Journal of oral rehabilitation最新文献

{"title":"Modified Mandibular Advancement Device Is Effective in Patients With Insufficient Teeth: A Systematic Review.","authors":"Chee Weng Yong, Bernadette Quah, Qi-Yan Chung, Mei Na Tan, Frank Kong Fei Lee, Raymond Chung Wen Wong","doi":"10.1111/joor.70061","DOIUrl":"https://doi.org/10.1111/joor.70061","url":null,"abstract":"<p><strong>Background: </strong>Mandibular advancement devices (MADs) are established alternatives to continuous positive airway pressure (CPAP) for obstructive sleep apnea syndrome (OSAS), particularly valued for better patient compliance. Traditional contraindications include insufficient healthy teeth for retention, affecting a significant portion of patients due to global edentulism rates of up to 37.8% in ageing populations. Despite emerging reports challenging this, no synthesis exists on MAD efficacy in edentulous or partially edentulous patients.</p><p><strong>Methods: </strong>This PRISMA-compliant systematic review (PROSPERO: CRD420251078741) searched Embase, PubMed, Cochrane, Web of Science, and LILACS from inception to June 25, 2025. OSAS patients with insufficient teeth, treated with modified MADs (over edentulous ridges, teeth/mucosa, or dentures) were included. Patients are excluded if they had surgical treatment (i.e., dental implants) as part of their care. Outcomes assessed include: apnea-hypopnea index (AHI), oxygen saturation and patient-reported outcome measures (PROMs). Risk of bias was assessed using the JBI checklist and ROBINS-I.</p><p><strong>Results: </strong>Eighteen studies (3 prospective cohort studies, 15 case reports; n = 49 patients) were included. In general, modified MADs were effective in treating OSAS when evaluating AHI, lowest oxygen saturation and PROMs. The mean AHI reduced from 22.39 ± 12.08 events/h to 5.55 ± 3.60 events/h after treatment (75.2% reduction). Similar efficacy was noted when comparing patients with bimaxillary edentulous ridge, edentulous ridge in only 1 arch and patients with bimaxillary partial edentulism. The same finding was observed when comparing MADs over teeth/mucosa and over dentures.</p><p><strong>Conclusions: </strong>Modified MADs appeared effective in traditionally contraindicated patients, challenging prior guidelines and offering options for CPAP-intolerant individuals with insufficient teeth. Larger RCTs are needed for confirmation.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are We Striking the Right Balance? Finding a Sustainable Equilibrium in Academic Publishing.","authors":"Abhishek Kumar, Yuri Costa, Akiko Shimada, Martin Schimmel, Peter Svensson","doi":"10.1111/joor.70059","DOIUrl":"https://doi.org/10.1111/joor.70059","url":null,"abstract":"<p><p>Are we truly synthesizing new evidence, or simply restating it?</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Intramuscular Characteristics of Swallowing-Related Muscles and Oral Function: A Study in Older Women Living in the Community.","authors":"Yoko Ichikawa, Shuntaro Sato, Misa Sumi, Mitsuyoshi Yoshida, Misaka Kimura, Yoko Kato, Takeshi Kikutani","doi":"10.1111/joor.70065","DOIUrl":"https://doi.org/10.1111/joor.70065","url":null,"abstract":"<p><strong>Background: </strong>Muscle quality, along with muscle mass, deteriorates with disuse, ageing and various disorders, underscoring the need to evaluate the internal characteristics of swallowing-related muscles. Previous studies have reported an association between oral function and echo intensity (EI), but the association between oral function and the stiffness of swallowing-related muscles, as well as the degree of this association, remains insufficiently understood.</p><p><strong>Objective: </strong>To examine the association between oral function and the intramuscular characteristics of swallowing-related muscles, focusing on muscle stiffness.</p><p><strong>Materials and methods: </strong>A total of 196 older women (78.1 ± 5.2 years) participated in a physical fitness measurement session in this cross-sectional study. The stiffness and EI of the geniohyoid muscle (GHM) were measured, and oral function was evaluated using oral diadochokinesis (ODK; /pa/, /ta/, /ka/) and tongue pressure. Multiple regression analysis was used to investigate the association between oral function, stiffness and EI. By standardising the variables, we evaluated these associations independently of the units.</p><p><strong>Results: </strong>ODK, /pa/ (β = -0.144, p = 0.002), /ta/ (β = -0.134, p = 0.011) and /ka/ (β = -0.093, p = 0.043) showed a negative association with GHM stiffness. After standardisation, the association between ODK (/pa/, /ta/, /ka/) and GHM stiffness (β: -0.144, -0.134, -0.093) was comparable to that between ODK and EI (β: -0.008, -0.148, -0.075).</p><p><strong>Conclusion: </strong>GHM stiffness was associated with oral motor function in older women living in the community. Assessing the stiffness of swallowing-related muscles could be important for evaluating oral function to a degree comparable to EI.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Tooth Count: The Interplay of Oral Health, Frailty and Falls.","authors":"Takahiko Nagamine","doi":"10.1111/joor.70057","DOIUrl":"https://doi.org/10.1111/joor.70057","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low Birth Weight and Bruxism Among Brazilian Children: A Prospective Cohort Study.","authors":"Erika Bárbara Abreu Fonseca Thomaz, Elisa Miranda Costa, Érica Martins Valois, Magda Lyce Rodrigues Campos, Cecília Cláudia Costa Ribeiro, Cláudia Maria Coelho Alves, Maria Carmen Fontoura Nogueira da Cruz","doi":"10.1111/joor.70043","DOIUrl":"https://doi.org/10.1111/joor.70043","url":null,"abstract":"<p><strong>Background: </strong>Bruxism in childhood is a multifactorial condition, involving socioeconomic status (SES), psychological conditions and lifestyle habits capable of acting, interacting or mediating the development of oral health outcomes. The link between perinatal factors, like low birth weight (LBW) and bruxism remains unclear. Identifying early risk factors may offer a key opportunity for intervention.</p><p><strong>Objective: </strong>To evaluate the effects of LBW on bruxism in childhood, considering adjustment for SES and mediation by exclusive breastfeeding (EBF) for 6 months, pacifier use and mental health problems.</p><p><strong>Methods: </strong>This Brazilian prospective cohort included 673 live birth children followed up at 7-9 years old. LBW (< 2500 g) was obtained from the medical record after childbirth. Bruxism was reported by the children's parents/guardians as the habit (current or previous) of clenching or grinding teeth during the day or night. The analyses used structural equation modelling, estimating standardised coefficients (SC) (α = 5%).</p><p><strong>Results: </strong>LBW showed a total (SC = 0.199; p = 0.045) and direct effect (SC = 0.207; p = 0.037) on childhood bruxism. EBF had a direct effect (SC = -0.190; p = 0.043) and an indirect effect on bruxism, mediated by pacifier use (SC = 0.082; p = 0.028). The construct showed all adequate (SC > 0.3) and significant (p< 0.001).</p><p><strong>Conclusion: </strong>LBW is a potential risk factor for bruxism in childhood, but this relationship is not explained by EBF, pacifier use or mental health problems. Shorter EBF duration and pacifier use are direct risk factors for bruxism in schoolchildren. Prevention should focus on prenatal care, promoting EBF for 6 months and avoiding pacifier use.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Masticatory Function and Associated Factors in Patients With Prosthetic Rehabilitation After Mandibulectomy for Oral Cancer: A Retrospective Cross-Sectional Study.","authors":"Yoichiro Ogino, Masahiro Kawasaki, Ryoji Moroi, Ikiru Atsuta, Yasunori Ayukawa","doi":"10.1111/joor.70062","DOIUrl":"https://doi.org/10.1111/joor.70062","url":null,"abstract":"<p><strong>Background: </strong>Although masticatory function (MF) in patients with prosthetic rehabilitation after mandibulectomy for oral cancer has been reported to be influenced by multiple factors, comprehensive evaluations of MF from clinical perspectives remain insufficient.</p><p><strong>Purpose: </strong>To comprehensively evaluate MF and its associated factors in patients with prosthetic rehabilitation after mandibulectomy for oral cancer.</p><p><strong>Methods: </strong>The potential study participants were patients who had undergone mandibulectomy for oral cancer and received mandibular prosthetic rehabilitation. Age, sex, the number of remaining teeth and the number of total and posterior functioning occlusal supports were extracted. Information on cancer-related therapies (surgical procedure, radiotherapy, chemotherapy, glossectomy and neck dissection) and measurement values of oral functions (MF, oral moisture, maximum occlusal force (MOF), tongue-lip motor functions and maximum tongue pressure) were also extracted. Differences in MF were statistically evaluated according to cancer-related therapies. The Spearman correlation coefficients and logistic regression analysis were performed to evaluate associations between MF and these factors.</p><p><strong>Results: </strong>A total of 41 patients were included in this study. MF was moderately and significantly associated with the number of remaining teeth, total and posterior functioning occlusal supports, MOF, and tongue-lip motor functions. More invasive cancer-related therapies significantly declined MF. Logistic regression analysis identified the presence of posterior functioning occlusal supports as a significant explanatory variable for MF.</p><p><strong>Conclusions: </strong>MF in patients with prosthetic rehabilitation after mandibulectomy was influenced by multiple factors. Notably, a crucial role of the presence of posterior functioning occlusal supports in MF was identified.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Domain Impairments in Chronic Painful Temporomandibular Disorders: Associations With Pain Intensity, Hypervigilance and Catastrophising: A Cross-Sectional Analysis.","authors":"Julio Ruiz-Marrara, Luiza Guilherme Antunes, César Bataglion, Maria Helena Fernandes, Melissa de Oliveira Melchior, Laís Valencise Magri","doi":"10.1111/joor.70064","DOIUrl":"https://doi.org/10.1111/joor.70064","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the associations between pain intensity, hypervigilance and catastrophising with specific cognitive domains in patients with chronic painful temporomandibular disorders (TMD), focusing on identifying cognitive deficit domains.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with a sample of 80 participants (41 chronic painful, 39 controls). TMD was diagnosed according to the Diagnostic Criteria for TMD. Cognitive performance was assessed using the Montreal Cognitive Assessment (MOCA), while pain-related factors were evaluated using the Pain Vigilance Awareness Questionnaire, the Pain Catastrophizing Scale and Pain Intensity. Statistical analyses included independent t-tests to compare group means, followed by multiple regression analysis to examine the associations between cognitive domains and pain-related variables.</p><p><strong>Results: </strong>Compared to controls, TMD patients showed significantly lower MOCA scores in visuospatial/executive functioning (mean difference = 3.3, p = 0.03), attention (mean difference = -2.5, p < 0.002) and memory (mean difference = -1.8, p = 0.001). Higher pain intensity was significantly associated with visuospatial/executive deficits (β = -0.34, 95% CI: -0.50 to -0.18; p < 0.001), while catastrophising was strongly linked to reduced attention (β = -0.05, 95% CI: -0.08 to -0.02; p < 0.001). Hypervigilance showed a significant negative correlation with memory performance (β = -0.04, p = 0.003).</p><p><strong>Conclusions: </strong>Our study reveals that chronic painful TMD is associated with some cognitive impairments, particularly in visuospatial/executive functioning, attention and memory. Elevated pain intensity and catastrophising emerged as the most impactful factors, closely linked to deficits in these cognitive domains. These findings identify executive control, attention and memory as the cognitive domains most vulnerable to the influence of chronic pain in TMD patients.</p><p><strong>Significance: </strong>This study provides novel insights into the cognitive impairments associated with chronic painful TMD. By demonstrating strong associations between pain intensity, hypervigilance and catastrophising with deficits in executive function, attention and memory, our findings highlight the cognitive burden of chronic TMD. These results underscore the necessity of integrating cognitive and psychological assessments into clinical management, fostering a more comprehensive approach to treatment that extends beyond pain relief to improving cognitive function and overall quality of life.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burning Mouth Syndrome: A Neurological Reappraisal Through Idiopathic Intracranial Hypertension and Glymphatic Dysfunction.","authors":"Takahiko Nagamine","doi":"10.1111/joor.70058","DOIUrl":"https://doi.org/10.1111/joor.70058","url":null,"abstract":"<p><p>Increased intracranial pressure leads to a decrease in the glympathic system (lymphatic flow) and compression of the trigeminal nerve. This can result in symptoms such as headache, insomnia and chronic pain mediated by the trigeminal nerve.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Knowledge and Preparedness: The Role of Education and Symptoms in Nurses' Competency for Temporomandibular Disorder Care.","authors":"Wenjing Yang, Zejin Liu, Yi Liu, Yanyu Sun, Xin Xiong, Shufang Du","doi":"10.1111/joor.70045","DOIUrl":"https://doi.org/10.1111/joor.70045","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) are the second most prevalent diseases related to musculoskeletal pain that impact patients' quality of life, with nursing staff playing a crucial role in multidisciplinary management. However, TMDs-related knowledge and preparedness among nurses remain underexplored.</p><p><strong>Objective: </strong>This study examines how education and personal symptom experience influence nursing competency in TMDs care.</p><p><strong>Methods: </strong>A cross-sectional survey of 345 nursing practitioners (including trainees) assessed TMDs knowledge (25-item scale), clinical preparedness (5-item scale), and self-reported symptom history. Multiple linear regression analyses examined the effects of (1) educational background, (2) exposure to TMDs-specific curricula and (3) personal symptom severity on competency development.</p><p><strong>Results: </strong>While 50% of participants reported TMDs symptoms, only 12.8% had formal TMDs training. Knowledge scores were suboptimal (mean = 12/25), and preparedness was moderate (mean = 17/25). Exposure to TMDs curricula significantly predicted preparedness (b = 2.83, p < 0.001); as did registered nurse status (b = 1.50, p < 0.01) and holding an associate degree (b = 1.93, p < 0.001). Knowledge positively correlated with preparedness (b = 0.27, p < 0.001), but this relationship weakened with greater symptom severity (interaction b = -0.043, p < 0.05).</p><p><strong>Conclusion: </strong>Significant gaps in nurses' TMDs competencies come from disparities in educational resources. Although knowledge enhances preparedness, personal symptom experiences may undermine this enhancement. Strengthening TMDs education and supporting nurses' symptom management are essential to improving confidence and competency in TMDs care.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor Regarding the Central Sensitisation Inventory and Central Sensitisation.","authors":"Fernando G Exposto, Yuri M Costa","doi":"10.1111/joor.70053","DOIUrl":"https://doi.org/10.1111/joor.70053","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}