{"title":"Hypoglossal nerve stimulator on extraoral radiography and cone beam computed tomography scan: Case report.","authors":"John K Brooks, Azin Parsa, Jeffery B Price","doi":"10.1080/08869634.2023.2188849","DOIUrl":"10.1080/08869634.2023.2188849","url":null,"abstract":"<p><strong>Background: </strong>The hypoglossal nerve stimulator (HNS) device has been employed in some patients with refractory or unsatisfactory outcomes to chronic obstructive sleep apnea management. The objective of this article is to increase recognition of the radiologic appearances of this device within the head and neck region, as seen on extraoral radiographic and cone beam computed tomography (CBCT) images.</p><p><strong>Clinical presentation: </strong>A 55-year-old man, refractory to a multitude of apneic medical therapies, underwent a series of preorthognathic radiologic studies. Notably, an implanted HNS lead and ribbon electrodes appeared as hyperdense structures on the panoramic radiograph, lateral cephalogram, and CBCT scan.</p><p><strong>Conclusion: </strong>This article provides various radiologic views of the primary components of an HNS. Clinicians should be able to recognize the presence of neurostimulator devices used for management of chronic sleep apnea within the radiologic field of view of examinations of the head and neck.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"476-479"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9301165","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}
Anne Ekman, Antti Tiisanoja, Ritva Näpänkangas, Kirsi Sipilä
{"title":"Association of health-related factors with self-reported sleep and awake bruxism in Northern Finland Birth Cohort 1966 - a cross-sectional study.","authors":"Anne Ekman, Antti Tiisanoja, Ritva Näpänkangas, Kirsi Sipilä","doi":"10.1080/08869634.2023.2198462","DOIUrl":"10.1080/08869634.2023.2198462","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to investigate the association of sleep bruxism (SB) and awake bruxism (AB) with health-related factors.</p><p><strong>Methods: </strong>Data on bruxism and diagnosed diseases, use of psychoactive substances and regular identified psychoactive drugs were collected from 1,962 subjects in the Northern Finland Birth Cohort 1966 through a questionnaire. The associations were analyzed using chi-square tests and binary regression models, adjusting for gender and education, and for anxiety/depression symptoms.</p><p><strong>Results: </strong>Migraine and gastric/duodenal disorders, use of serotonergic antidepressants and a high number of psychoactive drugs associated significantly with AB and SB. Gastrointestinal diseases associated with SB. Poor general health and hand eczema associated with AB. Based on the multivariate model, depression/anxiety symptoms seemed to mediate the associations of bruxism with depression, hand eczema, self-reported gastric/duodenal disorders and the number of identified drugs.</p><p><strong>Conclusion: </strong>Several diseases, depression/anxiety symptoms and psychoactive medications were associated with SB and AB, the associations being stronger with AB than SB.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"510-520"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9633852","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":"Ineffectiveness of watchful waiting on mouth breathing in children with obstructive sleep apnea.","authors":"Zhihuai Dong, Jing Ye, Mang Xiao, Huihua You","doi":"10.1080/08869634.2023.2180984","DOIUrl":"10.1080/08869634.2023.2180984","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness of watchful waiting on mouth breathing in children with OSA.</p><p><strong>Methods: </strong>Children in the Childhood Adenotonsillectomy Trial (CHAT) dataset were divided into two groups according to the treatment they received. One question in the OSA-18 Quality-of-Life Survey was chosen to evaluate the severity of mouth breathing.</p><p><strong>Results: </strong>In total, 392 children (adenotonsillectomy group, n = 197 and watchful waiting group, n = 195) were enrolled in the study. There was no significant correlation between the Apnea-Hypopnea Index (AHI) and the severity of mouth breathing, <math><mi>r</mi><mo>=</mo><mn>.09</mn><mo>,</mo><mi>p</mi><mo>=</mo><mn>.073</mn></math>. In watchful waiting group, there is no statistically significant difference of mouth breathing score (p = .555) between baseline and followup.</p><p><strong>Conclusions: </strong>The watchful waiting of mouth breathing in children with less severe OSA is ineffective. More caution should be taken to choose watchful waiting for children with mild OSA but severe mouth breathing.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"468-475"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169826","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}
Grzegorz Zieliński, Marcin Wójcicki, Maria Rapa, Anna Matysik-Woźniak, Michał Baszczowski, Michał Ginszt, Monika Litko-Rola, Jacek Szkutnik, Ingrid Różyło-Kalinowska, Robert Rejdak, Piotr Gawda
{"title":"Correlation between refractive error, muscle thickness, and bioelectrical activity of selected masticatory muscles.","authors":"Grzegorz Zieliński, Marcin Wójcicki, Maria Rapa, Anna Matysik-Woźniak, Michał Baszczowski, Michał Ginszt, Monika Litko-Rola, Jacek Szkutnik, Ingrid Różyło-Kalinowska, Robert Rejdak, Piotr Gawda","doi":"10.1080/08869634.2023.2198405","DOIUrl":"10.1080/08869634.2023.2198405","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to analyze the correlation between the refractive error, muscle thickness, and the bioelectrical activity of selected masticatory and neck muscles in subjects with myopia.</p><p><strong>Methods: </strong>For bioelectrical activity analysis within the masticatory muscles, an 8-channel BioEMG III electromyograph was used. An M-Turbo ultrasound machine was used to analyze the masticatory and neck muscle thickness.</p><p><strong>Results: </strong>Statistical analysis showed significant positive correlations between masseter muscle thickness at rest on the right side. Statistical analysis showed negative correlations between the digastric muscle and Activity Index within masticatory muscles at rest on the left side when the eyes were closed.</p><p><strong>Conclusions: </strong>As refractive error increases in myopic subjects, the resting tension on the temporal muscles increases, an increase in masseter muscle thickness is noted, and a decrease in bioelectrical activity on the digastric muscle at rest.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"502-509"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621990","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 evaluation of cone beam computed tomography in verifying the level of collapse in obstructive sleep apnea patients.","authors":"Wael Aboelmaaty, Marco Isaac","doi":"10.1080/08869634.2022.2145713","DOIUrl":"10.1080/08869634.2022.2145713","url":null,"abstract":"<p><strong>Objective: </strong>To assess the accuracy of cone beam computed tomography (CBCT) in verifying the level of collapse in obstructive sleep apnea (OSA) patients.</p><p><strong>Methods: </strong>A prospective analysis of 30 patients with confirmed OSA was selected. Drug-induced sleep endoscopy (DISE) was performed for all cases to determine the level of collapse clinically. Two groups of patients were imaged with CBCT, one at end of expiration and the other at end of inspiration. Virtual endoscopy was performed on CBCT software. The level of collapse was recorded from both groups and compared to DISE findings.</p><p><strong>Results: </strong>No statistical difference was discovered in the level of collapse observed from DISE or CBCT in most cases. Virtual endoscopy was found to have no role in determining collapse at tongue and lateral wall levels.</p><p><strong>Conclusion: </strong>Using CBCT helped predict the air blockage level in patients with sleep apnea, which helps in surgical treatment planning measures.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"417-425"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10427672","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":"Chronic craniomandibular pain after craniotomy: A long-term clinical study.","authors":"Kamal G Effat","doi":"10.1080/08869634.2022.2154930","DOIUrl":"10.1080/08869634.2022.2154930","url":null,"abstract":"<p><strong>Objective: </strong>Chronic craniomandibular/cervical pain and temporomandibular disorders have not been studied in patients who had a craniotomy several years previously. The aim of the current clinical work was to address these issues.</p><p><strong>Methods: </strong>A total group of 150 ambulant patients who had a previous craniotomy was subclassified according to whether or not the temporalis muscle was manipulated.</p><p><strong>Results: </strong>The average incidence of multiple subsite regional head and neck pain was 69.3% a number of years after a craniotomy. Evidence of internal derangement of the temporomandibular joint was significantly higher in the group that required manipulation of the temporalis muscle during the procedure.</p><p><strong>Conclusion: </strong>The pattern of chronic craniomandibular/cervical pain experienced years after a craniotomy supports the brain neuromatrix theory of pain.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"438-445"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10369193","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}
Rahma Mungia, Frank Lobbezoo, Ellen Funkhouser, Alan Glaros, Daniele Manfredini, Jari Ahlberg, Melanie Taverna, Maria Therese Galang-Boquiren, John Rugh, Clarisse Truong, Honesty Boone, Charley Cheney, Merel C Verhoeff, Gregg H Gilbert
{"title":"Dental practitioner approaches to bruxism: Preliminary findings from the national dental practice-based research network.","authors":"Rahma Mungia, Frank Lobbezoo, Ellen Funkhouser, Alan Glaros, Daniele Manfredini, Jari Ahlberg, Melanie Taverna, Maria Therese Galang-Boquiren, John Rugh, Clarisse Truong, Honesty Boone, Charley Cheney, Merel C Verhoeff, Gregg H Gilbert","doi":"10.1080/08869634.2023.2192173","DOIUrl":"10.1080/08869634.2023.2192173","url":null,"abstract":"<p><strong>Objective: </strong>Bruxism is a repetitive masticatory muscle activity. This study investigates dental practitioners' approaches to bruxism assessment and treatment in practices.</p><p><strong>Methods: </strong>A brief 5 question questionnaire (\"Quick Poll\") on bruxism was conducted.</p><p><strong>Results: </strong>A total of 397 practitioners responded. More than half (55%) initiated treatment for bruxism on one to three patients per month. The majority believed that stress (97%) and sleep patterns (82%) affected bruxism in their patients. Interestingly, 96% offered an occlusal guard/appliance and 46% made occlusal adjustments.</p><p><strong>Conclusion: </strong>This study highlights inconsistencies in practitioner approaches to bruxism assessment and management in clinical settings, suggesting gaps in practitioner knowledge evidenced by the varied responses.</p><p><strong>Abbreviations: </strong>PBRN - Practice-Based Research NetworkMMA - Masticatory muscle activitySB - Sleep bruxismAB - Awake bruxismTMJ - Temporomandibular jointOSA - Obstructive sleep apnea.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"480-488"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11011247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9241348","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":"A personal perspective on the association between bruxism and dental occlusion.","authors":"Frank Lobbezoo","doi":"10.1080/08869634.2025.2453378","DOIUrl":"10.1080/08869634.2025.2453378","url":null,"abstract":"","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"369-370"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017173","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}
Oguzhan Ilden, Omer Tarik Selcuk, Hamit Yasar Ellidag, Nursel Türkoglu Selcuk, Hulya Eyigor, Levent Renda, Unal Gökalp Isik, Hande Konsuk Unlü, Ustün Osma, Mustafa Deniz Yılmaz, Esin Eren, Necat Yilmaz
{"title":"An evaluation of the change in serum SCUBE-1 levels with CPAP treatment in patients with severe obstructive sleep apnea.","authors":"Oguzhan Ilden, Omer Tarik Selcuk, Hamit Yasar Ellidag, Nursel Türkoglu Selcuk, Hulya Eyigor, Levent Renda, Unal Gökalp Isik, Hande Konsuk Unlü, Ustün Osma, Mustafa Deniz Yılmaz, Esin Eren, Necat Yilmaz","doi":"10.1080/08869634.2022.2145710","DOIUrl":"10.1080/08869634.2022.2145710","url":null,"abstract":"<p><strong>Objective: </strong>Signal peptide CUB-EGF domain-containing protein 1 (SCUBE-1) is a cell surface protein, wherein inflammation causes an increase in serum. The aim of this study was to compare serum SCUBE-1 levels in OSA patients and to investigate the serum SCUBE-1 change with CPAP treatment.</p><p><strong>Methods: </strong>Blood samples were obtained from 61 severe OSA patients and from 25 control subjects evaluated as simple snorers. The 61 patients with severe OSA were treated with CPAP therapy and were recalled for follow up after 1 year. Evaluation was made after 1 year of CPAP therapy.</p><p><strong>Results: </strong>Serum SCUBE-1 values were significantly higher in patients with severe OSA. The SCUBE-1 values significantly decreased after treatment with CPAP.</p><p><strong>Conclusion: </strong>Serum SCUBE-1 values in OSA patients showed a significant reduction in SCUBE-1 levels following 1 year of CPAP treatment.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"410-416"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10682865","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}
Glaucia Marques Dias, Eduardo Grossmann, Antonio Carlos Pires Carvalho, Karina Lopes Devito, Marcos Fabio Dos Santos, Luciano Ambrosio Ferreira
{"title":"MRI changes and clinical characteristics in temporomandibular joints with displacement of the articular disk without reduction - a cross-sectional observational study.","authors":"Glaucia Marques Dias, Eduardo Grossmann, Antonio Carlos Pires Carvalho, Karina Lopes Devito, Marcos Fabio Dos Santos, Luciano Ambrosio Ferreira","doi":"10.1080/08869634.2023.2203039","DOIUrl":"10.1080/08869634.2023.2203039","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined changes in magnetic resonance imaging (MRI) of temporomandibular joints (TMJ) with anterior displacement disk without reduction (DDwoR) and its correlation to clinical symptoms.</p><p><strong>Methods: </strong>190 individuals with DDwoR were evaluated according to Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and MRI. Pain's chronicity/intensity and limited mouth opening (locking) were correlated with: TMJ degeneration (MRI T1), effusion (T2), disc's shape and position (proton density).</p><p><strong>Results: </strong>In 103 TMJ with DDwoR, hemiconvex shape (41.6%), sclerosis (45.6%) and mild effusion (47.6%) were the most prevalent findings. There was not association (<i>p</i> > .05) between: different DDwoR positions with pain's intensity/chronicity; effusion with locking. Disk deformation was associated with degeneration (<i>p</i> = .034) and pain's intensity (<i>p</i> = .006). Locking was associated with degeneration (<i>p</i> = .05).</p><p><strong>Conclusions: </strong>Condylar osteodegeneration is often related to DDwoR. Locking by DDwoR is associated with severe levels of chronic pain and articular disk deformation.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"521-530"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9344148","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}