Journal of oral rehabilitation最新文献

{"title":"Intersectional Bias in Healthcare-The Inequity Borne by the Patients: A Qualitative Study.","authors":"Alicia Böthun, Anncristine Fjellman-Wiklund, Fredrik Hellström, Britt-Marie Stålnacke, Birgitta Häggman-Henrikson, Justin Durham, Anna Lövgren","doi":"10.1111/joor.70088","DOIUrl":"https://doi.org/10.1111/joor.70088","url":null,"abstract":"<p><strong>Background: </strong>Care should be neutral and equal, but normative beliefs may impact the interaction between patients and healthcare professionals in pain management.</p><p><strong>Objectives: </strong>To explore how patients with jaw and neck pain perceive pain management and the interaction with healthcare professionals in relation to intersectionality, with a specific focus on gender.</p><p><strong>Methods: </strong>Recruitment was performed at a specialist dentistry clinic in Sweden. Inclusion criteria were patients aged 18-70 years, reporting jaw and neck pain and understanding the Swedish language. Exclusion criteria were rheumatic disease, temporomandibular joint arthralgia or arthritis. Using purposive sampling, 16 patients (11 women) aged 19-56 were interviewed using individual semi-structured interviews. The analysis was performed using thematic analysis.</p><p><strong>Results: </strong>The analysis resulted in the theme: 'Intersectional bias in healthcare - the inequity borne by the patients', with five subthemes that entailed different types of bias related to the participants' personal characteristics and their interaction with healthcare professionals. Health-related stigmata was one subtheme described among participants, resulting in labelling and burden in the encounter. Other subthemes also described bias in relation to biological differences among pain patients and patients not being taken seriously due to, for example, female gender and younger age. Two subthemes also described bias in relation to the healthcare professionals' gender and age.</p><p><strong>Conclusion: </strong>Normative beliefs have a negative impact on the interaction between patients and healthcare professionals in pain management. Since patient-provider interaction should be neutral and equal, intersectional bias should be acknowledged to prevent health and care inequalities.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301495","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":"Sex Differences in Oral Hygiene, Masticatory Performance and Chewing Habits of Japanese Schoolchildren: A Cross-Sectional Study From the Osaka MELON Study.","authors":"Takayuki Kosaka, Masatoshi Otsugu, Masayuki Yoshimatsu, Tatsuya Nishimoto, Norimasa Sakanoshita, Yuki Murotani, Risa Hiramatsu, Kazuhiko Nakano, Kazunori Ikebe","doi":"10.1111/joor.70085","DOIUrl":"https://doi.org/10.1111/joor.70085","url":null,"abstract":"<p><strong>Background: </strong>Sex differences in oral health behaviours and function during childhood may affect long-term oral and general health. However, large-scale studies of Japanese children are limited.</p><p><strong>Objectives: </strong>To clarify sex differences in oral hygiene, masticatory performance, and chewing habits of Japanese schoolchildren.</p><p><strong>Methods: </strong>This cross-sectional study included 1400 fourth-grade children (686 boys and 714 girls) from public elementary schools in Osaka City. Oral examinations assessed dental plaque, gingival inflammation, and caries experience (DMFT/dmft indices). Masticatory performance was evaluated using a colour-changeable chewing gum test. Chewing and toothbrushing habits were assessed by questionnaires. Logistic regression analyses were conducted to examine associations between sex and oral health outcomes, adjusting for dental development stage and caries indices.</p><p><strong>Results: </strong>Boys had higher prevalences of dental plaque and gingival inflammation, higher masticatory performance scores, and were more likely to eat fast and eat with the mouth full than girls. On multivariate analyses, boys were more likely to have dental plaque (odds ratio (OR) = 1.31, 95% confidence interval (CI): 1.02-1.68), gingival inflammation (OR = 1.49, 95% CI: 1.04-2.13), eat fast (OR = 3.11, 95% CI: 2.48-3.91), and eat with the mouth full (OR = 2.43, 95% CI: 1.93-3.07), and less likely to have lower masticatory performance (OR = 0.70, 95% CI: 0.55-0.90).</p><p><strong>Conclusions: </strong>Significant sex differences were observed in oral hygiene, masticatory function, and chewing behaviour of Japanese schoolchildren. These findings highlight the need for sex-specific strategies in oral health, particularly targeting boys with poorer oral hygiene and chewing habits.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301500","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":"Identification of Important and Relevant Functioning-Based Outcomes for Persons With an Oral Health Condition From the Patient's Perspective.","authors":"C Lenherr, M Schimmel, G Stucki, M Selb","doi":"10.1111/joor.70078","DOIUrl":"https://doi.org/10.1111/joor.70078","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to identify the most important and relevant aspects of functioning related to oral health from the patient's perspective.</p><p><strong>Materials and methods: </strong>In this multicenter cross-sectional qualitative study, focus groups and semi-structured interviews were conducted. Adults age 18 years or older with an oral health condition, such as caries, periodontal disease, cancer of the oral cavity or lips, were included. The content of the focus groups and interviews was recorded, transcribed, and analysed using thematic analysis, that is, patterns in the data were identified and broken down into meaningful concepts, which in turn were linked to the most precise categories of the International Classification of Functioning, Disability and Health (ICF). Focus groups and interviews were analysed until saturation was reached.</p><p><strong>Results: </strong>Statements of 36 participants were included in the analysis. Saturation was reached after analysing five focus groups and 3 interviews, 1213 meaningful concepts were identified and subsequently linked to 150 ICF categories (51 in the Body Functions component, 39 in Activities and Participation, 16 Body Structures, 44 in Environmental Factors) and 102 Personal Factors. Thirty-four concepts were not covered by the ICF and 49 were non-definable concepts. The results of one focus group comprising of young health professionals are displayed separately.</p><p><strong>Conclusion: </strong>Functioning-based outcomes for persons with an oral health condition were identified in every component of the ICF, indicating that oral health conditions affect different aspects of an individual's everyday life.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292570","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 Dental Treatments on the Recovery of Oral Function Associated With Dietary Intake in Subacute Stroke Patients: A Multi-Center Prospective Study.","authors":"Koichiro Matsuo, Tomohisa Ohno, Masako Kishima, Yasuyuki Iwasa, Satoshi Teranaka, Daisuke Kanamori, Rena Hidaka, Junichi Furuya","doi":"10.1111/joor.70082","DOIUrl":"https://doi.org/10.1111/joor.70082","url":null,"abstract":"<p><strong>Background: </strong>Compromised oral function in patients with stroke hinders the recovery of oral food intake and increases complication risk.</p><p><strong>Objective: </strong>This study examined the effects of dental treatments on the recovery of oral function associated with dietary intake levels in patients with subacute stroke in convalescent rehabilitation units as a prospective multi-institutional study.</p><p><strong>Methods: </strong>A total of 237 patients with a recent history of stroke (median age: 75 years, median duration after onset: 26 days) admitted to a rehabilitation unit were assessed for oral function at two time points: within one week after admission (baseline) and before discharge (follow-up). Based on the Functional Oral Intake Scale (FOIS) at the baseline assessment, patients were categorised into the Dysphagia diet (DYS; FOIS ≤ 5) and Normal diet (NML; FOIS > 5) groups. Patients received dental treatments during their stay in addition to routine dysphagia rehabilitation. Differences in oral function between the groups and oral function changes from baseline to follow-up assessment were tested using paired t-tests.</p><p><strong>Results: </strong>At the baseline assessment, 108 patients (45.5%) received a regular diet, with 179 patients (75.5%) consuming a regular diet by follow-up. Dental treatments performed in 92.4% of all patients decreased the frequency of poorly fitting dentures from 63% to 7%. Maximum tongue pressure and lip-tongue motor function improved significantly in both subject groups (p < 0.02), and were significantly better in patients receiving a regular diet at follow-up assessment (p < 0.05).</p><p><strong>Conclusion: </strong>These findings highlight the importance of integrating dental treatments into multidisciplinary stroke rehabilitation regimens to optimize dysphagia recovery outcomes.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292589","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":"Prevalence of Emotional Factors and Pain in Temporomandibular Disorder and Correlation With Different Diagnoses: A Cross-Sectional Study.","authors":"Gabriela Caovilla Felin, Cassiano Mateus Forcelini, Alvaro Della Bona","doi":"10.1111/joor.70084","DOIUrl":"https://doi.org/10.1111/joor.70084","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorder (TMD) is a leading cause of orofacial pain, often associated with psychosocial factors that affect quality of life. Although these factors are well documented, the association with pain intensity and jaw function remains understudied.</p><p><strong>Objective: </strong>This cross-sectional observational study aimed to report the prevalence of emotional factors in patients with TMD and to correlate TMD with psychological factors, pain intensity and functional limitation of the jaw in a sample of the regional population.</p><p><strong>Methods: </strong>This study used data from a TMD outpatient clinic in South America. Assessments included the DC-TMD, chronic pain scale, GAD-7 (anxiety), PHQ-9 (depression), PHQ-15 (somatic symptoms) and JFLS-8 (jaw function) instruments. Sociodemographic data and the diagnosis of TMD were also reported. Data were statistically analysed using Kolmogorov-Smirnov, two-tailed chi-square, Fisher's exact, Mann-Whitney U, Kruskal-Wallis and Spearman's correlation coefficient tests (α = 0.05).</p><p><strong>Results: </strong>From 190 patients (mean age 43.5), 78.4% were women, 31.5% had low education and 44.7% had a household income lower than US$ 500. The majority had TMD with pain and joint disorder. The overall chronic pain score was 63, indicating high pain intensity. Psychosocial scores and jaw limitations were mild. Women showed higher pain levels, more functional limitations, and elevated psychosocial scores.</p><p><strong>Conclusion: </strong>Psychological factors did not differ significantly across TMD subtypes but were highly prevalent, especially in women.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292514","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":"Stress-, Anxiety-, and Gender-Related Modulation of Masseter Muscle Activity During Wakefulness.","authors":"Suvichaya Angkulmahasuk, Akira Nishiyama, Hiroyuki Ishiyama, Kenji Fueki","doi":"10.1111/joor.70077","DOIUrl":"https://doi.org/10.1111/joor.70077","url":null,"abstract":"<p><strong>Background: </strong>Psychological stress and anxiety are known to influence muscle activity, particularly in the masticatory system. However, the interactive effects of stress, trait anxiety, and gender on objective masseter muscle activity remain poorly understood.</p><p><strong>Objectives: </strong>This study investigates the association between psychological factors, stress and trait anxiety, as well as gender, and masseter muscle activity during various tasks designed to induce stress or relaxation.</p><p><strong>Methods: </strong>Thirty-four healthy participants (16 males, 18 females; mean age 28.1 ± 3.1 years) were recruited. Trait anxiety was assessed using the State-Trait Anxiety Inventory (STAI-Y2), and stress levels were measured using a Visual Analog Scale (VAS). Participants completed four randomised tasks (reading, video-watching, math-solving, bead-grabbing) over two experimental days while wearing a wireless EMG logger to record masseter muscle activity. Main outcomes included burst frequency (per hour), wave peak value (%MVC), and integral activity (%MVC·s). Linear mixed models assessed the effects of stress, trait anxiety, and gender. Self-reported oral behaviours (partial Oral Behaviour Checklist; POBC) were also evaluated.</p><p><strong>Results: </strong>Stress significantly reduced burst frequency (-3.5% per unit; p = 0.016) and wave peak value (-1.9% per unit; p < 0.001) in males but not females. Low-anxiety individuals exhibited increased integral muscle activity with rising stress (+4.8% per unit; p = 0.002), while other groups showed no such trend. Trait anxiety positively correlated with POBC scores (r_s = 0.409, p = 0.016).</p><p><strong>Conclusions: </strong>Masseter muscle activity is differentially modulated by stress, anxiety, and gender. These findings highlight the psychophysiological complexity underlying stress-related oral parafunctional behaviours and support individualised assessment approaches.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292528","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":"Analysis of the Current Status and Influencing Factors of Oral Frailty in Community-Dwelling Older Adults.","authors":"Mingzhu Lu, Yiming Wei, Ruili Zhang, Huijuan Li","doi":"10.1111/joor.70081","DOIUrl":"https://doi.org/10.1111/joor.70081","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of oral frailty is high in older adults in China. Older adults in the community may be more likely to ignore the impact of slight changes in oral function in daily life.</p><p><strong>Objectives: </strong>To analyse the current status and influencing factors of oral frailty.</p><p><strong>Methods: </strong>In this cross-sectional study, 361 community-dwelling older adults aged ≥ 60 years in four districts of Shijiazhuang were selected as the research objects by convenience sampling method. The number of natural teeth, times of daily teeth brushing, and the Oral Health Assessment Scale for the elderly were used to assess oral frailty.</p><p><strong>Results: </strong>The prevalence of oral frailty among community-dwelling older adults was 33.4%. Logistic regression analysis showed that older age (70-79 years old compared to 60-69 years old: OR = 2.255, 95% CI: 1.044-4.871; ≥ 80 years old compared to 60-69 years old: OR = 3.644, 95% CI: 1.634-8.123), wearing dentures (OR = 4.625, 95% CI: 2.590-8.259), posterior occlusion pairs < 5 pairs (OR = 8.849, 95% CI: 4.423-17.706), not flossing (OR = 4.870, 95% CI: 1.752-13.540), and not gargling (OR = 2.128, 95% CI: 1.206-3.754) could increase the risk of oral frailty in the community-dwelling older adults. Wearing dentures was a protective factor for oral frailty in older adults with < 20 teeth (OR = 0.704, 95% CI: 0.530-0.935).</p><p><strong>Conclusions: </strong>The prevalence of oral frailty in older adults in the community is 33.4%, which is at an intermediate level of the reported prevalence in China (17.1%-59.2%), but still higher than that in Japan (20.0%). Older adults who are older, have less than 20 teeth without dentures, have less than five pairs of posterior occlusal pairs, do not use dental floss, and do not gargle are at high risk of oral frailty and should be paid attention to.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286390","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":"Immunohistochemical Profiling in Temporomandibular Disorders: A Systematic Review of Biomarker Patterns in Synovial Tissue.","authors":"Pascal Eber, Yannick M Sillmann, Ana M P Baggio, Philippe Korn, David A Keith, Shruti Handa, Fernando P S Guastaldi","doi":"10.1111/joor.70079","DOIUrl":"https://doi.org/10.1111/joor.70079","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) are multifactorial conditions involving biomechanical dysfunction and progressive degeneration of the temporomandibular joint (TMJ) and surrounding tissues. Although affecting up to 36% of the population, their underlying molecular mechanisms remain incompletely understood. Immunohistochemical analysis of synovial biomarkers may help clarify processes involved in tissue degeneration and symptom development.</p><p><strong>Objective: </strong>This systematic review investigates associations between immunohistochemical biomarkers in synovial tissue and morphological or symptomatic findings in TMD, with a focus on internal derangement and disc displacement.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in MEDLINE/PubMed, EMBASE, Web of Science, and selected journals. Studies were screened according to PRISMA guidelines, and methodological quality was assessed using the Newcastle-Ottawa Scale. Due to heterogeneity across studies, a narrative synthesis was performed.</p><p><strong>Results: </strong>Thirteen studies involving 493 patients (mean age: 42.2 years; 82% women) were included, analyzing 23 different biomarkers. Frequently examined markers included MMPs, COX-2, iNOS, interleukins, and VEGF. Several of these showed statistically significant correlations with histological, radiological, or clinical findings, suggesting roles in joint homeostasis, inflammation, and tissue remodeling associated with TMD.</p><p><strong>Conclusion: </strong>Based on the reported associations with histological, radiological, and clinical findings, biomarkers were categorised into stage-specific and functional groups, underscoring their relevance for disease stratification and prognosis. By revealing disease-related patterns in progression and severity, synovial biomarkers have the potential to empower our understanding of the underlying mechanisms of TMD and contribute to more precise diagnostic and therapeutic approaches.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274809","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":"Suprahyoid Muscle Strengthening Using a Novel Exercise Device in Older Adults With Oral Hypofunction: A Randomised Placebo-Controlled Trial.","authors":"Ji-Su Park, Gihyoun Lee, Moon-Young Chang","doi":"10.1111/joor.70070","DOIUrl":"https://doi.org/10.1111/joor.70070","url":null,"abstract":"<p><strong>Background: </strong>Strengthening of the suprahyoid muscles plays a critical role in swallowing rehabilitation for older adults with oral hypofunction. Therefore, the development of diverse exercise devices and the accumulation of evidence supporting their effectiveness are essential.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the effectiveness of a novel neck-collar exercise device designed to strengthen the suprahyoid muscles in older adults with oral hypofunction.</p><p><strong>Methods: </strong>Thirty older adults with oral hypofunction were enrolled and randomly assigned to the experimental or placebo group. The experimental group performed suprahyoid muscle-strengthening exercises using the neck-collar device developed for this study. The exercises incorporated isometric and isotonic movements. The placebo group performed the same exercises using a sham device identical in appearance but lacking an internal resistance spring, thus providing minimal resistance. The primary outcomes were suprahyoid muscle activation, recorded using surface electromyography with bipolar electrodes placed submentally, and suprahyoid muscle thickness, measured on ultrasound images. The secondary outcome was swallowing function, evaluated using videofluoroscopic swallowing studies and scored using the penetration-aspiration scale.</p><p><strong>Results: </strong>The experimental group showed significantly greater improvements in suprahyoid muscle activation and thickness, along with significantly lower penetration-aspiration scale scores than the placebo group (all p < 0.05).</p><p><strong>Conclusion: </strong>These findings suggest that the novel neck-collar exercise device is effective in enhancing suprahyoid muscle activation and thickness, and in reducing the risk of airway penetration and aspiration in older adults with oral hypofunction.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274884","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":"Influence of Sleep and Wakefulness States and Physical Activity on Chronic Pain in Temporomandibular Disorders.","authors":"Koichiro Uno, Ryota Takaoka, Takafumi Kato, Ayumi Shintani, Shoichi Ishigaki","doi":"10.1111/joor.70076","DOIUrl":"https://doi.org/10.1111/joor.70076","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain in patients with temporomandibular disorders is a common and costly social problem. However, studies investigating the direct relationship between sleep and physical activity and pain are insufficient, and the causal relationship between these factors remains unclear.</p><p><strong>Objectives: </strong>This study aimed to clarify whether sleep conditions and physical activity influence the subjective intensity of chronic pain in patients with temporomandibular disorders.</p><p><strong>Methods: </strong>The participants consisted of 15 females (mean age: 38.9 ± 10.1 years). Physical activity and total sleep time were evaluated using the Actigraph (AW2, AMI, USA). The recordings were carried out for 14 consecutive days. Pain intensity and subjective sleep quality were also evaluated using the Visual Analogue Scale for 14 consecutive days. The linear mixed-effects model and Mann-Whitney U-test were applied for statistical analyses.</p><p><strong>Results: </strong>The higher the subjective sleep quality the previous night, the lower the jaw pain the next day. The higher the physical activity on the previous day, the lower the jaw pain the next day. The higher the jaw pain on the previous day, the higher the jaw pain the next day.</p><p><strong>Conclusions: </strong>The subjective intensity of jaw pain was affected by subjective sleep quality, physical activity, and jaw pain the previous day.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244627","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}