CRANIO®Pub Date : 2023-06-28DOI: 10.1080/08869634.2023.2218711
L. Lockerman
{"title":"Neuroscience and swallowing rehabilitation, Froggymouth: An anoetic approach, 2nd edition","authors":"L. Lockerman","doi":"10.1080/08869634.2023.2218711","DOIUrl":"https://doi.org/10.1080/08869634.2023.2218711","url":null,"abstract":"This self-published book by Dr Patrick Fellus, an orthodontist and a founding president of the French Pediatric Orthodontic Society and the International Functional Association (IFUNA) gave me an “a-ha” moment in addition to learning what the word anoetic means. I learned that fMRI studies have shown that a tongue thrust “abnormal” swallow occurs with increased brain activity and energy because it activates accessory tongue muscles that involve C1-C3 cervical nerves. Now, I wonder how this “increased brain activity” could be a contributing factor with hyper-neuronal excitability, causing some people to develop apnea, face pain, headache, and neck pain conditions. The literature has studies about “abnormal swallow patterns,” but until recently, the solution seemed tedious. Most patients resist seeing a speech pathologist, and getting them to do a series of exercises is time-consuming for a dental or orthodontist office and the patient. This book presents us with a research-based understanding of the swallow neurological mechanism and provides us with a simple way to change neuromuscular controlled swallow patterns with a device used 15 minutes a day while awake. A review of the neurological mechanisms about habitual learned behaviors like swallow patterns, we are told, does not happen while sleeping, implying that using an oral appliance while sleeping will not change habitual swallow patterns. Could this explain why many patients who stop using post-orthodontic appliances experience bite collapse? This book nicely dovetails with emerging studies that connect the patency of the upper airway with the dynamics of facial growth and development of children. The tongue is often blamed for pathological movement of teeth, and now we are presented with a more nuanced explanation. The book includes a review of embryology and reflex swallow patterns of the fetus and newborns. We are told how, during the first few years of life, swallow patterns change as the brain develops. Use of a pacifier and finger sucking is discussed as well as changes with swallowing while eating chewable food. Several extreme case histories of only using the Froggymouth device are presented. The book has a bibliography but no footnotes. Dr Fellus has contributed to explaining the dynamic relationship of swallowing, upper airway breathing, and the neurobiology that controls it. Multimodality management of most problems is typically the most effective approach; this book explains how this device offers an elegant addition to your armamentarium.","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131193549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CRANIO®Pub Date : 2022-07-01DOI: 10.1080/08869634.2022.2086366
{"title":"Thank You to Our 2021 Alternate Reviewers","authors":"","doi":"10.1080/08869634.2022.2086366","DOIUrl":"https://doi.org/10.1080/08869634.2022.2086366","url":null,"abstract":"","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131029375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CRANIO®Pub Date : 2022-06-28DOI: 10.1080/08869634.2022.2086365
{"title":"ANNOUNCING THE WINNER OF THE 2022 H. CLIFTON SIMMONS III, DDS AWARD FOR EXCELLENCE IN ARTICLES PUBLISHED!","authors":"","doi":"10.1080/08869634.2022.2086365","DOIUrl":"https://doi.org/10.1080/08869634.2022.2086365","url":null,"abstract":"","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121414475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CRANIO®Pub Date : 2022-05-01DOI: 10.1080/08869634.2022.2055720
N. Mehta
{"title":"In the era of an opioid crisis: Now what?","authors":"N. Mehta","doi":"10.1080/08869634.2022.2055720","DOIUrl":"https://doi.org/10.1080/08869634.2022.2055720","url":null,"abstract":"I have recently been reviewing the changes in guidelines for opioid prescribing among dentists and been pleasantly surprised that the opioid prescriptions have been substantially reduced since the Centers for Disease Control and Prevention (CDC) reviewed the data from 2021 in their updated 2022 Clinical Practice Guideline for Prescribing Opioids [1]. In the recent February issue of JADA [2], Heron et al. conducted a national survey of dentists and reported that the increased use of Prescription Monitoring Programs in individual states has further helped, but the opioid use is still at higher than needed levels in dentistry. In chronic pain circles, the use of opioids is now frowned upon among pain doctors and orofacial pain dentists; however, the larger dentist community still is persuaded by their patients to prescribe opioids in “Friday night calls.” More information is still needed to guide our general dental colleagues in effective pain management with other techniques, such as utilizing NSAIDacetaminophen combinations as well as interceptive physical therapy techniques for the most common of the chronic pains with a musculoskeletal involvement. This means that current dental training should also incorporate basic knowledge and skills training in managing pain with techniques such as muscle stretching, acupressure, trigger point injections, basic cognitive behavioral therapy, and improving sleep and nutrition to reduce the burden of inflammatory and muscle pain in the human population. In our current social environment, we also need to look at the increased use of cannabis and its various subsets and incorporate our dental training to teach the effects on our patients. Courses in dental pharmacology may be geared to helping the new graduates incorporate techniques on pain management that go beyond the prescription, adding hands-on treatments that do not have the long-term detrimental effects on our patients that ever-increasing dependence on “pills” has forced us to confront in dentistry.","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116333571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CRANIO®Pub Date : 2022-05-01DOI: 10.1080/08869634.2022.2055721
{"title":"Recognizing Dr. Riley Lunn’s 39 years of service as CRANIO’s Editor in Chief","authors":"","doi":"10.1080/08869634.2022.2055721","DOIUrl":"https://doi.org/10.1080/08869634.2022.2055721","url":null,"abstract":"","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123784914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CRANIO®Pub Date : 2022-05-01DOI: 10.1080/08869634.2022.2055719
L. Lockerman
{"title":"Orofacial and Systemic Features of Thalassemia Major: Management, and Prevention with Reference to Populations in the Arabian Gulf","authors":"L. Lockerman","doi":"10.1080/08869634.2022.2055719","DOIUrl":"https://doi.org/10.1080/08869634.2022.2055719","url":null,"abstract":"Recognizing genetic disease symptoms in our patients is critical for comprehensive care. Dr. Hattab, a professor of several dental schools, has compiled a 106-page monograph about thalassemia major that includes epidemiology, pathophysiology, and clinical diagnosis. This monograph book has an unusual organization in that it does not have numbered chapters. Each paragraph or couple of paragraphs has a bold heading with references to dentistry scattered throughout the manuscript. The first part has a review of thalassemia and its various manifestations; the rest appears to be mostly long excerpts of published articles. There are 199 references, with only 7 of these published in the last 5 years. Many pages describe medical management. The dental management only includes periodontal care and a brief paragraph about the need for orthodontics with no descriptions of what type of orthodontic treatments are most beneficial. There is no information about new areas of research like microbiome [1] and genetic therapeutic approaches [2]. The only imaging described are lateral cephalometric and panoramic x-rays. There is no mention of cone beam computed tomography (CBCT) to diagnose craniofacial anomalies in the maxilla and mandible. There is also no mention of whether or how the upper airway might compromise breathing or if there are TMD-related symptoms. Much space is devoted to the smaller size and shape of teeth and how to diagnose periodontal disease. We are not advised on dental interventions that might improve growth and development at a young age. I had to do an internet search to discover an article that presented an orthodontic case history and outcome [3]. This monograph book has a lot of information but does not offer up-to-date, concise, comprehensive, wellorganized maxillofacial symptomology or treatment options.","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116337096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CRANIO®Pub Date : 2022-03-29DOI: 10.1080/08869634.2022.2055722
K. Boyd, S. Carstensen
{"title":"Can deciduous malocclusion phenotypes predict future respiratory co-morbidity?","authors":"K. Boyd, S. Carstensen","doi":"10.1080/08869634.2022.2055722","DOIUrl":"https://doi.org/10.1080/08869634.2022.2055722","url":null,"abstract":"The way the teeth come together is the province of dentistry. Pediatric dentists, general dentists who see children, and orthodontists have the skills to address the craniofacial structures and relieve or prevent the pain and suffering sometimes associated with early childhood malocclusion. The reader may be more familiar with “Early Childhood Caries” (ECC), a term proposed at a 1994 workshop sponsored by the Center for Disease Control [1] and later implemented as an all-inclusive International Classification of Diseases-9 edition (ICD-9) diagnostic descriptor. Prior to that workshop, when describing children of preschool age, typically 3–5 years, who had severe caries, terms like nursing bottle caries, nursing caries syndrome, caries of infancy, primary dental caries, and others were used. Emphasis was placed on overconsumption of fruit juices and other sweet beverages and unhealthy baby bottle usage practices. Rolling all the disparate terms into ECC allowed recommendations for healthy habits to be more efficiently and effectively integrated into practice. There is not a similar list of terms to describe unhealthy growth and development of the craniofacial respiratory complex, the collection of skeletal, soft tissue, and functional anatomy that make up the upper airway. Teeth are part of that complex as they erupt on the maxilla and mandible, providing visual cues such as narrow arches, open bites, and profiles that set too far back, crowding the nasoand/or oropharynx. Following the lead of Early Childhood Caries, we propose the term Early Childhood Malocclusion (ECM).","PeriodicalId":162405,"journal":{"name":"CRANIO®","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123326622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}