10843nam 2200493 450 991061639410332120230226170831.03-031-10646-6(MiAaPQ)EBC7102366(Au-PeEL)EBL7102366(CKB)24950565600041(PPN)264960971(EXLCZ)992495056560004120230226d2022 uy 0engurcnu||||||||txtrdacontentcrdamediacrrdacarrierDental sleep medicine a clinical guide /edited by G. Gary Demerjian [and three others]Cham, Switzerland :Springer,[2022]©20221 online resource (451 pages)Print version: Demerjian, G. Gary Dental Sleep Medicine Cham : Springer International Publishing AG,c2022 9783031106453 Includes bibliographical references and index.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.DentistrySleep disordersDiagnosisDentistry.Sleep disordersDiagnosis.617.6Demerjian G. GaryMiAaPQMiAaPQMiAaPQBOOK9910616394103321Dental sleep medicine3020084UNINA