1.

Record Nr.

UNINA9910616394103321

Titolo

Dental sleep medicine : a clinical guide / / edited by G. Gary Demerjian [and three others]

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2022]

©2022

ISBN

3-031-10646-6

Descrizione fisica

1 online resource (451 pages)

Disciplina

617.6

Soggetti

Dentistry

Sleep disorders - Diagnosis

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Intro -- Foreword -- Preface -- Contents -- Part I: Science/Research -- 1: Metascience in Dentistry and Medicine -- 1.1  Introduction -- 1.2  Metascience -- 1.3  Defining the Bibliome -- 1.3.1  Stating the Question -- 1.3.2  The Analytic Framework -- 1.4  Capturing the Best Available Evidence -- 1.4.1  The Level of the Evidence -- 1.4.2  The Quality of the Evidence -- 1.5  Analysis -- 1.5.1  Acceptable Sampling -- 1.5.2  Overarching Statistical Significance -- 1.5.3  Clinical Relevance -- 1.6  Reporting and Dissemination -- 1.6.1  Dissemination for Clinicians and Researchers -- 1.6.2  Dissemination for Patients and Caregivers -- 1.7  Biases and Fallacies in Clinical Decision-Making -- 1.7.1  Cognitive Biases -- 1.7.2  Fallacies -- 1.8  Implications for TMJ and Airway Disorders in Dental Sleep Medicine -- 1.8.1  Obstructive Sleep Apnea -- 1.8.2  Obstructive Sleep Apnea and Cognitive Decline -- 1.8.3  Obstructive Sleep Apnea in Children and Young Adults -- 1.9  Conclusion -- References -- 2: Physiology of Sleep and Diagnosis: Basic Information for Dentists -- 2.1  Introduction -- 2.2  Generation and Maintenance of Sleep and Wakefulness -- 2.3  Basic Mechanisms Coordinating and Governing Sleep and Wakefulness -- 2.3.1  Autonomic Nervous System Balance During Sleep -- 2.3.2  Homeostatic and Circadian Regulation of Sleep -- 2.3.3  Interplay Between S and C Processes -- 2.4  Effect of Sleep on Organ Systems -- 2.4.1  Cardiovascular System -- 2.4.2  Respiratory System -- 2.4.3  



Renal System -- 2.4.4  Gastrointestinal System -- 2.4.5  Thermoregulation -- 2.5  Selected Clinical Sleep Disorders -- 2.5.1  Obstructive Sleep Apnea (OSA) -- 2.5.2  Obstructive Sleep Apnea-Related Hormonal Dysregulation -- 2.5.3  Growth Hormone Secretion in Obstructive Sleep Apnea -- 2.6  Neurotransmitters for Wakefulness -- 2.6.1  Histamine -- 2.6.2  Acetylcholine.

2.6.3  Dopamine -- 2.6.4  Glutamate -- 2.6.5  Serotonin and Norepinephrine -- 2.6.6  Hypocretins -- 2.7  Neurotransmitters for Sleep -- 2.7.1  Gamma-Aminobutyric Acid -- 2.7.2  Adenosine -- 2.8  Hormone Control of Sleep -- 2.8.1  Melatonin -- 2.8.2  Ghrelin and Leptin -- 2.8.3  Follicle-Stimulating Hormone and Luteinizing Hormone -- 2.8.4  Thyroid-Stimulating Hormone -- 2.8.5  Cortisol -- 2.9  Diagnostic Process -- 2.9.1  Diagnosis -- 2.9.2  Objective Testing -- 2.9.3  Polysomnography -- 2.9.3.1  Electroencephalography (EEG) -- 2.9.3.2  Electrooculography (EOG) -- 2.9.3.3  Chin Electromyography (EMG) -- 2.9.3.4  Masseter EMG -- 2.9.3.5  Leg EMG -- 2.9.3.6  Electrocardiogram (ECG) -- 2.9.3.7  Respiratory Parameters -- 2.9.3.8  Blood Oxygenation (Oxygen Saturation: SpO2) -- 2.9.3.9  Capnography -- 2.9.4  Sleep Stages -- 2.9.4.1  Stage Wake -- 2.9.4.2  Non-REM Sleep -- 2.9.4.3  REM Sleep -- 2.9.5  Sleep Cycles -- 2.9.6  Home Sleep Apnea Testing (HSAT) -- 2.10  Technical Aspects of Polysomnography -- 2.10.1  Machine Calibration -- 2.10.2  Biocalibration -- 2.11  Understanding Findings of a Polysomnography Report -- 2.11.1  Definitions of PSG Report -- 2.11.1.1  Total Recording Time -- 2.11.1.2  Sleep Latency -- 2.11.1.3  Total Sleep Time -- 2.11.1.4  Sleep Fragmentation -- 2.11.1.5  Sleep Efficiency -- 2.11.1.6  WASO and WASF -- 2.11.1.7  Rapid Eye Movement Latency -- 2.12  Stages of Sleep -- 2.12.1  Non-rapid Eye Movement Sleep -- 2.12.2  Rapid Eye Movement Sleep -- 2.12.3  Practice Implications -- 2.12.4  Insomnia -- 2.12.5  Parasomnias -- 2.12.6  Confusional Arousals -- 2.12.7  Sleepwalking (Somnambulism) -- 2.12.8  Sleep-Related Eating Disorders -- 2.12.9  Sleep Terrors ("Pavor Nocturnus" Incubus) -- 2.13  Basics of Sleep Hygiene -- 2.14  Sleep-Related Medications and Their Effect on Sleep -- 2.14.1  Benzodiazepines and Barbiturates.

2.14.2  Gamma-Hydroxybutyrate (GHB) -- 2.14.3  Neuroleptics -- 2.14.4  Dopamine -- 2.14.5  Adrenergic Drugs -- 2.14.6  Recreational Drugs -- 2.14.7  Antidepressants -- 2.14.8  Antihistamines -- 2.14.9  Melatonin -- 2.14.10  Modafinil -- References -- Untitled -- 3: Current Classification of Sleep Disorders -- 3.1  Introduction -- 3.2  Insomnia -- 3.2.1  Chronic Insomnia Disorder -- 3.2.2  Short-Term Insomnia Disorder -- 3.2.3  Insomnia in Children -- 3.2.4  Other Insomnia Disorder -- 3.2.5  Isolated Symptoms and Normal Variants -- 3.3  Sleep-Related Breathing Disorders -- 3.3.1  Obstructive Sleep Apnea Syndromes -- 3.3.2  Central Sleep Apnea Syndrome -- 3.3.2.1  CSA with Cheyne-Stokes Breathing -- 3.3.2.2  CSA Due to a Medical Disorder Without Cheyne-Stokes Breathing -- 3.3.2.3  CSA Due to High-Altitude Periodic Breathing -- 3.3.2.4  CSA Due to a Medication or Substance -- 3.3.2.5  Primary CSA -- 3.3.2.6  Treatment-Emergent Central Sleep Apnea -- 3.3.2.7  Primary Central Sleep Apnea of Infancy -- 3.3.2.8  Primary Central Sleep Apnea of Prematurity -- 3.3.3  Sleep-Related Hypoventilation Disorders -- 3.3.4  Obesity Hypoventilation Syndrome -- 3.3.5  Congenital Central Alveolar Hypoventilation Syndrome -- 3.3.6  Other Sleep-Related Hypoventilation Disorders -- 3.3.6.1  Late-Onset Central Hypoventilation with Hypothalamic Dysfunction -- 3.3.6.2  Idiopathic Central Alveolar Hypoventilation -- 3.3.6.3  Sleep-Related Hypoventilation Due to a Medication or Substance -- 3.3.6.4  Sleep-



Related Hypoventilation Due to a Medical Disorder -- 3.3.7  Sleep-Related Hypoxemia Disorder (SRHD) -- 3.3.8  Isolated Symptoms and Normal Variants -- 3.3.8.1  Snoring -- 3.3.8.2  Catathrenia -- 3.4  Central Disorders of Hypersomnolence -- 3.4.1  Narcolepsy Type 1 -- 3.4.2  Narcolepsy Type 2 -- 3.4.3  Idiopathic Hypersomnia -- 3.4.4  Kleine-Levin Syndrome.

3.4.5  Hypersomnia Due to a Medical Disorder -- 3.4.6  Hypersomnia Due to a Medication or Substance -- 3.4.7  Hypersomnia Associated with a Psychiatric Disorder -- 3.4.8  Insufficient Sleep Syndrome -- 3.5  Circadian Rhythm Sleep-Wake Disorders -- 3.5.1  Delayed Sleep-Wake Phase Disorder -- 3.5.2  Advanced Sleep-Wake Phase Disorder -- 3.5.3  Irregular Sleep-Wake Rhythm Disorder -- 3.5.4  Non-24-h Sleep-Wake Rhythm Disorder -- 3.5.5  Shift Work Disorder -- 3.5.6  Jet Lag Disorder -- 3.5.7  Circadian Sleep-Wake Disorder Not Otherwise Specified -- 3.6  Parasomnias -- 3.6.1  NREM-Related Parasomnias -- 3.6.1.1  Disorders of Arousal -- Confusional Arousals -- Sleepwalking -- Sleep Terrors -- 3.6.1.2  Sleep-Related Eating Disorder -- 3.6.2  REM-Related Parasomnias -- 3.6.2.1  REM Sleep Behavior Disorder -- 3.6.2.2  Recurrent Isolated Sleep Paralysis -- 3.6.2.3  Nightmare Disorder -- 3.6.3  Other Parasomnias -- 3.6.3.1  Exploding Head Syndrome -- 3.6.3.2  Sleep-Related Hallucinations -- 3.6.3.3  Sleep Enuresis -- 3.6.3.4  Parasomnia Due to a Medical Disorder -- 3.6.3.5  Parasomnia Due to a Medication or Substance -- 3.6.3.6  Parasomnia, Unspecified -- 3.6.3.7  Isolated Symptoms and Normal Variants -- Sleep Talking -- 3.7  Sleep-Related Movement Disorders -- 3.7.1  Restless Leg Syndrome -- 3.7.2  Periodic Limb Movement Disorder -- 3.7.3  Sleep-Related Leg Cramps -- 3.7.4  Sleep-Related Bruxism -- 3.7.5  Sleep-Related Rhythmic Movement Disorder -- 3.7.6  Benign Sleep Myoclonus of Infancy -- 3.7.7  Propriospinal Myoclonus at Sleep Onset -- 3.7.8  Sleep-Related Movement Disorder Due to a Medical Disorder -- 3.7.9  Sleep-Related Movement Disorder Due to a Medication or Substance -- 3.7.10  Sleep-Related Movement Disorder, Unspecified -- 3.7.11  Isolated Symptoms and Normal Variants -- 3.7.11.1  Excessive Fragmentary Myoclonus.

3.7.11.2  Hypnagogic Foot Tremor and Alternating Leg Muscle Activation -- 3.7.11.3  Sleep Starts (Hypnic Jerks) -- References -- 4: Cone Beam Computerized Tomographic Imaging for Sleep Disorders -- 4.1  Introduction -- 4.2  Radiographic Anatomy and Clinical Correlation -- 4.2.1  Sinonasal Complex -- 4.2.1.1  Nasal Cavity -- Nasal Valves -- Nasal Cavity -- Nasal Septum -- Nasal Turbinates -- 4.2.1.2  Paranasal Sinuses -- 4.2.2  Nasopharynx -- 4.2.3  Oropharynx -- 4.2.3.1  Soft Tissues -- Soft Palate -- Tonsils -- Tongue -- 4.2.3.2  Hard Tissues -- Jaws, TMJs, and Hyoid Bone -- Cervical Spine -- 4.3  Conclusion -- References -- 5: Medical Comorbidities of Obstructive Sleep Apnea -- 5.1  Introduction -- 5.2  Risk Factors for OSA -- 5.2.1  Genetics -- 5.2.2  Gender -- 5.2.3  Nasal Obstruction -- 5.2.4  Developmental or Congenital Narrow Airways -- 5.2.5  Smoking -- 5.2.6  Medications/Alcohol -- 5.3  Signs and Symptoms of OSA -- 5.3.1  Excessive Daytime Sleepiness -- 5.3.2  Snoring -- 5.3.3  Nocturnal Sweating -- 5.3.4  Nocturia -- 5.3.5  Decreased in Sex Hormones -- 5.4  Comorbidities -- 5.4.1  Obesity -- 5.4.2  Hypertension -- 5.4.3  Insomnia -- 5.4.4  Diabetes -- 5.4.5  Asthma -- 5.4.6  Gastroesophageal Reflux Disorder -- 5.4.7  Irritable Bowel Syndrome -- 5.4.8  Cardiovascular System -- 5.4.9  Trigeminal Cardiac Reflex -- 5.4.10  Arrhythmias -- 5.4.11  Stroke -- 5.4.12  Renal Failure -- 5.4.13  Metabolic Syndrome -- 5.4.13.1  Adiponectin -- 5.4.13.2  Leptin -- 5.4.13.3  Ghrelin -- 5.4.14  Chronic Pain -- 5.4.15  Sleep Apnea Headache -- 5.4.16  Mood Disorders -- 5.4.17  Alzheimer's



Disease -- References -- 6: Dental Comorbidities and Risk Factors of Sleep-Disordered Breathing -- 6.1  Introduction -- 6.2  Causes of OSA -- 6.3  Orofacial Risk Factors -- 6.3.1  Obesity -- 6.3.2  Narrow Airway Passages -- 6.3.3  Nasal Congestion/Obstruction.

6.3.4  Mouth Breathing.