[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-detail-448313-en":59,"doc-seo-448313-105":80},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":5,"data":60},{"doc_id":61,"user_id":62,"nickname":63,"user_avatar":64,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":66,"doc_content":67,"file_id":68,"file_url":69,"file_type":70,"file_size":71,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":72,"language_code":73,"site_id":74,"html_lang":73,"table_of_contents":75,"faqs":76,"seo_title":77,"seo_description":66,"update_tm":78,"read_time":79,"preview_page_count":4},448313,1374391974585,"Genevieve","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Total Maxillofacial Trauma Management - harnessing the regional acceleratory phenomenon for a paradigm shift in simultaneous fracture and implant healing","Maxillofacial trauma often leads to complex functional impairment and aesthetic compromise, requiring coordinated management of bone/soft-tissue injuries together with dental rehabilitation. This study evaluated outcomes of ORIF combined with dental implant therapy in 36 patients with maxillofacial bony trauma and non-restorable traumatic teeth, comparing immediate implant rehabilitation during ORIF versus delayed placement after 6 months. Implant stability, crestal bone loss, pain, swelling, and patient satisfaction were assessed across follow-ups, showing improved implant success and reduced morbidity with immediate rehabilitation while balancing early discomfort.","Archives of Craniofacial Surgery  \nArch Craniofac Surg Vol.26 No.6, 215-224 [https://doi.org/10.7181/acfs.2025.0029](https://doi.org/10.7181/acfs.2025.0029)  \nTotal Maxillofacial Trauma Management: harnessing the regional acceleratory phenomenon for a paradigm shift in simultaneous fracture and implant healing  \nPoonam, Amiya Agrawal, Arunesh Kumar Tiwari, Shadab Mohammad, Uma Shanker Pal, Geeta Singh, Akhilesh Kumar Pandey  \nDepartment of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, India  \nBackground: Maxillofacial trauma presents with a myriad of complications, including functional disability and aesthetic compromise. Optimal treatment includes management of bone and soft tissue injuries along with dental rehabilitation. Prompt management, including open reduction and internal fixation (ORIF) combined with immediate dental implant rehabilitation, facilitates both functional recovery and aesthetic restoration, thereby leading to improved quality of life.  \nMethods: A total of 36 patients with maxillofacial bony trauma, along with non-restorable fractured, avulsed, or missing teeth, were managed with ORIF with dental rehabilitation. Eighteen patients underwent delayed implant placement after 6 months of ORIF, and the other 18 underwent immediate implant rehabilitation during ORIF. The outcomes measured included implant stability, crestal bone loss, and evaluation of pain, swelling, and patient satisfaction. All follow-up visits were scheduled with reference to the post-implant placement period in both groups. Results: Implant stability was significantly increased in the immediate implant placement group of patients at the third-and sixth month follow-up post-implant placement (p\u003C 0 .001) . Pain assessment revealed that the immediate implant group experienced significantly higher pain scores than the delayed implant group on the first day (p\u003C 0 .001), seventh day (p\u003C 0 .001), and 28th day (p\u003C 0 .001) following implant placement. Significant differences in facial swelling were observed at the third and sixth months (p= 0 .009), with the immediate implant group exhibiting lower swelling. Swelling was significantly higher along the tragal-commissure line in the immediate implant group on the first and seventh days (p\u003C 0 .001) . Patient satisfaction was initially higher in the delayed implant group on the first day (p= 0 .047) and remained so by the third month (p\u003C 0 .001) . However, by the sixth month, both groups demonstrated similar levels of satisfaction after implant placement. Conclusion: Immediate implant rehabilitation during ORIF in patients sustaining maxillofacial trauma improves implant success rates, reduces morbidity, and ultimately enhances patients’ overall quality of life.  \nAbbreviations: DIP, delayed implant patients; IIP, immediate implant patients; ISQ, implant stability quotient; ORIF, open reduction and internal fixation; RAP, regional acceleratory phenomenon; RFA, resonance frequency analysis; TDI, traumatic dental injuries; VAS, visual analogue scale  \nKeywords: Dental implant / Fracture fixation / Maxillofacial injury / Rehabilitation  \nCorrespondence: Arunesh Kumar Tiwari  \nDepartment of Oral and Maxillofacial Surgery, FODS New Building, King George’s Medical University, Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh 226003, India [E-mail: aruneshtiwari@kgmcindia.edu](E-mail: aruneshtiwari@kgmcindia.edu)  \nHow to cite this article:  \nPoonam, Agrawal A, Tiwari AK, Mohammad S, Pal US, Singh G, Pandey AK. Total Maxillofacial Trauma Management: harnessing the regional acceleratory phenomenon for a paradigm shift in simultaneous fracture and implant healing. Arch Craniofac Surg 2025;26(6):215-224. [https://doi.org/10.7181/acfs.2025.0029](https://doi.org/10.7181/acfs.2025.0029)[ ](https://doi.org/10.7181/acfs.2025.0029)[Received July 14](Received July 14), [2025 / Revised October 10](2025 / Revised October 10), [2025 / Accepted December 3](2025 / Accepted December 3), [2025](2025)  \n","cbCaipuxmqyri2v0","https://ap.wps.com/l/cbCaipuxmqyri2v0","pdf",946233,"English","en",105,"# Introduction\n# Methods\n# Results\n# Conclusion","[{\"question\":\"How were patients treated in the immediate vs delayed implant groups?\",\"answer\":\"All 36 patients underwent ORIF with dental rehabilitation. One group received immediate implant rehabilitation during ORIF, while the other received delayed implant placement after 6 months of ORIF.\"},{\"question\":\"Which outcomes were measured to compare the two implant timing strategies?\",\"answer\":\"Outcomes included implant stability, crestal bone loss, pain, facial swelling, and patient satisfaction assessed at scheduled follow-ups.\"},{\"question\":\"What were the main findings regarding implant stability and morbidity?\",\"answer\":\"Immediate implant placement increased implant stability at third and sixth months and produced lower swelling in facial assessments, while pain scores were higher in the immediate group during early postoperative days.\"}]","Total Maxillofacial Trauma Management - harnessing the regional acceleratory phenomenon for a paradigm shift in simultaneous fracture and implant healing | PDF",1790726528,25,{"code":4,"msg":81,"data":82},"ok",{"site_id":74,"language":73,"slug":83,"title":65,"keywords":84,"description":66,"schema_data":85,"social_meta":139,"head_meta":141,"extra_data":143,"updated_unix":144},"total-maxillofacial-trauma-management-harnessing-the-regional-acceleratory-phenomenon-for-a-paradigm-shift-in-simultaneous-fracture-and-implant-healing","",{"@graph":86,"@context":138},[87,101,121],{"@type":88,"itemListElement":89},"BreadcrumbList",[90,94,96,99],{"item":91,"name":92,"@type":93,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":95,"name":9,"@type":93,"position":14},"https://docshare.wps.com/document/",{"item":97,"name":35,"@type":93,"position":98},"https://docshare.wps.com/document/healthcare/",3,{"item":100,"name":65,"@type":93,"position":19},"https://docshare.wps.com/document/total-maxillofacial-trauma-management-harnessing-the-regional-acceleratory-phenomenon-for-a-paradigm-shift-in-simultaneous-fracture-and-implant-healing/448313/",{"url":100,"name":65,"@type":102,"image":103,"author":108,"headline":65,"publisher":110,"fileFormat":113,"inLanguage":73,"description":66,"dateModified":114,"datePublished":115,"encodingFormat":113,"isAccessibleForFree":116,"interactionStatistic":117},"DigitalDocument",{"url":104,"@type":105,"width":106,"height":107},"https://docshare.wps.com/thumbnails/total-maxillofacial-trauma-management-harnessing-the-regional-acceleratory-phenomenon-for-a-paradigm-shift-in-simultaneous-fracture-and-implant-healing/448313.png","ImageObject",300,407,{"name":63,"@type":109},"Person",{"url":91,"name":111,"@type":112},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":118,"interactionType":119,"userInteractionCount":39},"InteractionCounter",{"@type":120},"ViewAction",{"@type":122,"mainEntity":123},"FAQPage",[124,130,134],{"name":125,"@type":126,"acceptedAnswer":127},"How were patients treated in the immediate vs delayed implant groups?","Question",{"text":128,"@type":129},"All 36 patients underwent ORIF with dental rehabilitation. One group received immediate implant rehabilitation during ORIF, while the other received delayed implant placement after 6 months of ORIF.","Answer",{"name":131,"@type":126,"acceptedAnswer":132},"Which outcomes were measured to compare the two implant timing strategies?",{"text":133,"@type":129},"Outcomes included implant stability, crestal bone loss, pain, facial swelling, and patient satisfaction assessed at scheduled follow-ups.",{"name":135,"@type":126,"acceptedAnswer":136},"What were the main findings regarding implant stability and morbidity?",{"text":137,"@type":129},"Immediate implant placement increased implant stability at third and sixth months and produced lower swelling in facial assessments, while pain scores were higher in the immediate group during early postoperative days.","https://schema.org",{"og:url":100,"og:type":140,"og:title":65,"og:site_name":111,"og:description":66},"article",{"robots":142,"canonical":100},"index,follow",{"doc_id":61,"site_id":74},1791038423]