases. The mean age at diagnosis was 16.8 years (range: 9–41 years), with a slight female predominance. Most lesions were asymptomatic and incidentally discovered. Lesion localization was specified in 24 cases, while laterality was not reported in 32 cases. Radiographically, all lesions were described as unilocular radiolucency, although detailed radiographic features were not available in 16 cases. Surgical exploration with curettage was performed in all cases, except in one study of 14 cases where the treatment is not specified. Follow‐up outcomes were reported in 21 cases, all demonstrating complete clinical and radiographic resolution. No recurrences were observed. Conclusion: SBCs of the anterior mandible primarily affect young patients and show an excellent prognosis following surgical exploration with curettage.