Journal of oral rehabilitation最新文献

{"title":"Patient Adherence to Splint Therapy and Counselling Programmes in Temporomandibular Disorders: Development and Validation of a New Questionnaire","authors":"Soaad Tolba Badawy, Amal T. Badawi, Mai Ahmed Haggag","doi":"10.1111/joor.70153","DOIUrl":"10.1111/joor.70153","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adherence to conservative treatments is essential for optimal outcomes in temporomandibular disorder (TMD) patients, yet validated tools for measuring adherence are lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to develop and validate a bilingual (Arabic–English) questionnaire to comprehensively assess adherence among TMD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Design, Setting, Sample</h3>\u0000 \u0000 <p>A cross-sectional, observational, five-phase design was conducted at the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University (Egypt). The study included a pilot sample of 60 TMD patients and a psychometric evaluation sample of 300 patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Exposure</h3>\u0000 \u0000 <p>The exposure was adherence behaviour, measured by a newly developed 50-item, 11-domain adherence questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Variable(s)</h3>\u0000 \u0000 <p>The primary outcomes were psychometric properties of the questionnaire, including content validity, internal consistency, test–retest reliability and construct validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Covariates</h3>\u0000 \u0000 <p>Patient language version (Arabic or English) was considered to examine potential influences on questionnaire performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Analyses</h3>\u0000 \u0000 <p>Content validity was assessed using Item-Content Validity Index (I-CVI) and Content Validity Ratio (CVR). Reliability was evaluated with Cronbach's <i>α</i> and intra-class correlation coefficient (ICC). Construct validity was examined with exploratory factor analysis (EFA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final 50-item, 11-domain questionnaire demonstrated strong content validity. Internal consistency was acceptable for both Arabic (Cronbach's <i>α</i> = 0.70) and English (<i>α</i> = 0.68) versions. Test–retest reliability was good (ICC = 0.762–0.898; <i>p</i> < 0.001). EFA confirmed 11 domains, accounting for 61.5% of variance in Arabic and 64.73% in English.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Relevance</h3>\u0000 \u0000 <p>The Badawy and Haggag Adherence Questionnaire for TMD demonstrated strong validity and reliability across Arabic and English versions. It provides a robust clinical a","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"988-998"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041080","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":"Comparative Analysis of Oral Hypofunction in Community-Dwelling Adults in Japan and Clinic-Recruited Community-Dwelling Adults in Switzerland: A Cross-Sectional Study","authors":"Risako Mikami, Matsuo Koichiro, Lisa Takeshita, Misaki Tanaka, Claudio Rodrigues Leles, Dusit Nantanapiboon, Rena Hidaka, Manabu Kanazawa, Murali Srinivasan","doi":"10.1111/joor.70144","DOIUrl":"10.1111/joor.70144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral hypofunction (OHF) is a multidimensional condition representing a subclinical decline in oral function. Cross-national comparisons using standardised criteria remain limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to compare the prevalence and characteristics of OHF among community-dwelling adults in Japan and Switzerland and to examine age-related patterns using standardised assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in community settings in Japan (153 participants) and in a university dental clinic in Switzerland (117 participants). OHF assessments were performed between May 2023 and January 2024 in Japan and between December 2023 and January 2024 in Switzerland. Data were collected by trained and calibrated examiners from both countries following standardised protocols. OHF was diagnosed when three or more of the seven oral function domains, including oral hygiene, oral dryness, occlusal force, tongue-lip motor function, tongue pressure, masticatory function, and swallowing function, were impaired. Multiple logistic regression analyses were performed with OHF as the outcome after adjusting for country, age, and covariates. Interactions between country and age were also investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of OHF was 30.7% in Japanese participants and 49.6% in Swiss participants (<i>p</i> = 0.002). The Swiss participants demonstrated significantly better oral hygiene (<i>p</i> < 0.001), while the Japanese participants showed better tongue pressure (<i>p</i> = 0.026), lip-tongue motor function (<i>p</i> < 0.001), maximum occlusal force (<i>p</i> = 0.002), and masticatory function (<i>p</i> < 0.001). In logistic regression, OHF was associated with Swiss nationality (odds ratio [OR]: 3.85, 95% confidence interval [CI]: 1.85–8.00, <i>p</i> < 0.001), age ≥ 70 years (OR: 5.73, 95% CI: 1.67–19.68, <i>p</i> = 0.006, compared to those in their 20s), lower hand grip strength (OR: 0.91, 95% CI: 0.87–0.96, <i>p</i> = 0.001), and fewer teeth (OR: 0.94, 95% CI: 0.89–0.98, <i>p</i> = 0.008). A significant interaction between country and age indicated differing age-related OHF progression between the Japanese and Swiss populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both populations exhibited age-related declines in oral function; however, functional impairment was more preva","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"960-971"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fractal and Morphometric Analysis of Mandibular Bone in Individuals With Bruxism: A Retrospective Cross-Sectional Study Using Panoramic Radiographs","authors":"Burak İncebeyaz,&nbsp;Hacer Eberliköse,&nbsp;Caner Öztürk,&nbsp;Hakan Alpay Karasu","doi":"10.1111/joor.70160","DOIUrl":"10.1111/joor.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Backgrounds</h3>\u0000 \u0000 <p>To assess cortical and trabecular bone modifications in the mandible of persons with and without bruxism by panoramic radiography-based fractal analysis and morphometric assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cross-sectional study examined panoramic radiographs of individuals diagnosed with bruxism and matched controls aged 18–50. Fractal dimension (FD) values were computed in three mandibular regions (condyle, molar, and angulus) utilising the box-counting method following image preprocessing. Morphometric measures, such as the antegonial index (AI) and antegonial notch depth (AND), were measured. The severity of bruxism was categorised using a four-tier (G0–G3) grading system predicated on the morphology of the mandibular angle. Statistical analyses were used to evaluate intergroup differences and geographical variations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The FD values in the condylar region were substantially lower in the bruxist group (1.29 ± 0.05) compared to the controls (1.31 ± 0.04; <i>p</i> = 0.015), indicating microstructural degradation. No substantial variations were observed in the molar and angulus areas. The AI in the bruxist group (2.19 ± 0.45 cm) was substantially lower than that of the control group (2.40 ± 0.41 cm; <i>p</i> = 0.002), whereas AND showed no significant difference. Subgroup analysis indicated that G3 bruxists exhibited the lowest condylar FD values, suggesting structural compromise in advanced cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Bruxism, especially in its more severe manifestations, may cause microarchitectural alterations in the mandibular trabecular bone, particularly in the condylar area. Fractal analysis and morphometric indices obtained from panoramic radiographs may function as supplementary, non-invasive methods for detecting bruxism-related bone changes in clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1018-1026"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086170","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":"Salivary Stress Biomarkers in Subjects With Temporomandibular Disorders (TMDs): A Meta-Analysis","authors":"Shailaja Raghavan,&nbsp;Faez Saleh Al-Hamed,&nbsp;Tayeb Al-Hadeethi,&nbsp;Mayar Danadneh,&nbsp;Elham S. Abu Alhaija","doi":"10.1111/joor.70154","DOIUrl":"10.1111/joor.70154","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stress is recognised as a contributing risk factor for temporomandibular disorders (TMDs), and salivary stress biomarker levels may be altered in such patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This systematic review aimed to assess the current evidence to determine the association between salivary stress biomarkers and temporomandibular disorders (TMDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Cochrane, Google Scholar and Scopus were searched. Case–control and cross-sectional studies exploring the association of salivary stress biomarkers in adult subjects with TMDs were included. A random effects model was used for quantitative data analysis. Risk-of-bias was assessed using the Newcastle–Ottawa Scale (NOS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 5319 studies, 16 studies met the eligibility criteria. All included studies were case–control studies; they included 549 TMD cases and 494 controls. Overall, TMD cases showed higher levels of morning unstimulated salivary cortisol compared to controls (SMD: 1.38, 95% CI: 0.40–2.36), whereas the level of evening cortisol between both groups was non-significant (SMD: 0.47, 95% CI: −0.00 to 0.95). Also, the qualitative results showed that the salivary oxidative-stress biomarker was increased in the TMD group compared to controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The level of morning salivary cortisol seems to be increased in patients with TMDs compared to controls. This may indicate an association of salivary stress biomarkers and TMDs, although the level of evidence is very low. Therefore, further standardised studies are required to support these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1065-1078"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165758","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":"Standardised Surface Electromyography During Clenching and Swallowing: Patient Perception and Comparison of Two Protocols","authors":"Giacomo Begnoni,&nbsp;Guy Willems,&nbsp;Sonia Coman,&nbsp;Julie De Vlieger,&nbsp;Isa den Boer,&nbsp;Lies Dekoster,&nbsp;Anke Vandeberg,&nbsp;Emilie Willems,&nbsp;Maria Cadenas de Llano-Pérula","doi":"10.1111/joor.70145","DOIUrl":"10.1111/joor.70145","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To compare standardised surface electromyography (ssEMG) data and patient perception between two EMG standardisation methods for clenching (cotton rolls vs. wax pads) and swallowing (with vs. without an air-filled bulb). The third aim was to analyse ssEMG data during saliva swallowing to detect differences among masseter (MM), temporalis (TM) and submental (SM) activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Electromyographic data were obtained from 45 participants after clenching tests with wax pads and cotton rolls, and swallowing tests with and without an air bulb. Participants rated comfort, quickness, and stress of each modality on a 10-point Likert scale. TM, MM and SM activities were recorded using ssEMG indices. Clenching and swallowing data were compared using the Student's <i>t</i>-test. A one-way ANOVA was used to assess muscle roles during saliva swallowing. Perception scores were compared with the Student's <i>t</i>-test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-five participants (37 women, mean age 22.75 ± 1.27 years) were included. No differences emerged between ssEMG indices during clenching and swallowing, except for the IMPACT index of MM (<i>p</i> &lt; 0.001) and TM (<i>p</i> &lt; 0.01), both lower with wax. No perception differences were found between wax and cotton roll clenching. Swallowing with an air bulb was rated as more comfortable (<i>p</i> &lt; 0.001) and less stressful (<i>p</i> &lt; 0.05). During swallowing, SM showed significantly higher activity and longer duration (<i>p</i> &lt; 0.001) than TM and MM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both cotton rolls and wax pads are suitable for clenching standardisation, though wax may reduce TM and MM activity. For swallowing, the air-filled bulb does not affect ssEMG indices but is perceived as more comfortable and less stressful.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"972-980"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998334","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":"The OMA-Project—Orofacial Myofunctional Behaviour in Adults: Effectiveness of Orofacial Myofunctional Therapy Protocols in Healthy Young Adults With Orofacial Myofunctional Disorders","authors":"Charis Van der Straeten,&nbsp;Jolien Verbeke,&nbsp;Kim Bettens,&nbsp;Guy De Pauw,&nbsp;Kristiane Van Lierde","doi":"10.1111/joor.70150","DOIUrl":"10.1111/joor.70150","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to assess the short- and long-term effectiveness of two intensive Orofacial Myofunctional Therapy (OMT) protocols on orofacial myofunctional status, orofacial strength and Oral Health Related Quality of Life (OHRQoL). One protocol focused exclusively on breathing patterns and orofacial posture (Breathing and Posture Only group; OMT&lt;sub&gt;BPO&lt;/sub&gt;), while the other also incorporated orofacial muscle strengthening and swallowing patterns (Breathing, Posture, Strength and Swallowing group; OMT&lt;sub&gt;BPSS&lt;/sub&gt;). Additionally, adherence to home-based exercises and satisfaction with OMT intervention were evaluated.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A convenience sample of 14 young adults was recruited and randomly allocated to one of the two therapy groups in this longitudinal, multigroup, pre-test—post-test study. Evaluations were conducted pre-OMT, immediately post-OMT, and at a 6-month follow-up. Each group (OMT&lt;sub&gt;BPO&lt;/sub&gt; and OMT&lt;sub&gt;BPSS&lt;/sub&gt;) consisted of 7 participants (mean age: 19.1 years, SD: 0.69 years; and 18.8 years, SD: 0.55 years, respectively). Besides a clinical assessment, orofacial myofunctional status was evaluated using the Orofacial Myofunctional Evaluation with Scores (OMES). Tongue and lip strength and endurance were measured with the Iowa Oral Performance Instrument (IOPI), and OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-NL14) questionnaire. Therapy satisfaction was evaluated using a custom questionnaire with visual analogue scales.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The linear mixed models analysis revealed no significant changes in OMES scores, orofacial strength and endurance or OHRQoL measures post-intervention or at follow-up. Generalised estimating equations analysis showed no immediate post-therapy improvements in tongue posture; however, both OMT&lt;sub&gt;BPO&lt;/sub&gt; (&lt;i&gt;p&lt;/i&gt; = 0.023) and OMT&lt;sub&gt;BPSS&lt;/sub&gt; (&lt;i&gt;p&lt;/i&gt; = 0.033) demonstrated significant improvements at follow-up. While descriptive analysis suggested improvements in swallowing patterns post-therapy and at follow-up, these changes were not statistically significant. The OMT&lt;sub&gt;BPSS&lt;/sub&gt; group showed a significantly higher adherence rate than the OMT&lt;sub&gt;BPO&lt;/sub&gt; group (&lt;i&gt;p&lt;/i&gt; = 0.026). Although therapy satisfaction was higher in the OMT&lt;sub&gt;BPSS&lt;/sub&gt; group, this difference was not statistically significant.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Within the limitations of this study, including a small sample size of healthy young adults, the findings suggest that an intensive 5-week OMT intervention may be sufficient to train motor ","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"945-959"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989705","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":"Psychological Features Associated With Awake Bruxism in Painful TMD: The Role of Anxiety","authors":"Dyanne Medina Flores,&nbsp;Samilla Pontes Braga,&nbsp;Giancarlo De La Torre Canales,&nbsp;Juliana Stuginski-Barbosa,&nbsp;Paulo César Rodrigues Conti","doi":"10.1111/joor.70158","DOIUrl":"10.1111/joor.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Awake bruxism (AB) is closely linked to psychological factors and commonly co-occurs with painful temporomandibular disorders (TMD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the role of anxiety comparing the frequency of AB behaviours, as well as levels of perceived stress, pain catastrophizing and depressive symptoms among patients with painful TMD, categorised by clinical anxiety levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 72 patients diagnosed with painful TMD were enrolled and classified into two groups based on <i>T</i>-scores derived from the Generalised Anxiety Disorder 7-item scale [GAD-7]: elevated symptoms of anxiety group (<i>T</i> ≥ 61): 30 and normative anxiety (<i>T</i> ≤ 60): 42. <i>T</i>-score calculations were based on a previously studied pain-free control group. AB behaviours were recorded through Ecological Momentary Assessment (EMA), and participants completed the Perceived Stress Scale [PSS], the Pain Catastrophizing Scale [PCS] and the Patient Health Questionnaire-9 [PHQ-9], alongside lifestyle assessment. Between-group comparisons and correlation analyses were conducted to evaluate associations between anxiety and clinical, behavioural and psychosocial outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients with elevated symptoms of anxiety exhibited higher total AB frequency (89%; 72.12%; <i>p</i> &lt; 0.002), particularly increased tooth clenching (26.90%; 13.48%; <i>p</i> &lt; 0.016). They also reported significantly higher clinical pain intensity (<i>p</i> &lt; 0.005), as well as elevated perceived stress (<i>p</i> &lt; 0.001), higher pain catastrophizing (<i>p</i> &lt; 0.032), especially helplessness (<i>p</i> &lt; 0.050) and rumination (<i>p</i> &lt; 0.47) and more severe depressive symptoms (<i>p</i> &lt; 0.002). No significant differences were seen between groups in physical activity, social engagement, alcohol drinking or smoking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings underscore that TMD patients with elevated clinical symptoms of anxiety exhibit significantly higher frequencies of AB, specifically tooth clenching, psychological distress and pain intensity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1009-1017"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146064348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Temporomandibular Disorders and Orofacial Pain Among Palestinian Adults in the Gaza Strip During the War","authors":"Naser Khayat,&nbsp;Baraa Daraqel,&nbsp;Muath Abu Baker,&nbsp;George Dahabreh,&nbsp;Ibrahim Ghannam,&nbsp;Haya Jaber,&nbsp;Mohammad Khayat","doi":"10.1111/joor.70161","DOIUrl":"10.1111/joor.70161","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Temporomandibular disorders (TMD) and orofacial pain (OFP) are influenced by behavioural and psychosocial stressors. The Gaza Strip's prolonged conflict provides a critical context for estimating burden and correlates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To estimate the prevalence of self-reported TMD/OFP symptoms and identify independent risk factors among adults in Gaza during wartime.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional survey of 1000 adults (500 women, 500 men) equally allocated across five governorates. A structured questionnaire captured self-reported facial/TMJ/ear pain, jaw function, parafunctional behaviours (e.g., bruxism, oral habits) and psychological symptoms (tension, mood, sleep) was used. Analyses used descriptive statistics, chi-square tests and multivariable logistic regression adjusted for sex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>TMD-related pain was reported by 33.1% (<i>n</i> = 331). Neck pain occurred in 41.0% and morning facial stiffness in 28.2%. In bivariate analyses, men more often reported jaw dysfunction (limited opening, chewing difficulty, joint sounds), while women more often reported psychological symptoms; sex was not an independent predictor. Independent predictors were morning facial stiffness (AOR 2.57–5.27 across frequency categories), limited mouth opening (AOR 3.03; 95% CI 1.75–5.28), joint noises (AOR 3.13; 95% CI 2.08–4.72), sleep bruxism (AOR 2.33; 95% CI 1.51–3.60) and daily somatic pain elsewhere (AOR 2.99; 95% CI 1.53–5.84). Gum chewing showed an inverse association (AOR 0.62–0.31). Tension, sadness, global sleep disturbance, daytime bruxism, smoking, alcohol use, orthodontic history and governorate were not independent predictors. The multivariable model showed good performance (AUC = 0.882; Nagelkerke's <i>R</i>² = 0.519).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>During active war, self-reported TMD and OFP symptoms are prevalent among adults in Gaza and are strongly associated with parafunctional habits and psychological distress, both potentially intensified by war-related stress. These findings underscore the need for integrated dental and mental health interventions in conflict-affected populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1036-1047"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113455","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 Personal Exploration of Oral Health in Amyotrophic Lateral Sclerosis (ALS) Through the Eyes of a Multifaceted Authority","authors":"Merel C. Verhoeff,&nbsp;Maurits K. A. van Selms,&nbsp;Frank Lobbezoo","doi":"10.1111/joor.70157","DOIUrl":"10.1111/joor.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objective</h3>\u0000 \u0000 <p>Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease that impairs motor function, including oral musculature, complicating oral hygiene and care. Despite its impact, oral health in ALS patients remains under-addressed. This personal scoping review explores oral health in ALS through the dual lens of Dr. Maurits K.A. van Selms—a dental researcher and ALS patient—highlighting care, research, and education priorities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted via email with Dr. van Selms, using a topic guide adapted from a prior personal scoping review. The interview covered personal experiences and professional insights into oral health care, research, and education in ALS. Responses were analysed and synthesised into thematic agendas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Dr. van Selms emphasised the neglect of oral hygiene in ALS care. He advocated for patient-informed, tailored guidelines based on functional capacity, interdisciplinary collaboration, and improved accessibility to dental services. In research, he called for ethically sensitive, patient-centered studies that reduce the burden of oral care. Educationally, he stressed the need for inclusive training across disciplines and stakeholder levels, promoting self-advocacy and awareness. Instructional materials, such as videos, were recommended to support caregivers and patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This personal scoping review underscores the importance of integrating oral health into ALS management. Dr. van Selms' unique perspective reveals gaps in care delivery, research ethics, and education, advocating for interdisciplinary collaboration and proactive guideline development. His insights offer a roadmap for improving oral health outcomes and quality of life in ALS and similar neurodegenerative conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1059-1064"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to ‘Physical, Psychological and Socio-Demographic Predictors Related to Patients' Self-Belief of Their Temporomandibular Disorders' Aetiology’","authors":"","doi":"10.1111/joor.70183","DOIUrl":"10.1111/joor.70183","url":null,"abstract":"<p>J. Chung, F. Lobbezoo, M. K. A. van Selms, T. Chattrattrai, G. Aarab, S. Mitrirattanakul. “Physical, Psychological and Socio-Demographic Predictors Related to Patients' Self-Belief of Their Temporomandibular Disorders' Aetiology,” <i>Journal of Oral Rehabilitation</i> 48 no. 2 (2021): 109–123, https://doi.org/10.1111/joor.13113.</p><p>In paragraph 1 of the ‘Materials and Methods’ section, the text ‘Ethical approval was granted from the Institutional Review Board, Faculty of Dentistry/Faculty of Pharmacy, Mahidol University (MU-DT/PY-IRB), under protocol 2019/DT025’ was incorrect. This should have read ‘Ethical approval was granted from the Institutional Review Board, Faculty of Dentistry/Faculty of Pharmacy, Mahidol University, COA.No.MU-DT/PY-IRB 2019/015.2603’.</p><p>We apologize for this error.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147372739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}