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}
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}