{"title":"From Cyberchondria to Temporomandibular Disorders: How Somatic Symptoms and Anxiety Bridge the Gap.","authors":"Zhiwei Cao, Yanyu Sun, Houpeng Li, Chen Lin, Hui Loon Wong, Hongyu Ming, Po-Kam Wo, Jun Wang, Xin Xiong","doi":"10.1111/joor.14041","DOIUrl":"https://doi.org/10.1111/joor.14041","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to explore the potential association among cyberchondria, self-reported temporomandibular disorders (TMDs), somatic symptoms and anxiety, and verify the chain mediating effect of somatic symptoms and anxiety between cyberchondria and self-reported TMDs.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among community dwellers. A total of 531 participants, ranging in age from 18 to 50 years, were included. They all completed self-report measures of demographic information, the quintessential five TMDs symptoms (5Ts), the somatic symptom scale-8 (SSS-8), the 7-item Generalised Anxiety Disorder Questionnaire (GAD-7) and the short-form version of the cyberchondria severity scale (CSS-12). Statistical analyses were conducted using SPSS, Origin 2021 and Mplus.</p><p><strong>Results: </strong>The CSS-12 score was higher in participants with self-reported TMDs (p < 0.05). Having systemic diseases, a higher education level, somatic symptoms burden, anxiety and a high level of cyberchondria were significantly linked to self-reported TMDs (p < 0.05). Mediation analysis revealed that cyberchondria has a direct effect on self-reported TMDs (β = 0.129; 95% CI 0.026-0.232). Somatic symptoms burden (β = 0.073; 95% CI 0.031-0.115) and anxiety (β = 0.041; 95% CI 0.010-0.071) respectively mediated the association between cyberchondria and self-reported TMDs. Additionally, somatic symptoms burden and anxiety collectively exhibit a chain mediation effect (β = 0.031; 95% CI 0.005-0.058).</p><p><strong>Conclusions: </strong>Cyberchondria is associated with self-reported TMDs, mediated by somatic symptoms burden and anxiety. Cyberchondria can both directly and indirectly affect self-reported TMDs. Preventing cyberchondria may be beneficial for reducing the somatic symptoms burden and anxiety associated with self-reported TMDs.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127946","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}
Akira Okubo, Takanori Tsujimura, Rumi Ueha, Taku Suzuki, Eri Takei, Anna Sasa, Yuhei Tsutsui, Yuta Nakajima, Jin Magara, Makoto Inoue
{"title":"The Instruction of Chewing Well Affects Masticatory Activity and Bolus Flow During Rice Chewing in Healthy Humans.","authors":"Akira Okubo, Takanori Tsujimura, Rumi Ueha, Taku Suzuki, Eri Takei, Anna Sasa, Yuhei Tsutsui, Yuta Nakajima, Jin Magara, Makoto Inoue","doi":"10.1111/joor.14034","DOIUrl":"https://doi.org/10.1111/joor.14034","url":null,"abstract":"<p><strong>Background: </strong>Chewing well (CW) is widely recommended for general health.</p><p><strong>Objective: </strong>The study aimed to consider what healthy participants associated with the instruction of 'CW' and to investigate the effects of CW on masticatory activity and bolus flow during rice chewing.</p><p><strong>Methods: </strong>Twenty-six healthy participants ate 8, 12 and 16 g of steamed rice with barium sulphate under the following two instructions: chewing freely and CW. We investigated the masticatory muscle activity by electromyography (EMG) and the bolus flow by videofluoroscopy. A paired t-test or Wilcoxon signed-rank test was used to analyse data.</p><p><strong>Results: </strong>All participants associated the 'CW' instruction with 'chewing for a long time'. CW shortened the masseter (Mas) EMG burst duration per chewing cycle (p < 0.001). At 8 and 12 g, CW decreased the suprahyoid (Shy) EMG activity per chewing cycle (p < 0.05) and increased the ratio of valleculae and hypopharyngeal time (VHT) to chewing time (p < 0.01). CW increased the chewing rate in the VHT for 8 and 12 g (p < 0.05) and in the processing time for 16 g (p < 0.05) in the participants who reached the food bolus in the valleculae area during chewing.</p><p><strong>Conclusion: </strong>CW decreased the Mas activity during chewing at all volumes, while its effects on the Shy activity and bolus flow during chewing depended on the mouthful volume. CW increased the chewing rate in the final stage for the small and medium volumes, and in the early stage for the large volume.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127977","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":"Association of Number of Teeth Present With Nutrient Intake and Food Group Consumption.","authors":"Mayuka Asaeda, Rumi Nishimura, Shino Suma, Mineko Tsukamoto, Yuka Kadomatsu, Yoko Kubo, Rieko Okada, Mako Nagayoshi, Takashi Tamura, Asahi Hishida, Kenji Takeuchi, Chiho Goto, Nahomi Imaeda, Kenji Wakai, Nishiki Arimoto, Tomoko Maehara, Mariko Naito","doi":"10.1111/joor.14011","DOIUrl":"https://doi.org/10.1111/joor.14011","url":null,"abstract":"<p><strong>Background: </strong>Several studies have examined the impact of tooth loss on nutrient intake, yielding mixed results.</p><p><strong>Objectives: </strong>This cross-sectional study aimed to investigate the association among the number of teeth present, nutrient intake and food group consumption in Japanese adults with no history of the four major diseases (diabetes, cancer, heart disease and stroke).</p><p><strong>Methods: </strong>Data were obtained from the baseline survey of the Japan Multi-Institutional Collaborative Cohort study conducted in the Shizuoka and Daiko areas. Participants completed a self-administered questionnaire on their number of teeth, medical history (diabetes, cancer, heart disease and stroke), education level, employment status and lifestyle factors, such as diet, smoking history and exercise habits. The number of teeth was classified into four groups: 0 teeth, 1-19 teeth, 20-27 teeth and 28-32 teeth.</p><p><strong>Results: </strong>A total of 8912 individuals included in the analysis had a mean age ± SD of 51.7 ± 9.5 years, with women accounting for 53.6% of the total. In adult men, the number of teeth was negatively associated with the intake of vitamin D, n-3 highly unsaturated fatty acid intake and seafood, while in women, bread consumption was positively associated with the number of teeth.</p><p><strong>Conclusions: </strong>These findings suggest that the number of teeth is independently associated with poor nutritional status in Japanese adults with no history of the four major diseases.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094116","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}
Ricardo de Souza Tesch, Rosana Bizon Vieira Carias, Thayanne Brasil Barbosa Calcia, Priscila Grion de Miranda Borchio, Esther Rieko Takamori
{"title":"Redefining Clinical Trials on Regenerative Therapies to Target Responsiveness in Temporomandibular Joint Osteoarthritis Treatment.","authors":"Ricardo de Souza Tesch, Rosana Bizon Vieira Carias, Thayanne Brasil Barbosa Calcia, Priscila Grion de Miranda Borchio, Esther Rieko Takamori","doi":"10.1111/joor.14012","DOIUrl":"https://doi.org/10.1111/joor.14012","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint osteoarthritis (TMJ-OA) presents a significant clinical challenge, marked by limited therapeutic options and variable patient responses. While regenerative therapies show promising results, conventional clinical trial methodologies often fail to demonstrate a significant clinical difference, largely due to response variabilities, which is critical in complex conditions like TMJ-OA. As such, methodologies traditionally used in clinical trials for regenerative therapies targeting TMJ-OA may need to be restructured to better identify and accommodate the distinctive profiles of responders and non-responders.</p><p><strong>Objective: </strong>This paper proposes a revised clinical trial framework that focuses on differentiating responders from non-responders within treatment groups, rather than relying solely on traditional control groups.</p><p><strong>Methods: </strong>Analysing non-responders provides valuable insights for therapeutic individualisation and optimises patient selection, as understanding predictive factors can lead to improved outcomes. We present recommendations that integrate imaging diagnostics, chronic pain characteristics, and psychosocial assessments, offering a novel approach to enhance efficacy of TMJ-OA treatment.</p><p><strong>Conclusion: </strong>This work advocates for a re-evaluation of standard clinical trial designs to support more personalised and effective strategies for the management of TMJ-OA.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094124","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}
Han Qin, Yifan Liu, Hui Miao, Tao Wang, Xiaohua Chen, Lei Lu, Mian Zhang, Hongyun Zhang, Jing Zhang, Shaoxiong Guo, Shibin Yu
{"title":"Comparative Efficacy of Digital 3D-Printed and Conventional Stable Occlusal Splints in the Treatment of Temporomandibular Disorders.","authors":"Han Qin, Yifan Liu, Hui Miao, Tao Wang, Xiaohua Chen, Lei Lu, Mian Zhang, Hongyun Zhang, Jing Zhang, Shaoxiong Guo, Shibin Yu","doi":"10.1111/joor.14032","DOIUrl":"https://doi.org/10.1111/joor.14032","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMD) are a group of diseases that affect the temporomandibular joint (TMJ), masticatory muscles and associated structures.</p><p><strong>Objective: </strong>This present study aims to explore the clinical comparative efficacy of digital 3D-printed and conventional handmade stable occlusal splints in the treatment of TMD and provide evidence for clinical promotion.</p><p><strong>Methods: </strong>A total of 130 patients diagnosed with TMD using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) were recruited and randomly assigned to two groups. One group received conventional handmade occlusal splints, while the other group received digital 3D-printed splints. The treatment efficacy, craniomandibular index scores and splint fabrication time were compared between the two groups at follow-up.</p><p><strong>Results: </strong>The findings indicated that digital 3D-printed stable occlusal splints offered comparable efficacy and satisfaction levels to traditional stabilisation splints while significantly cutting down on production time and enhancing overall efficiency. This study demonstrated that the use of fully digital technology, including digital intraoral scanning, virtual adjustments, computer-aided design and 3D printing, in fabricating occlusal splints for TMD patients not only maintained therapeutic effectiveness but also streamlined the production process.</p><p><strong>Conclusions: </strong>Digital 3D-printed stable occlusal splints can not only alleviate TMD symptoms as effectively and satisfactorily as the conventional handmade stable splint, but also reduce production time and improve accuracy and efficiency, promising good clinical application prospects.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094117","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}
Ömer Hatipoğlu, Ömer Yıldırım, Fatma Pertek Hatipoğlu
{"title":"Impact of Gastroesophageal Reflux Disease on Salivary Flow Rate, pH and Buffer Capacity: A Systematic Review and Meta-Analysis.","authors":"Ömer Hatipoğlu, Ömer Yıldırım, Fatma Pertek Hatipoğlu","doi":"10.1111/joor.14025","DOIUrl":"https://doi.org/10.1111/joor.14025","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review and meta-analysis aimed to assess the impact of gastroesophageal reflux disease (GERD) on salivary parameters, including salivary pH (SpH), stimulated salivary flow rate (SSFR), unstimulated salivary flow rate (USFR), and salivary buffer capacity (SBC).</p><p><strong>Methods: </strong>A thorough review of the literature was carried out across various databases, following rigorous inclusion and exclusion criteria. Studies that focused on patients with GERD and assessed the specified salivary parameters were included. The data was synthesised and analysed using standard meta-analytical techniques.</p><p><strong>Results: </strong>The meta-analysis included 21 studies. GERD patients exhibited significantly lower SpH (MD = -0.18, 95% CI: -0.34 to -0.02), SSFR (MD = -0.35, 95% CI: -0.51 to -0.18), and SBC (MD = -0.43, 95% CI: -0.67 to -0.19) compared to healthy controls. No significant reduction was observed in USFR (MD = -0.10, 95% CI: -0.25 to 0.05). Subgroup analyses indicated significant reductions in SpH, SSFR, and SBC in both Reflux Esophagitis and Non-Erosive Reflux Disease groups. Proton pump inhibitor usage was associated with further reductions in SpH (MD = -0.22, 95% CI: -0.37 to -0.06) and SBC (MD = -0.54, 95% CI: -0.80 to -0.27), but did not significantly impact USFR. Excluding studies with high and moderate risk of bias confirmed the robustness of the significant reductions.</p><p><strong>Conclusions: </strong>While GERD may reduce SpH, SSFR, and SBC, the evidence supporting these conclusions is uncertain due to inherent weaknesses in the existing studies. Regular monitoring of these parameters is essential for effective oral health management in patients diagnosed with GERD.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094120","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}
Mai Ahmed Haggag, Christine Raouf Micheal Ibrahim, Soaad Tolba Badawy
{"title":"Psychological and Clinical Outcomes After Splint Therapy With Versus Without Doctor-Patient Communication Concept in the Management of TMDs: A Randomised Controlled Clinical Trial.","authors":"Mai Ahmed Haggag, Christine Raouf Micheal Ibrahim, Soaad Tolba Badawy","doi":"10.1111/joor.14005","DOIUrl":"https://doi.org/10.1111/joor.14005","url":null,"abstract":"<p><strong>Background: </strong>Splint therapy is a common treatment approach for temporomandibular disorders (TMDs), but the role of doctor-patient communication in enhancing therapeutic outcomes remains underexplored.</p><p><strong>Purpose: </strong>This study aimed to assess the impact of integrating a structured doctor-patient communication concept with splint therapy on psychological and clinical outcomes and patient satisfaction in managing TMDs.</p><p><strong>Study design: </strong>A randomised clinical trial was conducted on patients diagnosed with TMDs at the Oral and Maxillofacial Surgery Department Clinics, Mansoura University. 435 participants were randomised into two groups: the control group (splint therapy alone) and the study group (splint therapy combined with doctor-patient communication).</p><p><strong>Main outcome variables: </strong>The psychological distress evaluated using the Depression Anxiety Stress Scale-10 (DASS-10) and clinical outcomes, including intra-articular pain, unassisted maximal interincisal mouth opening, joint sounds and muscular pain, were measured at baseline (before intervention) and 6 months post-intervention. Patient satisfaction was analysed based on overall clinical satisfaction and postoperative expectations at 6 and 12 months after the intervention.</p><p><strong>Results: </strong>Significant improvements in clinical and psychological outcomes were observed within both groups at 6 months compared to baseline (p < 0.001). The study group showed significantly improved anxiety and stress levels (p < 0.001), better clinical outcomes (p < 0.01), higher overall clinical satisfaction and better alignment with postoperative expectations at 6 months (p < 0.001) compared to the control group.</p><p><strong>Conclusion: </strong>Integrating a structured doctor-patient communication concept with splint therapy significantly enhances psychological and clinical outcomes in managing TMDs, particularly enhancing long-term satisfaction and alignment with postoperative expectations.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov ID: NCT06783530. First Posted Date: 01/09/2025. Last Update Posted 01/14/2025. Retrospectively registered.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094122","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}
Juliana de Castro Godinho, Mariana Marinho Davino de Medeiros, Guilherme Almeida Borges, Marcelo Ferraz Mesquita, Lucianne Cople Maia, Renata Cunha Matheus Rodrigues Garcia
{"title":"Impact of Complete Denture Use on Swallowing Function of Older Adults: A Systematic Review and Meta-Analysis.","authors":"Juliana de Castro Godinho, Mariana Marinho Davino de Medeiros, Guilherme Almeida Borges, Marcelo Ferraz Mesquita, Lucianne Cople Maia, Renata Cunha Matheus Rodrigues Garcia","doi":"10.1111/joor.14004","DOIUrl":"https://doi.org/10.1111/joor.14004","url":null,"abstract":"<p><strong>Background: </strong>The use of complete dentures (CDs) in edentulous individuals causes changes in the oral cavity and pharynx, potentially beneficially affecting swallowing function.</p><p><strong>Objective: </strong>This systematic review and meta-analysis aimed to evaluate the immediate effects of CDs use on the swallowing function of older adults.</p><p><strong>Methods: </strong>According to the PICO framework, the search strategy was applied in six databases, grey literature and trials registration databases to retrieve clinical trials comparing the swallowing function of older adults with and without CDs. Data were extracted, and the risk of bias was assessed using the Risk of Bias in Non-randomised Studies of Interventions (ROBINS-I) tool. Standard mean difference (SMD) and 95% confidence intervals (95% CI) were used in meta-analyses for hyoid, laryngeal and mandible displacements, oral (OTT) and pharyngeal transit time (PTT), posterior pharyngeal wall (PPW), upper oesophageal sphincter (UES) and tongue pressure (α = 0.05).</p><p><strong>Results: </strong>Ten articles were included in the systematic review. Videofluorography was the swallowing assessment method most used (n = 5). Most studies (n = 4) had a low risk of bias. Meta-analyses showed higher laryngeal displacement in horizontal (SMD = 0.30; 95% CI = 0.05-0.56) and vertical (SMD = 0.38; 95% CI = 0.06-0.69) directions, mandible displacement in the horizontal direction (SMD = 0.55; 95% CI = 0.22-0.89), and PPW contraction (SMD = 0.33; 95% CI = 0.07-0.58) without CDs than with CDs (p < 0.05). No significant differences were found for mandible displacement in the vertical direction, UES opening, OTT, PTT and tongue pressure (p > 0.05).</p><p><strong>Conclusion: </strong>The use of CDs seems to restore the swallowing function among edentulous older adults in terms of laryngeal and mandible displacement, and PPW contraction.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094119","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}
Aurora Manfredini, Ovidiu Ionut Saracutu, Charles S Greene, Marco Ferrari, Daniele Manfredini
{"title":"Patient Experiences With Temporomandibular Disorders: A Survey on the Pathways in Diagnosis and Treatment.","authors":"Aurora Manfredini, Ovidiu Ionut Saracutu, Charles S Greene, Marco Ferrari, Daniele Manfredini","doi":"10.1111/joor.13993","DOIUrl":"https://doi.org/10.1111/joor.13993","url":null,"abstract":"<p><strong>Background: </strong>Despite the availability of evidence-based guidelines on temporomandibular disorders (TMD), some past theories of TMD aetiology, diagnosis and treatment are still diffused among clinical practitioners.</p><p><strong>Objective(s): </strong>The study aims to gather and analyse patient experiences and outcomes related to their seeking care for TMD symptoms.</p><p><strong>Methods: </strong>In November 2023, a survey to collect comprehensive data on patients' diagnostic journeys, treatment experiences, and outcomes was distributed through online platforms and TMD patient support groups in a variety of countries. Correlation between different variables was assessed and comparisons were made between patients with a different history of treatment-seeking experiences.</p><p><strong>Results: </strong>A total of 153 participants filled out the survey. Of them, 31.4% (N = 48) needed to consult two or three professionals, while some of them saw up to four or five (N = 27, 17.6%). Moreover, patients experienced a wide range of pain duration time before receiving a diagnosis. Almost one-third of patients were in pain for more than one year (N = 43, 28.1%), and a remarkable number never received appropriate care (N = 30, 19.6%). Additionally, those patients who saw one or more dentists who emphasised abnormalities of dental occlusion or jaw position ended up consulting significantly more health providers before receiving a diagnosis than those who did not have that experience (p = 0.0062).</p><p><strong>Conclusion: </strong>There is a need to better implement knowledge about TMDs among health-care providers, starting from improving the quality of education at the university course level and continuing into various post-graduate educational offerings.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078778","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}