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

{"title":"Comparison of different arthrocentesis techniques for the management of symptoms in patients with degenerative joint disorders: A randomized clinical trial.","authors":"Mosaad Abdaljawwad Khalifah","doi":"10.1080/08869634.2026.2669204","DOIUrl":"https://doi.org/10.1080/08869634.2026.2669204","url":null,"abstract":"<p><strong>Objectives: </strong>All arthrocentesis techniques relied on fixed points measured from the cantho-tragal line. However, joint anatomy differs substantially in the different temporomandibular joint disorders (TMD). This study introduces a novel technique, uses patient-specific points without reference to cantho-tragal line, and compares it with two conventional techniques.</p><p><strong>Methods: </strong>A total of 144 TMJs were divided into group A (disc displacement without reduction with limitation) and group B (degenerative joint disease). Each group was subdivided into 3 groups according to the technique applied. Nitzan et al. technique (10/2, 20/10 points) in group 1; Alkan and Etöz technique (10/2, 7/2 points) in group 2; and the novel technique (two points in glenoid fossa summit) in group 3.</p><p><strong>Results: </strong>Group 3 showed better results than groups 1 and 2 in success rate, relocations number, procedure duration, and early pain and maximum mouth opening.</p><p><strong>Conclusion: </strong>The novel technique may be more promising in TMD.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857733","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":"Botulinum toxin in orofacial pain: A clinician's perspective on what we know, what we do, and what we get wrong.","authors":"Matteo Val, Daniele Manfredini, Luca Guarda Nardini","doi":"10.1080/08869634.2026.2669199","DOIUrl":"https://doi.org/10.1080/08869634.2026.2669199","url":null,"abstract":"","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-4"},"PeriodicalIF":1.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846646","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":"Early smoking onset and temporomandibular disorder symptoms later in life.","authors":"Leandro Machado Oliveira, José Pedro Machado Oliveira, Thayná Regina Pelissari","doi":"10.1080/08869634.2026.2669198","DOIUrl":"https://doi.org/10.1080/08869634.2026.2669198","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between early smoking onset (SO) and TMD symptoms among adults, and assess whether smoking intensity mediates this association.</p><p><strong>Methods: </strong>This secondary analysis used data from the Brazilian Longitudinal Study of Ageing (ELSI-Brazil). TMD symptoms were assessed using the Fonseca Anamnestic Index. Inverse probability weighting balanced early-life confounders and estimated risk differences (RD) and risk ratios (RR). Robustness was evaluated using positive (POC) and negative (NOC) outcome controls outcomes and E-values. Mediation analysis was conducted among smokers.</p><p><strong>Results: </strong>7,103 individuals were assessed. The RD comparing initiation before age 15 with never smoking was 0.06 (95% CI: 0.01, 0.11), corresponding to an RR of 1.37 (95% CI: 1.08, 1.72). POC, NOC, and E-values suggested residual confounding was unlikely to explain findings. No mediation via smoking intensity was observed.</p><p><strong>Conclusion: </strong>Early SO is associated with higher TMD risk overall. Preventing early initiation, especially before age 15, may reduce TMD burden.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846554","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":"Impact of 3D airway geometry on airflow in adults with different skeletal classes: A CFD analysis.","authors":"Vu Thi Thu Trang, Vu Dinh Viet Anh, Le Dinh Tung, Mohamed Bayome, Seong Hun Kim","doi":"10.1080/08869634.2026.2665475","DOIUrl":"https://doi.org/10.1080/08869634.2026.2665475","url":null,"abstract":"<p><strong>Objective: </strong>The relationship between craniofacial pattern and upper airway function remains incompletely understood.</p><p><strong>Methods: </strong>This study investigated differences in upper pharyngeal airway morphology and airflow characteristics among young adults with skeletal Classes I, II, and III according to the ANB angle. Three-dimensional (3D) models were reconstructed from CBCT images. Morphological parameters, including total airway volume and minimum cross-sectional area (mCSA), were measured. Computational fluid dynamics simulations were performed to evaluate airflow velocity and maximum pressure within the human upper airway (HUA).</p><p><strong>Results: </strong>Class II subjects exhibited significantly reduced airway volume and mCSA, compared with Class I and Class III subjects. These anatomical differences were associated with higher airflow velocity and increased airway suggesting greater airflow resistance. In contrast, individuals with Class III demonstrated larger airway spaces with lower airflow velocity and pressure.</p><p><strong>Conclusion: </strong>Skeletal pattern significantly influences both airway morphology and airflow behavior. Class II individuals exhibit narrower airways and higher resistance, whereas Class III individuals present more favourable airway characteristics.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846602","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":"Personalizing sleep therapy: Integrating EEG neurofeedback into the sleep disorders management.","authors":"Igor Shirolapov, Olga Bazanova, Alexander Zakharov","doi":"10.1080/08869634.2026.2666591","DOIUrl":"https://doi.org/10.1080/08869634.2026.2666591","url":null,"abstract":"<p><strong>Background and objective: </strong>Insomnia, a highly prevalent sleep disorder, adversely affects daytime functioning, cognitive performance, and overall health, increasing the risk of cardiovascular, metabolic, and psychiatric conditions. While pharmacotherapy offers short-term relief, it carries risks of side effects and dependence. Cognitive-behavioral therapy for insomnia, though effective, faces accessibility challenges. This review evaluates EEG-based neurofeedback (EEG-NF) as a non-pharmacological alternative for insomnia management.</p><p><strong>Methods: </strong>A systematic literature search was conducted in PubMed, Scopus, and PsycNet databases over the past decade (2014-2025) to inform this narrative review. From 179 initially identified records, 16 original studies were selected for descriptive synthesis.</p><p><strong>Results: </strong>Analysis indicates that EEG-NF protocols are promising for improving sleep. Studies report significant enhancements in both subjective sleep quality (measured by tools like the PSQI) and objective parameters such as sleep onset latency and total sleep time. The method facilitates self-regulation of brain activity to counter hyperarousal, demonstrating a favorable safety profile with benefits most pronounced in primary insomnia. Key advantages include non-invasiveness, personalization, and potential for home-based use. Current limitations involve small sample sizes, protocol heterogeneity, and a lack of long-term efficacy data.</p><p><strong>Conclusion: </strong>EEG-NF represents a promising and safe non-pharmacological approach that warrants further investigation as a potential component of personalized insomnia management. However, larger controlled trials with standardized protocols are needed to establish its comparative efficacy relative to established treatments such as CBT-I. Future research should prioritize standardized protocols, large-scale multicenter trials, and technological advancements to enhance accessibility and confirm long-term benefits.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846626","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":"Evolution of temporomandibular joint arthrocentesis research: From mechanical lavage to biologic adjuncts in TMD and orofacial pain management.","authors":"Halil İbrahim Durmuş, Mehmet Zahit Baş","doi":"10.1080/08869634.2026.2666588","DOIUrl":"https://doi.org/10.1080/08869634.2026.2666588","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint (TMJ) arthrocentesis is a minimally invasive procedure widely used for internal derangement and inflammatory TMJ disorders.</p><p><strong>Purpose: </strong>To analyze publication trends, leading contributors, and thematic evolution in TMJ arthrocentesis research.</p><p><strong>Materials and methods: </strong>A retrospective bibliometric analysis was performed using the Web of Science Core Collection, including 822 publications published between 1990 and 2025.</p><p><strong>Results: </strong>Publication output increased markedly after 2010, with the United States and Turkey as leading contributors. Early research focused on mechanical lavage and lysis, whereas recent studies emphasize biologic adjuncts such as platelet-rich plasma and hyaluronic acid.</p><p><strong>Conclusion: </strong>TMJ arthrocentesis research has shifted toward biologically oriented strategies, reflecting a significant shift in research focus and publication trends within the field of TMD management.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824040","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":"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":"521-528"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","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":"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":"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":"541-555"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","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":"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":"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":"511-520"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","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":"Translation and cultural adaptation of an Arabic version of the OBC-21.","authors":"Bachar Reda, Frank Lobbezoo, Abbass El-Outa, Mayssaa Ismail, Ghizlane Aarab, Daniele Manfredini","doi":"10.1080/08869634.2025.2548436","DOIUrl":"10.1080/08869634.2025.2548436","url":null,"abstract":"<p><strong>Objective: </strong>To develop and evaluate an Arabic version of the OBC-21 questionnaire for use among Levantine Arabic-speaking populations.</p><p><strong>Methods: </strong>A structured translation and cultural adaptation process was performed for the OBC-21, followed by assessment of translational sufficiency and content validity. Reliability was tested with internal consistency, and test-retest reliability was evaluated.</p><p><strong>Results: </strong>All 117 participants completed the survey twice, two weeks apart. The test-retest reliability of the OBC sum scores was excellent, with an ICC of 0.84 (95% CI = [0.77; 0.88]), and the reliability of OBC grades was very good, with a Cohen's Kappa of 0.81. Internal consistency was also very good, with a Cronbach's alpha of 0.8 (95% CI = [0.75; 0.8]).</p><p><strong>Conclusion: </strong>The Arabic version of the OBC-21 seems to be a reliable tool for assessing oral behaviors. Future studies need to establish the construct validity of the tool in the clinical settings.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"483-489"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980405","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}