Cranio-The Journal of Craniomandibular & Sleep Practice最新文献

{"title":"Association between imaging-assessed temporomandibular joint findings and TMD-specific quality of life in pain-related temporomandibular disorders: A cross-sectional study.","authors":"Shaoyuan Liu, Hiroyuki Ishiyama, Akira Nishiyama, Kenji Fueki","doi":"10.1080/08869634.2026.2747759","DOIUrl":"https://doi.org/10.1080/08869634.2026.2747759","url":null,"abstract":"<p><strong>Background: </strong>The association between temporomandibular joint (TMJ) structural abnormalities and quality of life (QoL) in patients with pain-related temporomandibular disorders (TMDs) remains unclear.</p><p><strong>Methods: </strong>A cross-sectional study of 103 patients evaluated associations between TMJ imaging findings, functional measures, and TMD-specific QoL.</p><p><strong>Results: </strong>Exploratory analyses identified associations of DDwoR and moderate joint effusion with functional QoL. Subchondral cysts showed an exploratory association with poorer functional QoL. An exploratory indirect-association analysis suggested that maximum mouth opening may be involved in the association between structural burden and functional QoL.</p><p><strong>Conclusions: </strong>Selected TMJ imaging findings showed exploratory associations with the functional domain of TMD-specific QoL.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-15"},"PeriodicalIF":5.4,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217484","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":"Sexual function in women with chronic painful temporomandibular disorders: A biopsychosocial case-control study.","authors":"Maria Amália Pereira Dias-Calças, Lívia Prado Remédio, Victor Hugo Alves Ribeiro-Silva, Laiz Franco, Larissa Gregório Candido-do-Prado, Giovanna Gallo, Alex Moreira Mélo, Melissa de Oliveira Melchior, Lúcia Alves da Silva Lara, Christie Ramos Andrade Leite-Panissi, Jardel Francisco Mazzi-Chaves, Laís Valencise Magri","doi":"10.1080/08869634.2026.2737379","DOIUrl":"https://doi.org/10.1080/08869634.2026.2737379","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) are associated with psychosocial impairment. Although pain has been linked to female sexual dysfunction, the relationship between painful TMD and sexual function remains unclear.</p><p><strong>Objectives: </strong>To compare sexual dysfunction between women with chronic painful TMD and controls without painful TMD and explore clinical and psychosocial factors.</p><p><strong>Methods: </strong>This cross-sectional case-control study included 120 women with chronic painful TMD (<i>n</i>=74) or controls (<i>n</i>=46). Sexual function and satisfaction were assessed using the FSFI and FSSS. Instruments assessed psychosocial variables, functional limitation, and pain characteristics. Groups were compared using Welch's t-tests and chi-square tests, followed by age-adjusted and attenuation models.</p><p><strong>Results: </strong>Women with painful TMD had a higher unadjusted prevalence of risk of sexual dysfunction than controls (55.4% vs. 26.1%) and lower scores for pain, lubrication, orgasm, and satisfaction. The association with risk of sexual dysfunction remained statistically significant after minimal adjustment for age (OR=3.58; 95%CI: 1.59-8.03; <i>p</i>=.002). In exploratory attenuation models (mandibular functional limitation and pain catastrophizing), the associations with risk of sexual dysfunction (OR=2.59; 95%CI:0.92-7.27; <i>p</i> =.071) and FSFI total score (B = -4.17; 95%CI:-8.79 to 0.46; <i>p</i>=.077) were not statistically significant. Within the TMD group, greater mandibular functional limitation was exploratorily associated with poorer sexual function.</p><p><strong>Conclusions: </strong>Women with painful TMD showed greater FSFI-defined risk and poorer sexual function than controls. This association persisted after age adjustment but was attenuated in exploratory models. Mandibular functional limitation was exploratorily associated with poorer sexual function.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-14"},"PeriodicalIF":5.4,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167344","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":"Temporomandibular disorders education across the health professions: a scoping review.","authors":"James Hawkins, Linda Sangalli, Janey Prodoehl, Paul Levett, Ronald M Cervero, Steven J Durning","doi":"10.1080/08869634.2026.2745747","DOIUrl":"https://doi.org/10.1080/08869634.2026.2745747","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize literature on temporomandibular disorder (TMD) education across health professions, emphasizing educational approaches, learner outcomes, and implications for future training.</p><p><strong>Methods: </strong>This scoping review followed Joanna Briggs Institute methodology and PRISMA-ScR guidance. Indexed and gray literature published since 2020 was searched, and findings were synthesized descriptively.</p><p><strong>Results: </strong>Sixty-one publications were included, predominantly from the United States and dentistry. Surveys and curricular innovation assessments predominated. Technology-supported, case-based, and virtual learning approaches were common, while direct patient exposure was uncommon. Outcomes emphasized knowledge, confidence, and satisfaction, with less frequent assessment of competence or longer-term outcomes.</p><p><strong>Conclusion: </strong>TMD education demonstrates increasing innovation but remains dentistry-centered, with limited curricular frameworks, clinical exposure, and competence assessment. Future efforts should prioritize competency-based, interprofessional, and patient-centered approaches that translate contemporary educational guidance into scalable, assessable, and clinically meaningful training.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-20"},"PeriodicalIF":5.4,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169092","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":"Hormonal imbalances and neuroendocrine influences in temporomandibular disorders: A scoping review of the evidence.","authors":"Bernardo Correia Lima, Pedro Américo Dos Santos Felizardo, Lucas Maia Nogueira, Leonardo Brigido Metello Neves, Ricardo Grillo, Mariana Aparecida Brozoski","doi":"10.1080/08869634.2026.2746501","DOIUrl":"https://doi.org/10.1080/08869634.2026.2746501","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) display a marked female predominance and fluctuate across reproductive stages, suggesting hormonal and neuroendocrine contributions.</p><p><strong>Objectives: </strong>To map the evidence on hormonal imbalances and neuroendocrine influences in TMD across six domains.</p><p><strong>Methods: </strong>A scoping review following JBI and PRISMA-ScR. Searches of MEDLINE/PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library from inception to July 2026 identified 3,147 records. The review protocol was registered on OSF (https://osf.io/qf2we).</p><p><strong>Results: </strong>274 studies were included, comprising 168 human studies and 106 preclinical studies. Human evidence consistently supports associations between hormonal factors and TMD. Estrogens, progesterone, and androgens modulate TMJ tissue remodeling, inflammation, and nociceptive processing. Reproductive endocrine disorders are consistently associated with TMD. Estrogen receptor polymorphisms are consistently associated with TMD. HPA axis dysregulation is consistently associated with TMD.</p><p><strong>Conclusions: </strong>Hormonal and neuroendocrine factors are consistently associated with TMD through multiple mechanisms. Standardized longitudinal studies and validated patient-reported outcomes are needed.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-14"},"PeriodicalIF":5.4,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169030","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":"Temporomandibular joint range of motion measurements in systemic sclerosis patients with temporomandibular dysfunction and comparison with measurements in patients with only temporomandibular dysfunction.","authors":"Köksal Sarihan, Doğan Durna, Ayhan Kul, Binali Çakur","doi":"10.1080/08869634.2026.2737383","DOIUrl":"https://doi.org/10.1080/08869634.2026.2737383","url":null,"abstract":"<p><strong>Objectives: </strong>The main objective of this study was to determine the range of motion of the temporomandibular joint (TMJ) in systemic sclerosis (SSc) patients with temporomandibular dysfunction (TMD) and to compare these data with the measurement results of patients with only TMD.</p><p><strong>Method: </strong>Patients who presented to the oral and dental clinic of a university hospital were retrospectively evaluated. Seventeen SSc patients with TMD were included in the study (mean age: 42.9 ± 9.4 years; age range: 21-53). The other group consisted of twenty patients who had only a diagnosis of TMD (mean age: 40.4 ± 8.6 years; age range: 29-58).</p><p><strong>Results: </strong>We detected microstomia in 64.7% of SSc patients with TMD. In the SSc-with-TMD group, mouth opening measurements were lower compared to those with only TMD (<i>p</i> < .05). In the SSc-with-TMD group, left laterotrusion movement measurements were lower compared to those with only TMD (<i>p</i> < .05).</p><p><strong>Conclusions: </strong>This study highlights the presence of TMD in patients with SSc and demonstrates impairments in TMJ movements.</p><p><strong>Key points: </strong>This study highlights the presence of TMD in patients with SSc and demonstrates impairments in TMJ movements.In our study group, SSc patients with TMD had more restricted mouth opening and left laterotrusion movements compared to patients with only TMD.According to our study data, xerostomia occurs in almost half of SSc patients with TMD.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-7"},"PeriodicalIF":5.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139415","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":"Clinical effects on masticatory muscle activity after temporomandibular disorder treatment: A systematic review.","authors":"Bruna Massaroto Barros, Daniela Aparecida Biasotto-Gonzalez, Cid André Fidelis de Paula Gomes, Sandra Kalil Bussadori, Paulo Roberto Garcia Lucareli, Fabiano Politti","doi":"10.1080/08869634.2026.2743735","DOIUrl":"https://doi.org/10.1080/08869634.2026.2743735","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether temporomandibular disorder (TMD) treatments produce changes in masseter and temporalis electromyographic (EMG) activity and to describe the EMG methods used. Methods: Randomized controlled trials assessing EMG before and after TMD treatment, with at least one clinical outcome, were systematically reviewed. Methodological quality and risk of bias were assessed using the PEDro scale and Cochrane RoB-2 tool.</p><p><strong>Methods: </strong>Randomized controlled trials assessing EMG before and after TMD treatment, with at least one clinical outcome, were systematically reviewed. Methodological quality and risk of bias were assessed using the PEDro scale and Cochrane RoB-2 tool.</p><p><strong>Results: </strong>Of 5,455 records, 10 studies including 350 individuals with TMD were eligible. Interventions included occlusal splints, botulinum toxin, physiotherapy, and complementary therapies. EMG protocols varied markedly, particularly in contraction tasks, recording duration, repetitions, and normalization. Clinical improvements were frequently reported but were not consistently accompanied by changes in EMG activity. Six studies had high risk of bias.</p><p><strong>Conclusions: </strong>Current evidence does not support consistent effects of TMD treatments on masticatory muscle activity. Methodological limitations and nonstandardized electromyography protocols highlight the need for high-quality research to clarify their neuromuscular effects.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-13"},"PeriodicalIF":5.4,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119059","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":"Sleep-disordered breathing in children with class II and large overjet treated with removable functional appliance - A longitudinal study.","authors":"Camilla Hansen, Agneta Markström, Liselotte Sonnesen","doi":"10.1080/08869634.2026.2733448","DOIUrl":"https://doi.org/10.1080/08869634.2026.2733448","url":null,"abstract":"<p><strong>Objective: </strong>Sleep-disordered breathing (SDB) was examined in children aged 9-14 years with class II and large overjet ≥ 6 mm (study group) before (T0), during (T1) and after treatment (T2) with a removable functional appliance, compared to a control group.</p><p><strong>Methods: </strong>At T0, the study group included 37 children, and the control group included 32 children. For both groups, exclusion criteria were as follows: diseases, syndromes, allergies, asthma, mouth breathing, adenoid vegetations, and hypertrophied tonsils. SDB was assessed and scored manually by respiratory polygraphy. SDB parameters between the groups were compared using a general linear model adjusted for sex, treatment time, and body mass index.</p><p><strong>Results: </strong>No significant difference in SDB was found between the groups (<i>p</i> = .258), although at T0, 8.6% of the children in the study group and none in the control group had SDB. None were diagnosed with SDB at T1 or T2. No significant differences in changes in SDB parameters between the groups were observed from T0-T1, T1-T2, or T0-T2.</p><p><strong>Conclusions: </strong>At T0, 8.6% of study group children had SDB but none at T1 or T2. No significant difference in changes in SDB parameters over time was found between the groups.</p><p><strong>Clinical trials registration: </strong>NCT04964830.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":5.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119044","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":"Photobiomodulation for temporomandibular disorders: A scoping review of laser-parameter reporting in controlled trials.","authors":"Kadambari Bharali, Kapil Hazarika, Nilutpal Deuri","doi":"10.1080/08869634.2026.2736771","DOIUrl":"https://doi.org/10.1080/08869634.2026.2736771","url":null,"abstract":"<p><strong>Objective: </strong>To map the controlled-trial evidence on photobiomodulation (PBM) for temporomandibular disorders (TMDs), chart the laser dosimetric parameters, quantify reporting completeness, and identify standardization priorities.</p><p><strong>Methods: </strong>Scoping review per JBI methodology, reported per PRISMA-ScR, and registered on the Open Science Framework (project hdz53). PubMed/MEDLINE, the Cochrane Library (CENTRAL and CDSR), Lens.org, LILACS, and SciELO were searched from inception to July 21 2026. Eligible reports were randomized or non-randomized controlled trials in humans with TMD receiving PBM over the temporomandibular joint or masticatory muscles; reviews, uncontrolled designs, high-intensity or ablative laser, photodynamic therapy, and acupoint-only irradiation were excluded. Records were de-duplicated and screened independently by two reviewers in two stages, with third-reviewer arbitration. Ten dosimetric parameters were charted verbatim, omissions being the primary datum.</p><p><strong>Results: </strong>Of 1,733 records, 1,060 were screened after de-duplication and 462 reports were sought; 215 were not retrieved and 247 were assessed at full text. One hundred seventy‑five controlled trials (165 randomized) formed the evidence map, and 167 with an accessible full report were charted; all reporting-completeness proportions are of those 167. Wavelength and session number were reported in 159/167 trials (95%), power density in 20/167 (12%), and total delivered energy in 24/167 (14%). Only 31/167 (19%) reported every element of a minimum reproducibility set, 45/167 (27%) were non-reproducible, and protocols differed substantially within device families.</p><p><strong>Conclusion: </strong>Controlled trials of PBM for TMD describe the laser incompletely for the delivered dose to be reconstructed. A minimum reporting set, enforced at publication, is a critical step toward reproducible protocols.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-14"},"PeriodicalIF":5.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119061","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":"Care network for individuals with temporomandibular disorders in the Brazilian Unified Health System: Perspective of managers and dental surgeons.","authors":"Pâmela Lopes Pedro da Silva, George Azevedo Lemos, Maelly Vicente Lôbo, Yuri Wanderley Cavalcanti, André Ulisses Dantas Batista","doi":"10.1080/08869634.2026.2741835","DOIUrl":"https://doi.org/10.1080/08869634.2026.2741835","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the care network for individuals with orofacial pain (OFP) and temporomandibular disorders (TMD) in the Brazilian Unified Health System (SUS).</p><p><strong>Methods: </strong> Oral health managers and primary health care (PHC) dentists completed electronic questionnaires addressing service availability, clinical practices, knowledge-related items, and referral services for TMD and OFP. Data were statistically analyzed at a significance level of 5% (p < .05).</p><p><strong>Results: </strong>    Most managers reported that neither PHC (n = 82; 85.4%) nor secondary care (n = 68; 70.8%) treats patients with TMD. Most dentists reported not treating TMD patients (n = 209; 56.3%) and being unaware of public referral services (n = 268; 72.2%). Dentists' responses differed from evidence-based recommendations on TMD etiology, diagnosis, and treatment. Specialist status was associated with more evidence-consistent responses, particularly regarding traditional occlusal concepts.</p><p><strong>Conclusion: </strong>The findings suggest challenges in organizing TMD/OFP care within SUS, particularly regarding service availability, alignment of dentists' responses with current evidence, and awareness of referral pathways.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-13"},"PeriodicalIF":5.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119095","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":"Objective classification of masseter muscle and deep inferior tendon morphology: A comparative performance analysis of machine learning algorithms.","authors":"Merva Güneyli, Merve Edik, Fatma Latifoğlu, Aykağan Çukurluoğlu, Şerife Arzu Çopur","doi":"10.1080/08869634.2026.2741836","DOIUrl":"https://doi.org/10.1080/08869634.2026.2741836","url":null,"abstract":"<p><strong>Objectives: </strong>This study objectively classified masseter internal structure and deep inferior tendon (DIT) morphology using ultrasonography and machine learning on 229 images from 101 (DIT) and 97 (MUSCLE) patients.</p><p><strong>Methods: </strong>Following hybrid feature extraction (radiomics, LBP, HOG), patient-grouped, fold-internal SMOTE balancing, and LASSO-based feature selection, four algorithms were cross-validated under a leakage-free scheme.</p><p><strong>Results: </strong>All four classifiers achieved accuracy modestly but consistently above the one-third chance level for this three-class problem (47.9-54.3%), with no algorithm showing a consistent advantage. LASSO selection-frequency analysis identified a feature-specific asymmetry: a single GLSZM feature was selected in 46 of 50 folds for MUSCLE classification but never for DIT classification, alongside HOG-dominated features in both tasks.</p><p><strong>Conclusions: </strong>This AI-based framework provides an objective approach for classifying masseter internal structure and DIT morphology, potentially reducing observer-dependent variability. These findings may underpin future studies investigating whether automated morphological classification can support clinical assessment and procedure planning.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-16"},"PeriodicalIF":5.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119106","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}