Journal of oral rehabilitation最新文献

{"title":"Critical Appraisal of Dental Functional Status as a Risk Factor for Sarcopenia.","authors":"Carlos M Ardila, Daniel González-Arroyave","doi":"10.1111/joor.13950","DOIUrl":"https://doi.org/10.1111/joor.13950","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374351","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 Comparative Analysis of Three Large Language Models on Bruxism Knowledge.","authors":"Elisa Souza Camargo, Isabella Christina Costa Quadras, Roberto Ramos Garanhani, Cristiano Miranda de Araujo, Juliana Stuginski-Barbosa","doi":"10.1111/joor.13948","DOIUrl":"https://doi.org/10.1111/joor.13948","url":null,"abstract":"<p><strong>Background: </strong>Artificial Intelligence (AI) has been widely used in health research, but the effectiveness of large language models (LLMs) in providing accurate information on bruxism has not yet been evaluated.</p><p><strong>Objectives: </strong>To assess the readability, accuracy and consistency of three LLMs in responding to frequently asked questions about bruxism.</p><p><strong>Methods: </strong>This cross-sectional observational study utilised the Google Trends tool to identify the 10 most frequent topics about bruxism. Thirty frequently asked questions were selected, which were submitted to ChatGPT-3.5, ChatGPT-4 and Gemini at two different times (T1 and T2). The readability was measured using the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKG) metrics. The responses were evaluated for accuracy using a three-point scale, and consistency was verified by comparing responses between T1 and T2. Statistical analysis included ANOVA, chi-squared tests and Cohen's kappa coefficient considering a p value of 0.5.</p><p><strong>Results: </strong>In terms of readability, there was no difference in FRE. The Gemini model showed lower FKG scores than the Generative Pretrained Transformer (GPT)-3.5 and GPT-4 models. The average accuracy of the responses was 68.33% for GPT-3.5, 65% for GPT-4 and 55% for Gemini, with no significant differences between the models (p = 0.290). Consistency was substantial for all models, with the highest being in GPT-3.5 (95%). The three LLMs demonstrated substantial agreement between T1 and T2.</p><p><strong>Conclusion: </strong>Gemini's responses were potentially more accessible to a broader patient population. LLMs demonstrated substantial consistency and moderate accuracy, indicating that these tools should not replace professional dental guidance.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255908","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":"Cost-Effectiveness of Hominis Placenta Therapy for Chronic Temporomandibular Disorder: An Economic Evaluation Alongside a Pragmatic Randomised Controlled Trial.","authors":"Doori Kim, Eun-San Kim, Koh-Woon Kim, Jae-Heung Cho, Yoon Jae Lee, In-Hyuk Ha","doi":"10.1111/joor.13932","DOIUrl":"https://doi.org/10.1111/joor.13932","url":null,"abstract":"<p><strong>Background: </strong>Hominis placenta (HP) exhibits anti-inflammatory, antiviral and nerve growth-promoting properties; however, there are limited studies about HP therapy in the treatment of temporomandibular disorder (TMD).</p><p><strong>Objective: </strong>To evaluate the cost-effectiveness of HP therapy with that of physical therapy (PT) in patients with TMD.</p><p><strong>Methods: </strong>This cost-effectiveness analysis was conducted alongside a 26-week multicentre pragmatic randomised controlled trial (RCT). Eighty-two patients with chronic TMD were randomly assigned to the HP and PT groups at a ratio of 1:1. Patients with a visual analogue scale (VAS) score of ≥ 40 mm for temporomandibular joint pain and persistent pain for ≥ 3 months were included. The primary economic endpoint was the incremental cost-effectiveness ratio, which analysed the cost per quality-adjusted life years (QALYs) gained in the HP group. QALYs were calculated using EuroQol-5D (EQ-5D) and Short-Form 6D (SF-6D). The primary and secondary analyses were conducted from societal and healthcare perspectives.</p><p><strong>Results: </strong>HP therapy was the dominant treatment option from a societal perspective owing to its higher QALY and lower cost compared with those of PT. Differences in QALYs calculated using EQ-5D and SF-6D between the two groups were 0.015 and 0.034, respectively, while those in cost from societal perspectives and healthcare perspectives were -3764 and 113 USD, respectively. Analysis from a healthcare perspective indicated that the incremental cost-effectiveness ratio calculated using the EQ-5D and SF-6D was 7786 and 3338 USD, respectively.</p><p><strong>Conclusion: </strong>HP therapy is a more cost-effective therapeutic option than PT for patients with chronic TMD.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT04087005; Clinical Research Information Service KCT0004437.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080372","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":"Relationship Between Cigarette Smoking and Awake Bruxism: Does Smoking Increase the Frequency of Masticatory Muscle Activities?","authors":"Ovidiu Ionut Saracutu, Matteo Pollis, Alessandro Bracci, Marco Ferrari, Daniele Manfredini","doi":"10.1111/joor.13947","DOIUrl":"https://doi.org/10.1111/joor.13947","url":null,"abstract":"<p><strong>Background: </strong>Despite the aetiology of awake bruxism (AB) being prevalently linked to psychological factors, several studies suggested that the use of certain substances, such as tobacco smoking, can contribute to the increase in masticatory muscle activities (MMA) during wakefulness.</p><p><strong>Objective: </strong>The aim of this study is to assess whether there is a correlation between the frequency of awake bruxism behaviours and smoking habits.</p><p><strong>Methods: </strong>Participants were recruited, without gender or ethnic restriction, at the University of Siena, Siena, Italy, by advertising. Participants completed a questionnaire containing the four-item patient health questionnaire for anxiety and depression (PHQ-4) and some items from the Global Adult Tobacco Smoking (GATS) questionnaire. Moreover, they performed one week of awake bruxism behaviours monitoring via the ecological momentary assessment (EMA).</p><p><strong>Results: </strong>A total of 100 participants (university employees, dentists, undergraduate and post-graduate students) were included in the study (34 males and 66 females, mean age 24.5 years). Of them, 39% were smokers and 61% were non-smokers. The multiple variable linear regression analysis results showed a statistically significant correlation between the frequency of awake bruxism behaviours and the PHQ-4 scores. Specifically, for every 1% increase in PHQ-4 score, the mean frequency of the AB behaviours increases 5-fold. Awake bruxism behaviours did not show any statistically significant correlation with the number of smoked cigarettes (p > 0.05). Mandible bracing significantly correlated with the number of years of smoking (B = 1.58, p = 0.002).</p><p><strong>Conclusions: </strong>According to the present study's findings, the frequency of awake bruxism behaviours correlated with symptoms of anxiety and depression but not with smoking status.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066358","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":"Brazilian Portuguese Version of the Diagnostic Criteria for Temporomandibular Disorders Axis II: Translation, Cross-Cultural Adaptation and Measurement Properties.","authors":"Taísi da Antunes da Cunha, Thaís Cristina Chaves, Francisco José Pereira Júnior, Daniela Aparecida de Godoi de Gonçalves, Per Alstergren, Daniela Aparecida Biasotto-Gonzalez","doi":"10.1111/joor.13921","DOIUrl":"https://doi.org/10.1111/joor.13921","url":null,"abstract":"<p><strong>Background: </strong>The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) is a biaxial tool for TMD assessment. To implement a translated version in the Brazilian context, standardised adaptation and validation are necessary.</p><p><strong>Objective (s): </strong>To translate, adapt and verify the measurement properties of the DC/TMD Axis II instruments Pain Drawing (PD), Graded Chronic Pain Scale (GCPS), Jaw Functional Limitation Scale (JFLS) and Oral Behaviours Checklist (OBC).</p><p><strong>Methods: </strong>The translation and cross-cultural adaptation processes of orofacial-related Axis II instruments followed the Guidelines for Establishing Cultural Equivalency. The validation research was carried out with 117 Brazilians with TMD, in two assessment days. Structural validity, internal consistency, test-retest reliability, measurement error, construct validity-hypothesis testing, and ceiling and floor effects were tested.</p><p><strong>Results: </strong>PD showed substantial reliability (Kappa 0.63), and GCPS, JFLS and OBC showed excellent reliability over time (intraclass correlation coefficient > 0.85). The internal consistency was adequate for all instruments (Cronbach's alpha > 0.77) except for the functional activities domain of OBC (Cronbach's alpha = 0.48). Construct validity was good for all instruments (75% hypotheses confirmed), except for the OBC total score. Regarding parameters of structural validity, GCPS showed Goodness of Fit Index = 0.98 for the solution with two domains. JFLS and OBC presented Goodness of Fit Index < 0.90 for the solutions with three and two domains, respectively.</p><p><strong>Conclusion: </strong>The Brazilian Portuguese version of DC/TMD Axis II can be used in Brazil, but more studies are necessary to find an adequate structure for JFLS and OBC in a Brazilian sample.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066346","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":"Effect of Biomechanical Properties of Perioral Soft Tissues on Lip Response to Simulated Protraction of Upper Front Teeth.","authors":"Khac T Nguyen, Mauro Farella, Vincent Bennani, Li Mei","doi":"10.1111/joor.13941","DOIUrl":"https://doi.org/10.1111/joor.13941","url":null,"abstract":"<p><strong>Background: </strong>Proclination of front teeth in orthodontics and oral rehabilitation may influence lip protrusion and the overall facial profile. We hypothesized that the degree of profile changes is determined by the biomechanical properties of the lips.</p><p><strong>Objectives: </strong>(1) to investigate the upper lip changes induced by a simulated protraction of upper front teeth; and (2) to assess the relationship between biomechanical properties of the lips and their response to tooth protraction.</p><p><strong>Materials and methods: </strong>Thirty-four participants were recruited at the Faculty of Dentistry, University of Otago, New Zealand. Simulated protraction of upper front teeth was achieved by placing a customised stent covering the buccal surface of the maxillary upper incisors and canines, along with the corresponding buccal mucosa and gingiva. Stereophotogrammetry was used to assess lip changes in three dimensions. Biomechanical properties of the lips, including muscle tone, stiffness and elasticity, were measured using a non-invasive digital palpation device.</p><p><strong>Results: </strong>During the simulated protraction of upper front teeth, the upper lip advanced approximately 50% of the stent thickness, with a considerable inter-individual variation in lip displacement. Soft tissue responses were correlated with the biomechanical properties of the lips with significant correlation coefficients ranging from 0.38 to 0.40. Higher lip tone was associated with increased lip displacement, while greater lip elasticity resulted in reduced lip displacement. Multivariate analyses indicated that upper lip displacement was associated with biomechanical properties and ethnicity, but not with age, sex and body mass index.</p><p><strong>Conclusions: </strong>The response of the lips to protraction of front teeth varies largely between individuals and can be partly explained by variations in the biomechanical properties of perioral muscles.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066357","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":"Effects of Photobiomodulation on Burning Mouth Syndrome: A Systematic Review and Meta-Analysis.","authors":"Monica Reiko Okuhara, Virgínia Fernandes Moça Trevisani, Cristiane Rufino Macedo","doi":"10.1111/joor.13931","DOIUrl":"https://doi.org/10.1111/joor.13931","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this research is to evaluate the effectiveness and safety of photobiomodulation or low-level laser therapy on burning mouth syndrome compared to placebo, no-laser, clonazepam and alpha-lipoic acid.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic review of randomised clinical trials was performed. The databases consulted were MEDLINE, CENTRAL, LILACS, EMBASE and clinical trial registries ClincalTrial.org and WHO-ICTRP, to retrieve citations published until April 4, 2023. In addition, we consulted the grey literature for unpublished studies. There were no restrictions on language, publication status and publication date. Outcomes included pain relief, change in oral health quality of life, adverse effects and change in the quality of life concerning anxiety and depression. Two independent authors performed the study selection, and the risk of bias was assessed using the Cochrane collaboration tool. The random effect was calculated with a 95% confidence interval to calculate the relative risk. We performed heterogeneity by I&lt;sup&gt;2&lt;/sup&gt; and subgroup analysis. For all calculations, we used Review Manager 5.4.1 software.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 528 references were located, and 13 studies were included, with 503 participants. Seven studies were evaluated qualitatively, and six were grouped for data meta-analysis according to the type of laser used, red or infrared. The following comparisons were evaluated: laser versus placebo, laser versus clonazepam and laser versus alpha-lipoic acid. Less pain was reported with the use of a laser, with low quality of evidence, in the comparisons: red laser versus placebo with a weighted mean difference (WMD) of -1.18; 95% CI [-2.16 to -0.19]; I&lt;sup&gt;2&lt;/sup&gt; = 61%; N = 58; 2 RCTs; infrared laser versus placebo with WMD = -1.34; 95% CI [-1.86 to -0.82]; I&lt;sup&gt;2&lt;/sup&gt; = 14%; N = 87; 3 RCTs; laser versus clonazepam with mean difference (MD) of -1.66; 95% CI [-3.17 to -0.15]; I&lt;sup&gt;2&lt;/sup&gt; = 0%; N = 33; 1 RCT. Oral health quality of life was better with the use of the laser, with very low quality of evidence, in the comparisons: red laser versus placebo with WMD = -1.08; 95% CI [-1.49 to -0.66]; I&lt;sup&gt;2&lt;/sup&gt; = 0%; N = 105; 2 RCTs; infrared laser versus placebo with WMD = -0.46; 95% CI [-1.70 to 0.78]; I&lt;sup&gt;2&lt;/sup&gt; = 86%; N = 85; 3 RCTs; laser versus clonazepam with MD = -19.65; 95% CI [-45.97 to 6.67]; N = 33; 1 RCT. For anxiety and depression, there was no significant difference between the groups, with very low quality of evidence, in the comparisons: infrared laser versus placebo, for anxiety with MD = 0.11; 95% CI [-2.64 to 2.86]; N = 28; 1 RCT; and for depression with MD = -0.66; 95% CI [-3.56 to 3.44]; N = 28; 1 RCT. Likewise, the comparison of laser versus clonazepam for anxiety and depression with MD = 1.05; 95% CI [-2.83 to 4.93]; N = 33; 1 RCT.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Pain was less common, and quality of life was better when using a low-","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052944","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":"Volitional Control of Chewing Frequency Affects Food Oral Processing and Texture Perception.","authors":"Daria Khramova, Fedor V Vityazev, Natalya V Zueva, Elizaveta A Chistiakova, Sergey Popov","doi":"10.1111/joor.13944","DOIUrl":"https://doi.org/10.1111/joor.13944","url":null,"abstract":"<p><strong>Background: </strong>Although varieties in chewing patterns are essential for the transformation of food in mouth and thereby its sensorial perception, there are few reports that show the effect of chewing frequency on food oral processing and its properties.</p><p><strong>Objective: </strong>The current study tested whether consciously controlled chewing frequency influences the oral processing of habitually consumed foods and their sensory analysis.</p><p><strong>Method: </strong>Chewing behaviour was analysed during the mastication of mushed potato samples by 20 participants in two separate test sessions, in which they were instructed to chew the sample in their habitual manner (free chewing test) or follow a preprogrammed video animation displayed on a screen, wich guided them to maintain a constant chewing frequency (F-const chewing test). Electromyography recording, sensory tests and rheological analysis of bolus properties were performed.</p><p><strong>Results: </strong>Oral processing in the F-const chewing test required longer chewing time due to the elongation of chewing cycle time, rather than an increased number of chews. The contribution of jaw muscle activity to chewing effort changed resulting in greater activity of temporalis muscle in the F-const chewing test. During volitional control of chewing frequency, the texture perception with respect to cohesiveness, adhesiveness and moisture scoring differed from that observed in habitual chewing, despite the similar physical properties of the bolus. These variabilities resulted in higher acceptability of the food sample.</p><p><strong>Conclusion: </strong>Since this study clearly shows how control of chewing frequency led to changes in oral processing of food and its sensorial properties, nutritionists can employ the findings to optimise the dietary recommendations decreasing eating rate and increasing palatability of the target products.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051865","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 Patients' Perspective on Digital Tools for Psychosocial Assessment in Dentistry.","authors":"Axel Kutschke, Bellarita Bechmann, Birgitta Häggman-Henrikson, Anders Wänman, Justin Durham, Anna Lövgren","doi":"10.1111/joor.13909","DOIUrl":"https://doi.org/10.1111/joor.13909","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial screening is a valuable part of the assessment of patients with orofacial pain, as psychosocial factors will affect prognosis and treatment outcomes. Paper-based questionnaires are predominately used to assess the degree of psychosocial comorbidity; however, digital alternatives for screening questionnaires may be more cost-effective and resource-saving if patients are receptive to using them.</p><p><strong>Objective: </strong>To evaluate how patients perceive digital psychosocial screening in dentistry.</p><p><strong>Method: </strong>Using a qualitative approach, individual semi-structured interviews were conducted with a purposive sample of adult patients with orofacial pain (n = 16) recruited from specialist dental clinics in Umeå and Gävle, Sweden. The interviews were transcribed verbatim and then analysed using Qualitative Content Analysis. Before the interviews, patients first completed the paper-based questionnaires and then the digital version.</p><p><strong>Results: </strong>The analysis of patients' experiences resulted in an overarching theme: Patients appreciate a holistic approach, thus valuing psychosocial screening, and they particularly favour screening in a digital format. From this theme, two categories emerged: Perceptions about health shape patients' expectations of dental care, and with deeper understanding of the value of psychosocial assessment, patients appreciate a holistic approach that includes psychosocial factors. Digital screening is perceived by patients as a reliable, meaningful and environmentally sustainable method.</p><p><strong>Conclusions: </strong>In general, the patients appreciated a holistic approach in dentistry and understood the value of psychosocial screening as part of this. From the patients' perspective, digital psychosocial screening was both acceptable and beneficial. The findings support the introduction of digital psychosocial screening into daily dental practice.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052945","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":"Oral Dysaesthetic and Perceptual Disorder, a Distinct Subset of Chronic Orofacial Pain Without Burning Symptoms: A Case-Control Study.","authors":"Gennaro Musella, Federica Canfora, Vito Carlo Alberto Caponio, Emmanouil Vardas, Maria Kouri, Nikolaos Nikitakis, Giuseppe Troiano, Massimo Aria, Luca D'Aniello, Lorenzo Lo Muzio, Michele Davide Mignogna, Daniela Adamo","doi":"10.1111/joor.13945","DOIUrl":"https://doi.org/10.1111/joor.13945","url":null,"abstract":"<p><strong>Background: </strong>According to the ICOP 2020, burning mouth syndrome (BMS) is a chronic orofacial pain disorder characterised by an intraoral burning sensation, which represents the main diagnostic criterion. However, some patients experience other symptoms such as xerostomia, taste alterations and globus, without the burning sensation (non-BMS).</p><p><strong>Objective: </strong>This study aims to explore non-BMS as a distinct subclinical entity by comparing the classical BMS with this new group of patients in a case-control study, addressing gaps in current diagnostic criteria.</p><p><strong>Methods: </strong>83 non-BMS patients were compared with an equal number of BMS patients matched for age and sex. Data on sociodemographic and risk factors, systemic comorbidities and drug intake, symptom patterns, psychological profiles were collected and statistically analysed.</p><p><strong>Results: </strong>No significant differences between BMS and non-BMS groups were found in sociodemographic characteristics, comorbidities, drug consumption and extraoral symptoms. Both groups reported similar symptoms patterns, with discomfort intensifying in the evening. Although oral symptoms prevalence varied, with the burning sensation exclusive to BMS patients, none of these differences reached statistical significance. Psychological assessments revealed mild depression (17 [14-19] vs. 17 [14-20], p < 0.981), mild to moderate anxiety (18 [15-21] vs. 17 [15-20.5], p < 0.767) and sleep disturbance (5 [4-7] vs. 8 [5-10], p < 0.001) in both groups.</p><p><strong>Conclusion: </strong>Non-BMS patients exhibit similarities to BMS patients yet remain unclassified under current diagnostic criteria. Therefore, we have suggested the term \"Oral Dysaesthetic and Perceptual Disorder (ODPD)\" to define these patients (non-BMS). This study emphasises the need to expand diagnostic criteria to better identify and manage ODPD patients.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052946","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}