{"title":"Time to count the uncounted - time to make invisible orofacial pain visible in global health metrics.","authors":"Anna Lövgren","doi":"10.1080/08869634.2025.2570545","DOIUrl":"https://doi.org/10.1080/08869634.2025.2570545","url":null,"abstract":"","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhen Luo, Lei-Ming Cao, Miao Yin, Mei Xu, Bo Cheng
{"title":"Condylar morphological measurements and differences between idiopathic condylar resorption patients and normal people: A systematic review and meta-analysis.","authors":"Zhen Luo, Lei-Ming Cao, Miao Yin, Mei Xu, Bo Cheng","doi":"10.1080/08869634.2025.2568264","DOIUrl":"https://doi.org/10.1080/08869634.2025.2568264","url":null,"abstract":"<p><strong>Background: </strong>Idiopathic condylar resorption (ICR) is a rare temporomandibular joint disease characterized by progressive condylar degeneration with an unknown etiology. A comprehensive quantitative analysis of the morphological differences in the condyle between ICR patients and normal individuals is crucial, yet limited by small sample sizes in existing literature.</p><p><strong>Methods: </strong>This systematic review and meta-analysis were conducted following PRISMA guidelines. A random-effects model was employed to synthesize the mean differences in key condylar measurements between ICR patients and normal controls.</p><p><strong>Results: </strong>The analysis revealed that ICR patients had significantly smaller condylar dimensions compared to normal individuals. The meta-analysis quantified the following reductions: Condylar height: -3.71 mm. Condylar width: -3.38 mm. Condylar length: -1.19 mm. Axial angle: -13.70° .</p><p><strong>Conclusion: </strong>This study provides synthesized quantitative data on condylar morphology in ICR, however, the conclusions should be interpreted with caution due to the presence of heterogeneity and potential biases in the included studies.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychometric properties of the four-dimension impact framework for assessing temporomandibular disorders.","authors":"Adrian Ujin Yap, Yunhao Zheng, Houpeng Li, Po-Kam Wo, Xin Xiong","doi":"10.1080/08869634.2025.2567111","DOIUrl":"https://doi.org/10.1080/08869634.2025.2567111","url":null,"abstract":"<p><strong>Background: </strong>A four-dimensional impact framework has been recommended for evaluating oral conditions.</p><p><strong>Objectives: </strong>This study examined the reliability and validity of the four-dimensional structure for the Oral Health Impact Profile for Temporomandibular Disorders (OHIP-TMD).</p><p><strong>Methods: </strong>902 TMD patients were grouped into non-painful intra-articular, pain-related, and combined TMDs for comparisons. Participants completed socio-demographic surveys, DC/TMD Axis II tools, and OHIP-TMD.</p><p><strong>Results: </strong>All dimensions showed good reliability (α: Di1 = 0.814, Di2 = 0.736, Di3 = 0.755, Di4 = 0.935). Di3 (orofacial appearance) and Di1 (oral function) were notably more impacted than Di2 (orofacial pain) and Di4 (psychosocial impact) across subgroups. Moderate-to-strong correlations were identified between Di1-jaw functional limitation, Di2-current/worst pain, Di3-anxiety, and Di4-depression/anxiety (rs = 0.51-0.70). The strongest dimension-domain correlations included Di1-functional limitation, Di2-physical pain, Di3-psychological discomfort, and Di4-psychological disability(rs = 0.88-0.97).</p><p><strong>Conclusions: </strong>The four-dimensional impact framework for the OHIP-TMD demonstrates good reliability and validity, offering valuable insights into how TMDs affect the well-being and daily functioning of patients.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unrefreshing sleep following polysomnography: An analysis of daily habits and sleep metrics.","authors":"Hiromitsu Sekizuka, Tsuyoshi Saitoh, Yoshiaki Ono","doi":"10.1080/08869634.2025.2567095","DOIUrl":"https://doi.org/10.1080/08869634.2025.2567095","url":null,"abstract":"<p><strong>Objective: </strong>Among subjects undergoing polysomnography (PSG), some subjects complain of unrefreshing sleep (URS) after in-laboratory PSG (lab-PSG). The purpose of this study was to clarify whether there are differences in the backgrounds of such subjects and their polysomnographic findings.</p><p><strong>Methods: </strong>We asked subjects undergoing lab-PSG for the diagnosis of sleep-related breathing disorders whether they had URS immediately after lab-PSG (PSG-URS) and compared their backgrounds and polysomnographic findings.</p><p><strong>Results: </strong>We conducted an analysis of 151 subjects undergoing lab-PSG. Multivariate analysis demonstrated that the presence of smoking up to six hours before PSG, total sleep time (TST), sleep efficiency (SE), sleep latency (SL), and wake time after sleep onset (WASO) were independent determinants of PSG-URS after adjusting for some factors.</p><p><strong>Conclusion: </strong>Smoking up to 6 hours before PSG and short TST, small SE, long SL, and long WASO in PSG were significantly associated with the presence of PSG-URS.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knowledge and attitudes of post-graduate dental students in Greece towards sleep disorders: A questionnaire-based study.","authors":"Ioulianos Apessos, Athanasios Voulgaris, Theodoros Lillis, Dimitrios Andreadis, Dimitrios Tortopidis, Nikolaos Dabarakis, Alexandros Kalkanis, Paschalis Steiropoulos","doi":"10.1080/08869634.2025.2553954","DOIUrl":"https://doi.org/10.1080/08869634.2025.2553954","url":null,"abstract":"<p><strong>Aim: </strong>To assess sleep medicine and obstructive sleep apnea knowledge and management confidence among Greek dentists.</p><p><strong>Methods: </strong>Postgraduate dental students at the Aristotle University of Thessaloniki completed the Assessment of Sleep Knowledge in Medical Education (ASKME) and the knowledge and attitudes towards obstructive sleep apnea (OSA) questionnaires (OSAKA) via an online survey from May to December 2022.</p><p><strong>Results: </strong>The response rate was 77.1%, yielding 168 respondents (mean age 30.5 years; 50% female). Master's candidates accounted for 83% (n=140) and PhD candidates for 17% (n=28). The mean ASKME score was 13.9 ± 5.2, with 79.2% answering fewer than 60% of items correctly. The mean OSAKA knowledge score was 10.9 ± 4.2; half scored below 60%. Although all recognized OSA's clinical importance, 70.8% reported low confidence in managing it.</p><p><strong>Conclusion: </strong>Greek postgraduate dental students exhibit limited sleep medicine knowledge and low OSA management confidence. Incorporating structured sleep medicine education into dental training is essential.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yawning-induced alternobaric facial palsy in a healthy young adult: A case report and review of the pathophysiology.","authors":"Marcello Cammalleri, Esmeralda Zatta, Gabriele Sala, Stefano Fusetti, Arianna Salmini Sturli, Vittorio Favero","doi":"10.1080/08869634.2025.2551465","DOIUrl":"https://doi.org/10.1080/08869634.2025.2551465","url":null,"abstract":"<p><strong>Background: </strong>Alternobaric facial palsy (AFP) is a rare peripheral facial nerve palsy resulting from transient neurapraxia when sudden ambient-pressure changes disrupt middle-ear equilibrium. Common precipitants include scuba diving, air travel, and altitude. AFP triggered by routine activities is exceedingly uncommon.</p><p><strong>Case report: </strong>A healthy 27 year old man developed acute right facial paresis after a prolonged yawn, while in the car. He reported ear fullness, cheek and tongue numbness, and inability to close the right eye, without other neurological sympthoms. Examination revealed a right peripheral facial palsy (House - Brackmann Grade IV), positive Bell's sign, and otherwise normal findings. CT and MRI of the brain and temporal bones showed no lesions. Other causes were ruled-out. Given the abrupt onset, absence of structural pathology, exclusion of other etiologies, AFP was diagnosed.</p><p><strong>Management and outcome: </strong>Prednisone (50 mg, tapered over 3 weeks), eye care, and close follow-up led to full recovery within three weeks. No recurrence occurred at 3, 6, or 12 months.</p><p><strong>Conclusions: </strong>This case highlights an atypical AFP trigger - a simple yawn - and underscores the importance of considering alternobaric mechanisms in acute peripheral facial palsy, even in everyday settings.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-5"},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of rapid maxillary expansion on respiratory and bruxism indexes in children with obstructive sleep apnea: a pilot study.","authors":"Anna Colonna, Margherita Vianello, Luca Lombardo, Luca Cerritelli, Matteo Pollis, Daniele Manfredini","doi":"10.1080/08869634.2025.2552537","DOIUrl":"https://doi.org/10.1080/08869634.2025.2552537","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the impact of rapid maxillary expansion (RME) on sleep bruxism (SB) and respiratory indexes in pediatric patients.</p><p><strong>Methods: </strong>Twenty-four subjects needing orthodontic treatment and with suspicion of obstructive sleep apnea (OSA) were recruited. Before orthodontics, a clinical and anamnestic evaluation as well as a polygraphic recording was performed. The subjects underwent rapid palatal expansion and, after 6 months, the evaluations were repeated for the participants with an apnea-hypopnea index (AHI) > 1.</p><p><strong>Results: </strong>Mean AHI was 2.3±1.4 and 2.2±1.2 at T0 and T1, respectively, while sleep bruxism events (SBEs) values were 15.1± 17 and 23.1±14.5. No significant differences between pre and post treatment values could be detected.</p><p><strong>Conclusions: </strong>At the study population level, no statistically significant differences in the main (i.e., AHI and SBEs) and secondary outcomes with RME treatment were described. Specific phenotypes might be identified with future studies.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictors of TMD symptoms in Amazonian military personnel: Occupational, psychosocial, and bruxism-related factors.","authors":"Lissa Yuka Menezes Sato Amorim, Giovana Renata Gouvêa Deserti, Milton Santamaria, Mariana Barbosa Câmara-Souza, Giovana Cherubini Venezian","doi":"10.1080/08869634.2025.2552000","DOIUrl":"10.1080/08869634.2025.2552000","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of temporomandibular disorder (TMD) and its association with stress, bruxism, and pain hypervigilance among military personnel in the Amazon region, Brazil.</p><p><strong>Material and methods: </strong>A cross-sectional study was conducted with 352 active-duty military personnel without health issues. Participants completed the Perceived Stress Scale, Pain Vigilance Awareness Questionnaire, questions on awake and sleep bruxism, and the Diagnostic Criteria for Temporomandibular Disorder (DC/TMD). Logistic regression models were applied, retaining variables with <i>p</i> ≤ .05. Model fit was tested using the Akaike Information Criterion.</p><p><strong>Results: </strong>TMD symptoms were reported by 53.7% of participants, and 48.0% experienced pain. Significant associations were observed between TMD and longer service duration, awake and sleep bruxism, and higher stress. Women reported more headaches, while men more often experienced jaw-locking.</p><p><strong>Conclusion: </strong>TMD was highly prevalent and linked to stress, bruxism, and service duration, highlighting the need for interventions to mitigate physical and psychological consequences in military populations.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luca Mezzofranco, Francesca Zalunardo, Sorina Savin, Ludovica Agostini, Antonio Luigi Tiberio Gracco
{"title":"Patients' perceptions of the importance of improvements and side effects from mandibular advancement device therapy for obstructive sleep apnea and snoring.","authors":"Luca Mezzofranco, Francesca Zalunardo, Sorina Savin, Ludovica Agostini, Antonio Luigi Tiberio Gracco","doi":"10.1080/08869634.2024.2325405","DOIUrl":"10.1080/08869634.2024.2325405","url":null,"abstract":"<p><strong>Objective: </strong>To assess which improvements and side effects are considered most important by patients with OSA treated with a MAD.</p><p><strong>Methods: </strong>A specific questionnaire consisting of 20 questions, including 10 questions on improvements and 10 on side effects, was developed and mailed to all subjects (54).</p><p><strong>Results: </strong>42 patients, participated in the survey by answering the questionnaire. The results showed that patients placed greater importance on the positive outcomes of treatment, with the most significant being the reduction in snoring and improvement in sleep quality. On the other hand, the side effects of difficulty speaking with the device, tooth mobility, and foreign body sensation were considered important.</p><p><strong>Conclusions: </strong>The advantages perceived by the patients appear to outweigh the disadvantages, especially the reduction of snoring, increased productivity, and improved social and intellectual life. Most significant side effects are reversible and short-term, while occlusal changes, is not considered important by patients.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"743-749"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Voice quality in patients with temporomandibular disorders.","authors":"Parizad Jamshidpour, Negin Moradi, Shahrokh Raiesian, Mahdis Masoudrad, Maryam Seyedtabib, Majid Soltani, Mohammad Jafar Shaterzadeh Yazdi","doi":"10.1080/08869634.2024.2350922","DOIUrl":"10.1080/08869634.2024.2350922","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed the voice quality in TMD patients compared to healthy individuals using the Dysphonia Severity Index (DSI) and evaluated the correlation between the DSI and TMD severity.</p><p><strong>Methods: </strong>Patients who had TMD with Fonseca's anamnestic index were subjected to an examination based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). A sample of 35 patients with TMD and 36 healthy subjects were included in the study.</p><p><strong>Results: </strong>There were significant differences in the DSI score and its components between healthy subjects and TMD patients (<i>p</i> < .001). A significant correlation was found between the DSI scores and TMD severity (Spearman's rho: -0.90, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Patients with TMD demonstrated lower DSI scores and lower voice quality compared to healthy subjects.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"790-796"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}