{"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}
S Montesino-Goicolea, R B Fillingim, M Ribeiro Dasilva, Y Cruz-Almeida
{"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 (χ<sup>2</sup>(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 (η<sup>2</sup>p = 0.17), and the interaction (η<sup>2</sup>p = 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}
Mattias Ulmner, Elizabeth Stenwall, Selihattin Mermer, Bodil Lund
{"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, I<sup>2</sup> = 86.8%) and TMJ pain (p = 0.02, I<sup>2</sup> = 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}
Talia B Just, Donald R Nixdorf, Michael D Evans, Shanti Kaimal, David P Darrow, Dawn Neumann
{"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}
Vecihe Merve Balta Uysal, Aleksa Marković, Tijana Mišić, Miodrag Šćepanović, Branka Trifković, Branislav Ilić, Ana R Todorović, Jovana Marković, Michel M Dard, Bojan Janjić
{"title":"Immediate Versus Early Loading Protocols in Rehabilitation of Fully Edentulous Maxilla: A 5-Year Pilot Randomized Clinical Trial.","authors":"Vecihe Merve Balta Uysal, Aleksa Marković, Tijana Mišić, Miodrag Šćepanović, Branka Trifković, Branislav Ilić, Ana R Todorović, Jovana Marković, Michel M Dard, Bojan Janjić","doi":"10.1111/joor.70330","DOIUrl":"https://doi.org/10.1111/joor.70330","url":null,"abstract":"<p><strong>Objective: </strong>To compare 5-year outcomes of immediate versus early loading protocols for complete implant-supported fixed dental prostheses in edentulous maxillae.</p><p><strong>Materials and methods: </strong>A prospective randomized controlled trial evaluated 24 patients (144 Bone Level Tapered SLActive implants) assigned to immediate loading (n = 12, 72 implants) or early loading (n = 12, 72 implants). Outcome measures included implant and prosthesis survival rates, marginal bone loss (MBL), buccal plate thickness (BPT), implant stability (ISQ), Oral Health Impact Profile-19 (OHIP-19) and patient satisfaction (Visual Analog Scale).</p><p><strong>Results: </strong>At the 5-year follow-up, 3 participants (12.5%) discontinued study participation (1 patient from the immediate loading group and 2 patients from the early loading group). Five-year implant and prosthesis survival rates showed no statistically significant differences between groups. Implant survival was 98.6% with immediate loading and 97.2% with early loading (p = 0.610), while prosthesis survival was 91.67% and 100%, respectively (p = 0.317). Buccal marginal bone loss was significantly greater in the immediate loading group (-1.15 mm vs. -0.36 mm, p = 0.010). Mechanical complications occurred more frequently in the immediate loading group (p = 0.015). Four of five periimplantitis occurred in immediately loaded implants (p = 0.310). Peri-implant mucositis affected 55.32% of implants with equal distribution. Patient satisfaction remained high in both groups.</p><p><strong>Conclusion: </strong>Both immediate and early loading achieved comparable implant and prosthesis survival rates at 5 years. However, immediate loading resulted in significantly greater buccal marginal bone loss. Both protocols provided excellent patient outcomes and can be considered viable options for maxillary rehabilitation with adequate primary stability.</p><p><strong>Trial registration: </strong>This clinical trial was registered after participant recruitment and randomization (NCT07574099).</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":"149111020","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":"Anterior Repositioning Splints in the Management of Temporomandibular Disc Displacement: A Network Meta-Analysis.","authors":"Rüştü Ersoy Sakarya, Osayd Alawawda, Ummuhan Caglayan Akbulak","doi":"10.1111/joor.70334","DOIUrl":"https://doi.org/10.1111/joor.70334","url":null,"abstract":"<p><strong>Background: </strong>Anterior repositioning splints (ARS) are widely used for disc displacement with reduction, but their comparative effectiveness against other conservative and minimally invasive treatments remains unquantified within a network meta-analytic framework.</p><p><strong>Objective: </strong>The objective of this study is to compare ARS with other treatment modalities for improving maximum mouth opening (MMO) and reducing pain in disc displacement with reduction using network meta-analysis.</p><p><strong>Methods: </strong>Twelve randomized controlled trials met inclusion criteria: seven reported MMO, eight reported pain. Mean difference (MD) was the effect measure for both outcomes. Bayesian network meta-analysis ranked treatments using the surface under the cumulative ranking curve (SUCRA). A sensitivity analysis excluding a study with an implausibly narrow standard deviation tested the robustness of the pain ranking.</p><p><strong>Results: </strong>For MMO (10 treatments), arthrocentesis ranked highest (SUCRA 76.2%) and ARS ranked eighth (38.3%); no comparison against ARS reached statistical significance (arthrocentesis vs. ARS: MD 6.78, 95% CrI 17.57 to 4.01). For pain (12 treatments), stabilization splint ranked highest (SUCRA 77.7%), followed by ARS (65.9%); untreated control ranked lowest (11.1%). ARS did not differ from stabilization splint (MD 0.69, 95% CrI 0.64 to 2.02) but exceeded untreated control (MD 4.60, 95% CrI 2.01 to 7.19). Sensitivity analysis did not alter rankings; certainty of evidence ranged from very low to moderate, with no comparison reaching high certainty.</p><p><strong>Conclusion: </strong>ARS was not the most effective treatment for MMO, and for pain it outperformed untreated control but not stabilization splint, which held the highest SUCRA ranking. ARS is therefore not the preferred first-line treatment over stabilization splint.</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":"149110993","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}
Ali Ursavas, Sevilay Yeginoglu, Zeliha Guney, Elif Unsal
{"title":"Impact of Periodontal Therapy on Function and Quality of Life in Stage III Periodontitis.","authors":"Ali Ursavas, Sevilay Yeginoglu, Zeliha Guney, Elif Unsal","doi":"10.1111/joor.70323","DOIUrl":"https://doi.org/10.1111/joor.70323","url":null,"abstract":"<p><strong>Background: </strong>Stage III, Grade B periodontitis compromises periodontal support, masticatory function, and oral health-related quality of life (OHRQoL). Its functional and patient-reported recovery across sequential periodontal treatment phases remains underexplored.</p><p><strong>Objectives: </strong>This study evaluated the effects of comprehensive periodontal therapy on clinical parameters, masticatory performance, and OHRQoL.</p><p><strong>Methods: </strong>Twenty systemically healthy patients with Stage III, Grade B periodontitis and 20 periodontally healthy controls were included in this prospective clinical study. Clinical periodontal parameters, tooth mobility (Periotest), masticatory performance (silicone cube chewing test with sieve analysis), and OHRQoL (OHIP-14) were assessed. Periodontitis patients were evaluated at baseline, after non-surgical therapy, and following surgical treatment. Comparisons with healthy controls used one-way ANOVA, while longitudinal treatment effects were analysed using repeated-measures ANOVA with Geisser-Greenhouse correction and Šídák's multiple-comparisons test. Spearman correlation assessed associations between masticatory performance and OHRQoL.</p><p><strong>Results: </strong>Patients with periodontitis exhibited significantly worse baseline clinical parameters, masticatory performance, and OHRQoL than controls (p < 0.001). Longitudinally, probing depth and bleeding on probing improved significantly (p < 0.0001), whereas Periotest values remained unchanged (p = 0.964). Masticatory performance improved significantly across treatment phases (p < 0.0001). OHIP-14 scores decreased significantly after therapy, indicating improved quality of life (p < 0.0001). Strong negative correlations were observed between OHIP-14 scores and masticatory performance indices across all treatment phases (ρ = -0.49 to -0.75).</p><p><strong>Conclusion: </strong>Comprehensive periodontal therapy improves periodontal status, masticatory performance, and OHRQoL in Stage III, Grade B periodontitis. Parallel improvements in objective function and patient-reported outcomes demonstrate the multidimensional benefits of periodontal rehabilitation.</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":"149111104","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}
Buse Kilinc Ozay, Emre Serdar Atalay, Sara Samur Erguven, Aydın Ozkan, Ozlem Akkoyun Sert, Necmiye Un Yildirim
{"title":"How Virtual Reality and Relaxation Exercises Shape Pain, Sleep, Kinesiophobia and Anxiety Over Time After Impacted Third Molar Surgery?: A Randomized Controlled Study.","authors":"Buse Kilinc Ozay, Emre Serdar Atalay, Sara Samur Erguven, Aydın Ozkan, Ozlem Akkoyun Sert, Necmiye Un Yildirim","doi":"10.1111/joor.70324","DOIUrl":"https://doi.org/10.1111/joor.70324","url":null,"abstract":"<p><strong>Background: </strong>Surgical extraction of Impacted Third Molar (ITM) is one of the most frequently performed oral surgical procedures. The effects of relaxation exercises and VR after ITM surgery remain underinvestigated.</p><p><strong>Objective: </strong>This study aimed to evaluate the effects of relaxation exercises and VR on pain, sleep quality, kinesiophobia, and anxiety levels following ITM surgery.</p><p><strong>Methods: </strong>This study included 36 individuals between the ages of 18 and 35 with mandibular third molars in Class 2 position B, according to the Pell and Gregory classification. All third molar extractions were performed under local anaesthesia. Participants in the Relaxation Exercise Group (G1) received relaxation exercises and patient education; participants in the Relaxation Exercise + VR Group (G2) received relaxation exercises, VR and patient education; and participants in the Control Group (G3) received patient education only. We assessed pain levels using the Visual Analog Scale (VAS), kinesiophobia levels using the Tampa Scale for Kinesiophobia for Temporomandibular Disorders, sleep quality using the Visual Analog Sleep Scale, and anxiety levels using the State subscale of the State-Trait Anxiety Inventory (STAI-S). The same researcher performed assessments three times: immediately after ITM extraction and on postoperative days 2 and 7.</p><p><strong>Results: </strong>On postoperative days 2 and 7, the three groups differed significantly in VAS and STAI-S scores (p < 0.05).</p><p><strong>Conclusion: </strong>Relaxation exercises, alone or combined with VR, appear to be viable approaches for managing pain and anxiety after ITM surgery and may represent a promising avenue for future rehabilitation research.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov/NCT06917989.</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":"149111046","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":"Closing the Implementation Gap in Occlusal Dysesthesia (Phantom Bite Syndrome): From Knowledge Gaps to Prosthodontic Care Pathways.","authors":"Takayuki Suga, Trang Thi Huyen Tu, Chizuko Maeda, Motoko Watanabe, Akira Toyofuku","doi":"10.1111/joor.70258","DOIUrl":"10.1111/joor.70258","url":null,"abstract":"","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":"2027-2028"},"PeriodicalIF":3.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376033","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}