Linda Sangalli, Caroline M Sawicki, James Fricton, Harold J Haering, Janey Prodoehl
{"title":"Current status of temporomandibular disorders education in U.S. predoctoral dental curricula: A nationwide survey.","authors":"Linda Sangalli, Caroline M Sawicki, James Fricton, Harold J Haering, Janey Prodoehl","doi":"10.1080/08869634.2025.2505784","DOIUrl":"https://doi.org/10.1080/08869634.2025.2505784","url":null,"abstract":"<p><strong>Objective: </strong>Studies have highlighted variability and deficiencies in temporomandibular disorders (TMD) predoctoral education, with limited student clinical exposure. However, no research has examined changes following CODA inclusion of TMD instruction in predoctoral curricula. We investigated current scope, instructional modalities, and extent of TMD curricula in U.S. predoctoral dental programs.</p><p><strong>Methods: </strong>A 17-item REDCap<sup>TM</sup> survey was distributed in September-October 2024 to deans/associate deans of academic affairs at 72 CODA-accredited U.S. predoctoral dental schools, investigating TMD curricula, modalities, and extent.</p><p><strong>Results: </strong>All 33 responding programs (53.2% response rate) included TMD instruction. Formal teaching accounted for 70.6±24.9% of instruction, while patient exposure constituted 22.5±21.0%. Programs dedicated 15.7±7.1 h on average (range 4-34) to TMD instruction . About 25.0% of programs had no board-certified orofacial pain (OFP) specialist on faculty. Instruction was mostly provided by OFP (75.8%), oral medicine specialists (36.4%), prosthodontists (30.3%), and oral surgeons (27.3%). Most programs (87.9%) treated TMD patients, yet 9.1% reported no student clinical exposure to these patients. In programs offering clinical exposure, patient interactions included direct evaluation and treatment (60.6%), rotations in OFP clinics (42.4%), observation (36.4%), or elective courses (3.0%). Management of OFP patients expanded to neuropathic pain (54.5%) and primary headache (33.3%), especially among programs with OFP specialists on faculty.</p><p><strong>Conclusions: </strong>TMD instruction varies widely across responding programs, but recent curricula have expanded instructional hours, broadened scope, and increased opportunities for patient interaction compared to previous reports.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082428","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}
Semra Özkan, Serkan Taş, Seda Kumbasar, Mustafa Gümüş, Besime Ahu Kaynak
{"title":"An investigation of thyroid and parathormone hormones and related biochemical factors in individuals with and without symptoms indicative of temporomandibular disorder admitted to the internal medicine department.","authors":"Semra Özkan, Serkan Taş, Seda Kumbasar, Mustafa Gümüş, Besime Ahu Kaynak","doi":"10.1080/08869634.2025.2499300","DOIUrl":"https://doi.org/10.1080/08869634.2025.2499300","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of parathormone and thyroid hormones, along with their associated biochemical factors in individuals with and without symptoms indicative of temporomandibular disorder (TMDs) admitted to the internal medicine department.</p><p><strong>Methods: </strong>The study involved 416 participants with symptoms indicative of TMDs and 415 controls. Serum concentrations of anti-thyroid peroxidase antibody (Anti-TPO Ab), free triiodothyronine, free thyroxine, thyroid-stimulating hormone, parathyroid hormone, calcium, sodium, potassium, magnesium, phosphorus, vitamin D, vitamin B12, folate, creatine kinase, haemoglobin, ferritin, C-reactive protein and sedimentation rate were analysed.</p><p><strong>Results: </strong>The serum level of anti-TPO Ab was found to be elevated in participants with symptoms indicative of TMDs in comparison to controls (<i>p</i> < .001). However, no significant differences were observed in the other parameters assessed between the two groups (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>Serum concentrations of parathormone and thyroid hormones associated biochemical factors are not affected in participants with symptoms indicative of TMDs except Anti-TPO Ab.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041583","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 disorder: A previously unreported complication of chronic suppurative otitis media.","authors":"Kamal G Effat","doi":"10.1080/08869634.2022.2157525","DOIUrl":"10.1080/08869634.2022.2157525","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the current clinical study was to test the hypothesis that chronic suppurative otitis media (CSOM) might be significantly associated with signs of temporomandibular joint (TMJ) internal derangement.</p><p><strong>Methods: </strong>The study involved 79 patients with CSOM and 79 control subjects. The TMJ was clinically examined in both groups.</p><p><strong>Results: </strong>Signs of internal derangement of the TMJ(s) were found in 67.1% of CSOM patients versus 26.6% of control subjects (<i>p</i> = .001).</p><p><strong>Conclusion: </strong>CSOM may be associated with the extension of the inflammatory process into the TMJ, thereby predisposing to internal derangement of the joint.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"446-451"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10386014","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}
Amanda Tereza Pala Mendes, Juliana Dias Corpa Tardelli, André Luís Botelho, Andréa Cândido Dos Reis
{"title":"Is there any association between sleep disorder and temporomandibular joint dysfunction in adults? - A systematic review.","authors":"Amanda Tereza Pala Mendes, Juliana Dias Corpa Tardelli, André Luís Botelho, Andréa Cândido Dos Reis","doi":"10.1080/08869634.2022.2154022","DOIUrl":"10.1080/08869634.2022.2154022","url":null,"abstract":"<p><strong>Objective: </strong>To answer the question, \"Is there any association between sleep disorder and temporomandibular joint dysfunction (TMD) in adults?\"</p><p><strong>Methods: </strong>This study followed PRISMA guidelines and was registered in PROSPERO. As eligibility criteria, observational studies that evaluated the association between sleep disorder and TMD were included. Exclusion criteria included a) studies that evaluated sleep quality and not the association of sleep disorders with TMD, b) experimental studies, book chapters, conference proceedings, and systematic reviews. The Joanna Briggs Institute tool was used to assess the risk of bias.</p><p><strong>Results: </strong>In the literature search, 3425 articles were found. After the exclusion of duplicates, 2752 were selected for reading the title and abstract, of which 26 were read in full, and 18 met eligibility criteria.</p><p><strong>Conclusion: </strong>The association of sleep bruxism with TMD is controversial. While, for obstructive sleep apnea, insomnia, snoring, and gastroesophageal reflux, the analyzed studies showed a positive association.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"426-437"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10386013","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}
Lívia Maiumi Uehara, Juliana Dias Corpa Tardelli, André Luís Botelho, Mariana Lima da Costa Valente, Andréa Cândido Dos Reis
{"title":"Association between depression and temporomandibular dysfunction in adults - a systematic review.","authors":"Lívia Maiumi Uehara, Juliana Dias Corpa Tardelli, André Luís Botelho, Mariana Lima da Costa Valente, Andréa Cândido Dos Reis","doi":"10.1080/08869634.2022.2161985","DOIUrl":"10.1080/08869634.2022.2161985","url":null,"abstract":"<p><strong>Objective: </strong>To critically evaluate the literature and answer the question: \"Is there an association between depression and temporomandibular disorder (TMD) in adults?\"</p><p><strong>Methods: </strong>The personalized search strategy was applied to PubMed, Embase, Web of Science, and Scopus databases. Articles were selected in two stages according to the eligibility criteria. The Joanna Briggs Institute (JBI) tool was used to analyze the risk of bias according to the type of study.</p><p><strong>Results: </strong>The included articles presented a moderate risk of bias. Based on the studies, individuals with TMD have higher levels of depression compared to the control group. There is also a direct association in that individuals with depression are more susceptible to developing TMD.</p><p><strong>Conclusion: </strong>There is a probable association between depression and TMD in adults. However, more studies with high methodological quality are needed to confirm this finding.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"461-467"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10857523","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}
Irmgard Simma-Kletschka, Nikolaus Artacker, Michael Balla, Nikolaus Oellerer, Eva Piehslinger, Cinzia Fornai
{"title":"Initial therapeutic approaches for orofacial myofascial pain: three pilot studies.","authors":"Irmgard Simma-Kletschka, Nikolaus Artacker, Michael Balla, Nikolaus Oellerer, Eva Piehslinger, Cinzia Fornai","doi":"10.1080/08869634.2023.2198397","DOIUrl":"10.1080/08869634.2023.2198397","url":null,"abstract":"<p><strong>Objective: </strong>Myofascial pain diminishes the stomatognathic function and hinders clinical diagnosis. Therefore, initial pain reduction is crucial before definitive treatment. Here, the clinical validity of non-pharmaceutical therapies, including the Aqualizer® splint, physiotherapy, and dry-needle acupuncture was comparatively assessed.</p><p><strong>Methods: </strong>Myofascial pain patients (<i>n</i> = 28; 20-65 years old) were examined through a visual analog scale, and intra- and extra-oral muscle palpation. Mandibular maximum opening and neck mobility were also evaluated. Changes in parameters through time were analyzed via the Kruskal-Wallis test, while the Friedman test and dot-plots were used for comparative therapies assessment. General patient improvement was represented via an isometric Principal Component.</p><p><strong>Results: </strong>The Aqualizer® and physiotherapy resulted in improvement of all parameters except for mouth opening. Acupuncture improved extra-oral muscle pain and neck mobility.</p><p><strong>Conclusion: </strong>The Aqualizer®, physiotherapy, and oral acupuncture are effective initial pain therapies. Among all, physiotherapy provided the greatest benefits, followed by the Aqualizer®.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"489-501"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9299468","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":"Hypoglossal nerve stimulator on extraoral radiography and cone beam computed tomography scan: Case report.","authors":"John K Brooks, Azin Parsa, Jeffery B Price","doi":"10.1080/08869634.2023.2188849","DOIUrl":"10.1080/08869634.2023.2188849","url":null,"abstract":"<p><strong>Background: </strong>The hypoglossal nerve stimulator (HNS) device has been employed in some patients with refractory or unsatisfactory outcomes to chronic obstructive sleep apnea management. The objective of this article is to increase recognition of the radiologic appearances of this device within the head and neck region, as seen on extraoral radiographic and cone beam computed tomography (CBCT) images.</p><p><strong>Clinical presentation: </strong>A 55-year-old man, refractory to a multitude of apneic medical therapies, underwent a series of preorthognathic radiologic studies. Notably, an implanted HNS lead and ribbon electrodes appeared as hyperdense structures on the panoramic radiograph, lateral cephalogram, and CBCT scan.</p><p><strong>Conclusion: </strong>This article provides various radiologic views of the primary components of an HNS. Clinicians should be able to recognize the presence of neurostimulator devices used for management of chronic sleep apnea within the radiologic field of view of examinations of the head and neck.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"476-479"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9301165","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}
Anne Ekman, Antti Tiisanoja, Ritva Näpänkangas, Kirsi Sipilä
{"title":"Association of health-related factors with self-reported sleep and awake bruxism in Northern Finland Birth Cohort 1966 - a cross-sectional study.","authors":"Anne Ekman, Antti Tiisanoja, Ritva Näpänkangas, Kirsi Sipilä","doi":"10.1080/08869634.2023.2198462","DOIUrl":"10.1080/08869634.2023.2198462","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to investigate the association of sleep bruxism (SB) and awake bruxism (AB) with health-related factors.</p><p><strong>Methods: </strong>Data on bruxism and diagnosed diseases, use of psychoactive substances and regular identified psychoactive drugs were collected from 1,962 subjects in the Northern Finland Birth Cohort 1966 through a questionnaire. The associations were analyzed using chi-square tests and binary regression models, adjusting for gender and education, and for anxiety/depression symptoms.</p><p><strong>Results: </strong>Migraine and gastric/duodenal disorders, use of serotonergic antidepressants and a high number of psychoactive drugs associated significantly with AB and SB. Gastrointestinal diseases associated with SB. Poor general health and hand eczema associated with AB. Based on the multivariate model, depression/anxiety symptoms seemed to mediate the associations of bruxism with depression, hand eczema, self-reported gastric/duodenal disorders and the number of identified drugs.</p><p><strong>Conclusion: </strong>Several diseases, depression/anxiety symptoms and psychoactive medications were associated with SB and AB, the associations being stronger with AB than SB.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"510-520"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9633852","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":"Ineffectiveness of watchful waiting on mouth breathing in children with obstructive sleep apnea.","authors":"Zhihuai Dong, Jing Ye, Mang Xiao, Huihua You","doi":"10.1080/08869634.2023.2180984","DOIUrl":"10.1080/08869634.2023.2180984","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness of watchful waiting on mouth breathing in children with OSA.</p><p><strong>Methods: </strong>Children in the Childhood Adenotonsillectomy Trial (CHAT) dataset were divided into two groups according to the treatment they received. One question in the OSA-18 Quality-of-Life Survey was chosen to evaluate the severity of mouth breathing.</p><p><strong>Results: </strong>In total, 392 children (adenotonsillectomy group, n = 197 and watchful waiting group, n = 195) were enrolled in the study. There was no significant correlation between the Apnea-Hypopnea Index (AHI) and the severity of mouth breathing, <math><mi>r</mi><mo>=</mo><mn>.09</mn><mo>,</mo><mi>p</mi><mo>=</mo><mn>.073</mn></math>. In watchful waiting group, there is no statistically significant difference of mouth breathing score (p = .555) between baseline and followup.</p><p><strong>Conclusions: </strong>The watchful waiting of mouth breathing in children with less severe OSA is ineffective. More caution should be taken to choose watchful waiting for children with mild OSA but severe mouth breathing.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"468-475"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169826","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}
Grzegorz Zieliński, Marcin Wójcicki, Maria Rapa, Anna Matysik-Woźniak, Michał Baszczowski, Michał Ginszt, Monika Litko-Rola, Jacek Szkutnik, Ingrid Różyło-Kalinowska, Robert Rejdak, Piotr Gawda
{"title":"Correlation between refractive error, muscle thickness, and bioelectrical activity of selected masticatory muscles.","authors":"Grzegorz Zieliński, Marcin Wójcicki, Maria Rapa, Anna Matysik-Woźniak, Michał Baszczowski, Michał Ginszt, Monika Litko-Rola, Jacek Szkutnik, Ingrid Różyło-Kalinowska, Robert Rejdak, Piotr Gawda","doi":"10.1080/08869634.2023.2198405","DOIUrl":"10.1080/08869634.2023.2198405","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to analyze the correlation between the refractive error, muscle thickness, and the bioelectrical activity of selected masticatory and neck muscles in subjects with myopia.</p><p><strong>Methods: </strong>For bioelectrical activity analysis within the masticatory muscles, an 8-channel BioEMG III electromyograph was used. An M-Turbo ultrasound machine was used to analyze the masticatory and neck muscle thickness.</p><p><strong>Results: </strong>Statistical analysis showed significant positive correlations between masseter muscle thickness at rest on the right side. Statistical analysis showed negative correlations between the digastric muscle and Activity Index within masticatory muscles at rest on the left side when the eyes were closed.</p><p><strong>Conclusions: </strong>As refractive error increases in myopic subjects, the resting tension on the temporal muscles increases, an increase in masseter muscle thickness is noted, and a decrease in bioelectrical activity on the digastric muscle at rest.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"502-509"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621990","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}