Journal of Oral & Facial Pain and Headache最新文献_第9页

Recurrent Painful Ophthalmoplegic Neuropathy: Migraine, Neuralgia, or Something Else? 复发性疼痛性眼麻痹神经病:偏头痛、神经痛还是别的什么?

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-09-01 DOI: 10.11607/ofph.2656

Dejan Z Aleksic, Svetlana Miletic Drakulic, Srdjan Ljubisavljevic

{"title":"Recurrent Painful Ophthalmoplegic Neuropathy: Migraine, Neuralgia, or Something Else?","authors":"Dejan Z Aleksic, Svetlana Miletic Drakulic, Srdjan Ljubisavljevic","doi":"10.11607/ofph.2656","DOIUrl":"https://doi.org/10.11607/ofph.2656","url":null,"abstract":"Recurrent painful ophthalmoplegic neuropathy (RPON) is a very rare disease characterized by recurrent attacks (at least two) of unilateral headache associated with ipsilateral ophthalmoplegia due to paresis of one or more cranial motor nerves, not due to any orbital, parasellar, or posterior fossa lesions. The differential diagnoses for this condition are broad. In addition to disability during an acute attack, this disease could also cause a permanent neurologic deficit. The understanding of RPON pathogenesis has changed over time, leading to a change in the classification of this disorder between editions of the International Classification of Headache Disorders, in which the condition was moved from the chapter on migraine to the chapter on cranial neuralgias and central causes of facial pain. There is no consensus on the pathogenesis of RPON. It is possible that multiple pathogenic mechanisms underlie various clinical forms of the disease. A depiction of pathologic analyses of patients with radiologically confirmed changes in the affected nerves during and outside of attacks would significantly contribute to knowledge of its pathogenesis. Brain imaging should be performed in each patient during an acute RPON attack and at a regular schedule between attacks. Further case reports and case series are required before further conclusions can be made regarding RPON pathogenesis and proposals for treatment options.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38689664","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}

引用次数: 4

Translation and Adaptation of the Diagnostic Criteria for Temporomandibular Disorders into the Malay Language: Psychometric Evaluation of Contents. 颞下颌疾病诊断标准的马来语翻译与改编:内容的心理测量评估。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-09-01 DOI: 10.11607/ofph.2624

Mohd Khairul Anwar Mohd Tahir, Kathreena Kadir, Muzaffar Apipi, Siti Mazlipah Ismail, Zamros Yuzadi Mohd Yusof, Adrian Ujin Yap

{"title":"Translation and Adaptation of the Diagnostic Criteria for Temporomandibular Disorders into the Malay Language: Psychometric Evaluation of Contents.","authors":"Mohd Khairul Anwar Mohd Tahir, Kathreena Kadir, Muzaffar Apipi, Siti Mazlipah Ismail, Zamros Yuzadi Mohd Yusof, Adrian Ujin Yap","doi":"10.11607/ofph.2624","DOIUrl":"https://doi.org/10.11607/ofph.2624","url":null,"abstract":"Aims: To develop the Malay DC/TMD through a formal cross-cultural adaptation (CCA) process for use in non-English speaking populations and to determine the reliability and validity of the Malay Graded Chronic Pain Scale (M-GCPS) and Malay Jaw Functional Limitation Scale (M-JFLS).Methods: The English DC/TMD was translated into the Malay language using the forward-backward translation procedures specified in the INfORM guideline. The initial Malay instrument was pre-tested, and any discrepancies were identified and reconciled before producing the final Malay DC/TMD. Psychometric properties of the M-GCPS and M-JFLS were evaluated using a convenience sample of 252 subjects and were assessed using internal consistency and test-retest reliability, as well as face, content, concurrent, and construct validity testing. Internal consistency was assessed using Cronbach's alpha, while test-retest reliability was examined using intraclass correlation coefficient (ICC). Concurrent and construct validity of both domains were performed using Spearman ρ correlation test. In addition, construct and discriminant validity were appraised using Kruskal-Wallis and Mann-Whitney U tests, respectively.Results: Cronbach's alpha values for the M-GCPS and M-JFLS were 0.95 and 0.97, respectively. The ICC was 0.98 for the M-GCPS and 0.99 for M-JFLS. The majority of the tested associations for both domains were found to be statistically significant, with good positive correlations.Conclusion: The M-GCPS and M-JFLS were found to be reproducible and valid. The Malay DC/TMD shows potential for use among Malay-speaking adults.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38348032","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}

引用次数: 2

Influence of Reported Physical Activity Level and Psychosocial Features on Orofacial Mechanical Sensitivity: A Pilot Study. 报告的身体活动水平和社会心理特征对口面部机械敏感性的影响:一项初步研究。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-09-01 DOI: 10.11607/ofph.2559

Laila A Machado, Leticia S Fiedler, Yuri M Costa, Leonardo R Bonjardim, Paulo César R Conti

{"title":"Influence of Reported Physical Activity Level and Psychosocial Features on Orofacial Mechanical Sensitivity: A Pilot Study.","authors":"Laila A Machado, Leticia S Fiedler, Yuri M Costa, Leonardo R Bonjardim, Paulo César R Conti","doi":"10.11607/ofph.2559","DOIUrl":"https://doi.org/10.11607/ofph.2559","url":null,"abstract":"Aims: To evaluate the influence of self-reported physical activity level on painful mechanical somatosensory profile and psychosocial characteristics.Methods: A total of 90 participants, male and female, were divided into three groups based on the frequency, duration, and intensity of physical activity over the last 3 months. The classification followed a modified criterion of the short version of the International Physical Activity Questionnaire (IPAQ). Mechanical quantitative sensory tests were performed in the region of the anterior temporalis muscle and on the thenar area of the dominant hand, and psychosocial aspects were assessed using questionnaires measuring state and trait anxiety, pain catastrophizing, lifestyle, and quality of life.Results: There was no significant main effect of group on any of the somatosensory variables (F < 0.34 and P > .416). As for psychosocial aspects, the low level of physical activity group had the lowest scores on the lifestyle questionnaire (P < .009).Conclusion: Level of physical activity did not significantly influence mechanical somatosensory thresholds or temporal summation in the orofacial region, and worse quality of life was found in participants reporting a low level of physical activity.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38348030","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}

引用次数: 1

Editorial: Where Do We Go From Here? 社论:我们何去何从?

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-07-01 DOI: 10.11607/ofph.2020.3.e

E. Eliav

引用次数: 0

Structural and Functional Brain Abnormalities in Trigeminal Neuralgia: A Systematic Review. 三叉神经痛的结构和功能脑异常:系统综述。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI: 10.11607/ofph.2626

Chuan Zhang, Hai Hu, Sushant K Das, Mao-Jiang Yang, Bing Li, Yang Li, Xiao-Xue Xu, Han-Feng Yang

{"title":"Structural and Functional Brain Abnormalities in Trigeminal Neuralgia: A Systematic Review.","authors":"Chuan Zhang, Hai Hu, Sushant K Das, Mao-Jiang Yang, Bing Li, Yang Li, Xiao-Xue Xu, Han-Feng Yang","doi":"10.11607/ofph.2626","DOIUrl":"https://doi.org/10.11607/ofph.2626","url":null,"abstract":"Aims: To evaluate the available literature on structural and functional brain abnormalities in trigeminal neuralgia (TN) using several brain magnetic resonance imaging (MRI) techniques to further understand the central mechanisms of TN.Methods: PubMed and Web of Science databases and the reference lists of identified studies were searched to identify potentially eligible studies through January 2019. Eligible articles were assessed for risk of bias and reviewed by two independent researchers.Results: A total of 17 articles meeting the inclusion criteria were included in this study. The methodologic quality of the included studies was moderate. A total of 10 studies evaluated structural gray matter (GM) changes, and there was reasonable evidence that the GM of some specific brain regions changed in TN patients. In addition, there was a significant change in the root entry zone of the trigeminal nerve and in several regions of white matter. Functional changes in resting state were assessed in 9 studies. TN patients showed increased activation of resting state, and this activation was reduced in specific brain regions. There were several studies that focused on the correlation between functional parameters or strength of functional connectivity and clinical features (eg, visual analog score and pain duration), but each study focused on different brain areas or different functional connectivities within the brain.Conclusion: There is moderate evidence that TN patients show structural brain differences in specific cortical and subcortical regions. In addition, TN patients show changes in pain-related functional connections in the resting state. Future research should focus on longitudinal designs and integration of different brain-imaging techniques.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38330912","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}

引用次数: 13

Physical Treatments Reduce Pain in Children with Tension-Type Headache: A Systematic Review and Meta-Analysis. 物理治疗减轻儿童紧张性头痛的疼痛:一项系统回顾和荟萃分析。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI: 10.11607/ofph.2575

Maria N Bot, Anton de Wijer, Jan Pool, Ewald M Bronkhorst, Stanimira Sparreboom Kalaykova, Nico Hj Creugers, Elise M van de Putte

{"title":"Physical Treatments Reduce Pain in Children with Tension-Type Headache: A Systematic Review and Meta-Analysis.","authors":"Maria N Bot, Anton de Wijer, Jan Pool, Ewald M Bronkhorst, Stanimira Sparreboom Kalaykova, Nico Hj Creugers, Elise M van de Putte","doi":"10.11607/ofph.2575","DOIUrl":"https://doi.org/10.11607/ofph.2575","url":null,"abstract":"Aims: To assess the effectiveness of a variety of physical treatments in the management of tension-type headache (TTH) in children.Methods: This review is reported in accordance with the PRISMA guidelines and was registered in the PROSPERO database (CRD42014015290). Randomized and nonrandomized controlled trials that examined the effects of all treatments with a physical component in the management of TTH in children and compared these treatments to a placebo intervention, no intervention, or a controlled comparison intervention were included. The Physiotherapy Evidence Database (PEDro) criteria for bias assessment and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) Working Group criteria were used to assess the quality of the body of evidence. The outcome measures were pain, functioning, and quality of life. Only RCTs were included in the meta-analyses.Results: An initial search produced 10,464 published articles. Of these, 17 were relevant trials, including 1,815 participants. The overall GRADE rating of the included studies was moderate, and 11 of the 17 studies could be used in the meta-analyses. The effectiveness of physical treatments in terms of a reduction of pain of 50% or more showed a risk ratio (RR) of 2.37 (95% CI: 1.69 to 3.33). Relaxation training was the most evaluated intervention and proved to be significantly effective (RR: 3.00 [95% CI: 1.94 to 4.63]). In children having TTH combined with temporomandibular disorders, occlusal appliances were effective (RR: 2.58 [95% CI: 1.37 to 4.85]).Conclusion: This review supports the use of physical treatments to reduce pain in children with TTH.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38330906","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}

引用次数: 4

Tinnitus in Temporomandibular Disorders: Axis I and Axis II Findings According to the Diagnostic Criteria for Temporomandibular Disorders. 颞下颌疾病的耳鸣:根据颞下颌疾病诊断标准的I轴和II轴的发现。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI: 10.11607/ofph.2611

Eitan Mijiritsky, Ephraim Winocur, Alona Emodi-Perlman, Pessia Friedman-Rubin, Ehab Dahar, Shoshana Reiter

{"title":"Tinnitus in Temporomandibular Disorders: Axis I and Axis II Findings According to the Diagnostic Criteria for Temporomandibular Disorders.","authors":"Eitan Mijiritsky, Ephraim Winocur, Alona Emodi-Perlman, Pessia Friedman-Rubin, Ehab Dahar, Shoshana Reiter","doi":"10.11607/ofph.2611","DOIUrl":"https://doi.org/10.11607/ofph.2611","url":null,"abstract":"Aims: To examine the associations of self-reported presence of tinnitus with subtypes of temporomandibular disorders (TMD) as assessed by Axis I of the Diagnostic Criteria for TMD (DC/TMD) and with psychologic characteristics as assessed by Axis II.Methods: This retrospective controlled study included 108 consecutive TMD patients referred to the Tel Aviv University Orofacial Pain Clinic. Each patient received full Axis I and Axis II diagnoses according to the DC/TMD. The patients were asked about currently experiencing tinnitus. Pearson chi-square test and Fisher exact test were used to test the associations between categorical variables. Mann-Whitney test was used to assess differences in continuous variables between categories. A P value < .05 was considered statistically significant.Results: Thirty-three (30.6%) TMD patients reported experiencing tinnitus. There was a significantly higher prevalence of myofascial pain with referral (P = .008) and nonspecific physical symptoms (P = .014) among the TMD patients who reported tinnitus. In addition, those patients reported significantly longer pain duration compared to TMD patients without tinnitus (P = .039).Conclusion: This study emphasizes the necessity of assessing both Axes I and II according to the DC/TMD in future studies and supports creating a standardized tinnitus screener tailored to TMD patients for future studies on tinnitus in TMD patients.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2611","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38330910","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}

引用次数: 5

Taste and Pain Response in Burning Mouth Syndrome With and Without Geographic Tongue. 有无地理舌头灼口综合征的味觉和疼痛反应。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI: 10.11607/ofph.2565

Nan Su, Renee Poon, Cindy Liu, Crystal Dewan, Mark Darling, Miriam Grushka

{"title":"Taste and Pain Response in Burning Mouth Syndrome With and Without Geographic Tongue.","authors":"Nan Su, Renee Poon, Cindy Liu, Crystal Dewan, Mark Darling, Miriam Grushka","doi":"10.11607/ofph.2565","DOIUrl":"https://doi.org/10.11607/ofph.2565","url":null,"abstract":"Aims: To assess the effect of geographic tongue (GT) on taste, salivary flow, and pain characteristics in burning mouth syndrome (BMS) to determine whether GT is a contributing factor to BMS and whether BMS and GT represent similar patient populations.Methods: A retrospective chart study was conducted. Patients with a diagnosis of BMS or BMS/GT were included. Data regarding smell testing, spatial taste-testing, salivary flow, oral pH, and subjective pain rating on a generalized labeled magnitude scale (gLMS) were collected.Results: No significant differences in age, gender, oral pH, smell, or pain were found between groups. Stimulated and unstimulated salivary flow were significantly lower in BMS/GT. Taste responses to all taste stimuli and to ethanol were significantly lower in BMS, with the exception of sour at the fungiform papillae.Conclusion: BMS and BMS/GT present with similar clinical pain phenotype and demographics; however, taste was more intact in BMS/GT, suggesting that GT may be a contributing factor in the development of BMS through a mechanism that does not involve taste.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38427135","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}

引用次数: 8

Can the Measurement of Jaw-Opening Forces Assist in the Diagnosis of Temporomandibular Disorders? 下颌张开力的测量是否有助于颞下颌疾病的诊断?

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI: 10.11607/ofph.2587

Jithendra Ratnayake, Guangzhao Guan, Ajith Polonowita, Kai Chun Li, Andrew R Gray, J Neil Waddell, Carolina Loch, Paul A Brunton

{"title":"Can the Measurement of Jaw-Opening Forces Assist in the Diagnosis of Temporomandibular Disorders?","authors":"Jithendra Ratnayake, Guangzhao Guan, Ajith Polonowita, Kai Chun Li, Andrew R Gray, J Neil Waddell, Carolina Loch, Paul A Brunton","doi":"10.11607/ofph.2587","DOIUrl":"https://doi.org/10.11607/ofph.2587","url":null,"abstract":"Aims: To investigate the effectiveness of a novel jaw-opening-force measuring device as a screening tool to aid in the diagnosis of temporomandibular disorders (TMD).Methods: Symptomatic TMD patients (n = 58) and control TMD-free participants (n = 56) were screened by an oral medicine specialist according to the Diagnostic Criteria for TMD (DC/TMD). TMD patients were divided into three subcategories based on TMD symptoms (myofascial pain, disc displacement, and both combined). Jaw-opening forces were measured in both groups with an adjustable head device connected to a 1,000-N-load cell. Seven attempts were recorded at 10-second intervals by a data-capturing system. The geometric mean force values were obtained after discarding the first and last attempts.Results: TMD-free participants had greater jaw-opening forces than TMD patients both without and with adjustments for age, sex, height, and weight (both P < .001). The geometric mean ± standard deviation values for TMD patients were 18.5 ± 1.62 N and 47.7 ± 1.53 N for TMD-free participants. Differences in jaw-opening forces among the three TMD subcategories were not statistically significant; however, patients with disc displacement (23.7 ± 1.46 N) had greater jaw forces than patients with myofascial pain (17.0 ± 1.74 N) and both myofascial pain and disc displacement (17.0 ± 1.56 N).Conclusion: This study demonstrated that differences in jaw-opening forces could be used as a diagnostic tool for TMD. Future studies should explore the potential of this device to measure improvement in jaw-opening forces following TMD treatment.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38330907","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}

引用次数: 2

An Operational Clinical Approach in the Diagnosis and Management of Sleep Bruxism: A First Step Towards Validation. 一种可操作的临床方法在诊断和管理睡眠磨牙症:迈向验证的第一步。

IF 2.5 3区医学

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI: 10.11607/ofph.2616

Thays Crosara Abrahão Cunha, Cibele Dal Fabbro, Eduardo Januzzi, Paulo Afonso Cunali, Miguel Meira E Cruz

{"title":"An Operational Clinical Approach in the Diagnosis and Management of Sleep Bruxism: A First Step Towards Validation.","authors":"Thays Crosara Abrahão Cunha, Cibele Dal Fabbro, Eduardo Januzzi, Paulo Afonso Cunali, Miguel Meira E Cruz","doi":"10.11607/ofph.2616","DOIUrl":"https://doi.org/10.11607/ofph.2616","url":null,"abstract":"Exacerbation of nighttime sleep-related oromotor activity is often recognized as a relevant clinical entity commonly known as sleep bruxism (SB). Many pragmatic issues about SB diagnosis and management remain controversial. Therefore, within a critical review of the literature, this article proposes an operational clinical approach for SB diagnosis and management, with a focus on three comorbidities frequently occurring in relation to sleep: obstructive sleep apnea (OSA), gastroesophageal reflux disease (GERD), and insomnia. In the absence of any comorbidities, and if clinically justified, short-term medication and/or splints may be considered. If a comorbid condition is suspected, then the patient should be screened for OSA, GERD, and insomnia. For OSA screening, the Epworth Sleepiness Scale, STOP-Bang, and NoSAS questionnaires are available validated tools. For GERD screening, a positive patient report, whether associated or not with clinical signs and symptoms of heartburn and/or regurgitation, can be tested. For insomnia screening, report of difficulties initiating or maintaining sleep or of early morning awakening more than three times a week may be useful for diagnosis clarification. An adequate clinical approach for comorbid SB requires that both SB and the related comorbid condition be properly assessed and managed. Very often, improvement of SB with treatment of the associated condition will confirm the relationship and establish a more precise diagnosis (ie, secondary SB). Clinicians intending to manage SB should be able to identify these possible clinical interactions, and, if needed, perform an integrative multidimensional approach. Some approaches will benefit from a multidisciplinary approach for achieving therapeutic success.","PeriodicalId":48800,"journal":{"name":"Journal of Oral & Facial Pain and Headache","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11607/ofph.2616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38331815","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}

引用次数: 5