Journal of oral rehabilitation最新文献

{"title":"Occlusal Contact Changes in Implant-Supported Fixed Prostheses: A Systematic Review","authors":"Itt Assoratgoon,&nbsp;Ramadhan Hardani Putra,&nbsp;Hiroki Hihara,&nbsp;Tetsuo Kawata,&nbsp;Takahiro Chiba,&nbsp;Pimduem Rungsiyakull,&nbsp;Nobuhiro Yoda","doi":"10.1111/joor.70015","DOIUrl":"10.1111/joor.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Implant-supported prostheses frequently face both mechanical and biological challenges. Although various techniques and principles are employed to manage excessive loads, occlusal contacts often change within 6 months of placement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This review aims to analyse relevant studies to evaluate the changes in occlusal contacts that occur following the placement of superstructures in implant-supported prostheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The protocol was designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) and registered with the International Prospective Register of Systematic Reviews. Studies were included if their outcomes addressed stress distribution, occlusal force, occlusal contact, occlusal scheme or changes in occlusal time. Non-English articles, case reports, animal experiments, systematic reviews and literature reviews were excluded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1867 articles were retrieved through database searches, along with an additional 43 articles identified through manual searches, of which 416 were duplicates. After screening the titles and abstracts, 1367 articles were excluded, and 12 were deemed non-retrievable. The full texts of the remaining 85 articles were independently reviewed by two authors for eligibility, resulting in the exclusion of 77 articles based on the inclusion criteria. Ultimately, eight articles were included in the review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implant-supported crowns gradually approach or surpass the load of natural teeth over time, as evidenced by increased occlusal force, larger contact areas and longer occlusion durations. These findings highlight the need for more accurate and advanced measurement techniques to better understand and manage the long-term changes in occlusion associated with implant-supported crowns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO: CRD42024527043</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2185-2194"},"PeriodicalIF":4.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Adherence to Therapy With Occlusal Splints-A Multicentre Questionnaire Based Study.","authors":"Clara Christina Beck, Daniel Ralph Reissmann, Lisa Brinkmann, Oliver Schierz","doi":"10.1111/joor.70023","DOIUrl":"https://doi.org/10.1111/joor.70023","url":null,"abstract":"<p><strong>Background: </strong>Occlusal splints are an established treatment option for temporomandibular disorders (TMD) and for preventing the consequences of bruxism. However, the effectiveness of this therapy relies on the patient's adherence influenced by various factors. Understanding these factors is essential for improving adherence.</p><p><strong>Objectives: </strong>This study aimed to identify factors that promote and inhibit adherence to occlusal splint therapy in adult patients with TMD and/or bruxism, 4-8 weeks after insertion.</p><p><strong>Methods: </strong>Between July 2021 and December 2023, questionnaires were sent to adult patients who had received a splint within the previous 4 weeks. Of the 275 patients initially contacted, 200 completed the questionnaires. Adherence was self-reported as the number of days the splint was worn per week and classified as high if worn at least 5 days or if dentists' recommendations were followed. Statistical analyses included the Chi-square test, Fisher's exact test, the Mann-Whitney U test, and logistic regression to identify significant influencing factors.</p><p><strong>Results: </strong>67% of the enrolled patients showed high adherence. Three factors were positively associated with adherence: a positive attitude towards splint therapy (OR = 1.6), perceived positive treatment effects (OR = 2.5) and regulated sleeping times (OR = 3.0). In contrast, lower adherence was associated with sleep impairment (OR = 0.3), respiratory impairment (OR = 0.1) and increased salivation (OR = 0.3).</p><p><strong>Conclusion: </strong>Factors influencing adherence to occlusal splint therapy were identified during the critical early treatment phase. Patient-centred strategies offer promising approaches to improve adherence to splint therapy. Further research is needed to confirm these findings, explore causal relationships and develop targeted interventions.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707825","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":"Laryngeal Penetration and Aspiration Among Patients With Oropharyngeal and Oesophageal Dysphagia: A Meta-Analysis and Moderator Analysis","authors":"Alfiani Rahmi Putri,&nbsp;Yu-Hao Chu,&nbsp;Hidayat Arifin,&nbsp;Kondwani Joseph Banda,&nbsp;Chien-Mei Sung,&nbsp;Jia-You Ye,&nbsp;Ruey Chen,&nbsp;Pi-Yu Su,&nbsp;Kuei-Ru Chou","doi":"10.1111/joor.70021","DOIUrl":"10.1111/joor.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Laryngeal penetration and aspiration are major global health concerns, especially in patients with dysphagia. Despite their serious impact, previous meta-analyses evaluating their overall prevalence remain limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To estimate the prevalence of laryngeal penetration and aspiration in patients with oropharyngeal and oesophageal dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A comprehensive search of seven databases (Embase, Scopus, Web of Science, PubMed, CINAHL and ProQuest) was conducted without restriction by region, language, or publication date. A generalised linear mixed model and random-effects model were used to calculate pooled prevalence estimates. Moderator analyses were performed to explore potential sources of heterogeneity. All statistical analyses were conducted using R software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 46 studies involving 5535 patients with dysphagia across 19 countries were included. The pooled prevalence of laryngeal penetration was 48.5%, highest among those with oropharyngeal dysphagia and in North America. Aspiration prevalence was 30.0%, highest in Europe. The prevalence of laryngeal penetration and aspiration was between 49.3% and 29.4%, respectively, in patients with oropharyngeal dysphagia and 31.5% and 12.6%, respectively, in those with oesophageal dysphagia. Significant moderators included hospital setting, male sex, oropharyngeal dysphagia, dysphagia aetiology, pharyngeal reflex delay, dysfunction of the vallecula and pyriform sinuses, impaired laryngeal closure, oral residue, oral feeding, laryngotracheal aspiration, silent aspiration and current smoking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Laryngeal penetration and aspiration are highly prevalent in dysphagia, particularly in oropharyngeal dysphagia. Early identification of risk factors and targeted interventions are critical to minimising complications and enhancing patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Significance</h3>\u0000 \u0000 <p>Understanding high prevalence and key moderators of laryngeal penetration and aspiration in dysphagia, especially oropharyngeal types, underscores the need for proactive screening and personalised management to prevent laryngeal penetration and aspiration-related complications and improve quality of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2131-2151"},"PeriodicalIF":4.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707826","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":"Association Between Dietary Habits and the Risk of Temporomandibular Disorders: A Bidirectional Mendelian Randomisation Study","authors":"Mengzhao Deng,&nbsp;Tian Xie,&nbsp;Chen Kan,&nbsp;Jinfeng Yao","doi":"10.1111/joor.70016","DOIUrl":"10.1111/joor.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Temporomandibular disorders (TMD) are complex conditions influenced by multiple factors, including dietary habits. This study aimed to explore the potential causal relationships between dietary patterns and TMD risk using bidirectional Mendelian randomisation (MR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A bidirectional two-sample MR analysis was performed to assess the causal effects of 83 dietary habits on TMD risk, and vice versa. Five MR methods, including inverse variance weighting (IVW), were applied. Associations with <i>p</i>-values &lt; 0.05 were considered suggestive of causality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten dietary habits were found to be significantly associated with TMD risk. Protective factors included muesli consumption (OR = 0.53, 95% CI = 0.34–0.82, <i>p</i> = 0.00458), fresh fruit intake (OR = 0.73, 95% CI = 0.58–0.92, <i>p</i> = 0.00676), decaffeinated coffee (OR = 0.70, 95% CI = 0.54–0.91, <i>p</i> = 0.00789), and red wine intake (OR = 0.73, 95% CI = 0.53–1.00, <i>p</i> = 0.0477). Risk-enhancing factors included frequent consumption of white or brown bread, cornflakes/frosties, low-fat spreads, and complete sugar avoidance. Reverse MR indicated potential reverse causality for red wine intake (OR = 0.99, 95% CI = 0.97–1.00, <i>p</i> = 0.00937).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that specific dietary habits may causally influence the risk of TMD. These insights could inform dietary recommendations for TMD prevention and highlight the need for mechanistic and longitudinal studies to validate these associations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2124-2130"},"PeriodicalIF":4.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707824","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":"A Systematic Review and Meta-Analysis on the Application of Thickened Liquids to Treat Adults With Neurogenic Dysphagia","authors":"Wan-Qi Li,&nbsp;Ivy Cheng,&nbsp;Ayodele Sasegbon,&nbsp;Meng Dai,&nbsp;Shaheen Hamdy","doi":"10.1111/joor.70025","DOIUrl":"10.1111/joor.70025","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Thickened liquids have been one of the cornerstones of routine care to reduce aspiration for dysphagic patients in clinical practice. However, the evidence of this practice remains limited and uncertain.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to systematically review and evaluate the effects of thickened liquid for adults with neurogenic dysphagia.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Five electronic databases were searched (Pubmed, Embase via Ovid, CINAHL, Web of Science and Cochrane Library) from each database's inception date until 30th July 2024. Search terms included a combination of database-specific controlled vocabulary terms and free-text terms relating to ‘dysphagia’ and ‘thickened food’. Study inclusion criteria focused on peer-reviewed published articles including randomised controlled trials (RCT), cohort studies, case–control studies and case series. Only studies with neurogenic data were included. Four reviewers independently performed the search, data extraction and analysis. The outcome measure was a change in (any) relevant clinical swallowing-related characteristic.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 2090 studies were identified, of which 16 met the inclusion criteria and were included in the review. The risk of bias of studies was moderate to low. Five studies either focused exclusively on different components of swallowing physiology or were unable to provide sufficient or reliable data for analysis and were thus excluded from data synthesis. Data analysis was conducted between groups (thin liquid vs. thickened liquid) concerning penetration (&lt;i&gt;n&lt;/i&gt; = 5) and aspiration (&lt;i&gt;n&lt;/i&gt; = 8), Penetration Aspiration Scale (PAS) scores (&lt;i&gt;n&lt;/i&gt; = 4), unsafe swallowing (&lt;i&gt;n&lt;/i&gt; = 7) and residue (&lt;i&gt;n&lt;/i&gt; = 5). The results showed that thickened liquids improved swallowing safety, including reductions in aspiration events (([95% CI] = 0.49 [0.28, 0.88]; &lt;i&gt;p&lt;/i&gt; = 0.02; &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 81%) in RCTs and ([95% CI] = 0.31 [0.13, 0.71]; &lt;i&gt;p&lt;/i&gt; = 0.006; &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 47%) in non-RCTs), as well as improvements in unsafe swallowing ([95% CI] = 0.27 [0.14, 0.51]; &lt;i&gt;p&lt;/i&gt; &lt; 0.0001; &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 88%) and PAS scores ([95% CI] = −1.99 [−2.59, −1.38]; &lt;i&gt;p&lt;/i&gt; &lt; 0.00001; &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 89%). However, thickened liquids did not demonstrate a significant effect in reducing penetration events ([95% CI] = 0.40 [0.13, 1.22]; &lt;i&gt;p&lt;/i&gt; = 0.11; &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 88%) and were associated with increased residue in both the","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2169-2184"},"PeriodicalIF":4.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Dental Formula Predict Therapy Outcomes of Obstructive Sleep Apnoea Treated With a Mandibular Advancement Device ? A Retrospective Cross-Sectional Study","authors":"Constance Cuny,&nbsp;Philippe Kemoun,&nbsp;Florent Destruhaut,&nbsp;Coraline Sipra,&nbsp;Mathieu Marty,&nbsp;Delphine Comtesse-Maret,&nbsp;Frédéric Vaysse","doi":"10.1111/joor.70006","DOIUrl":"10.1111/joor.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Study Objectives</h3>\u0000 \u0000 <p>Obstructive sleep apnoea (OSA) is a prevalent sleep disorder with significant health implications. While complete edentulism has been associated with an increased OSA risk, the relationship with partial edentulism remains unclear. This study aimed to investigate the role of dental formula in OSA severity and mandibular advancement device (MAD) therapy outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective study initially included 560 patients diagnosed with OSA by polysomnography (PSG). A subset of 75 patients was selected for analysis based on predefined inclusion criteria. Dental parameters were assessed using baseline orthopantomograms. Objective treatment outcomes were evaluated using baseline PSG and repeat PSG with MAD after 3 months of therapy. Differences in OSA severity and MAD treatment outcomes were analysed, and dental parameters were correlated between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The median baseline apnoea–hypopnoea index (AHI) significantly reduced from 27.82 ± 16.77 to 15.51 ± 13.33 following MAD therapy. Partial edentulism parameters did not differ significantly or correlate with baseline OSA severity. However, a correlation was observed between the number of missing teeth and reassessed AHI (rAHI), and an inverse correlation between the masticatory coefficient and rAHI was also noted. Mandibular edentulism—primarily unilateral or bilateral posterior—was positively correlated with MAD treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates a correlation between edentulism parameters and MAD treatment outcomes in patients with OSA. Collaboration between dentists and sleep medicine specialists is crucial for comprehensive OSA management, including oral health assessment.</p>\u0000 \u0000 <p><b>Trial Registration:</b> After evaluation and validation by the data protection officer and according to the General Data Protection Regulation, this study met all the criteria and was registered in the register of data study of the Toulouse University Hospital (Register Number: RnIPH 2023–81) and covered by the MR-004 (CNIL Number: 2206723 v 0).</p>\u0000 \u0000 <p>This study was approved by Toulouse University Hospital and confirmed that ethical requirements were fully met in the above report.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2114-2123"},"PeriodicalIF":4.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burning Mouth Syndrome: A Narrative Review of Neurobiological Mechanisms and Management Strategies","authors":"Chenghui Lu,&nbsp;Mengyu Jiang,&nbsp;Xin Li,&nbsp;Qing Du,&nbsp;Guoyao Tang","doi":"10.1111/joor.70020","DOIUrl":"10.1111/joor.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Burning mouth syndrome (BMS) is a chronic pain disorder affecting the oral mucosa, primarily characterised by a burning sensation in otherwise healthy-appearing tissues. Due to the absence of specific clinical manifestations and identifiable pathological changes, BMS is often misdiagnosed, leading to persistent pain and significant impacts on patients' emotional and psychological well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The present review aims to elucidate the neurobiological mechanisms underlying BMS and explore potential neuromodulation therapies for its management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed current research on the pathophysiology of BMS, focusing on peripheral sensory transmission abnormalities and central pain modulation dysfunctions, employing methodologies such as quantitative sensory testing, neuroimaging and molecular biomarker analysis to support diagnostic assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The pathological mechanisms of neuropathic pain in BMS involve complex interactions at various levels of the sensory neural axis, along with significant biomarkers associated with chronic pain. Patients often experience comorbid conditions, including emotional disturbances, sleep disorders and cognitive dysfunction. Early recognition and proactive intervention are essential for managing pain symptoms and rehabilitating associated comorbidities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While pharmacological approaches remain better supported by current evidence, peripheral neuromodulation therapies like photobiomodulation (PBM) have shown promise for pain management. Initial studies on central neuromodulation techniques like repetitive transcranial magnetic stimulation (rTMS) indicate potential benefits though further trials are needed to validate their effectiveness. Future research integrating neurobiological mechanisms with intervention strategies holds promise for optimising treatment strategies for BMS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2152-2168"},"PeriodicalIF":4.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690490","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":"Risk and Health Factors for Temporomandibular Disorders Following Radiotherapy for Head and Neck Cancer","authors":"Ellie Saghafi,&nbsp;Kalid Kadhim,&nbsp;Birgitta Johansson-Cahlin,&nbsp;Charlotte Andrén Andås,&nbsp;Therese Karlsson,&nbsp;Caterina Finizia,&nbsp;Göran Kjeller,&nbsp;Lisa Tuomi","doi":"10.1111/joor.70019","DOIUrl":"10.1111/joor.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Temporomandibular disorders (TMD) are multifactorial and complex musculoskeletal conditions frequently associated with pain or dysfunction, including impaired jaw function and pain in the temporomandibular joint, masticatory muscles and/or related structures. Recent studies have found that personality, behaviour and environment can affect the development of TMD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigates whether patient-related factors can predict TMD among patients with head and neck cancer (HNC) after radiotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We randomised 58 consecutive patients with squamous cell carcinoma in the head and neck area into two groups: training with a jaw mobiliser once a day or a control group (no training). A comprehensive examination for TMD was conducted at baseline (before oncologic treatment) and 6 and 12 months after radiotherapy. Potential predictors were analysed using linear and logistic regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Myalgia was associated with TMD diagnosis at baseline, and jaw exercise lowered the risk of developing myalgia at the follow-ups. The degree of pain at baseline and jaw exercise were associated with the changes in pain at follow-ups. Jaw exercise was associated with a lower degree of pain. A high degree of pain at baseline was associated with less pain at follow-ups. Jaw exercise was associated with a reduced risk of decreased maximal incisal mouth opening post treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>No psychosocial or other background factor reduced risk for myalgic pain or pain to the same degree as jaw exercise. Therefore, we recommend using jaw training to prevent the deterioration of maximal incisal opening and the development of pain associated with TMD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2102-2113"},"PeriodicalIF":4.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to the Special Section","authors":"Alan G. Glaros","doi":"10.1111/joor.70018","DOIUrl":"10.1111/joor.70018","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 8","pages":"1165-1166"},"PeriodicalIF":4.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675038","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":"Looking at Burning Mouth Syndrome Brain: The Prevalence of Idiopathic Intracranial Hypertension Radiologic Signs in BMS Patients","authors":"Michele Davide Mignogna,&nbsp;Noemi Coppola,&nbsp;Stefania Leuci,&nbsp;Mattia Sansone,&nbsp;Federica Canfora,&nbsp;Daniela Adamo,&nbsp;Roberto De Simone","doi":"10.1111/joor.70017","DOIUrl":"10.1111/joor.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Idiopathic intracranial hypertension (IIH), a disorder characterised by an elevation of intracranial pressure, has implications in chronic pain syndromes, especially in the cranial territory, and has been a matter of discussion. This study explores an association between burning mouth syndrome (BMS) and cerebrospinal fluid dynamic disturbances, as in IIH, by analysing the prevalence of MRI signs of impaired intracranial pressure control in BMS patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a case–control with a cross-section design study carried out at the Oral Medicine Unit, Federico II University of Naples, between September 2022 and March 2023. The observer was blinded on MRI measurements. Patients were recruited sequentially in the BMS referral centre of the Oral Medicine Unit. Thirty-seven BMS patients and 37 healthy controls were consecutively enrolled during their first visit with an oral medicine specialist and a general dentist respectively. A non-contrast brain MRI including an MRI venography of the intracranial venous vessels and a fundus oculi in order to evaluate the presence of papilloedema (an ophthalmological sign of raised intracranial pressure) was performed on all participants. The radiologic diagnostic criteria of IIH to include the patient in the study were at least 3 out of 4 indirect signs on the neuroimaging (empty sella, enlargement of the optic nerve sheets, bulb flattening and dural sinus stenosis).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-seven patients with BMS and 37 HCs were included in the study with a female predominance in the BMS group. The prevalence of enlargement of the optic nerve sheath diameter (6.0 vs. 5.3; <i>p</i> &lt; 0.001), the prevalence of empty sella (54.1% vs. 13.5%; <i>p</i> &lt; 0.001), and the prevalence of dural sinus stenosis/hypoplasia (97.3% vs. 27%; <i>p</i> &lt; 0.001) were statistically significantly higher in the BMS group than in HCs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The higher prevalence of IIH signs on neuroimaging (empty sella, enlargement of the optic nerve sheets and dural sinus stenosis) in BMS patients compared to HCs highlights that BMS should be considered a chronic neurological disorder. The investigation of CSF dynamics in BMS patients could reveal new perspectives on the diagnosis and pathogenesis of the disease.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2095-2101"},"PeriodicalIF":4.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}