How does dental sleep medicine fit into the specialty of orofacial pain?

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Isabel Moreno-Hay DDS, PhD, Steven Bender DDS, Aurelio Alonso DDS, PhD, Larry Lockerman DDS, Sherwin Arman DMD, MPH, Mariona Mulet Pradera DDS, MS
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Abstract

Background

Sleep disturbances can lead to an increase in pain and vice versa. Pain, including orofacial pain, can affect sleep quality, leading to poor health, and poor health can affect sleep quality.

Types of Studies Reviewed

The authors examined the literature regarding orofacial pain and sleep disorders, reviewed the state of sleep medicine education in the predoctoral dental curriculum and graduate orofacial pain programs, and outlined the role of the orofacial pain specialist in screening for, and management of, sleep disorders associated with orofacial pain.

Results

In the clinical care of patients with orofacial pain, routine evaluation of sleep is mandatory to arrive at an accurate diagnosis and provide the most appropriate treatment recommendations. Education in sleep medicine is accomplished through orofacial pain postgraduate programs but is deficient in the predoctoral dental curriculum. Orofacial pain specialists play a crucial role in the screening and management of sleep disorders. Education in sleep medicine should also be implemented in the predoctoral dental curriculum to train future oral health care providers in the recognition of the frequently undiagnosed and untreated sleep disorders that lead to deleterious health consequences.

Conclusions and Practical Implications

Orofacial pain specialists have competency in the screening and management of sleep disorders commonly associated with orofacial pain as well as in sleep-related breathing disorders, as part of a multidisciplinary team of health care providers.
牙科睡眠医学如何适应口腔面部疼痛的专科?一篇叙述性的评论。
背景:睡眠障碍会导致疼痛增加,反之亦然。包括口面部疼痛在内的疼痛会影响睡眠质量,导致健康状况不佳,而健康状况不佳又会影响睡眠质量。综述的研究类型:作者查阅了有关口腔面部疼痛和睡眠障碍的文献,回顾了博士前牙科课程和研究生口腔面部疼痛课程中睡眠医学教育的现状,并概述了口腔面部疼痛专家在筛查和管理与口腔面部疼痛相关的睡眠障碍方面的作用。结果:在口腔面部疼痛患者的临床护理中,常规睡眠评估对于准确诊断和提供最合适的治疗建议是必要的。睡眠医学的教育是通过口腔面部疼痛研究生课程完成的,但缺乏博士前牙科课程。口腔面部疼痛专家在睡眠障碍的筛查和管理中起着至关重要的作用。睡眠医学教育也应在博士前牙科课程中实施,以培训未来的口腔保健提供者认识到经常未诊断和未经治疗的睡眠障碍,这些障碍会导致有害的健康后果。结论和实际意义:作为一个多学科的医疗保健提供者团队的一部分,口腔面部疼痛专家在筛查和管理通常与口腔面部疼痛相关的睡眠障碍以及与睡眠相关的呼吸障碍方面具有能力。
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来源期刊
Journal of the American Dental Association
Journal of the American Dental Association 医学-牙科与口腔外科
CiteScore
5.30
自引率
10.30%
发文量
221
审稿时长
34 days
期刊介绍: There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.
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