Journal of oral rehabilitation最新文献

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Self-Management Therapies for Temporomandibular Disorders-Evidence From Systematic Reviews. 颞下颌疾病的自我管理疗法——来自系统评价的证据。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-08 DOI: 10.1111/joor.70074
Tessa Bijelic, Ambrosina Michelotti, Rosaria Bucci, Daniela Del Sorbo, EwaCarin Ekberg, Birgitta Häggman-Henrikson
{"title":"Self-Management Therapies for Temporomandibular Disorders-Evidence From Systematic Reviews.","authors":"Tessa Bijelic, Ambrosina Michelotti, Rosaria Bucci, Daniela Del Sorbo, EwaCarin Ekberg, Birgitta Häggman-Henrikson","doi":"10.1111/joor.70074","DOIUrl":"https://doi.org/10.1111/joor.70074","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic pain in the orofacial region affects 10%-15% of the general population. It is most often related to temporomandibular disorders (TMD): pain in the masticatory muscles and the temporomandibular joints. Managing chronic pain conditions requires a biopsychosocial, evidence-based and patient-centred approach. Accordingly, self-management has been advocated for TMD. This umbrella review aimed to evaluate existing evidence in systematic reviews (SRs) on self-management therapy for TMD.</p><p><strong>Methods: </strong>The review was carried out in accordance with the PRISMA and PRIOR guidelines, with a pre-registered protocol (PROSPERO CRD42021276856). PubMed, Scopus, LILACS and the Cochrane Library were searched until December 1st 2023 to identify SRs that evaluated self-management for TMD. Two independent reviewers screened titles and abstracts, performed full-text assessments, extracted all data and performed risk of bias assessment with AMSTAR 2.</p><p><strong>Results: </strong>A total of 1740 studies were identified. After title and abstract screening, 399 studies underwent full-text assessment and 11 SRs comprising 49 unique primary studies were included. Of these, six SRs reported favorable results for self-management for TMD, whereas five reported insufficient evidence either for or against the use of self-management compared to other interventions. The overlap of primary studies between the SRs was 53%, and the main evidence gaps were related to quality of life and adverse effects outcomes. The methodological shortcomings of the SRs primarily stem from insufficient primary-study design criteria or not providing references for excluded studies.</p><p><strong>Conclusions: </strong>Existing evidence generally suggests beneficial effects from self-management strategies such as patient education, behavioural therapy and jaw exercises.</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":"145244656","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}
引用次数: 0
Evaluation of Temporomandibular Joint Structures and Conditions Using Dental-Dedicated MRI: A Feasibility Study. 使用牙科专用MRI评估颞下颌关节结构和状况:可行性研究。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-07 DOI: 10.1111/joor.70071
Gabriela S Liedke, Jennifer Christensen, Rubens Spin-Neto
{"title":"Evaluation of Temporomandibular Joint Structures and Conditions Using Dental-Dedicated MRI: A Feasibility Study.","authors":"Gabriela S Liedke, Jennifer Christensen, Rubens Spin-Neto","doi":"10.1111/joor.70071","DOIUrl":"https://doi.org/10.1111/joor.70071","url":null,"abstract":"<p><strong>Background: </strong>MRI is the most viable alternative to depict the soft tissues of the TMJ, and a recently developed dental-dedicated MRI (ddMRI) brings new possibilities to count on this technology at point-of-care.</p><p><strong>Objectives: </strong>To evaluate the feasibility of ddMRI for the assessment of temporomandibular joint (TMJ) conditions and to compare the evaluation of bony components with that of cone-beam computed tomography (CBCT).</p><p><strong>Methods: </strong>CBCT and ddMRI images from 24 patients were independently assessed by three observers. Each TMJ side was evaluated for hard and soft tissue conditions (soft tissues assessed only with ddMRI), including flattening, cortical erosion, subcortical sclerosis, osteophyte, subcortical cyst, loose body, disc position, and joint fluid. Inter- and intra-examiner agreement and condition prevalence were calculated for each modality. Diagnoses of bone-related TMJ conditions were compared between imaging modalities using the McNemar test (α = 0.05).</p><p><strong>Results: </strong>The mean inter-observer agreement was 0.36 for ddMRI and 0.50 for CBCT; intra-observer agreement ranged from 0.444 to 1. The most prevalent finding was anterior disc displacement (58.3%). Bone conditions were more frequently identified on CBCT, with prevalence ranging from 2.1% (subcortical cyst) to 41.7% (flattening), compared to 0% and 31.3%, respectively, on ddMRI. In this feasibility study, no significant differences were found between CBCT and ddMRI for relevant hard tissue conditions (p > 0.05), supporting ddMRI's potential as an adjunct modality for TMJ assessment.</p><p><strong>Conclusion: </strong>ddMRI is a feasible imaging modality for TMJ evaluation, enabling assessment of bony and soft tissue components, while avoiding ionizing radiation, which supports its potential clinical applicability.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238853","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}
引用次数: 0
Comparative Analysis of OHIP Versions for Research on Temporomandibular Disorders. 颞下颌疾病研究的OHIP版本比较分析。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-07 DOI: 10.1111/joor.70075
Adrian Ujin Yap, Ni Luh Dewi, Emelia Syafiera, Carolina Marpaung
{"title":"Comparative Analysis of OHIP Versions for Research on Temporomandibular Disorders.","authors":"Adrian Ujin Yap, Ni Luh Dewi, Emelia Syafiera, Carolina Marpaung","doi":"10.1111/joor.70075","DOIUrl":"https://doi.org/10.1111/joor.70075","url":null,"abstract":"<p><strong>Background: </strong>An international team has recommended assessing oral health-related quality of life (OHRQoL) in four dimensions and using the Oral Health Impact Profile-5 (OHIP-5) for all oral health conditions.</p><p><strong>Objectives: </strong>This study compared OHIP summary, domain, and dimension scores among individuals with no and different Temporomandibular Disorder (TMD) symptoms, examined correlations across OHIP versions, and explored the use of OHIP-5 for TMD research.</p><p><strong>Methods: </strong>Young adults completed the Five TMD Symptoms (5Ts) screener and items from the OHIP-49, OHIP-14, OHIP-5, and OHIP-TMD. Participants were categorised into no (NT), intra-articular (IT), pain-related (PT), and combined (CT) TMD symptom groups. Data were analysed with the chi-square test and nonparametric tests, including Spearman's correlation (α = 0.05).</p><p><strong>Results: </strong>The final sample consisted of 573 individuals (mean age 19.3 years [SD 1.3]; 82.6% women), of whom 64.0% reported NT, while 21.8%, 4.2%, and 10.0% had IT, PT, and CT symptoms, respectively. Significant differences in summary scores were consistent across participant groups (CT/PT/IT>NT; CT>IT) for all OHIP versions, though variations were observed in domain and dimension scores. Notably, no significant differences in the Psychosocial Impact dimension were identified for the OHIP-5. Summary scores for the OHIP-49 and OHIP-14 were very strongly correlated with those for OHIP-TMD, whereas the OHIP-5 demonstrated a strong correlation (r<sub>s</sub> = 0.86-0.94).</p><p><strong>Conclusions: </strong>A four-dimensional impact framework is suitable for use in TMD research. While the OHIP-5 can evaluate overall OHRQoL, its substitution for OHIP-14 or OHIP-TMD should be considered only when brevity is prioritised over dimension-specific assessment.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238902","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}
引用次数: 0
Is Insomnia Linked to Sleep Bruxism in Adults? A Systematic Review and Meta-Analysis. 成年人失眠与睡眠磨牙症有关吗?系统回顾和荟萃分析。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-04 DOI: 10.1111/joor.70068
Eduardo Machado, Jessica Klöckner Knorst, Fabrício Batistin Zanatta, Thais Perez Iglesias, Cibele Dal Fabbro, Dalva Poyares
{"title":"Is Insomnia Linked to Sleep Bruxism in Adults? A Systematic Review and Meta-Analysis.","authors":"Eduardo Machado, Jessica Klöckner Knorst, Fabrício Batistin Zanatta, Thais Perez Iglesias, Cibele Dal Fabbro, Dalva Poyares","doi":"10.1111/joor.70068","DOIUrl":"https://doi.org/10.1111/joor.70068","url":null,"abstract":"<p><strong>Aim: </strong>Systematically evaluate the previous literature on the association between insomnia and sleep bruxism (SB) in adults.</p><p><strong>Methods: </strong>Advanced searches were performed in different databases (PubMed, Embase, LILACS, Scopus and Web of Science) and grey literature until March 2025. Two trained reviewers independently conducted all stages of the review to identify observational studies evaluating the association between insomnia and SB in adults. Methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). A narrative synthesis summarised the main characteristics of the included studies. Meta-analyses were performed to obtain pooled estimates separately for self-reported and polysomnography (PSG)-based SB. Available data on insomnia and SB were converted into odds ratio (OR) with corresponding 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Of the 1135 records initially identified, 931 were screened by title and abstract, and 23 were assessed in full text. Eight studies met the inclusion criteria for the systematic review, and six were eligible for meta-analysis, comprising a total sample of approximately 6990 adults. The meta-analysis of four studies investigating the association between insomnia and self-reported SB found no statistically significant association under the random-effects model (OR 1.17; 95% CI 0.79-1.72). Likewise, the pooled analysis of studies assessing PSG-based SB also showed no significant association with insomnia (OR 0.91; 95% CI 0.43-1.95).</p><p><strong>Conclusion: </strong>Our findings indicate a lack of consistent evidence for a significant association between insomnia and SB. This conclusion is further limited by the small number of included studies, the moderate risk of bias in some studies, and the observed heterogeneity.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225742","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}
引用次数: 0
Relationship Between Oral Frailty Index-8 Cutoff Values and Dysphagia in Older Patients With Hip Fracture: A Retrospective Cohort Study. 老年髋部骨折患者口腔虚弱指数-8临界值与吞咽困难的关系:一项回顾性队列研究
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-04 DOI: 10.1111/joor.70072
Yoshihiro Watanabe, Yoichi Sato, Toshiaki Tamura, Ryota Imai, Takafumi Abe, Takayuki Kuwabara, Koki Maruyama, Takao Wakai, Shinya Ibuchi, Hirokazu Ashiga, Masako Fujiu-Kurachi
{"title":"Relationship Between Oral Frailty Index-8 Cutoff Values and Dysphagia in Older Patients With Hip Fracture: A Retrospective Cohort Study.","authors":"Yoshihiro Watanabe, Yoichi Sato, Toshiaki Tamura, Ryota Imai, Takafumi Abe, Takayuki Kuwabara, Koki Maruyama, Takao Wakai, Shinya Ibuchi, Hirokazu Ashiga, Masako Fujiu-Kurachi","doi":"10.1111/joor.70072","DOIUrl":"https://doi.org/10.1111/joor.70072","url":null,"abstract":"<p><strong>Background: </strong>Early detection of dysphagia, which is frequent in older patients with hip fractures, is challenging. Oral frailty, reflecting age-related decline in oral function, may serve as an early indicator of dysphagia risk.</p><p><strong>Objectives: </strong>To evaluate whether preoperative oral frailty, assessed by the Oral Frailty Index-8 (OFI-8), is associated with dysphagia and to determine the optimal OFI-8 cutoff for predicting it.</p><p><strong>Methods: </strong>This single-centre retrospective cohort study included 130 patients ≥ 65 years with hip fractures. Preoperative oral frailty was assessed using OFI-8. Dysphagia at discharge was defined as a Functional Oral Intake Scale score ≤ 5. Logistic regression analysis with Firth's penalised likelihood method was performed to evaluate associations between dysphagia risk and both oral frailty status (present/absent) and OFI-8 scores. Receiver operating characteristic (ROC) analysis was conducted to determine the optimal OFI-8 cutoff.</p><p><strong>Results: </strong>Dysphagia was observed in 10.0% (13/130) of the patients. None of the patients without oral frailty developed dysphagia, whereas 13.8% of those with oral frailty did (p = 0.019). Higher OFI-8 scores were significantly associated with increased dysphagia risk (odds ratio = 1.81; 95% confidence interval [CI]: 1.27-2.98; p < 0.001). ROC analysis identified an OFI-8 cutoff of 7, with an area under the curve of 0.886, sensitivity 92.3%, and specificity 72.6%. Severe oral frailty (OFI-8 ≥ 7) was strongly associated with dysphagia (odds ratio = 13.35; 95% CI: 2.80-130.87; p < 0.001).</p><p><strong>Conclusion: </strong>Higher OFI-8 scores and severe oral frailty are independently associated with dysphagia risk.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225712","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}
引用次数: 0
Re: "Saghafi E. et al. Risk and Health Factors for Temporomandibular Disorders Following Radiotherapy for Head and Neck Cancer". 回复:“Saghafi E. et al.”头颈癌放疗后颞下颌紊乱的危险和健康因素”。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-03 DOI: 10.1111/joor.70073
Efsun Somay, Erkan Topkan, Sibel Bascil, Ugur Selek
{"title":"Re: \"Saghafi E. et al. Risk and Health Factors for Temporomandibular Disorders Following Radiotherapy for Head and Neck Cancer\".","authors":"Efsun Somay, Erkan Topkan, Sibel Bascil, Ugur Selek","doi":"10.1111/joor.70073","DOIUrl":"https://doi.org/10.1111/joor.70073","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213069","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}
引用次数: 0
Mandibular Advancement Device Improves the Function of Hypoglossal Nerve in OSA Rabbits. 下颌推进装置对OSA兔舌下神经功能的改善。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-03 DOI: 10.1111/joor.70060
Xing Qiao, Dechao Zhu, Xiaoyi Wang, Chunyan Liu, Zuo Zhang, Peipei Zhang, Haiyan Lu
{"title":"Mandibular Advancement Device Improves the Function of Hypoglossal Nerve in OSA Rabbits.","authors":"Xing Qiao, Dechao Zhu, Xiaoyi Wang, Chunyan Liu, Zuo Zhang, Peipei Zhang, Haiyan Lu","doi":"10.1111/joor.70060","DOIUrl":"https://doi.org/10.1111/joor.70060","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the interaction between the motor endplate of the genioglossus and the hypoglossal nerve in an obstructive sleep apnea (OSA) model and explores the mechanism of mandibular advancement devices (MAD) in treating OSA.</p><p><strong>Methods: </strong>18 male New Zealand white rabbits were randomly divided into three groups-control, OSA and MAD (n = 6 each). OSA was induced in the OSA and MAD groups by injecting gel into the soft palate. The MAD group received MAD treatment. Cone-beam computed tomography (CBCT) and polysomnography (PSG) confirmed MAD efficacy. Rabbits underwent 2 h of sleep induction daily for 8 weeks. Electrophysiological signals of the genioglossus and hypoglossal nerve were recorded. Morphological assessments of nerve fibres and motor endplates used gold chloride, acetylcholine and haematoxylin-Eosin (HE) staining. Immunofluorescence and acetylcholinesterase (AChE) staining evaluated nerve conduction.</p><p><strong>Results: </strong>OSA symptoms were successfully induced and reversed by MAD. Structural and functional impairments of the hypoglossal nerve and motor endplates in the OSA group were alleviated by MAD, improving nerve impulse conduction and muscle function.</p><p><strong>Conclusions: </strong>MAD treatment mitigates OSA-induced damage to the hypoglossal nerve and genioglossus motor endplates, enhancing structure and function.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225719","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}
引用次数: 0
Ethnic Variations in Temporomandibular Disorder Symptoms, Oral Behaviours, Personality Traits, and Psychosocial Profiles Among Young Adults: Insights From a Comparative Analysis. 年轻人颞下颌障碍症状、口腔行为、人格特征和社会心理特征的种族差异:来自比较分析的见解
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-10-03 DOI: 10.1111/joor.70067
Adrian Ujin Yap, Siew Wui Chan, Abd Aziz Alias, Nur Hafizah Hanem Binti Zubair, Jamaludin Marhazlinda, Kathreena Kadir, Zuraiza Mohamad Zaini
{"title":"Ethnic Variations in Temporomandibular Disorder Symptoms, Oral Behaviours, Personality Traits, and Psychosocial Profiles Among Young Adults: Insights From a Comparative Analysis.","authors":"Adrian Ujin Yap, Siew Wui Chan, Abd Aziz Alias, Nur Hafizah Hanem Binti Zubair, Jamaludin Marhazlinda, Kathreena Kadir, Zuraiza Mohamad Zaini","doi":"10.1111/joor.70067","DOIUrl":"https://doi.org/10.1111/joor.70067","url":null,"abstract":"<p><strong>Background: </strong>Although psychosocial and behavioural factors in temporomandibular disorders (TMDs) are well documented, ethnic variations remain underexplored, particularly within multiracial populations.</p><p><strong>Objectives: </strong>This study aimed to compare TMD symptoms, oral behaviours, and psychosocial characteristics across ethnic groups, examine interrelationships between physical-psychosocial variables, and identify factors influencing TMD pain and oral behaviours in young adults.</p><p><strong>Methods: </strong>Participants, recruited from a large public university, completed an online survey comprising sociodemographic information, the Five TMD Symptoms screener, Short-form Fonseca Anamnestic Index, Oral Behaviour Checklist, Big-Five Personality Inventory-10, Patient Health Questionnaire-4, and 15. Data were evaluated using the Chi-square test, non-parametric tests/correlation, and logistic regression (α = 0.05).</p><p><strong>Results: </strong>The study included 766 individuals (mean age: 21.1 [SD 1.8]; 65.8% women) with an ethnic distribution of 58.4% Malay (M), 36.2% Chinese (C), and 5.5% Indian (I). Of these, 34.1% reported no TMD symptoms, while 8.5%, 29.1%, and 28.3% had intra-articular, pain-related, and combined symptoms, respectively. Moderate-to-severe psychological distress affected 21.3%, and 16.6% experienced moderate-to-severe somatization. No significant differences were found in TMD symptom type/severity or frequency of oral behaviours. However, notable variations in personality traits, psychological distress (I/M > C; p = 0.018), and somatization (M > C; p = 0.001) were observed among the three ethnic groups. Moderate correlations were detected between oral behaviours, psychological distress, and somatization (rs = 0.42-0.53).</p><p><strong>Conclusions: </strong>In young adults, both TMD pain and high oral overuse behaviour are linked to psychological distress (ORs < 1.19) and somatization (ORs < 1.14). Ethnicity was not independently associated but may still hold relevance in multicultural contexts.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212986","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}
引用次数: 0
Temporomandibular Disorders in Adolescents and Adults With Different Disc-Condyle Relationships: A Longitudinal Comparative Study. 具有不同椎间盘-髁关系的青少年和成人颞下颌疾病:一项纵向比较研究。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-09-26 DOI: 10.1111/joor.70066
Wei Liu, Zuping Wu, Yiming Hu, Yilin Chen, Chenyu Wang, Ying Wang, Jiejun Shi
{"title":"Temporomandibular Disorders in Adolescents and Adults With Different Disc-Condyle Relationships: A Longitudinal Comparative Study.","authors":"Wei Liu, Zuping Wu, Yiming Hu, Yilin Chen, Chenyu Wang, Ying Wang, Jiejun Shi","doi":"10.1111/joor.70066","DOIUrl":"https://doi.org/10.1111/joor.70066","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) primarily affect adolescents and young adults, with potentially distinct risks and clinical outcomes. However, most studies focus on a single age group, and the lack of comparative research hinders clinical decisions regarding optimal intervention timing and treatment strategies.</p><p><strong>Objectives: </strong>This study aims to investigate temporomandibular joint bony structural changes in adolescents and adults with anterior disc displacement with reduction (ADDwR) or without reduction (ADDwoR) using Cone-Beam Computed Tomography (CBCT).</p><p><strong>Methods: </strong>A total of 99 TMD patients (54 adolescents, 45 adults) with no history of TMD treatment were included, all of whom had undergone two CBCT scans with an average follow-up of 11.30 ± 1.68 months. Condylar morphological and positional indicators were measured, and condylar bone changes were evaluated using a scoring system.</p><p><strong>Results: </strong>Significant changes were observed in adolescents, with the ADDwR group showing increased condylar volume and surface area but a reduced morphological index, accompanied by bone changes that showed minimal progression during the observation period, while the ADDwoR group showed reductions in most morphological parameters and progressively worsening bone changes. Dynamic shifts in condylar position were also noted in adolescents, with the ADDwR group showing an increase in posterior positioning, while the ADDwoR group shifted towards the central position. In adults, both ADDwR and ADDwoR groups demonstrated condylar morphology and position that remained largely unchanged over the observation period, with a tendency towards relieved bone destruction indicating potential for bone repair.</p><p><strong>Conclusion: </strong>These findings underscore distinct progression patterns across age groups and ADD subtypes, supporting the need for stratified TMD treatment.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176112","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}
引用次数: 0
The Effect of Tongue Vibration Exercise Combined With Oromotor Training on Tongue Function in Older Adults. 舌振动训练结合口腔运动训练对老年人舌功能的影响。
IF 4 3区 医学
Journal of oral rehabilitation Pub Date : 2025-09-26 DOI: 10.1111/joor.70063
Yi-Jen Chen, Chia-Hui Chueh, Tzu-Hui Chiang, Chia-Ling Lee, Ko-Long Lin, Chia-Hsin Chen
{"title":"The Effect of Tongue Vibration Exercise Combined With Oromotor Training on Tongue Function in Older Adults.","authors":"Yi-Jen Chen, Chia-Hui Chueh, Tzu-Hui Chiang, Chia-Ling Lee, Ko-Long Lin, Chia-Hsin Chen","doi":"10.1111/joor.70063","DOIUrl":"https://doi.org/10.1111/joor.70063","url":null,"abstract":"<p><strong>Background: </strong>Vibration can stimulate the neuromuscular system through various frequencies and amplitudes, leading to increased muscle strength. Therefore, by applying vibration to the tongue, we anticipate that tongue vibration exercise will effectively enhance tongue muscle strength, similar to the effects of local vibration.</p><p><strong>Objectives: </strong>This study assessed the effectiveness of tongue vibration exercises in healthy older individuals to improve tongue function, focusing on increasing tongue muscle strength and oral motor coordination.</p><p><strong>Methods: </strong>The study encompassed 50 participants aged more than 65 years, segregated into an experimental group and a control group. The experimental group comprised 37 participants, while the control group consisted of 13 participants. The experimental group participated in a 12-week tongue vibration exercise training. The control group received a home programme for oromotor exercise. Both groups received assessments at baseline and after intervention, which included measurements of tongue muscle strength, labial muscle strength, tongue length, mouth opening distance, and tongue diadochokinetic rate.</p><p><strong>Results: </strong>The experimental group demonstrated a significant improvement in tongue muscle strength (p < 0.0001), and the between-group difference in tongue muscle strength after 12 weeks of training also showed a significant difference (p = 0.0003).</p><p><strong>Conclusion: </strong>Tongue vibration exercise training was effective in enhancing tongue muscle strength among healthy older individuals. This suggests that tongue vibration exercise may help preserve tongue strength in older adults, which could support oral motor function and reduce the risk of age-related functional decline.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149507","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}
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