Nasser M. Alqahtani, Turki Alajaji, Raed Alasim, Omar Alzoman, H. Alotaibi, S. Albarakati, W. Alshhrani
{"title":"Importance of dental sleep medicine as an integral part of dental curriculum","authors":"Nasser M. Alqahtani, Turki Alajaji, Raed Alasim, Omar Alzoman, H. Alotaibi, S. Albarakati, W. Alshhrani","doi":"10.15331/jdsm.7154","DOIUrl":"https://doi.org/10.15331/jdsm.7154","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45190148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives on over-the-counter appliances","authors":"","doi":"10.15331/jdsm.7160","DOIUrl":"https://doi.org/10.15331/jdsm.7160","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44960946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Fukuda, Y. Takei, H. Nakayama, Y. Inoue, S. Tsuiki
During wakefulness, apneic events, even in patients with severe obstructive sleep apnea (OSA), rarely occur regardless of the presence or absence of such episodes while asleep, because the augmented activity of the genioglossus muscle acts to patent the upper airway by maintaining the tongue in position. Hence, it is reasonable to hypothesize that OSA could be alleviated if the awake tongue position is maintained despite a sleep-related reduction in genioglossus muscle activity. The median (interquartile range) respiratory event index was significantly reduced with continuous tongue suction (23 [16-27] to 8 [7-14] events/h, P = 0.043) in 5 patients who successfully completed the protocol. Because this approach does not require either positive airway pressure or mandibular advancement, it makes it possible to completely avoid the adverse effects associated with the use of nasal continuous positive airway pressure and/or mandibular advancement devices in patients for whom nasal continuous positive airway pressure and mandibular advancement devices are contraindicated.
{"title":"Continuous tongue suction as a potential therapy for obstructive sleep apnea: A feasibility study","authors":"T. Fukuda, Y. Takei, H. Nakayama, Y. Inoue, S. Tsuiki","doi":"10.15331/jdsm.7134","DOIUrl":"https://doi.org/10.15331/jdsm.7134","url":null,"abstract":"During wakefulness, apneic events, even in patients with severe obstructive sleep apnea (OSA), rarely occur regardless of the presence or absence of such episodes while asleep, because the augmented activity of the genioglossus muscle acts to patent the upper airway by maintaining the tongue in position. Hence, it is reasonable to hypothesize that OSA could be alleviated if the awake tongue position is maintained despite a sleep-related reduction in genioglossus muscle activity. The median (interquartile range) respiratory event index was significantly reduced with continuous tongue suction (23 [16-27] to 8 [7-14] events/h, P = 0.043) in 5 patients who successfully completed the protocol. Because this approach does not require either positive airway pressure or mandibular advancement, it makes it possible to completely avoid the adverse effects associated with the use of nasal continuous positive airway pressure and/or mandibular advancement devices in patients for whom nasal continuous positive airway pressure and mandibular advancement devices are contraindicated.","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41836951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives on life and practice, post COVID-19","authors":"","doi":"10.15331/jdsm.7142","DOIUrl":"https://doi.org/10.15331/jdsm.7142","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46841992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"With ‘Epidemic’ Rise in OSA, Should Qualified Dentists Provide CPAP\u0000 Therapy?","authors":"J. Masse","doi":"10.15331/jdsm.7094","DOIUrl":"https://doi.org/10.15331/jdsm.7094","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45013000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Karimi, N. Mehta, S. Pagni, Ekaterini Antonellou, E. Doherty, L. Correa
Study Objectives: The aim of this study is to evaluate the current state of dental sleep medicine practice at the United States and Canada academic institutions. Methods: An electronic survey created in Qualtrics was sent via email. The survey was sent to the 76 dental schools academic institute in the United States and Canada, 16 of which were known to have a dental sleep medicine clinic. The survey was emailed to the program directors of the sleep medicine clinics at these dental schools. For the remaining 60 schools that do not have a dental sleep medicine program, the survey was instead sent to the academic dean. The multiple choice 21-item survey was validated and received Institutional Review Board approval. Results: The response rate was 37% (28 schools), of which 86% were in the United States. Of the respondents, 45% (12 schools) had a dental sleep medicine clinic. The dental sleep medicine clinics were either an independent/ part of diagnostic services (42%) or incorporated with other departments. Almost 33% of the schools that have a sleep medicine clinic reported difficulty integrating sleep medicine into other existing programs. Eighty-three percent of respondents reported the presence of one to two board certified dental sleep medicine faculty members, whereas the remaining schools did not have any. Conclusions: This current study indicates that dental sleep medicine in academic institutions is faced with many obstacles that need to be addressed. Dental sleep medicine is a growing field that needs more attention from educational institutes. Also, the positive effect of having board-certified dental sleep medicine faculty should be noted.
{"title":"The Current State of Dental Sleep Medicine Practice in Academic Institutions: A\u0000 Questionnaire-Based Study","authors":"N. Karimi, N. Mehta, S. Pagni, Ekaterini Antonellou, E. Doherty, L. Correa","doi":"10.15331/jdsm.7098","DOIUrl":"https://doi.org/10.15331/jdsm.7098","url":null,"abstract":"Study Objectives: The aim of this study is to evaluate the current state of dental sleep medicine practice at the United States and Canada academic institutions. Methods: An electronic survey created in Qualtrics was sent via email. The survey was sent to the 76 dental schools academic institute in the United States and Canada, 16 of which were known to have a dental sleep medicine clinic. The survey was emailed to the program directors of the sleep medicine clinics at these dental schools. For the remaining 60 schools that do not have a dental sleep medicine program, the survey was instead sent to the academic dean. The multiple choice 21-item survey was validated and received Institutional Review Board approval. Results: The response rate was 37% (28 schools), of which 86% were in the United States. Of the respondents, 45% (12 schools) had a dental sleep medicine clinic. The dental sleep medicine clinics were either an independent/ part of diagnostic services (42%) or incorporated with other departments. Almost 33% of the schools that have a sleep medicine clinic reported difficulty integrating sleep medicine into other existing programs. Eighty-three percent of respondents reported the presence of one to two board certified dental sleep medicine faculty members, whereas the remaining schools did not have any. Conclusions: This current study indicates that dental sleep medicine in academic institutions is faced with many obstacles that need to be addressed. Dental sleep medicine is a growing field that needs more attention from educational institutes. Also, the positive effect of having board-certified dental sleep medicine faculty should be noted.","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45840292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simona Pisacane, M. Carotenuto, F. d’Apuzzo, M. Vitale, V. Grassia, C. Flores‐Mir, L. Perillo
Study Objectives: To establish whether craniofacial and nasopharyngeal morphology, assessed through lateral cephalometry, in children properly diagnosed with obstructive sleep apnea (OSA) differed from that of non-likely OSA control children stratified based on sagittal malocclusion and to evaluate if there is any association with apneahypopnea index (AHI) severity. Materials and Methods: Various cephalometric measurements were compared between 22 children (mean age 8.8) with nocturnal polysomnography (nPSG) diagnosed OSA that had already adeno-tonsillectomy and a control group of 20 nonlikely OSA children (mean age 9.2) based on a negative pediatric sleep questionnaire (PSQ) results matched for age, sex and sagittal malocclusion. Results: Statistically significant increases in Go-Me and Ba^SN dimensions were observed among OSA children when higher AHI values (4.5 and 4 mm), whereas ANSPNS dimension was significantly increased in the Class II sample according to OSA severity (3.5 mm). No significant differences were identified for any variables among Class III based on OSA severity. In comparison to controls, in Class II both the angle between palatal plane and anterior cranial base and the angle of the flexure of cranial base were significantly reduced in OSA children (0.36 and 2.3 mm). In addition, an increased thickness of the upper adenoid profile and a reduced dimension of upper pharynx were observed (3.2 and 2.1 mm). In Class III a shorter bony nasopharynx was statistically significant (3.2 mm). Conclusions: The OSA sample showed some distinct craniofacial features compared to a non-likely OSA group. These differences were not consistently located when sagittal malocclusion was considered.
{"title":"Cephalometric Evaluation of Craniofacial Morphology in Pediatric Patients With\u0000 Fully Diagnosed OSA With Distinct Sagittal Skeletal Malocclusions","authors":"Simona Pisacane, M. Carotenuto, F. d’Apuzzo, M. Vitale, V. Grassia, C. Flores‐Mir, L. Perillo","doi":"10.15331/jdsm.7096","DOIUrl":"https://doi.org/10.15331/jdsm.7096","url":null,"abstract":"Study Objectives: To establish whether craniofacial and nasopharyngeal morphology, assessed through lateral cephalometry, in children properly diagnosed with obstructive sleep apnea (OSA) differed from that of non-likely OSA control children stratified based on sagittal malocclusion and to evaluate if there is any association with apneahypopnea index (AHI) severity. Materials and Methods: Various cephalometric measurements were compared between 22 children (mean age 8.8) with nocturnal polysomnography (nPSG) diagnosed OSA that had already adeno-tonsillectomy and a control group of 20 nonlikely OSA children (mean age 9.2) based on a negative pediatric sleep questionnaire (PSQ) results matched for age, sex and sagittal malocclusion. Results: Statistically significant increases in Go-Me and Ba^SN dimensions were observed among OSA children when higher AHI values (4.5 and 4 mm), whereas ANSPNS dimension was significantly increased in the Class II sample according to OSA severity (3.5 mm). No significant differences were identified for any variables among Class III based on OSA severity. In comparison to controls, in Class II both the angle between palatal plane and anterior cranial base and the angle of the flexure of cranial base were significantly reduced in OSA children (0.36 and 2.3 mm). In addition, an increased thickness of the upper adenoid profile and a reduced dimension of upper pharynx were observed (3.2 and 2.1 mm). In Class III a shorter bony nasopharynx was statistically significant (3.2 mm). Conclusions: The OSA sample showed some distinct craniofacial features compared to a non-likely OSA group. These differences were not consistently located when sagittal malocclusion was considered.","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45681035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Ando, Y. Shigeta, C. Ishikawa, S. Shigemoto, T. Ogawa, G. Clark, R. Enciso
1Department of Fixed Prosthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan, 2Orofacial Pain/Oral Medicine Center, Division of Periodontology, Diagnostic Science & Dental Hygiene, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA, 3Division of Dental Public Health and Pediatric Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
{"title":"Evaluation of Fat Tissue Deposition Within the Tongue Via Near-Infrared\u0000 Interactance","authors":"E. Ando, Y. Shigeta, C. Ishikawa, S. Shigemoto, T. Ogawa, G. Clark, R. Enciso","doi":"10.15331/jdsm.7100","DOIUrl":"https://doi.org/10.15331/jdsm.7100","url":null,"abstract":"1Department of Fixed Prosthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan, 2Orofacial Pain/Oral Medicine Center, Division of Periodontology, Diagnostic Science & Dental Hygiene, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA, 3Division of Dental Public Health and Pediatric Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46568554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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