Journal of oral rehabilitation最新文献

{"title":"Balancing Sensitivity and Diagnostic Validity in Headache Attributed to Temporomandibular Disorders: Are We Overcorrecting?","authors":"Nissaf Daouahi, Yosra Gassara","doi":"10.1111/joor.70268","DOIUrl":"10.1111/joor.70268","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":"2236-2237"},"PeriodicalIF":3.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148447559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-Level Automated Classification of Temporomandibular Joint Degenerative Joint Disease on CBCT Using 3D Volumetric and 2D Slice-Based Approaches.","authors":"Abbas Ahmed Abdulqader, Lisa Liu, Zainab Abdulkader Said, Fulin Jiang, Zihan Meng, Fangyuan Cheng, Lixia Yu, Anas Saeed Al-Zaghruri, Xianglong Han, Juan Li","doi":"10.1111/joor.70346","DOIUrl":"https://doi.org/10.1111/joor.70346","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint degenerative joint disease (TMJ DJD) causes progressive osseous changes of the mandibular condyle and articular fossa. Although cone-beam computed tomography (CBCT) enables detailed assessment, manual interpretation is time-consuming and subject to inter-observer variability.</p><p><strong>Objectives: </strong>To develop and validate a multilevel AI framework for CBCT-based TMJ DJD assessment using three-dimensional classification, quantitative volumetric analysis, and two-dimensional slice-based detection.</p><p><strong>Methods: </strong>Full-field-of-view CBCT scans from 222 patients were used for three-dimensional analysis. A 3D V-Net classified condyles into Normal, Osteophyte, Erosion, Flattening, and Severe Degeneration categories. Condylar volume was quantitatively compared between TMJ DJD and non-TMJ DJD groups and among degenerative subgroups. For slice-based analysis, 727 temporomandibular joints from 416 patients were retrospectively evaluated. Automated sagittal slice extraction based on the condylion landmark generated 5787 condylar and 666 articular fossa slices. YOLOv10 was used for multi-lesion detection of six condylar and three fossa categories.</p><p><strong>Results: </strong>The 3D V-Net achieved an overall sensitivity of 79.47%. Condylar volume differed significantly between TMJ DJD and non-TMJ DJD groups (ANOVA, p = 0.025), whereas differences among the TMJ DJD subgroups were not statistically significant. For condylar slice-based detection, YOLOv10 achieved 94.0% sensitivity, 82.8% precision, 88.0% F1-score, and 91.3% AP@0.50. For articular fossa detection, YOLOv10 achieved 92.41% sensitivity, 83.91% precision, 87.95% F1-score, and 82.01% AP@0.50.</p><p><strong>Conclusions: </strong>Three-dimensional AI enabled overall TMJ DJD classification but showed limited discrimination of specific subgroups, particularly erosion. Volumetric analysis differentiated DJD from non-DJD cases but not among DJD subgroups. In contrast, slice-based YOLOv10 effectively detected and labelled specific condylar and fossa degenerative changes, providing more detailed lesion-level characterization.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'We Didn't Really Learn How to Manage It': An In-Depth Mixed-Methods Exploration Into Temporomandibular Disorder Management Behaviours of First-Contact Healthcare Practitioners in Australia.","authors":"Alana Dinsdale, Joni Levine, Roma Forbes, Jaqueline Delaney, Jeanne Read, Susana Vuvan, George Dimitroulis, Benjamin Ong, Jaide Rynne, Shaun O'Leary","doi":"10.1111/joor.70344","DOIUrl":"https://doi.org/10.1111/joor.70344","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) affect approximately 10% of the population. Management is often challenging, which can negatively affect patient outcomes and experiences with care.</p><p><strong>Objectives: </strong>To explore the TMD management behaviours of first-contact healthcare practitioners in Australia and gain insight into factors influencing care.</p><p><strong>Methods: </strong>Sequential explanatory mixed methods design. Dentists, physiotherapists and general medical practitioners were recruited for a COM-B informed online survey (n = 150) and semi-structured interviews (n = 11). Data were analysed using descriptive statistics (survey) and a codebook analysis approach (interviews).</p><p><strong>Results: </strong>Most participants reported referring to dentists and physiotherapists for initial care. Interventions perceived most important in first-line management included self-management strategies, advice and education and stress management (≥ 73%). Small but statistically significant associations were observed between practitioners' referral behaviours and their occupation, and patients' main presenting complaint (p < 0.05). Leading care challenges included 'lacking knowledge about TMD and possible management options', concerns about the financial cost of treatment to patients and difficulty accessing relevant healthcare practitioners (≥ 41%). Qualitative themes were: (1) Alignment between management beliefs, behaviours and best-practice recommendations, (2) Uncertainty sits between beliefs and behaviours, (3) Patient factors mediate the space between beliefs and management behaviours, (4) Decisions are contextualised within the realities of the broader healthcare system.</p><p><strong>Conclusion: </strong>Strong alignment appears to exist between practitioners' TMD management beliefs, behaviours and best-practice recommendations; however, factors like uncertainty, concerns about patients' acceptance of management plans, and practitioners' occupation also impact care decisions. Findings may be helpful to inform strategies to improve TMD management.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Tongue Muscle Activity During Chewing of Rice With Various Textures.","authors":"Chisato Aizawa, Jin Magara, Anna Sasa, Reiko Ita, Takanori Tsujimura, Makoto Inoue","doi":"10.1111/joor.70339","DOIUrl":"https://doi.org/10.1111/joor.70339","url":null,"abstract":"<p><strong>Background: </strong>The tongue performs finely coordinated movements during mastication in response to bolus properties; however, few studies have quantitatively evaluated tongue muscle activity during this process.</p><p><strong>Objective: </strong>This study aimed to quantify tongue muscle activity during chewing of rice with different physical properties.</p><p><strong>Methods: </strong>Ten healthy young adults chewed three types of rice-based foods with different textures (regular, soft and extra soft) unilaterally on either the left or right side in random order. Electromyographic (EMG) activity of the tongue was recorded using suction surface electrodes, while activity of the masseter and suprahyoid muscles was recorded using conventional surface electrodes. The chewing sequence was divided into early, middle and late stages. Muscle activity per chewing cycle was analysed separately for the chewing and balancing sides. Bolus hardness, cohesiveness, adhesiveness and moisture content were also measured at different chewing stages.</p><p><strong>Results: </strong>Bilateral masseter muscle activity was significantly greater for regular rice than for extra soft rice during the early and middle stages of chewing. In contrast, tongue muscle activity progressively increased towards the late stage during soft and extra soft rice intake and bilateral tongue muscle activity was significantly greater for extra soft rice than for regular rice in the late stage. Chewing cycle duration did not differ among food types, indicating that these differences reflected increased EMG amplitude per unit time. At the late stage of chewing, the extra soft bolus showed the lowest hardness but the highest cohesiveness and moisture content.</p><p><strong>Conclusion: </strong>Tongue muscle activity varied according to both the chewing stage and bolus properties. In particular, tongue muscle activity increased during the late stage of chewing when softer, wetter and more cohesive boluses were processed, suggesting a role of tongue muscles in bolus gathering, shaping and transport towards the pharynx.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal Validation of a YOLOv8 Model for Classifying Temporomandibular Joint Disc Displacement With Versus Without Reduction on Open-Mouth Proton-Density-Weighted MRI.","authors":"Kotaro Ito, Hirotaka Muraoka, Satoshi Tokunaga, Kohei Otsuka, Tomohiro Komatsu, Yuta Kohinata, Shoya Hirohata","doi":"10.1111/joor.70348","DOIUrl":"https://doi.org/10.1111/joor.70348","url":null,"abstract":"<p><strong>Background: </strong>The temporomandibular joint (TMJ) disc plays an important role in maintaining normal joint function. However, disc displacement is a common condition that can lead to pain, restricted jaw movement and chronic TMJ dysfunction.</p><p><strong>Objective: </strong>To develop and evaluate a deep learning model capable of autonomously localizing the TMJ region from magnetic resonance (MR) images during mouth opening using the You Only Look Once (YOLO) v8 framework, and to discriminate between TMJ disc displacement with reduction (DDwR) and disc displacement without reduction (DDwoR).</p><p><strong>Methods: </strong>This study included 237 patients (48 males, 189 females; age range, 19-83 [mean, 44.73 ± 18.3] years) who underwent MRI examination at our hospital for suspected TMJ disorders and were diagnosed with disc displacement based on imaging findings. After exclusion, 439 proton density-weighted MR images during mouth opening were preprocessed and divided on a patient basis into training (280 images), validation (71 images) and test (88 images) datasets. The TMJ region was manually annotated using LabelImg, including the condyles, articular disc and articular tubercle. The YOLOv8 deep learning model was trained for 200 epochs to localize the TMJ region and classify DDwR or DDwoR.</p><p><strong>Results: </strong>The YOLOv8 model achieved promising results for the detection and classification of TMJ disc displacements. The performance metrics were a precision, recall and F1 score of 0.983, 0.988 and 0.987, respectively, indicating a high accuracy in detecting and identifying disc displacement patterns.</p><p><strong>Conclusion: </strong>The YOLOv8 deep learning model demonstrated promising performance in automatically localizing and classifying TMJ disc displacement from MR images.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Oral Frailty Patterns and Depressive Symptoms in Older Adults: A Multicenter Cross-Sectional Latent Class and Association Analysis.","authors":"Xiaoke Li, Jing Zhang, Libing Tan, Chengfengyi Yang, Yuanxun Liu, Qiaoqin Wan, Yue Yang","doi":"10.1111/joor.70345","DOIUrl":"https://doi.org/10.1111/joor.70345","url":null,"abstract":"<p><strong>Background: </strong>Oral frailty is a comprehensive indicator of age-related oral decline, yet its heterogeneity and association to depression are poorly understood. We aimed to identify latent classes of oral frailty and evaluate the association between dietary diversity and depressive symptoms in older adults with oral frailty.</p><p><strong>Methods: </strong>We conducted a cross-sectional study enrolling adults aged 60 years or older from urban communities in Beijing and Hebei, China. Latent class analysis was used to identify oral frailty subgroups based on the Oral Frailty Assessment Tool. We used multivariate logistic regression to analyse associations with depressive symptoms (assessed via the Patient Health Questionnaire-9) and structural equation modelling to assess the indirect association effect of dietary diversity.</p><p><strong>Results: </strong>Between August 2024 and October 2025, 525 participants were enrolled. We identified three oral frailty classes: Multiple Problems-High Risk (n = 92; 18%), Structural Deficit-Functional Compensation (n = 289; 55%), and Oral Health Advantage (n = 144; 27%). Compared with the Oral Health Advantage group, the risk of depressive symptoms was significantly higher in the Structural Deficit-Functional Compensation (OR: 1.736, 95% CI: 1.129-2.669) and Multiple Problems-High Risk groups (OR: 3.039, 95% CI: 1.695-5.450). Dietary diversity partially mediated these relationships, accounting for 21.89% and 23.40% of the total effects, respectively.</p><p><strong>Conclusions: </strong>Oral frailty in Chinese older adults presents as distinct phenotypes that are associated with depression. Strategies enhancing dietary diversity might serve as a method to improve depression risk in those with oral frailty.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Foundation Model for Generalisable Detection of Maxillary Sinus Abnormalities: A Multicentre and Clinical Applicability Study","authors":"Shijie Chen,&nbsp;Rihui Song,&nbsp;Peisheng Zeng,&nbsp;Yue Chen,&nbsp;Xiaohang Li,&nbsp;Beichen Wen,&nbsp;Zhuohong Gong,&nbsp;Xiaocong Zhang,&nbsp;Manabu Kanazawa,&nbsp;Sašo Ivanovski,&nbsp;Yinghong Zhou,&nbsp;Xinchun Zhang,&nbsp;Mengru Shi,&nbsp;Kai Huang,&nbsp;Zetao Chen","doi":"10.1111/joor.70250","DOIUrl":"10.1111/joor.70250","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Maxillary sinus abnormalities reduce quality of life and can be life-threatening. However, traditional supervised deep learning models for their detection are constrained by class-specific training, reliance on large-scale labelled datasets, and unpredictable generalisability. This study aims to achieve intelligent detection of complex and variable maxillary sinus abnormalities via self-supervised learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A maxillary sinus foundation model (MSFound) was developed using self-supervised learning on 30 794 unlabeled maxillary sinus images. Clinical validation of reconstructed images was conducted to verify the pre-training effect. MSFound was then fine-tuned using labelled images at different proportions for downstream tasks, including mucosal thickening, polypoid lesions, and the palatonasal recess. Model performance was evaluated on multicentre datasets using AUROC, AUPR, and accuracy, and was compared with different training strategies. Clinical applicability was also prospectively evaluated in multicentre settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>MSFound successfully reconstructed the main anatomical structures of the maxillary sinus, and clinical validation confirmed the effectiveness of pre-training. During the fine-tuning process, MSFound achieved the highest performance with the least amount of labelled data compared to control groups across all tasks. The model consistently achieved the highest AUROC, AUPR, accuracy, and F1-score on multicentre test sets. Visualisation analyses showed that MSFound focused on key image regions when predicting correctly. Prospective clinical applicability results further demonstrated the real-world effectiveness of MSFound.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MSFound enables robust detection of multiple maxillary sinus abnormalities with minimal labelled data, demonstrating strong generalisability and real-world clinical value. This study provides a self-supervised learning framework and a real-world evaluation paradigm for clinical dentistry AI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 11","pages":"2041-2052"},"PeriodicalIF":3.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personality Traits of TMD Experts Really Matters, A New Era in TMD Management. A Prospective Cohort Study","authors":"Mai Ahmed Haggag,&nbsp;Sarah A. Elmaghraby,&nbsp;Mai Mamdouh Hafez,&nbsp;Amal T. Badawi,&nbsp;Soaad Tolba Badawy","doi":"10.1111/joor.70259","DOIUrl":"10.1111/joor.70259","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Effective communication is critical in the management of temporomandibular disorders (TMDs). However, the influence of dentists' personality traits on communication and subsequent patient outcomes remains poorly understood.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Purpose&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The primary objective was to determine which dentist personality traits are associated with more effective patient-centered communication. Secondary objectives were to examine whether these traits are linked to patient satisfaction, adherence to splint therapy, and improvements in psychological well-being.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study Design, Setting, Sample&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This was a prospective longitudinal cohort study conducted at the Faculty of Dentistry, Mansoura University. The study included 30 dentists and 300 patients diagnosed with TMDs who met predefined eligibility criteria.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Predictor Variable&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dentists' personality traits, assessed using the Big Five Inventory–2 Short Form (BFI-2-S).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Main Outcome Variables&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The primary outcome was patient-centered communication, measured using the Patient-Centered Communication Scale (PCCS) at the 6-month follow-up. Secondary outcomes included patient satisfaction and adherence to splint therapy assessed at the 6-month follow-up, and change in psychological distress assessed using the Depression Anxiety Stress Scales-10 (DASS-10) from baseline to 6 months.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Analyses&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Spearman correlation analyses were conducted with Bonferroni correction (&lt;i&gt;α&lt;/i&gt; = 0.00125). Outcomes were further analysed using multilevel mixed-effects models with a random intercept for dentist (linear for continuous outcomes and logistic for binary outcomes).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Covariates&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Patient age, dentist age, and dentist gender.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;After Bonferroni correction, all correlations for conscientiousness, agreeableness, and negative emotionality remained statistically significant. For extraversion, only correlations with PCCS (&lt;i&gt;p&lt;/i&gt; &lt; 0.001), satisfaction with treatment expectations (&lt;i&gt;p&lt;/i&gt; &lt; 0.001), and splint adherence (hours/day; &lt;i&gt;p&lt;/i&gt; = 0.001) remained significant; for open-mindedness, only correlations with ","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 11","pages":"2090-2102"},"PeriodicalIF":3.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Simplified Complete Denture Protocols Preserve Patient-Reported Outcomes? A Systematic Review and Meta-Analysis of Randomised Controlled Trials","authors":"Isabelle da Costa Goes Timbó,&nbsp;Sarah Vitória Lutif de Lemos Moura,&nbsp;Yuri Barbosa de Azevêdo,&nbsp;Rayrah Kayane Santos Moreira,&nbsp;Paulo Goberlânio de Barros Silva,&nbsp;Livia Maria Sales Pinto Flamengui,&nbsp;Raniel Fernandes Peixoto,&nbsp;Fábio Wildson Gurgel Costa,&nbsp;Rômulo Rocha Regis","doi":"10.1111/joor.70301","DOIUrl":"10.1111/joor.70301","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Conventional complete dentures (CDs) fabrication involves multiple clinical and laboratory steps. Simplified protocols reduce treatment burden. However, their impact on patient-reported outcomes remains debated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review and meta-analysis evaluated the oral health-related quality of life (OHRQoL), patient satisfaction, and masticatory ability of CDs fabricated using simplified versus traditional protocols.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Seven databases were searched up to July 2026 for randomised controlled trials (RCTs) comparing simplified and conventional CDs fabrication protocols. Two reviewers independently assessed records and risk of bias using the Cochrane RoB 2 tool. Mean differences and 95% confidence intervals were meta-analysed using random-effects models. Heterogeneity (<i>I</i>²), subgroup analyses according to follow-up periods, small-study effects/funnel plot asymmetry using Egger's test when applicable, and evidence certainty using GRADE were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-two RCTs were included. Simplified procedures were typically characterised by single-stage impression procedures, absence of facebow records, and a single trial denture session. Most studies had some concerns or a high risk of bias. Meta-analyses showed no statistically significant differences between protocols regarding OHRQoL (<i>p</i> = 0.620; <i>I</i>² = 0%), overall satisfaction (<i>p</i> = 0.440; <i>I</i>² = 5%), and masticatory ability (<i>p</i> = 0.610). Evidence of funnel plot asymmetry/small-study effect was detected only for patient satisfaction (<i>p</i> = 0.033). The certainty of the evidence was rated as moderate to very low across outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Greater procedural complexity in complete denture fabrication was not associated with superior OHRQoL, patient satisfaction, or masticatory ability. Within the certainty limits of the available evidence, simplified protocols may be a pragmatic alternative to conventional fabrication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 11","pages":"2223-2235"},"PeriodicalIF":3.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Role of Hyperfocus in the Psychophysiology of Probable Bruxism and Painful Temporomandibular Disorders","authors":"B. Imaginário,&nbsp;A. Mariz Almeida,&nbsp;L. Proença,&nbsp;C. Manso,&nbsp;F. G. Exposto","doi":"10.1111/joor.70256","DOIUrl":"10.1111/joor.70256","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bruxism and temporomandibular disorders (TMD) are multifactorial conditions in which cognitive and behavioural traits may play an underrecognised role. Hyperfocus, defined as intense and sustained attentional engagement, has been proposed as a potential driver of heightened sensorimotor activity and pain vulnerability, yet its relevance to bruxism and painful TMD remains poorly understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine whether hyperfocus is associated with probable bruxism and painful TMD (pTMD), and to determine whether probable bruxism mediates the relationship between hyperfocus and pTMD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional observational study included eighty-five adults attending a university dental clinic who underwent standardised assessments for probable bruxism, pTMD, anxiety, depression, hyperactivity, and hyperfocus. Logistic regression models were used to identify factors associated with probable bruxism and pTMD. Mediation analyses tested whether probable bruxism explained the association between hyperfocus and pTMD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher hyperfocus scores were significantly associated with both probable bruxism and pTMD. Each one-point increase in hyperfocus was linked to a 6.5% increase in the odds of PB and a 5.5% increase in the odds of pTMD. Hyperfocus was also associated with self-reported probable bruxism frequency in a dose–response pattern. Probable bruxism did not remain independently associated in the final multivariable model and therefore did not statistically explain the observed association between hyperfocus and pTMD, indicating that hyperfocus may act as an independent factor linked to both conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Hyperfocus emerged as a trait associated with probable bruxism and painful TMD in this exploratory cross-sectional study. Longitudinal and mechanistic studies are needed to determine whether these associations reflect causal relationships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 11","pages":"2075-2081"},"PeriodicalIF":3.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}