Journal of oral rehabilitation最新文献

{"title":"A Randomized Clinical Trial of Transcutaneous Electrical Acupoint Stimulation for Pain Relief After Dental Implant Surgery.","authors":"Xiaoling Li, Qi Huang, Ying Xie, Qian Hu, Yao Lu, Rong Zhang, Xing Fan, Sheng Yang, Huan Yu, Yuzhou Li","doi":"10.1111/joor.70333","DOIUrl":"https://doi.org/10.1111/joor.70333","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical efficacy of transcutaneous electrical acupoint stimulation (TEAS) on postoperative pain, sleep quality, and swelling following dental implant surgery.</p><p><strong>Methods: </strong>A randomized, sham-controlled, double-blind clinical trial was conducted. A total of 64 patients who underwent single-tooth implant surgery without bone grafting at the Chongqing Medical University Affiliated Stomatological Hospital between June 2024 and June 2026 were enrolled and randomly assigned to either the TEAS group (n = 32) or the Mock group (n = 32). In the TEAS group, stimulation was applied at the Hegu (LI4) and Laogong (PC8) acupoints for 30 min using a 2/100 Hz variable-frequency current, once 30 min before surgery and again 30 min after surgery. The Mock group received electrode pads attached to the same acupoints without electrical output. The primary outcome was the Visual Analog Scale (VAS) pain score on the night of surgery (POD 1) and on POD 2 and 3. Secondary outcomes included total sleep duration, sleep efficiency, and local swelling score.</p><p><strong>Results: </strong>Baseline demographic characteristics did not differ significantly between the two groups (p > 0.05). On the night of surgery, the VAS pain score in the TEAS group was significantly lower than that in the Mock group (1.719 ± 1.397 vs. 3.094 ± 2.100, p = 0.003), but not on POD 2 or POD 3 (p > 0.05). Total sleep duration was significantly longer in the TEAS group than in the Mock group on both the night of surgery and POD 2 (p < 0.05), but not on POD 3 (p > 0.05). Sleep efficiency did not differ significantly between groups at any time point (p > 0.05). On POD 3, the swelling score in the TEAS group was significantly lower than that in the Mock group (0.813 ± 0.896 vs. 1.438 ± 1.045, p = 0.013), whereas no significant differences were found on the night of surgery or POD 2 (p > 0.05).</p><p><strong>Conclusion: </strong>TEAS may reduce early postoperative pain (within the first 24 h), prolong sleep duration on the night of surgery and POD 2, and reduce local swelling on POD 3 after dental implant surgery. These findings support the use of TEAS as an effective adjunctive modality within a multimodal analgesia protocol for dental implant surgery.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148465","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":"Age-Specific Changes in Chewing Discomfort During the Expansion of National Health Insurance Coverage for Dental Implants: A Controlled Interrupted Time Series Analysis in South Korea, 2010-2024.","authors":"Eun-Ju Park, Yang-Keum Han, Yoon Min Gil","doi":"10.1111/joor.70340","DOIUrl":"https://doi.org/10.1111/joor.70340","url":null,"abstract":"<p><strong>Background: </strong>Chewing discomfort related to tooth loss is a common functional problem among older adults, and high out-of-pocket costs for prosthodontic rehabilitation may limit access to treatment.</p><p><strong>Objectives: </strong>To assess whether age-specific trends in self-reported chewing discomfort changed around South Korea's stepwise expansion of National Health Insurance coverage for dental implants relative to a younger comparison group.</p><p><strong>Methods: </strong>This study used nationally representative repeated cross-sectional data from the Korea Community Health Survey (2010-2024). A controlled interrupted time series design, using adults aged 60-64 years as the comparison group, assessed age-specific trajectories before and after phased implementation (2014 for ≥ 75 years; 2015 for 70-74 years; 2016 for 65-69 years). Chewing discomfort was defined as self-reported discomfort when chewing due to problems with teeth, dentures or gums. Survey-weighted segmented logistic regression models were used to estimate immediate level changes and post-intervention slope changes. A sensitivity analysis used adults aged 55-64 years as an alternative comparison group.</p><p><strong>Results: </strong>Chewing discomfort declined in all age groups, including the comparison group. No statistically significant differential immediate level change was observed. A differential post-intervention slope change was consistently observed among adults aged 70-74 years. No additional differential slope change was identified among adults aged 65-69 years, who had already shown a faster pre-intervention decline. The estimate among adults aged ≥ 75 years was no longer statistically significant when adults aged 55-64 years were used as the alternative comparison group.</p><p><strong>Conclusion: </strong>These findings indicate substantial secular improvement and age-specific heterogeneity in policy-timed changes in chewing discomfort, with the most consistent additional decline observed among adults aged 70-74 years. However, they do not establish an implant-specific treatment effect and highlight the need for age-sensitive, post-implementation evaluation and refinement of dental coverage based on functional outcomes.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148390","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":"Validity of a Single-Item Stress Measure in TMD-Pain Patients.","authors":"Rosanne V Lobbezoo, Michail Koutris, Wendy Knibbe","doi":"10.1111/joor.70343","DOIUrl":"https://doi.org/10.1111/joor.70343","url":null,"abstract":"<p><strong>Background: </strong>There is growing evidence for the observation that stress has an impact on developing and maintaining temporomandibular disorder (TMD) pain. There are various self-report questionnaires available for the assessment of stress. However, completing questionnaires with several items can be time-consuming for both the patient and the clinician. Therefore, the use of a single-item stress measure could be beneficial.</p><p><strong>Objectives: </strong>To investigate the validity of a single-item stress measure in adults by comparing it to an existing, more comprehensive stress measure, as well as to other psychosocial constructs, specifically depression, anxiety and somatic symptoms.</p><p><strong>Methods: </strong>822 patients who were referred to a specialty clinic for orofacial pain and dysfunction participated in this study. All patients completed a set of diagnostic questionnaires, assessing, among others, TMD symptoms, stress (PSS-4 and single-item stress measure), depression (PHQ-9), anxiety (GAD-7) and somatic symptoms (PHQ-15). Correlational analyses were used to assess the associations between the single-item stress measure and each of the total scores of the PSS-4, PHQ-9, GAD-7 and PHQ-15.</p><p><strong>Results: </strong>Moderate correlations were found between the scores on the single-item stress measure and the scores on PSS-4 (0.507), PHQ-9 (0.493) and GAD-7 (0.619). The PHQ-15 was weakly correlated with the single-item stress measure (0.350).</p><p><strong>Conclusions: </strong>The single-item stress measure is positively associated with the PSS-4 and each of the psychosocial constructs. This suggests that the single-item stress measure could be used as a valid substitute for the PSS-4, i.e., a comprehensive stress measure commonly used in specialty clinics for orofacial pain and dysfunction.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136966","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 Joint Effusion and Degenerative Osseous Changes of the Temporomandibular Joint: A Systematic Review and Meta-Analysis.","authors":"Jingyi Huang, Zhilin Wu, Lian Xi, Qingtiao Xie","doi":"10.1111/joor.70321","DOIUrl":"https://doi.org/10.1111/joor.70321","url":null,"abstract":"<p><strong>Background: </strong>Joint effusion (JE) on magnetic resonance imaging (MRI) has been proposed as a potential imaging marker of intra-articular inflammation and degenerative involvement in temporomandibular disorders (TMDs). However, its association with temporomandibular joint degenerative joint disease (TMJ-DJD) remains unclear.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus, Embase, Cochrane Library, and Web of Science was performed from inception to May 2026. Observational studies assessing MRI-detected JE and TMJ degenerative osseous changes in patients with TMDs were included. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Heterogeneity was assessed using the I² statistic, and study quality was evaluated using the Joanna Briggs Institute checklist.</p><p><strong>Results: </strong>Eighteen studies involving 7001 TMJs were included in the systematic review, and 14 were included in the primary meta-analysis, which showed a positive association between MRI-detected JE and TMJ-DJD (OR = 1.41, 95% CI: 1.05-1.89; I² = 70.1%). A post hoc sensitivity analysis excluding Zheng et al. yielded an OR of 1.51 (95% CI: 1.16-1.97; I² = 63.4%). Marked effusion showed the strongest association with degenerative changes (OR = 2.63, 95% CI: 1.54-4.51). Subtype analyses suggested positive associations with flattening (OR = 1.49, 95% CI: 1.12-1.98) and osteophyte formation (OR = 1.61, 95% CI: 1.26-2.05), whereas findings for erosion and atrophy were inconclusive.</p><p><strong>Conclusion: </strong>The available evidence suggests that MRI-detected JE is positively associated with TMJ degenerative osseous changes, particularly marked effusion, flattening, and osteophyte formation. JE may serve as an adjunctive imaging marker of degenerative joint involvement but should not be interpreted as a standalone indicator of TMJ-DJD.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136858","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":"Associations of Self-Reported Bruxism With Clinical Parameters, Perceived Stress, and Temporomandibular Disorders in Dental Students.","authors":"İdil Özerkliğ Yılmaz, İbrahim Çıkdın, Ömer Şener, Zeynep Bal, Batuhan Bakırarar, Mehtap Bilgin Çetin","doi":"10.1111/joor.70337","DOIUrl":"https://doi.org/10.1111/joor.70337","url":null,"abstract":"<p><strong>Background: </strong>Bruxism has been assessed using heterogeneous methods across studies. The Bruxism Screener provides a standardized approach, but clinical studies using this tool remain limited. Moreover, factors influencing self-reported bruxism in individuals with clinical bruxism signs remain unclear.</p><p><strong>Objectives: </strong>This cross-sectional study aimed to describe the frequency of clinical signs identified by the BruxScreen and to examine whether self-reported bruxism was associated with these signs, perceived stress, temporomandibular disorder (TMD) symptoms, and orofacial pain intensity in dental students with clinical signs of bruxism.</p><p><strong>Methods: </strong>A total of 163 dental students presenting with clinical signs of bruxism completed a demographic questionnaire, Perceived Stress Scale, Fonseca Anamnestic Index, and a visual analogue scale for orofacial pain intensity, and underwent clinical evaluation using the Bruxism Screener. Participants were categorized into self-report-positive and self-report-negative groups according to subject-based assessment. Statistical analyses were performed using chi-squared, Mann-Whitney U, Fisher's exact tests, and logistic regression.</p><p><strong>Results: </strong>The frequencies of clinical signs were as follows: tooth wear (98%), masseter muscle hypertrophy (71%), linea alba (63%), and tongue indentations (50%). No significant differences were found between groups in either the number of clinical signs or the frequency of any individual clinical sign. Orofacial pain intensity (OR = 2.8) and TMD symptoms (OR = 5.8) were significant independent predictors of self-reported bruxism.</p><p><strong>Conclusion: </strong>Tooth wear was the most frequently observed clinical sign. Self-reported bruxism was associated with orofacial pain intensity and TMD symptoms, but not with clinical bruxism signs, suggesting that subject-based data and clinical assessment may reflect different aspects of bruxism.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136974","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 Injury Severity, Sex, and Nociceptor Activity on Post-Traumatic Temporomandibular Joint Osteoarthritis in Mice.","authors":"Ishraq Alshanqiti, Jiaxin Hu, Swarnalakshmi Raman, Ghazaal Parastooei, Man-Kyo Chung","doi":"10.1111/joor.70331","DOIUrl":"https://doi.org/10.1111/joor.70331","url":null,"abstract":"<p><strong>Background: </strong>Intrinsic and extrinsic trauma to the temporomandibular joint (TMJ) increases the incidence of painful temporomandibular disorders. TMJ trauma also causes increased degeneration of the TMJ structure, leading to TMJ osteoarthritis (TMJOA). Clinically, it is important to identify risk factors of post-traumatic TMJOA, such as sex, injury severity, and persistent post-traumatic pain.</p><p><strong>Objectives: </strong>We determined the effects of potential risk factors on post-traumatic TMJ degeneration using a mouse model.</p><p><strong>Methods: </strong>A repeated forced-mouth opening (FMO) model was used to determine the effect of potential risk factors on post-traumatic TMJOA. Radiographic and histological assays were performed to assess chondral and subchondral degeneration of the TMJ condyles induced by FMO, which was evident after approximately three weeks. To determine the pain-degeneration relationship, we manipulated nociceptor function through chemogenetic inhibition using an inhibitory designer receptor exclusively activated by designer drugs and assessed post-traumatic pain-like behaviours and radiographic and histological changes in TMJ condyles.</p><p><strong>Results: </strong>The extent of post-traumatic TMJ degeneration was greater after 5 days of injury than 2 days. Female mice showed greater post-traumatic TMJ degeneration than males. Chemogenetic silencing of nociceptor activities-only during the period of TMJ injury-inhibited post-traumatic pain-like behaviours but did not prevent the progression of TMJ degeneration. However, chemogenetic silencing of nociceptors throughout the entire traumatic and post-traumatic period did inhibit post-traumatic TMJ degeneration, albeit modestly.</p><p><strong>Conclusion: </strong>Injury severity, sex, and the persistent nociceptor activity modulate the extent of post-traumatic TMJOA.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127839","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":"Sleep-Severity Profiles in Temporomandibular Disorder: A Cluster-Analytic Approach to Identifying Biopsychosocial Subgroups.","authors":"S Montesino-Goicolea, R B Fillingim, M Ribeiro Dasilva, Y Cruz-Almeida","doi":"10.1111/joor.70338","DOIUrl":"10.1111/joor.70338","url":null,"abstract":"<p><strong>Background: </strong>Painful temporomandibular disorders (TMDs) are frequently comorbid with sleep disturbance, yet heterogeneity in sleep profiles remains poorly characterized.</p><p><strong>Objectives: </strong>To identify sleep-severity profiles in adults with and without TMD and examine their psychological correlates.</p><p><strong>Methods: </strong>Eighty-four adults (32 TMD, 52 controls) completed the Pittsburgh Sleep Quality Index (PSQI) and measures of psychological symptoms (SCL-90-R), body vigilance (BVS), positive and negative affect (PANAS), and trait anxiety (STAI). Sleep-severity profiles were derived by principal component analysis of the PSQI components and hierarchical clustering, and their diagnostic composition was compared by chi-squared test. Psychological outcomes were reduced based on their intercorrelation structure and analysed by two-way MANCOVA (Profile × TMD status), covarying age and sex.</p><p><strong>Results: </strong>Two profiles emerged: Mild-Moderate (n = 59; PSQI M = 5.25) and Severe Poor Sleepers (n = 21; PSQI M = 9.19), TMD being concentrated in the Severe profile (χ²(1) = 9.35, p = 0.002). The outcomes reflected a single general-distress dimension indexed by the SCL-90-R Global Severity Index (GSI). GSI therefore served as the primary outcome, with body vigilance and affect tested with that dimension partialled out. Profile and Profile × TMD effects were significant (TMD main effect, n.s.), both carried by general distress: distress was elevated in the Severe profile (η²p = 0.17), and the interaction (η²p = 0.16) reflected distress rising with sleep severity in controls but uniformly elevated in TMD. No effect was specific to body vigilance or affect.</p><p><strong>Conclusion: </strong>Severe self-reported sleep disturbance was associated with psychological distress comparable to that of TMD; these exploratory findings require replication with objective sleep and pain measures.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111099","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":"Efficacy of Local Treatment in Patients With Rheumatic Diseases Affecting the Temporomandibular Joint-A Systematic Review.","authors":"Mattias Ulmner, Elizabeth Stenwall, Selihattin Mermer, Bodil Lund","doi":"10.1111/joor.70318","DOIUrl":"https://doi.org/10.1111/joor.70318","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint (TMJ) involvement in rheumatic inflammatory arthropathies (RIA) has been sparsely described, and evidence regarding local treatment options for affected TMJs remains limited.</p><p><strong>Objectives: </strong>To perform a systematic review (SR) regarding local treatments for TMJ involvement in RIA and evaluate their effects on pain management, disease improvement, quality of life, health economics, and adverse events.</p><p><strong>Methods: </strong>According to the PICO framework, patients with RIA were defined as the population, local TMJ treatment as the intervention, and alternative treatments, placebo, or no treatment as comparators. Outcome measures included maximum interincisal opening (MIO) and TMJ pain. A comprehensive search strategy was developed and applied to five databases.</p><p><strong>Results: </strong>The search generated 14 193 studies of which 33 met the inclusion criteria. All included studies had moderate or high risk of bias. Meta-analyses were conducted with due consideration of these limitations. Patients with juvenile idiopathic arthritis (JIA) or RIA (excluding JIA) having total joint replacement were analysed and JIA patients demonstrated better outcome both regarding MIO (p = 0.006, I² = 86.8%) and TMJ pain (p = 0.02, I² = 82.2%). No significant findings were observed in the remaining meta-analyses. A critical appraisal suggests that intra-articular corticosteroid injections might be beneficial for JIA patients.</p><p><strong>Conclusion: </strong>The listed results have a low level of evidence and should be interpreted with caution. Nevertheless, this appears to be the only SR specifically evaluating local TMJ treatments in RIA. Ways of decreasing bias and increasing cohort sizes seem necessary for expanding knowledge.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111034","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":"Characterizing Jaw Pain After Traumatic Brain Injury: A Case Control Study.","authors":"Talia B Just, Donald R Nixdorf, Michael D Evans, Shanti Kaimal, David P Darrow, Dawn Neumann","doi":"10.1111/joor.70336","DOIUrl":"https://doi.org/10.1111/joor.70336","url":null,"abstract":"<p><strong>Objectives: </strong>The primary aim of this study was to assess the prevalence of jaw pain, a common symptom of Temporomandibular disorders (TMD), in participants with and without a Traumatic Brain Injury (TBI). Secondary aims, pertaining only to the TBI cohort, were to compare levels of pain and psychological distress between participants with and without jaw pain. This comparison was conducted in two groups: first, across the entire TBI sample, and second, within a subgroup of TBI participants who reported chronic pain.</p><p><strong>Methods: </strong>The study was a secondary analysis of a case-control study of participants examining health and wellness in participants with and without TBI. All participants were asked about the presence and locations of chronic pain, defined as pain lasting ≥ 3 months, identified via the Michigan Body Map. Measures also included PROMIS pain intensity and interference, Pain catastrophizing scale, headache frequency and characterization, Brief Symptom Inventory (BSI), and Post-traumatic stress disorder checklist-Civilian (PCL-C).</p><p><strong>Results: </strong>121 participants with TBI and 118 participants without TBI completed the study. Jaw pain (defined as chronic jaw pain lasting ≥ 3 months) was more prevalent in participants with TBI (12%) compared to participants without TBI (3%) (p = 0.015). In the entire sample of participants with TBI, those with jaw pain had significantly greater pain interference (p = 0.001), intensity (p < 0.001), catastrophizing (p = 0.02), headache frequency (p < 0.001), and psychological distress (p = 0.001) compared to those without jaw pain. Within the Chronic Pain TBI subsample, the same pattern was observed for those with and without jaw pain.</p><p><strong>Conclusion: </strong>Jaw pain is significantly more prevalent among participants with a history of TBI compared to those without TBI. This study highlights the association between jaw pain and increased pain intensity, interference, catastrophizing, and headache frequency, suggesting that jaw pain may be exacerbating these factors in TBI patients.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110916","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":"Is Sleep Bruxism Associated With General Quality of Life? Insights From the EPISONO Population-Based Study.","authors":"Eduardo Machado, Jessica Klöckner Knorst, Monica Levy Andersen, Sergio Tufik, Milton Maluly Filho, Thiago Machado Ardenghi, Cibele Dal Fabbro, Dalva Poyares","doi":"10.1111/joor.70335","DOIUrl":"https://doi.org/10.1111/joor.70335","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to evaluate the association between sleep bruxism (SB) and general quality of life (QoL) among adults.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with a sample of 692 adults who completed the WHOQOL-Bref questionnaire (mean age of 50.1 years; 385 female and 307 male) from a total of 712 individuals of the Sao Paulo Epidemiological Sleep Study (EPISONO) follow-up performed in 2015. SB was assessed using (1) self-reported SB, based on participants' self-report; (2) PSG-based SB, based on polysomnographic findings; and (3) a combined definition requiring positive self-report and PSG. QoL was assessed using the WHOQOL-Bref scale. Sociodemographic, behavioural, psychosocial, and clinical variables were considered as confounders. The association between SB and QoL (rate of QoL, satisfaction with health and overall), as well as its specific domains (physical health, psychological, social relationships, and environment), was analysed using adjusted Poisson regression models. Results were presented in Rate Ratio (RR) and 95% confidence interval (95% CI).</p><p><strong>Results: </strong>The mean score for the rate of QoL question was 16.6 ± 5.1, whereas satisfaction with health had a mean score of 15.4 ± 6.3. The overall WHOQOL-Bref score was 14.2 ± 3.0. In the adjusted analysis, individuals who self-reported SB had lower satisfaction with their health (RR 0.93; 95% CI 0.88-0.98) and lower QoL levels in the social relationships' domain (RR 0.95; 95% CI 0.92-0.99). The presence of PSG-based and self-report+PSG SB were not significantly associated with QoL scores nor with the specific domains.</p><p><strong>Conclusions: </strong>The presence of self-report SB was associated with general satisfaction with health and with individual social relationships.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111061","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}