Domenico Ciavarella, Alessandra Campobasso, Angela Pia Cazzolla, Carmela Suriano, Eleonora Lo Muzio, Laura Guida, Fabio Salcuni, Michele Laurenziello, Gaetano Illuzzi, Giuseppe Burlon, Michele Tepedino
{"title":"The efficacy of a modified mandibular advancement device for OSA treatment in a group of adult patients.","authors":"Domenico Ciavarella, Alessandra Campobasso, Angela Pia Cazzolla, Carmela Suriano, Eleonora Lo Muzio, Laura Guida, Fabio Salcuni, Michele Laurenziello, Gaetano Illuzzi, Giuseppe Burlon, Michele Tepedino","doi":"10.1080/08869634.2023.2242061","DOIUrl":"10.1080/08869634.2023.2242061","url":null,"abstract":"<p><strong>Objective: </strong>The Mandibular Advancement Device (MAD) is actually recommended for the treatment of Obstructive Sleep Apnea (OSA) with mild or moderate severity. The present study evaluated the effects of a fully customizable MAD-type device (It Makes You Sleep, IMYS), in patients with moderate-to-severe OSA.</p><p><strong>Methods: </strong>Twenty-nine patients (15 men and 14 women; mean age 62, SD ±10 years) were retrospectively enrolled. Home Sleep Apnea Testing ;(HSAT) was performed for all patients at baseline (T0) and after three months (T1) of IMYS therapy. The analyzed respiratory parameters were: Apnea-Hypopnea Index (AHI), Oxygen Desaturation Index (ODI), Minimum Oxygen Saturation (minSO2) and Medium Oxygen Saturation (medSO2).</p><p><strong>Results: </strong>From T0 to T1, a significant reduction of AHI and ODI was reported, as well as a significant increase of minSO2 and medSO2.</p><p><strong>Conclusion: </strong>The IMYS device could be an effective MAD appliance for treating moderate-to-severe OSA.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"613-620"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946776","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":"Is dextrose prolotherapy beneficial in the management of temporomandibular joint internal derangement? A systematic review.","authors":"Mariam M Bahgat, Ahmed M Abdel-Hamid","doi":"10.1080/08869634.2023.2204042","DOIUrl":"10.1080/08869634.2023.2204042","url":null,"abstract":"<p><strong>Objective: </strong>To highlight the current knowledge of the efficacy of dextrose as a prolotherapy agent in managing temporomandibular joint internal derangement (TMJ-ID).</p><p><strong>Methods: </strong>A \"Population, Intervention, Comparison, Outcome\" (PICO) strategy was executed using an electronic search through PubMed/MEDLINE, Cochrane databases, and Google Scholar from their inception to August 2022. Only randomized clinical trials investigating the treatment of TMJ-ID with hypertonic dextrose prolotherapy (HDPT) were included. Two independent reviewers assessed the eligibility of the studies with subsequent data extraction.</p><p><strong>Results: </strong>The systematic search identified 392 studies, and only 8 articles were considered eligible for selection, with a total of 286 patients; 72% were females, and 28% were males. The extracted data showed positive effects of dextrose on joint pain and maximum mouth opening (MMO) with high patient satisfaction.</p><p><strong>Conclusion: </strong>HDPT can be effective in relieving TMD symptoms as it reduces pain, improves joint dysfunction, and increases MMO up to 12 months.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"534-542"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9344149","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}
Parvathy Ghosh, Nk Sapna Varma, Chandrashekar Janakiram, Ajith Vv, Renjitha Bhaskaran, Sarika K
{"title":"Cultural adaptation and psychometric evaluation of the Malayalam version of the Berlin questionnaire.","authors":"Parvathy Ghosh, Nk Sapna Varma, Chandrashekar Janakiram, Ajith Vv, Renjitha Bhaskaran, Sarika K","doi":"10.1080/08869634.2025.2521908","DOIUrl":"https://doi.org/10.1080/08869634.2025.2521908","url":null,"abstract":"<p><strong>Objective: </strong>The study aims to translate, culturally adapt and validate the Berlin questionnaire into Malayalam.</p><p><strong>Methods: </strong>The cultural adaptation process included translation, expert review, and pre-testing with 20 participants. Psychometric properties were assessed in 100 participants who completed the Malayalam Berlin questionnaire (M-BQ), underwent polysomnography, and provided sociodemographic and clinical data. Reliability, criterion validity, and psychometric properties were evaluated compared to Apnea Hypopnea Index (AHI).</p><p><strong>Results: </strong>The M-BQ presented conceptual and cultural equivalence. Reliability assessed using Cronbach's alpha was 0.61. The instrument showed a sensitivity of 83.05%, 54.24%, 30.51%, and specificity of 78.05%, 97.56%, 100% for the risk stratification of obstructive sleep apnea according to the AHI scores.</p><p><strong>Conclusion: </strong>The study confirmed the reliability and validity of the Malayalam version of the Berlin Questionnaire in the study population.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509750","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}
Martina Ferrillo, Amerigo Giudice, Nicola Marotta, Laura Gallelli, Salim Sadeh, Marco Mazzei, Maria Teresa Inzitari, Leonzio Fortunato, Antonio Ammendolia, Alessandro de Sire
{"title":"Effects of occlusal splint therapy in addition to physical therapy on pain in patients affected by myogenous temporomandibular disorders: A pilot randomized controlled trial.","authors":"Martina Ferrillo, Amerigo Giudice, Nicola Marotta, Laura Gallelli, Salim Sadeh, Marco Mazzei, Maria Teresa Inzitari, Leonzio Fortunato, Antonio Ammendolia, Alessandro de Sire","doi":"10.1080/08869634.2025.2523089","DOIUrl":"https://doi.org/10.1080/08869634.2025.2523089","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to evaluate the effects of occlusal splint therapy in addition to physical therapy in improving pain in patients affected by myogenous temporomandibular disorders (TMD).</p><p><strong>Methods: </strong>In this pilot trial, myofascial pain patients were randomly allocated into experimental group (education, physical therapy, and occlusal splint - PT+OS) and control group (education and physical therapy - PT). The primary outcome was the TMD pain intensity. All outcomes were assessed at baseline (T0), at the end of the physical therapy (T1), after 6 months from the end of the physical therapy (T2).</p><p><strong>Results: </strong>Twenty-seven subjects (7 male and 20 females, mean aged 35.81 ± 16.57 years) were enrolled and allocated into two groups: 14 patients in the PT+OS group and 13 patients in the PT group. The RM ANOVA showed statistically significant differences between groups from T0 to T2 in favor of the PT+OS group in terms of TMD pain (<i>p</i> = .033), Neck Disability Index (NDI) (<i>p</i> = .025), and EuroQol-Visual Analogue Scale (<i>p</i> = .039).</p><p><strong>Conclusion: </strong>Findings from the present study demonstrated that pain, NDI, and health-related quality of life improved in both groups after therapy, but only in the experimental group these outcomes improved significantly further after 6-months follow-up. Thus, our results showed that adding occlusal splint therapy to the physical therapy may produce higher positive effects in patients affected by myogenous TMD. Further studies with a larger sample size should be carried out to confirm our results.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509751","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}
Napas Lappanakokiat, Jo-Eun Kim, Joo-Young Park, Taro Arima, Kang-Mi Pang, Young-Seok Park
{"title":"Dimensional analysis of condylar head using 3D scanned models of human dry skulls: A comparative study of measurement methods.","authors":"Napas Lappanakokiat, Jo-Eun Kim, Joo-Young Park, Taro Arima, Kang-Mi Pang, Young-Seok Park","doi":"10.1080/08869634.2025.2521913","DOIUrl":"https://doi.org/10.1080/08869634.2025.2521913","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the dimensional characteristics of the condylar head in 3D models of dry human mandibles using two different measurement methods.</p><p><strong>Methods: </strong>A total of 46 condylar heads from 29 dry human mandibles were scanned using a 3D scanner. Two perpendicular reference planes were used to identify the most medial, lateral, anterior, and posterior points. Measurements in the mediolateral and anteroposterior dimensions were taken using the direct measurement method, and the proposed method using the two reference planes. Paired t-tests were performed to compare the results.</p><p><strong>Results: </strong>Significant differences were observed, particularly in anteroposterior dimensions, which were smaller when using the proposed method (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>Measurements of the condylar head should be taken from the outermost points. Given the nature of bone remodeling, relying solely on a single cut from CBCT images for dimensional evaluation may result in missing potentially significant changes.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499681","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":"Orofacial pain and dysfunction in people with special needs: Time to care<sup>1</sup>.","authors":"Frank Lobbezoo, Merel C Verhoeff","doi":"10.1080/08869634.2025.2520096","DOIUrl":"10.1080/08869634.2025.2520096","url":null,"abstract":"","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-3"},"PeriodicalIF":2.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334499","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":"Effect of temporomandibular joint Osteoarthritis on mean gray value and fractal dimension of the condyle.","authors":"Omer Onur Gumus, Umut Pamukcu, Gulsun Akay, Kahraman Gungor","doi":"10.1080/08869634.2025.2518883","DOIUrl":"https://doi.org/10.1080/08869634.2025.2518883","url":null,"abstract":"<p><strong>Objective: </strong>To determine the Fractal Dimension (FD) and Mean Gray Value (MGV) changes caused by TMJ-OA on Cone-Beam Computed Tomography (CBCT) images.</p><p><strong>Methods: </strong>Ninety patients were divided into three groups: Control group (bilateral unaffected joints), Unilateral group (one affected joint), and Bilateral group (bilaterally affected joints). Histogram Analysis (HA) and Fractal Analysis (FA) were performed on coronal slices of the condyles. p<0.05 was considered statistically significant.</p><p><strong>Results: </strong>There was no statistically significant difference between the groups, and also total affected and total unaffected condyles in terms of both MGV and FD (p>0.05). There was a statistically significant difference between MGV and FD of the unaffected condyles in the Control and Unilateral groups (p<0.05).</p><p><strong>Conclusion: </strong>Both MGV and FD of the unaffected condyles in the Unilateral group were significantly different from those in the Control group indicates that these patients may be potentially at risk for TMJ-OA in the advanced stage.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318843","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}
Linda Sangalli, Azha Scott-LeBlanc, Anna Alessandri-Bonetti, Michael S Simmons, Fabio Savoldi
{"title":"Sleep medicine education in predoctoral dental programs of the United States: A nationwide cross-sectional survey.","authors":"Linda Sangalli, Azha Scott-LeBlanc, Anna Alessandri-Bonetti, Michael S Simmons, Fabio Savoldi","doi":"10.1080/08869634.2025.2518707","DOIUrl":"https://doi.org/10.1080/08869634.2025.2518707","url":null,"abstract":"<p><strong>Objectives: </strong>Given the expanding role of dental providers in screening, referral, and management of sleep-related breathing disorders (SRBD), dental students should receive adequate training. This study assessed the current state of sleep medicine education in U.S. predoctoral dental schools during 2024-2025 academic year.</p><p><strong>Methods: </strong>A survey was distributed to 72 CODA-accredited U.S. predoctoral dental programs, investigating sleep education, screening, and clinical management. Teaching time and content between programs were compared with independent t-tests and Mann-Whitney U tests.</p><p><strong>Results: </strong>Thirty-three of 72 dental programs responded (51.6% response rate). Twenty-nine programs (87.9%) reported sleep medicine instruction for a mean total of 8.0 hours (ranging from 1 to 32 hours with a mean total of 7.2 hours after removing one outlier), with more recent curriculum adoption associated to greater teaching time (<i>p</i> = .001). Instruction was primarily provided by orofacial pain (45.5%) and prosthodontics/restorative (27.3%) departments, mainly covering obstructive sleep apnea (87.9%), sleep bruxism (81.8%), and snoring (66.7%). Screening of SRBD was reported by 56.7% of the 29 schools and exposure to SRDB-clinical management by 45.5%. Programs that included screening and/or treatment incorporated more comprehensive curriculum and wider range of management options (<i>p</i> = .007).</p><p><strong>Conclusions: </strong>Sleep medicine education hours in U.S. dental curricula has more than doubled over the past 16 years, with ~88% of responding programs including sleep medicine instruction for an average of ~8 hours. Gaps remain in screening, triage and clinical management, which were lacking in about 50% of programs, highlighting areas for improvement.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318844","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}
Chiara Manetti, Lisa Catarzi, Flavia Cascino, Guido Gabriele, Paolo Gennaro
{"title":"Hand-dominance and fracture laterality in maxillofacial traumas: A retrospective study.","authors":"Chiara Manetti, Lisa Catarzi, Flavia Cascino, Guido Gabriele, Paolo Gennaro","doi":"10.1080/08869634.2025.2507824","DOIUrl":"https://doi.org/10.1080/08869634.2025.2507824","url":null,"abstract":"<p><strong>Objective: </strong>In maxillofacial trauma, injuries are known to predominantly affect the left side of the face. This study aimed to investigate the relationship between hand dominance and the laterality of craniofacial fractures.</p><p><strong>Methods: </strong>Clinical records of 513 patients with maxillofacial fractures from January 2019 to December 2022 were retrospectively analyzed.</p><p><p>A total of 401 right-handed and 112 left-handed patients were evaluated. Accidental falls were the most common cause of injury (50.4%). In patients with fractures on the side opposite the hand dominat, accident falls (78%) and assaults (71%) were the leading causes. The average Facial Injury Severity Score (FISS) was 1.93. A statistically significant association between hand dominance and fracture laterality was found (p-value <0.01) with a phi coefficient of 0.566, indicating a moderate correlation.</p><p><strong>Conclusion: </strong>The results suggest that hand dominance may play a significant role in determining fracture laterality with 86.5% of patients sustained trauma on the side of their non-dominant hand.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129490","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}
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}