Journal of oral rehabilitation最新文献

{"title":"Jaw Exercise Versus Jaw & Posture Exercise Therapies in Comparison to Occlusal Splint Effectiveness in Probable Sleep Bruxism: A Randomised Controlled Study.","authors":"Gul Oznur Karabicak, Göknil Alkan Demetoğlu, Gokhan Ozkan, Gurkan Gunaydin, Sercan Önal Aykar, Özge Ece Günaydın","doi":"10.1111/joor.14027","DOIUrl":"https://doi.org/10.1111/joor.14027","url":null,"abstract":"<p><strong>Background: </strong>Despite various treatment approaches for bruxism, there is limited evidence comparing exercise therapy and occlusal splints, highlighting the importance of this study.</p><p><strong>Objectives: </strong>To compare the effects of a 6-week jaw exercise (JE) program with combined jaw and posture exercises (JP) on pain and mandibular motion in patients with probable sleep bruxism. The secondary objectives were to evaluate the effects of the interventions on oral parafunctions, posture, and sleep quality.</p><p><strong>Methods: </strong>Sixty-three patients with probable sleep bruxism were randomly assigned to JE, JP, or Occlusal Splints (OS) groups at the University Hospital. Pain levels were assessed using the visual analogue scale (VAS), and the maximum oral opening was measured using a calliper. Secondary outcomes included oral parafunctions, evaluated via the Oral Behaviours Checklist, and posture, assessed using craniovertebral and craniohorizontal angles. Assessments were performed at baseline, post-treatment (6th week), and 12th week follow-up. Data were analysed using repeated measures ANOVA (Group × Time).</p><p><strong>Results: </strong>All groups demonstrated significant pain reductions (p < 0.05), but none of the groups showed superiority (p > 0.05). Mouth opening improved significantly only in the JE group (p < 0.05), with no intergroup differences (p > 0.05). Improvements in oral parafunctions occurred in the JE and JP groups (p < 0.05), but the differences between the groups were not significant (p > 0.05). No significant changes were observed in the craniovertebral or craniohorizontal angles (p > 0.05). No adverse events were observed in any intervention group.</p><p><strong>Conclusion: </strong>This trial found no substantial superiority between interventions. Exercise-based therapies (JE and JP) and OS similarly improved pain, mouth opening, and oral parafunctions in bruxism patients, with no postural changes. Further studies should explore long-term effects in diverse populations.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT05555628.</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":"144078770","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 and Interplay of Hypervigilance and Kinesiophobia in TMD Patients: Implications in Clinical Outcomes.","authors":"Pedro Miguel Teixeira Carvas Cebola, André Schneider Lourenço, Alexandre Mangabeira Hoppe, Livia Mourão Pereira Costa Colombo, Leilane Samary de Proença, Paula Manuela Mendes Moleirinho-Alves, Nikolaos Christidis, Rodrigo Lorenzi Poluha, Giancarlo De la Torre Canales","doi":"10.1111/joor.13997","DOIUrl":"https://doi.org/10.1111/joor.13997","url":null,"abstract":"<p><strong>Background: </strong>Behavioural cognitive factors, like kinesiophobia and coping skills like hypervigilance, may contribute to a worse prognosis of TMD symptoms. However, there is a lack of evidence about the prevalence and relationship of hypervigilance and kinesiophobia with TMD.</p><p><strong>Objective: </strong>This study aimed to assess the prevalence and associations of hypervigilance and kinesiophobia in TMD.</p><p><strong>Methods: </strong>The sample consisted of 233 participants, divided into the TMD group (133) and a control group (100). The following instruments were used: diagnostic criteria for temporomandibular disorders (DC/TMD), Pain Vigilance and Awareness Questionnaire (PVAQ), and Tampa Scale for kinesiophobia/temporomandibular joint dysfunction (TSK/TMD). Pain pressure threshold (PPT) was measured on the masticatory muscles and the temporomandibular joint. Mandibular movements were assessed with a millimetre ruler. Mann-Whitney U test was used for group comparisons and Spearman's correlation test for association analyses.</p><p><strong>Results: </strong>The TMD-group showed higher hypervigilance and kinesiophobia values,and lower PPT and mandibular movement (opening and protrusion) values compared with controls (p < 0.05). Also, a positive moderate correlation between hypervigilance and kinesiophobia (p = 0.000001), a significant negative correlation between hypervigilance and PPT (p = 0.00001) and a significant negative correlation between hypervigilance, kinesiophobia and mandibular movements (p < 0.05) in the TMD-group were found. A positive weak correlation was found just between hypervigilance and kinesiophobia in the control group (p = 0.01).</p><p><strong>Conclusion: </strong>TMD patients present high levels of kinesiophobia and hypervigilance, which in turn are correlated and affect TMD symptoms.</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":"144078785","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":"Advanced Oxidation Protein Products in Obstructive Sleep Apnea Hypopnea Syndrome-A Systematic Review and Meta-Analysis.","authors":"Shen-Sui Li, Xu-Dong Tian, Ju-Kun Song, Chen-Zhou Wu, Wei-Li Wang, Zhenglong Tang","doi":"10.1111/joor.14013","DOIUrl":"https://doi.org/10.1111/joor.14013","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea hypopnea syndrome (OSAHS) is a prevalent sleep-breathing disorder affecting both adults and children. Although previous studies have suggested a potential association between OSAHS and oxidative stress biomarkers, particularly advanced oxidation protein products (AOPP), their conclusive relationship remains unclear. This systematic review and meta-analysis aims to quantitatively synthesise existing evidence on the association between AOPP levels and OSAHS.</p><p><strong>Methods: </strong>We comprehensively searched PubMed, Wiley Online Library, Cochrane Library, CBM, and CNKI databases up to October 2023. Two independent researchers screened studies investigating AOPP-OSAHS correlations, followed by data extraction and quality assessment. Statistical analyses were performed using Stata, with standardised mean differences (SMDs) calculated for pooled estimates.</p><p><strong>Results: </strong>Nine studies comprising 608 patients and 770 controls were included. The meta-analysis demonstrated significantly elevated AOPP concentrations in OSAHS patients compared to controls (SMD = 1.66 , 95% CI = 1.02-2.29; I² = 96%, p < 0.001). Meta-regression identified significant associations between effect sizes and publication year (β = 0.32, p = 0.016) as well as BMI (β = 0.25, p = 0.028), independent of geographic region, sample type, or analytical methods. Secondary analyses of oxidative stress markers revealed consistent elevations in SOD and MDA levels among OSAHS patients, whereas GSH showed no significant difference.</p><p><strong>Conclusion: </strong>The meta-analysis confirmed a substantial increase in AOPP concentration in OSAHS patients compared to the control group, suggesting that the protein oxidation marker AOPP plays a role in the development of OSAHS and offering valuable insights for future clinical research.</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":"144078623","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":"Challenging the 'Central vs. Peripheral' Classification in Burning Mouth Syndrome: A Critical Analysis of Yang et al.'s Studies.","authors":"Takayuki Suga, Akira Toyofuku","doi":"10.1111/joor.14031","DOIUrl":"https://doi.org/10.1111/joor.14031","url":null,"abstract":"<p><strong>Objective: </strong>To critically evaluate the classification of Burning Mouth Syndrome (BMS) into 'peripheral' or 'central' subtypes based on short-term pain relief (≥ 1 cm on the Visual Analogue Scale, VAS) following lingual nerve block, and to explore how quantitative sensory testing (QST) might refine BMS diagnosis.</p><p><strong>Materials and methods: </strong>We reviewed two recent publications by Yang et al. investigating conditioned pain modulation (CPM) and lingual nerve block efficacy in BMS. We examined their reliance on immediate VAS reductions, sample size, QST findings, and adherence to International Classification of Headache Disorders (ICHD-3) criteria.</p><p><strong>Results: </strong>Yang et al. reported diminished CPM responses, particularly in the wind-up ratio, among patients classified as central BMS, and highlighted short-term pain relief exclusively in the peripheral subtype. However, categorising patients solely by a ≥ 1 cm VAS reduction may oversimplify the multifactorial nature of BMS, especially when QST findings did not consistently distinguish between groups. Additionally, a small sample size (n = 20) could limit generalisability and obscure subtle pathophysiological differences.</p><p><strong>Conclusion: </strong>Although Yang et al. appropriately applied standard diagnostic guidelines, we recommend integrating subjective (e.g., McGill Pain Questionnaire, Pain Catastrophizing Scale) and objective (e.g., QST, CPM) assessments to capture the complex interplay of peripheral and central mechanisms in BMS. These findings underscore the difficulty of reducing BMS to a strict dichotomy and highlight the need for nuanced, multidimensional approaches. Larger, more diverse cohorts and multidimensional evaluations may improve patient stratification and treatment targeting, ultimately enhancing clinical outcomes for individuals with BMS.</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":"144078729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Frailty Assessment Tool: Instrument Development and Cross-Sectional Validation Study.","authors":"Chengfengyi Yang, Xiaoke Li, Ran An, Yajing Gao, Xiaoyan Zhao, Jing Zhang, Qiaoqin Wan, Yue Yang","doi":"10.1111/joor.14018","DOIUrl":"https://doi.org/10.1111/joor.14018","url":null,"abstract":"<p><strong>Background: </strong>Oral frailty is widespread in older adults, which may gradually contribute to multiple adverse health outcomes. The current assessment tools may not comprehensively assess oral frailty; thus, a practical and feasible oral frailty scale is needed.</p><p><strong>Objective: </strong>The study aimed to develop an oral frailty assessment tool and evaluate its psychometric properties.</p><p><strong>Methods: </strong>Based on the Gilbert Multidimensional Conceptual Model of Oral Health, the items were generated through a literature review and Delphi expert consultants. For psychometric analysis, content, structure, concurrent, convergent and discriminant validity, and internal consistency reliability of the scale were assessed. Data were collected from a convenient sample of 372 Chinese older adults, and exploratory and confirmatory factor analyses were used. The diagnostic accuracy was conducted through receiver operating characteristic curve analysis.</p><p><strong>Results: </strong>The newly developed scale consisted of five dimensions and 16 items. The content validity of the scale was 0.974, with 0.649 for concurrent validity, and the aggregation and differentiation validity were ideal. In addition, the samples were cross-validated by exploratory factor analysis and confirmatory factor analysis. The internal consistency reached 0.865, and the retest reliability was 0.940. Meanwhile, by comparing the diagnostic accuracy with the Oral Frailty Instrument-6, it was found that the cutoff value was 6.5.</p><p><strong>Conclusion: </strong>Oral Frailty Assessment Tool has acceptable content validity, structure validity and reliability, which can be used to guide the formulation and implementation of reasonable early intervention measures for oral frailty. A wider range of cultures and samples is needed to refine the scale, as validation was performed in only one culture.</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":"144078773","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 Self-Assessed Masticatory Disorders in Community-Dwelling Older Adults: A Systematic Review With Meta-Analysis.","authors":"Ilíada Lima Franco, Letícia de Carvalho Palhano Travassos, Renata Veiga Andersen Cavalcanti, Cristiano Miranda de Araujo, Karinna Verissimo Meira Taveira, Leandro Pernambuco","doi":"10.1111/joor.14000","DOIUrl":"https://doi.org/10.1111/joor.14000","url":null,"abstract":"<p><strong>Background: </strong>Aging leads to changes that affect the functionality of the stomatognathic system, which can result in masticatory disorders. The loss or reduction in masticatory efficiency is often reported as one of the main complaints among healthy older adults. Due to variability and imprecision in prevalence estimates, there is a gap in specific knowledge about the true severity of masticatory issues in this population.</p><p><strong>Objective: </strong>To determine the prevalence of masticatory disorders in community-dwelling older adults.</p><p><strong>Methods: </strong>The prevalence of self-assessed masticatory disorders in community-dwelling older adults was investigated. A search was conducted in the electronic databases Cinahl, Embase, Lilacs, Livivo, PubMed/Medline, Scopus, Web of Science, Google Scholar, OpenGrey and Proquest. The search strategy was adapted for each database using specific terms and keywords. Population-based cross-sectional/ecological studies that used questionnaires to identify masticatory disorders in individuals aged 60 years or older, living in the community were included. Of the 7008 articles identified in the databases and grey literature, 22 articles were included for data extraction and analysis.</p><p><strong>Results: </strong>High heterogeneity was observed among the prevalence estimates (I² = 100%) for the different studies included in the analysis, which was not explained by the mean age of the study population or sample size when evaluated using a meta-regression model (p < 0.05). The pooled prevalence of masticatory disorders was 36% (95% CI = 0.28-0.43; I² = 100%), with individual study estimates ranging from 4.3% to 61.7%.</p><p><strong>Conclusion: </strong>The prevalence of self-assessed masticatory disorders in community-dwelling older adults is approximately 36%.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970424","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 Impact of Acute National Stress on Awake Bruxism Behaviour Among Young Adults-An Ecological Momentary Assessment Study.","authors":"Emodi-Perlman Alona, Ventura Noa, Czygrinow Anna-Yael, Manfredini Daniele, Bracci Alessandro, Shalev-Antshel Tamar, Eli Ilana","doi":"10.1111/joor.14022","DOIUrl":"https://doi.org/10.1111/joor.14022","url":null,"abstract":"<p><strong>Background: </strong>Awake bruxism (AB) is characterised by repetitive jaw muscle activity during wakefulness and is influenced by various stressors. Objective To investigate the effect of national stress (war) on AB muscle behaviours in young adults, the study was planned as a repeated cross-sectional study.</p><p><strong>Methods: </strong>Two groups were compared: one during peaceful times (no-national stress group, NoNS; n = 106, 63% female, age 25.4 ± 2.9 years) and one during wartime (an acute national stress group, AcuteNS; n = 82, 77% female, age 28.3 ± 3.3 years). AB behaviours were assessed through a single-point self-report and ecological momentary assessment using a dedicated smartphone application that recorded the frequencies of relaxed muscles, clenching, teeth contact, bracing and teeth grinding. The AcuteNS group additionally completed questionnaires on anxiety and depression, perceived stress, stress coping, ability to bounce back from stressful events, adjustment disorder and medication use.</p><p><strong>Results: </strong>AcuteNS group exhibited a lower frequency of relaxed muscle behaviour compared to the NoNS group (50.51 ± 29.76 vs. 63.04 ± 27.8, respectively, p < 0.005). Within the AcuteNS group, 68% of individuals were identified as having adjustment disorder. Subjects with adjustment disorder showed a lower frequency of relaxed behaviour and higher frequencies of clenching and teeth grinding than subjects without the disorder. A higher ability to bounce back from a stressful event was associated with an increased frequency of relaxed muscle behaviour, while AB presence and psychotropic medication use were associated with a reduced frequency of relaxed muscle behaviour (linear regression, R² = 0.229).</p><p><strong>Conclusion: </strong>Subjects' ability to bounce back or recover from stress is an important predictor of relaxed masticatory muscle behaviour during acute national stress.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003001","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 Between Mouth Breathing and the Temporomandibular System: A Narrative Review.","authors":"Liqun Gu, Kuo Gai, Xiangtao Liu, Jian Wang, Lei Xu, Yafen Zhu","doi":"10.1111/joor.14008","DOIUrl":"https://doi.org/10.1111/joor.14008","url":null,"abstract":"<p><strong>Objective: </strong>Children with chronic pathological mouth breathing (MB) may alter the development of the skeletal and myofunctional systems, including the temporomandibular system, and often exhibit symptoms of temporomandibular disorder (TMD), including pain or palpation pain in the temporomandibular joint (TMJ) region, limited or deviated mouth opening and TMJ noise. This review aims to summarise the correlation between mouth breathing and TMD in children and elucidate the potential impact and possible mechanisms of MB on the development of the temporomandibular system.</p><p><strong>Methods: </strong>Searches related to mouth breathing, temporomandibular joint, temporomandibular system and temporomandibular disorder were performed using PubMed and Web of Science through September 2024. A narrative review of current literature was conducted to summarise and elaborate. Literature reviews, systematic reviews, meta-analyses, clinical trials and pre-clinical studies focusing on the current topic were included.</p><p><strong>Results: </strong>We accumulated knowledge of the clinical status of MB, correlation between MB and TMD, specifically the pathogenic factors and signalling pathways involved in MB-related TMD pathology. Modifications in these signalling pathways result in pathological alterations within the TMJ tissues, impacting the degradation of the cartilage matrix, chondrocyte apoptosis and pain.</p><p><strong>Conclusion: </strong>Multiple signalling pathways were involved in the pathological process of MB-related TMD. Novel or improved animal models, new techniques and new therapeutic strategies targeting these pathways may be applied in MB-related TMD studies.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Oral Health Status and Cachexia in Patient With Dysphagia.","authors":"Takako Nagai, Hidetaka Wakabayashi, Shingo Kakehi, Eri Isono, Yukiko Otsuka, Junki Ninomiya, Shinta Nishioka, Ryo Momosaki","doi":"10.1111/joor.14019","DOIUrl":"https://doi.org/10.1111/joor.14019","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clarify the association between oral health status and cachexia among the patients with dysphagia.</p><p><strong>Material and methods: </strong>The registry data of the Japanese Sarcopenic Dysphagia Database were used. Oral health screening was performed with the Revised Oral Assessment Guide (ROAG) or the Oral Health Assessment Tool (OHAT). ROAG score ≥ 13 or OHAT score ≥ 3 was defined as poor oral health status. Activities of Daily Living (ADL) was evaluated with the Barthel index (BI) and swallowing function was evaluated with the Food Intake Level Scale (FILS). The relationship between oral status and the presence of cachexia and other evaluation criteria was evaluated in univariate and multivariate analyses.</p><p><strong>Results: </strong>The study included 401 older patients with dysphagia (mean age 81 years; 49% women, and 209 cases (52%) had poor oral health. In univariate analysis, poor oral health had significantly more malnutrition and cachexia (p = 0.003 and p = 0.001, respectively) and significantly lower BI and FILS (both p < 0.001). Multivariate analysis showed that oral care status was detected as a factor affecting the presence of cachexia (odds ratio: 1.881, 95% confidence interval, 1.156 to 3.060, p = 0.011).</p><p><strong>Conclusion: </strong>The risk of cachexia is higher in the case of poor oral health status. Rehabilitation, nutritional support and oral health care may contribute to the management of cachexia.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009476","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":"Natural Language Understanding to Assess Oral Health-Related Quality of Life: A Cross-Sectional Study Incorporating a Mixed Methods Approach.","authors":"Lamyia Anweigi, Iheb Ben Naceur, Jomana Awad, Mohamed Ahmeda, Noha Barhom, Faleh Tamimi","doi":"10.1111/joor.13986","DOIUrl":"https://doi.org/10.1111/joor.13986","url":null,"abstract":"<p><strong>Background: </strong>Natural language understanding (NLU), a subfield of artificial intelligence, focuses on the computational understanding of human language. This technology offers an objective and quantitative approach to analysing interviews in qualitative research. This study hypothesises that NLU can assess the impact of oral health on quality of life by analysing semi-structured interviews.</p><p><strong>Objective: </strong>This study aimed to assess the utility of NLU in evaluating oral health-related quality of life by analysing semi-structured interviews with individuals diagnosed with hypodontia.</p><p><strong>Methods: </strong>A cross-sectional qualitative study was conducted on 10 participants (aged 16-25 years) suffering from hypodontia. Semi-structured interviews were transcribed and analysed using IBM Watson NLU text analysis. The analysis identified entities, keywords, sentiments (positive and negative) and emotions (joy, sadness, anger, fear and disgust) expressed in the interviews.</p><p><strong>Results: </strong>NLU analysis revealed a predominantly negative sentiment towards hypodontia and its management, with 93.2% of identified entities presenting a negative sentiment and only 6.8% showing a positive sentiment. Patient sentiment correlated inversely with age (R = -0.49), treatment waiting time (R = -0.22) and OHIP score (R = -20). Negative sentiments and sadness were most prominent when discussing the history of dental problems and feelings about their teeth, whereas joy and positive sentiments were expressed regarding successful dental work. Keywords associated with negative sentiment were primarily related to treatment length and delays.</p><p><strong>Conclusion: </strong>NLU effectively identified patients' negative sentiments and emotional responses to oral health conditions, demonstrating its potential as a valuable tool in qualitative dental research.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988388","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}