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

{"title":"Cross-cultural adaptation and psychometric validation of the OHIP-TMDs for Portuguese-speaking populations: A unified version for Brazil and Portugal.","authors":"Monique Lalue-Sanches, Carmen Hoyuela, Paula Chaves, Justin Durham, Maria Paço","doi":"10.1080/08869634.2026.2620625","DOIUrl":"10.1080/08869634.2026.2620625","url":null,"abstract":"<p><strong>Objective: </strong>To conduct the cross-cultural adaptation and psychometric validation of the OHIP-TMDs for Portuguese-speaking populations, developing a unified version that encompasses both European and Brazilian Portuguese variants.</p><p><strong>Methods: </strong>A bicentric observational study was conducted according to Beaton's guidelines and COSMIN standards. The instrument underwent translation, expert review, and pre-testing. Psychometric validation included 211 individuals with TMD (Portugal: n=98; Brazil: n=113). Internal consistency (Cronbach's α, McDonald's ω), test-retest reliability (ICC), structural validity (CFA), convergent validity (Fonseca Anamnestic Index), and known-groups validity were assessed separately for each country.</p><p><strong>Results: </strong>The OHIP-TMDs-PT demonstrated excellent internal consistency (α=0.98 PT; α=0.96 BR) and reliability (ICC=0.96 PT; ICC=0.94 BR). CFA supported a unidimensional structure in Portugal and a second-order model in Brazil. Strong convergent validity and significant known-groups differences were observed.</p><p><strong>Conclusion: </strong>The OHIP-TMDs-PT is a reliable and valid instrument for assessing oral health-related quality of life in individuals with TMD across Lusophone populations.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"917-927"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114972","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":"Effects of manual therapy versus Pilates-based core stability training in patients with temporomandibular disorders: A randomized controlled multicenter pilot study.","authors":"Harun Gençosmanoğlu, Eren Yılmaz, Gürsoy Coşkun","doi":"10.1080/08869634.2026.2636088","DOIUrl":"10.1080/08869634.2026.2636088","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the preliminary adjunctive effects of the Fascial Distortion Model (FDM) and Pilates-based core stability training (CST) as adjuncts to a structured home exercise program (SHEP) for temporomandibular disorders.</p><p><strong>Methods: </strong>Thirty patients were allocated to the FDM+SHEP, CST+SHEP, or a control group. Outcome measures included head posture, mandibular mobility, pain intensity, severity, dysfunction, and disability.</p><p><strong>Results: </strong>The FDM+SHEP group demonstrated improvements in jaw function versus the control group and in head posture versus the CST+SHEP group. The FDM intervention led to improvements in laterotrusion and feeding. Both interventional groups showed reductions in pain over time, but the FDM+SHEP group exhibited earlier or more pronounced improvements across various pain intensities versus the CST+SHEP group.</p><p><strong>Conclusion: </strong>A larger trial comparing the FDM and CST as adjunctive therapies is feasible. Both approaches, particularly the FDM, show promise for providing adjunctive benefits in reducing pain intensity and improving function. ClinicalTrials.gov: NCT06134310.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1030-1051"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328203","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":"TMJ hyperextension is associated with sustained nociception and dysfunction of pain modulation pathways in female rats.","authors":"M Scharnhorst, D Aardema Faigh, A Escaldi, L Zhang, K L Kirkwood, R Ohrbach, P L Durham","doi":"10.1080/08869634.2026.2632943","DOIUrl":"10.1080/08869634.2026.2632943","url":null,"abstract":"<p><strong>Objective: </strong>Temporomandibular Disorders (TMDs) are debilitating orofacial pain conditions caused by extrinsic or intrinsic injury to the temporomandibular joint (TMJ) with higher prevalence reported in women.  Changes in innociception, protein expression, and joint structure were investigated in a preclinical TMD model caused by TMJ hyperextension in male and female rats.</p><p><strong>Methods: </strong>Mechanical nociception was determined using von Frey filaments, protein expression investigated by immunohistochemistry, synovial levels of TNF-α and IL-6 by ELISA, and TMJ morphology by micro-computed tomography.</p><p><strong>Results: </strong>Only female rats exhibited enhanced nociception and TMJ guarding behavior.  TMJ hyperextension increased expression of proteins implicated in ascending pain signaling and modulation of proteins associated with the descending pain inhibitory pathway.  TNF-α levels were elevated in males and females, while IL-6 was only increased in males. No changes in bone morphology were observed.</p><p><strong>Conclusion: </strong>Our findings provide evidence of sexual dimorphism in a novel TMD model caused by a single, transient hyperextension event.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"998-1007"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of laughter therapy on chronic head and neck pain.","authors":"Joseph R Cohen, Ann Eshenaur Spolarich, R Curtis Bay, Nima Modiri","doi":"10.1080/08869634.2026.2636089","DOIUrl":"10.1080/08869634.2026.2636089","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the effects of laughter on chronic head and neck pain.</p><p><strong>Methods: </strong>Subjects with chronic head and neck pain of ≥ six months duration occurring at least four days per week participated in this pilot cohort study. Differences in self-reported pain were assessed at baseline, Day 7, Day 14, Day 21 and Day 28 using the Short Form McGill Pain Questionnaire (SF-MPQ), Present Pain Intensity (PPI), and Visual Analog Scale (VAS). Self-reported daily compliance with using the LaughMD™ app for laughter therapy was assessed. A generalized estimating equations approach was used to compare pain scores across study timepoints.</p><p><strong>Results: </strong>Thirty-five subjects completed the protocol. Pain scores showed a statistically significant reduction over time. Most [71.4% (n=25)] were compliant with app use.</p><p><strong>Conclusion: </strong>Using laughter therapy via an app may be an effective adjunct for managing chronic head and neck pain which are frequent symptoms of orofacial pain.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1052-1061"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277933","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":"When persistent idiopathic facial pain is not idiopathic: Facial pain attributed to lung cancer and comparative review of classification systems.","authors":"Shehryar N Khawaja, Madha Mansoor","doi":"10.1080/08869634.2026.2632941","DOIUrl":"10.1080/08869634.2026.2632941","url":null,"abstract":"<p><strong>Objective: </strong>Facial pain attributed to lung cancer (FPLC) is frequently misclassified as persistent idiopathic facial pain (PIFP). This study reviewed published cases, retrospectively applied existing criteria for PIFP to evaluate misclassification, characterized clinical features of FPLC, and proposed a diagnostic framework.</p><p><strong>Methods: </strong>A structured search of MEDLINE, Embase, and Web of Science through December 13, 2025, identified 51 English-language case reports of orofacial or pharyngeal pain secondary to lung cancer. Thirty-three cases contained sufficient detail to allow retrospective application of PIFP criteria from leading classification systems.</p><p><strong>Results: </strong>Twenty-seven cases, 81.8%, met criteria for PIFP despite an underlying malignancy. Adding a requirement to exclude systemic disease substantially reduced misclassification. The proposed diagnostic criteria for FPLC demonstrated an 87.9% diagnostic accuracy.</p><p><strong>Conclusion: </strong>Idiopathic orofacial pain phenotypes overlap with FPLC. Excluding systemic causes improves the diagnostic validity of classification systems. The consistent clinical profile of FPLC supports the use of defined diagnostic criteria.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"989-997"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286104","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":"Anatomical relationship between the lateral pterygoid muscle and maxillary artery: Morphological classification and clinical implications.","authors":"Fatma Ok, Burak Karip, Fulya Temizsoy Korkmaz, Papatya Keleş","doi":"10.1080/08869634.2026.2622431","DOIUrl":"10.1080/08869634.2026.2622431","url":null,"abstract":"<p><strong>Background: </strong>The lateral pterygoid muscle is important for temporomandibular joint function and is closely related to the maxillary artery, which is clinically significant during procedures like botulinum toxin injections and infratemporal fossa surgery.</p><p><strong>Methods: </strong>Thirty hemifaces from human cadavers were dissected. The study documented the number of muscle heads, insertion sites, and the course of the maxillary artery in relation to the muscle (superficial, deep, or transitional). Morphometric measurements included the distance between the maxillary artery and surface landmarks.</p><p><strong>Results: </strong>A two-headed lateral pterygoid muscle was observed in 93.3% of specimens. The superior head most commonly inserts into both the articular disc and joint capsule (60%). The maxillary artery most frequently follows a superficial course (53.3%). The mean vertical distance to the tragus is 13.5 mm, the transverse distance is 34.1 mm, and the mean depth from the zygomatic arch is 23.3 mm.</p><p><strong>Conclusions: </strong>The observed anatomical variability and morphometric data offer clinically practical guidance to minimize the risk of vascular injury during temporomandibular joint procedures.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"928-934"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088221","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 type D personality a potential risk factor for temporomandibular disorders: A cross-sectional study.","authors":"Tugce Alpaydin, Muhammed Furkan Yılmaz, Mehmed Taha Alpaydin, Damla Torul","doi":"10.1080/08869634.2026.2619916","DOIUrl":"10.1080/08869634.2026.2619916","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the relationship between Type D personality and temporomandibular disorders.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 50 participants (25 TMD patients and 25 healthy controls) aged 17-61 years. TMD diagnosis was established according to the DC-TMDs. Psychological status was assessed using the GAD-7, PHQ-9, OHIP-14, and DS-14.</p><p><strong>Results: </strong>A significant difference was found between the TMD and control groups in terms of gender. The presence of type D personality disorder showed no significant differences regarding age, gender, education level, occupation and marital status. However, the presence of type D personality disorder showed significant differences regarding GAD-7, PHQ-9, OHIP-14 scores.</p><p><strong>Conclusion: </strong>Type D personality was not found to be a significant risk factor for the presence of TMD in this sample. Future studies with larger, more diverse populations are warranted to further clarify the complex interaction between personality traits and TMD pathophysiology.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"881-888"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146095036","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 joint arthrocentesis: global research trends in a comprehensive bibliometric analysis (1989-2025).","authors":"Ahmet Faruk Derin, Mehmet Sait Şimşek, İrfan Üstündağ","doi":"10.1080/08869634.2026.2632944","DOIUrl":"10.1080/08869634.2026.2632944","url":null,"abstract":"<p><strong>Objective: </strong>Over the past three decades, temporomandibular joint (TMJ) arthrocentesis has evolved from a mechanical lavage procedure into a sophisticated treatment standard incorporating principles of biological modulation and regenerative medicine. The aim of this study is to analyze the global TMJ arthrocentesis literature between 1989 and 2025 using bibliometric methods, thereby objectively mapping the procedure's technical evolution, clinical paradigm shifts (the transition from Axis I to Axis II), and the migration of research focus from surgical technique to biopsychosocial management.</p><p><strong>Materials and methods: </strong>Data were retrieved from the Web of Science Core Collection (WoSCC) database on January 13 2026. A total of 792 original articles and reviews, identified through a comprehensive search strategy, were analyzed using VOSviewer and R-Bibliometrix software regarding annual growth rate, citation networks, conceptual structure, and global collaboration dynamics.</p><p><strong>Results: </strong>The literature was found to be expanding with an annual growth rate of 12.1%, peaking in 2024 in terms of both publication count (<i>n</i> = 74) and citations (<i>n</i> = 1952). While the USA (<i>n</i> = 111) remains the most productive country, Turkey (<i>n</i> = 107) ranks second, demonstrating its strong clinical activity in the field. In citation networks, Nitzan's \"anchored disc\" theory (<i>n</i> = 314 citations) maintains its central position; however, the rise of Schiffman's DC/TMD criteria (<i>n</i> = 125 citations) and Manfredini's psychosocial studies indicates that success is now contingent more upon patient phenotype than physical parameters. Furthermore, the concepts of \"ultrasound guidance\" and \"regenerative agents\" (PRP, HA) have dominated the literature in recent years.</p><p><strong>Conclusion: </strong>The TMJ arthrocentesis literature is undergoing a dynamic transformation characterized by surgical minimization and technological integration. Research trends corroborate that the concept of \"mechanical success\" has yielded to a holistic treatment model constituted by accurate patient selection (Axis II), imaging guidance, and biological regeneration.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1008-1019"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229982","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":"Correction.","authors":"","doi":"10.1080/08869634.2026.2629752","DOIUrl":"10.1080/08869634.2026.2629752","url":null,"abstract":"","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"v"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159433","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":"Ultrasonographic assessment of perceived stress, temporomandibular disorders, and sociodemographic influences on masseter, temporalis, and digastric muscle thickness.","authors":"Berkant Sezer, Gamze Coşan Ata, Aysu Şahin, Doğa Doğan, Toprak Efe Ersöz","doi":"10.1080/08869634.2026.2620623","DOIUrl":"10.1080/08869634.2026.2620623","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the associations between perceived stress, sociodemographic and health-related factors, temporomandibular disorders (TMD), and masticatory muscle thickness assessed by ultrasonography.</p><p><strong>Methods: </strong>Forty participants were classified into high- and normal-stress groups. Perceived stress, TMD status, and ultrasonographic thickness of the masseter, anterior temporalis, and anterior digastric muscles were assessed.</p><p><strong>Results: </strong>Higher perceived stress was associated with greater TMD prevalence and reduced anterior digastric muscle thickness. Male participants showed greater masseter and digastric muscle thickness. In regression analyses, female gender and high perceived stress were associated with reduced anterior digastric thickness. However, group differences in TMD prevalence and the absence of bruxism assessment limit causal inference.</p><p><strong>Conclusion: </strong>Perceived stress and gender were associated with anterior digastric muscle thickness in this exploratory, cross-sectional sample of young adults.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"889-903"},"PeriodicalIF":5.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114990","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}