Consorti Giuseppe, Cirignaco Giulio, Monarchi Gabriele, Catarzi Lisa, Paglianiti Mariagrazia, Betti Enrico, Committeri Umberto, Togni Lucrezia, Mascitti Marco, Balercia Paolo, Santarelli Andrea
Division of Maxillofacial Surgery, Department of Neurological Sciences, Marche University Hospitals- Umberto I, Via Conca 71, Ancona 60126, Italy; Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy.
Division of Maxillofacial Surgery, Department of Neurological Sciences, Marche University Hospitals- Umberto I, Via Conca 71, Ancona 60126, Italy; Department of Medicine, Section of Maxillo-Facial Surgery, University of Siena, Viale Bracci, 53100 Siena, Italy.
J Stomatol Oral Maxillofac Surg. 2025 Sep;126(4S):102269. doi: 10.1016/j.jormas.2025.102269. Epub 2025 Jan 30.
The oral cavity poses challenges in surgical interventions due to its microbial flora. Maxillofacial trauma surgeries are vulnerable to infections, complicating recovery. Traditional methods, including antibiotic prophylaxis, have limitations, highlighting the need for complementary strategies.
This study evaluated the impact of professional oral hygiene protocol on infection rates, mucosal health, and pain levels in maxillofacial trauma patients.
A retrospective study analyzed 529 patients treated for maxillofacial trauma at the Maxillo-Facial Surgery Unit of "Azienda Ospedaliera Ospedali Riuniti" in Ancona, Italy, from 2018 to 2023. Patients were divided into two groups: Period 1 (2018-2020, no protocol) and Period 2 (2021-2023, protocol implemented). All patients were in good general health, with no systemic diseases compromising immunity or influencing surgical outcomes. The protocol included supragingival scaling 48 h preoperatively, chlorhexidine 0.20 % three times daily postoperatively, and standardized antibiotic and analgesic regimens. Data included infection rates, modified Beck Oral Assessment Scores and Numerical Rating Scale pain scores. Statistical analyses included independent t-tests and Chi-square tests, with significance set at p < 0.05.
Period 2 showed significantly lower infection rates (13.44 % vs. 19.48 %, p = 0.023), reduced pain scores (mean NRS: 4.6 vs. 5.4, p < 0.01) and improved mucosal health (mean BOAS: 2.91 vs. 3.75, p < 0.001).
The professional oral hygiene protocol reduced postoperative complications, improved oral health, and enhanced patient comfort. These findings support the integration of structured oral hygiene measures into standard maxillofacial surgical care to optimize outcomes and quality of life.
由于口腔微生物群，口腔手术干预面临挑战。颌面创伤手术易受感染影响，使恢复过程复杂化。包括抗生素预防在内的传统方法存在局限性，凸显了补充策略的必要性。
本研究评估了专业口腔卫生方案对颌面创伤患者感染率、黏膜健康和疼痛程度的影响。
一项回顾性研究分析了2018年至2023年在意大利安科纳“综合医院”颌面外科接受颌面创伤治疗的529例患者。患者分为两组：第1阶段（2018 - 2020年，无方案）和第2阶段（2021 - 2023年，实施方案）。所有患者总体健康状况良好，无损害免疫力或影响手术结果的全身性疾病。该方案包括术前48小时龈上洁治、术后每日三次使用0.20%氯己定以及标准化的抗生素和镇痛方案。数据包括感染率、改良贝克口腔评估分数和数字评定量表疼痛评分。统计分析包括独立t检验和卡方检验，显著性设定为p < 0.05。
第2阶段的感染率显著降低（13.44%对19.48%，p = 0.023），疼痛评分降低（平均数字评定量表：4.6对5.4，p < 0.01），黏膜健康状况改善（平均贝克口腔评估分数：2.91对3.75，p < 0.001）。
专业口腔卫生方案减少了术后并发症，改善了口腔健康，提高了患者舒适度。这些发现支持将结构化口腔卫生措施纳入标准颌面外科护理，以优化治疗效果和生活质量。
