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

{"title":"Confidence in diagnosing and treating temporomandibular disorders among dental students and faculty following implementation of the revised standards 2-24k: A cross-sectional study.","authors":"Vincent Fricton, Nathan Larkin, Linda Sangalli, Janey Prodoehl, William S Rayens, James Fricton","doi":"10.1080/08869634.2025.2482265","DOIUrl":"https://doi.org/10.1080/08869634.2025.2482265","url":null,"abstract":"<p><strong>Objective: </strong>Following recognition of orofacial pain as specialty in 2020, US dental schools are now mandated to incorporate temporomandibular disorder (TMD) education into their predoctoral curricula. However, the perception of dental students regarding their TMD knowledge is unclear. This study assessed confidence in diagnosing and treating TMD among dental students at a predoctoral dental school where TMD instruction has been integrated across the dental curriculum.</p><p><strong>Methods: </strong>A 10-item REDCap-survey was distributed to all dental students and faculty, assessing self-perceived confidence in TMD (0-100, 100=\"Extremely confident\"). Between-group differences were analyzed with independent t-tests and within-group differences across academic years and grade-point average (GPA) with ANOVA.</p><p><strong>Results: </strong>Among the 145 participants (108 = dental students), overall confidence in TMD was 52.7 ± 25.8 (49.3 ± 24.5 among students, 63.5 ± 26.8 among faculty). All participants reported the highest confidence in distinguishing between TMD/dental pain (59.5 ± 23.9) and the least confidence in adjusting occlusal appliances (43.8 ± 32.4). Students felt less confident than faculty in differentiating between TMD/dental pain (<i>p</i> = .005), establishing TMD diagnoses (<i>p</i> = .003), explaining TMD to patients (<i>p</i> = .010), understanding necessity for treatment (<i>p</i> = .003), adjusting occlusal appliances (<i>p</i> < .0001), and communicating with other providers (<i>p</i> < .001). Fourth-year students exhibited significantly higher confidence in establishing TMD diagnoses (<i>p</i> = .023), adjusting appliances (<i>p</i> < .001), and communicating with other providers than students in other academic years (<i>p</i> = .033). Students with higher GPA were more confident in differentiating between TMD/dental pain than those with lower GPA (<i>p</i> = .015).</p><p><strong>Conclusion: </strong>TMD-perceived confidence can improve with training. The current TMD curricula may be lacking in specific areas, emphasizing the importance of structured TMD education within all dental curricula.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061037","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":"An orofacial pain partnership: Old actors, new goals.","authors":"Daniele Manfredini, Mariona Mulet, Paul L Durham, Steven D Bender","doi":"10.1080/08869634.2025.2492609","DOIUrl":"https://doi.org/10.1080/08869634.2025.2492609","url":null,"abstract":"","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-3"},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053435","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":"The temporomandibular joint disc: A complex fable about an elusive butterfly.","authors":"Louis G Mercuri, Charles S Greene, Daniele Manfredini","doi":"10.1080/08869634.2025.2477963","DOIUrl":"https://doi.org/10.1080/08869634.2025.2477963","url":null,"abstract":"<p><strong>Introduction: </strong>Discussions related to the diagnosis and management of temporomandibular joint (TMJ) disorders (TMDs) have always been interesting, and at times controversial, since they involve combinations of dental, medical, and surgical etiological theories and management strategies. Amongst the various recommendations that emerged over the years was that any dental and surgical procedures that are primarily focused on mandible repositioning and irreversible changes to dental occlusion should be avoided. This statement has important implications for appraising the validity of physiopathology concepts and treatment proposals centered around the evaluation of TMJ disc position, since they also generally lead to performing irreversible procedures.</p><p><strong>Methods: </strong>A review of the pertinent TMJ literature related to the articular disc position and its association with TMD symptoms was carried out by the authors.</p><p><strong>Results: </strong>For many practitioners, the position of the TMJ disc has been regarded as a primary cause of TMJ pain and dysfunction. For decades, incoordination between the TMJ disc, the condylar head and the articular eminence was indeed considered the main factor for the etiology of intracapsular TMD symptoms and consequently an important target for therapy. However, research has shown that synovitis is the more important variable in dealing with those conditions.</p><p><strong>Conclusion: </strong>In this commentary, the biological rationale to consider synovitis, rather than disc position, as the linchpin for clinical symptoms is presented in detail. Hopefully, this might contribute to putting the elusive butterfly characteristics of this topic finally to rest.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028207","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":"Evaluating the association of temporomandibular disorders with audiological symptoms through instrumental diagnostics: A systematic review.","authors":"Andrea Frosolini, Simone Benedetti, Daniele Manfredini, Matteo Pollis, Paolo Gennaro, Guido Gabriele","doi":"10.1080/08869634.2025.2485028","DOIUrl":"https://doi.org/10.1080/08869634.2025.2485028","url":null,"abstract":"<p><strong>Objective: </strong>Temporomandibular disorders (TMDs) have been historically linked to symptoms such as tinnitus, hearing loss, and vertigo. The aim of this systematic review is to investigate the association between TMDs and audiological symptoms.</p><p><strong>Methods: </strong>Adhering to the PRISMA guidelines, a comprehensive literature search in three databases was performed searching for studies utilizing imaging and audiometric assessments to diagnose TMDs and audiological symptoms. Of the 1153 studies retrived, a total number of 6 studies were included.</p><p><strong>Results: </strong>Although tinnitus was commonly reported among patients with TMDs, objective audiological deficits were not consistently confirmed. The majority of existing studies lack standardized diagnostic methods and the heterogeneity of methodologies and limited sample sizes restricted the feasibility of a meta-analysis.</p><p><strong>Conclusions: </strong>The lack of appropriate instrumental diagnostic tests makes it difficult to draw conclusions about the causal relationship between TMDs and audiological symptoms. Future trials are needed to clarify this clinical association.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789392","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":"The outcome of prosthodontic treatments in individuals with bruxism and different restoration material. A scoping literature review.","authors":"Ovidiu Ionut Saracutu, Marco Ferrari, Matteo Pollis, Daniele Manfredini, Edoardo Ferrari Cagidiaco","doi":"10.1080/08869634.2025.2477964","DOIUrl":"https://doi.org/10.1080/08869634.2025.2477964","url":null,"abstract":"<p><strong>Objective: </strong>To review the clinical success of the various prosthodontic materials (e.g., lithium disilicate, zirconia, resin composite) in patients with different frequencies of bruxism.</p><p><strong>Methods: </strong>A systematic search in the most relevant databases to find any randomized clinical trial that assesses the outcome of prosthodontic restorations performed in subjects where an assessment of sleep bruxism (SB) and awake bruxism (AB) was Conducted.</p><p><strong>Results: </strong>No article present in the literature met the inclusion and exclusion criteria.</p><p><strong>Conclusion: </strong>The present systematic review unveils an important gap in the field of prosthodontics: no clinical trial in the literature has ever investigated the long-term success rate of different prosthodontic materials in patients with different frequencies of AB and SB.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756232","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":"Feasibility of brief behavioral telehealth interventions for sleep and pain in adults with chronic musculoskeletal orofacial pain: An idiographic clinical trial.","authors":"Linda Sangalli, Gabriel R Gilmore, Isabel Moreno-Hay, Lauren N Whitehurst, Anna Alessandri-Bonetti, Ian A Boggero","doi":"10.1080/08869634.2025.2476606","DOIUrl":"https://doi.org/10.1080/08869634.2025.2476606","url":null,"abstract":"<p><strong>Objective: </strong>Brief behavioral interventions targeting pain (Physical Self-Regulation, PSR) or sleep (Brief Behavioral Intervention for Insomnia, BBTI) show promise for interdisciplinary management of chronic pain, though their feasibility with chronic musculoskeletal orofacial pain (MSK-OFP) populations remains underexplored. This pilot study assessed the feasibility of a randomized clinical trial (RCT) of these interventions in a university-affiliated tertiary OFP clinic and explored clinical changes in pain, sleep, and other secondary outcomes.</p><p><strong>Methods: </strong>Treatment-seeking participants (<i>N</i>=19) with chronic MSK-OFP and insomnia were randomized to three-session PSR or BBTI. At pre- and post-intervention, participants completed questionnaires (assessing pain intensity, insomnia symptomatology, sleep quality, headache disability, fatigue, jaw-movement limitations, and quality of life), 8 consecutive days of actigraphy and morning/evening diaries. Feasibility outcomes were recruitment, retention, and adherence rates. Clinical outcomes included clinically-meaningful reductions in insomnia symptoms (Insomnia Severity Index [ISI]<15) and pain intensity (>2.5 point on 0-10 Numerical Rating Scale).</p><p><strong>Results: </strong>Over a 17-month period, of 19 consenting participants (88.9% females, 38.4±12.2y/o, recruitment rate: 1.1/month),12 (92% females, 38.5±11.5y/o) completed the study (retention rate: 63.2%) with high completion rate (questionnaires: 95.8%, daily diaries: 95%, actigraphy: 100%). Despite no significant changes in pain, ISI scores decreased by 6.0 and 4.8-points among BBTI and PSR groups. Improvements in sleep quality, headache disability, fatigue, jaw-movement limitations, and quality of life wereobserved.</p><p><strong>Conclusion: </strong>RCTs of brief behavioral interventions are feasible in tertiary-OFP clinics.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652289","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":"Number of masseteric electromyographic waveforms during analysis periods with/without excluding time zones after going to bed and before getting up in sleep bruxism assessment.","authors":"Mebae Takahashi, Taihiko Yamaguchi, Saki Mikami, Miku Saito, Toshinori Nakajima, Masana Maeda, Toshimitsu Sakuma, Taishi Saito","doi":"10.1080/08869634.2025.2473728","DOIUrl":"https://doi.org/10.1080/08869634.2025.2473728","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clarify differences in assessment of sleep bruxism (SB) using electromyography (EMG) among analysis periods with/without excluding time zones after going to bed (GB) and before getting up (GU).</p><p><strong>Methods: </strong>Masseteric EMG of 22 outpatients clinically diagnosed as SB was measured. Sleep onset (SO) and waking up (WU) were determined using a wearable motion monitor. Numbers of EMG episodes for nine periods were scored: GB-GU, SO-WU and other seven periods with exclusion of 15 min or more.</p><p><strong>Results: </strong>Number of episodes/h for SO-WU highly correlated with those for the other eight analysis periods. The number for GB-GU was significantly larger than that for SO-WU, whereas those for other seven analysis periods were not significantly different from that for SO-WU.</p><p><strong>Conclusion: </strong>The results suggest efficacy of excluding some adequate time zones after GB and before GU with a possibility of wakefulness in SB assessment.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588410","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":"Autonomic dysregulation as a potential regulator in otologic comorbidities of temporomandibular disorders.","authors":"Seok Woo Hong, Kyung Jae Yoon, Jeong-Hyun Kang","doi":"10.1080/08869634.2025.2476623","DOIUrl":"https://doi.org/10.1080/08869634.2025.2476623","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the role of autonomic dysregulation in otologic symptoms among individuals with temporomandibular disorders (TMDs).</p><p><strong>Methods: </strong>Data from 79,731 individuals were analyzed, categorized by the presence of TMD-related or otologic symptoms. Self-administered questionnaires screened TMD and otologic discomfort. Heart rate variability (HRV) and hearing impairment was measured.</p><p><strong>Results: </strong>Fully-adjusted regression models showed no significant relationship between HRV and otologic discomfort, However, subgroup analyses indicated significant interactions between HRV metrics and otologic symptoms in participants with TMD-related symptoms.</p><p><strong>Conclusions: </strong>Autonomic dysregulation may contribute to otologic discomfort in individuals with TMD, emphasizing its role in symptoms development.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588405","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":"Self-assessed competence in relation to bruxism among undergraduate dental students in Finland.","authors":"J Näsänen, T Karaharju-Suvanto, F Lobbezoo, M C Verhoeff, O-P Lappalainen, L Nykänen","doi":"10.1080/08869634.2025.2472085","DOIUrl":"https://doi.org/10.1080/08869634.2025.2472085","url":null,"abstract":"<p><strong>Objective: </strong>Bruxism is repetitive masticatory muscle activity occurring during sleep or wakefulness. Once considered purely harmful, it is now recognized as having both risk (e.g., tooth wear, TMD) and protective roles (e.g., against sleep apnea, reflux). This study evaluated Finnish dental students' understanding of modern bruxism concepts and management.</p><p><strong>Methods: </strong>A 17-question survey was sent to all Finnish dental students (n = 1000), with 220 responses analyzed using SPSS (version 28) via chi-square and Spearman correlation tests.</p><p><strong>Results: </strong>Knowledge improved with study progression (p < .001), and students with formal bruxism education answered more accurately (p < .001). However, misconceptions about occlusion as a cause increased with study progression (p = .009) and instruction hours (p = .018).</p><p><strong>Conclusion: </strong>While Finnish dental students demonstrate growing bruxism knowledge, outdated beliefs persist. Universities should update curricula with evidence-based content and promote critical evaluation of bruxism-related information.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568936","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":"Trauma and TMD: The association between orofacial trauma and temporomandibular disorders in a tertiary referral clinic.","authors":"Loreine M L Helmer, Michail Koutris, Thiprawee Chattrattrai, Naichuan Su, Leander Dubois, Jan de Lange, Frank Lobbezoo","doi":"10.1080/08869634.2025.2472086","DOIUrl":"https://doi.org/10.1080/08869634.2025.2472086","url":null,"abstract":"<p><strong>Objective: </strong>Between 5-12% of the population suffers from Temporomandibular disorders (TMDs). TMDs are known for their multifactorial aetiology and one of the proposed associated factors is orofacial trauma. This study investigated the possible association between orofacial trauma and TMD in a tertiary referral clinic.</p><p><strong>Methods: </strong>Patients were diagnosed with one or more TMD diagnoses; myalgia, arthralgia, headache associated with TMD and/or a TMD function diagnosis. 659 consenting patients were included. The majority were female. Ages ranged between 18 and 86 years. All patients were included in a logistic regression analysis, and 236 were included in a network analysis.</p><p><strong>Results: </strong>Neither analysis yielded a statistically significant association between orofacial trauma and TMD. Results showed associations between psychosocial variables and TMD diagnoses.</p><p><strong>Discussion: </strong>These results are contradictory to a recent review, where an association between orofacial trauma and TMD was found. The results on psychosocial variables and TMD diagnoses are corroborated by literature.</p><p><strong>Conclusion: </strong>In conclusion, in this tertiary referral clinic, no association between orofacial trauma and TMD was found.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558921","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}