Journal of oral rehabilitation最新文献

{"title":"Utilisation of Complementary and Alternative Medicine for Temporomandibular Disorders: Insights From Southeast Asian Patients.","authors":"Adrian Ujin Yap, Abd Aziz Alias, Vengu Nedunchelian, Zuraiza Mohamad Zaini","doi":"10.1111/joor.13982","DOIUrl":"https://doi.org/10.1111/joor.13982","url":null,"abstract":"<p><strong>Objectives: </strong>This study is the first to explore the utilisation of Complementary and Alternative Medicine (CAM) among Southeast Asian temporomandibular disorder (TMD) patients. It examined specific CAM modalities, usage patterns, satisfaction, perceived effectiveness and the factors associated with CAM use for TMDs.</p><p><strong>Methods: </strong>Participants were recruited from a multidisciplinary TMD clinic, with diagnoses established using the Diagnostic Criteria for TMDs (DC/TMD). Socio-demographic information, TMD features, psychological status and details of CAM therapies, including usage patterns, were obtained. Satisfaction and perceived effectiveness of CAM modalities were assessed with Likert scales. Data were analysed using Chi-square/non-parametric tests and logistic regression (α = 0.05).</p><p><strong>Results: </strong>Among the 110 participants, 30.0% did not use CAM, while 70% did, with approximately three-fifths of CAM users applying it for TMDs. Of the latter group, 77.8% employed two or more CAM modalities, with 77.9% of CAM therapies acting as the sole treatment for TMDs. The three most frequently used CAM therapies for TMDs were massage (55.6%), vitamins/dietary supplements (40.0%) and chiropractic care (24.4%). Participants found the following CAM therapies to be both satisfying and effective for TMDs: acupressure, chiropractic care, massage, yoga and meditation. Malay participants were more likely than their Chinese counterparts to utilise CAM for TMDs (OR = 8.18; 95% CI = 1.13-59.29).</p><p><strong>Conclusions: </strong>The utilisation of CAM in Southeast TMD patients was high, with 40.9% using it for TMDs. Race appears to be the sole determinant associated with CAM use for TMDs, suggesting the influence of ethno-cultural factors.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018107","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":"Frequency of Conversation, Laughter and Other Vocalising Opportunities in Daily Life and Maximum Tongue Pressure: The Goto Longevity Study.","authors":"Mako Nagayoshi, Mami Tamai, Kenji Takeuchi, Hirotomo Yamanashi, Jun Koyamatsu, Fumiaki Nonaka, Kenichi Nobusue, Yukiko Honda, Shin-Ya Kawashiri, Yasuhiro Nagata, Takahiro Maeda","doi":"10.1111/joor.13979","DOIUrl":"https://doi.org/10.1111/joor.13979","url":null,"abstract":"<p><strong>Background: </strong>Staying active in daily life is believed to help maintain individuals' oral motor function and prevent oral frailty, a potential risk factor for general health. However, there is limited epidemiological evidence of this association. This study focused on vocalising frequency as an indicator of activeness in daily life.</p><p><strong>Methods: </strong>We conducted a home-visit survey targeting residents aged ≥ 65 years in a rural community in the Goto Islands, Japan. Among 563 participants, those with missing data for the main outcome or vocalising (n = 84) were excluded. Tongue pressure was measured thrice; we used maximum tongue pressure as a marker of tongue motor function. Frequency of conversation, laughter and other vocalising opportunities (e.g., singing or Buddhist chanting) was measured. The multivariate-adjusted regression models were used to calculate parameter estimates (B) for tongue pressure according to the frequency of vocalisation.</p><p><strong>Results: </strong>Among the 479 participants, the proportion of individuals who answered 'every day' was 77% for conversation, 48% for laughter and 47% for other vocalising opportunities. Participants engaging every day in other vocalising opportunities recorded higher maximum tongue pressure (B = 2.26; p = 0.03) than those who did not at all. Sex did not affect this association (p interaction = 0.72). Conversation and laughter every day overlapped with the everyday category of other vocalising opportunities, but they were not associated with tongue pressure.</p><p><strong>Conclusion: </strong>Engaging every day in vocalising opportunities other than conversation or laughter was independently associated with a higher maximum tongue pressure in older adults than those who vocalised less often.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029843","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":"Internet-Based Behavioural Therapy for Adolescents With Temporomandibular Disorder Pain: A Feasibility Multicenter Randomised Controlled Trial.","authors":"Tessa Bijelic, Ing-Marie Nilsson, Thomas List, EwaCarin Ekberg","doi":"10.1111/joor.13976","DOIUrl":"https://doi.org/10.1111/joor.13976","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorder (TMD) pain in adolescents is common, has a negative impact on quality of life, and is a predictor of pain in young adulthood. A common and symptomatic treatment is occlusal appliance therapy (OAT). Internet-based behavioural therapy (IBT) is a novel, multimodal, and patient-centred self-management therapy for adolescents with TMD pain.</p><p><strong>Objective: </strong>To evaluate the adherence and effect of IBT compared to OAT in adolescents with TMD pain.</p><p><strong>Methods: </strong>Participants were recruited from public dental care and specialist clinics in orofacial pain in Sweden between January 2016 and March 2020. Screening of adolescents, 13-19 years, was performed using three questions for TMD (3Q/TMD). Eligible subjects were examined according to the DC/TMD and randomly allocated to IBT or OAT. The IBT group performed the 7-week programme online with individualised feedback through phone after each section. The OAT group used a stabilisation splint night time for 3 months. A 3-month questionnaire follow-up on pain intensity, pain disability, and psychosocial outcomes was conducted.</p><p><strong>Results: </strong>In total, 52 patients were randomised to IBT and 48 to OAT. There was a low adherence to IBT with a 75% drop-out. Positive expectations of treatment were significantly (p = 0.001) greater in the OAT group. OAT was related to better outcomes for characteristic pain intensity (p = 0.047) and pain-related disability (p = 0.049) when compared to IBT. No significant difference within or between the groups regarding the psychosocial outcomes was observed.</p><p><strong>Conclusions: </strong>The current version of IBT was overly comprehensive for adolescents with TMD pain and needs to be revised.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030755","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 Distress: A Mediating Factor in the Relationship Between Sleep Bruxism and Tobacco Smoking.","authors":"Matteo Pollis, Frank Lobbezoo, Ovidiu Ionut Saracutu, Anna Colonna, Daniele Manfredini","doi":"10.1111/joor.13978","DOIUrl":"https://doi.org/10.1111/joor.13978","url":null,"abstract":"<p><strong>Background: </strong>Sleep bruxism (SB) is defined as a masticatory muscle activity during sleep characterised by a multifactorial aetiology. Tobacco smoking and psychological status are considered predisposing factors for SB, but their mutual interaction remains unclear.</p><p><strong>Objective: </strong>To investigate the relationship between self-report SB, tobacco smoking, and psychological status, adopting a multiple-variable model in a sample of healthy young adults.</p><p><strong>Methods: </strong>A sample of 150 individuals (Female = 62%; mean age (±SD) = 23.3 (±3.4) years) completed a questionnaire to assess self-reported SB, tobacco smoking, and psychological distress. Self-reported SB was assessed according to the Subject-Based Assessment strategy recommended in the 'Standardized Tool for the Assessment of Bruxism' (STAB). Psychological distress was evaluated using the four-item Patient Health Questionnaire-4 (PHQ-4) for anxiety and depression. Tobacco smoking was assessed by four questions included in the Global Adult Tobacco Smoking (GATS) questionnaire. Spearman's rank correlation, ordinal regression, and mediation analysis were used to examine the relationship between SB, psychological distress, and smoking-related variables.</p><p><strong>Results: </strong>Significant positive correlations between SB and psychological distress (r = 0.350, p < 0.001) and between SB and n° cigarettes/day (r = 0.196 p < 0.05) emerged. Psychological distress positively mediated this relationship between tobacco smoking and SB, with an indirect effect of 0.065 (C.I. = 0.108-0.313; p value < 0.05). Psychological distress showed a positive predictive effect for SB (OR = 1.23, C.I. = 0.071-0.345, p < 0.05), while no significant associations with smoking variables were found.</p><p><strong>Conclusions: </strong>Within the limitation of this study, tobacco smoking does not seem to be directly correlated with sleep bruxism. Psychological distress could play the role as a mediating factor in this relationship.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002994","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 Health and Sociodemographic Aspects in Transgender People: A Descriptive Exploratory Study.","authors":"Alex Moreira Mélo, Melissa de Oliveira Melchior, Fabiane Carneiro Lopes-Olhê, Júlia Kefalás Troncon, Manoel Damião Sousa-Neto, Laís Valencise Magri, Lúcia Alves da Silva Lara, Jardel Francisco Mazzi-Chaves","doi":"10.1111/joor.13973","DOIUrl":"https://doi.org/10.1111/joor.13973","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This study evaluated the oral health condition of transgender (trans) men and women before starting gender-affirming hormone therapy (GAHT), focusing on the prevalence of periodontal disease and temporomandibular disorder (TMD) as well as the influence of alcohol consumption and anxiety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The study was a cross-sectional, descriptive exploratory study conducted with transgender individuals over the age of 18 from the Gender Incongruence Clinic (AING) at Ribeirão Preto Medical School (FMRP-USP). The study was approved by the Research Ethics Committee of the School of Dentistry of Ribeirão Preto, University of São Paulo (FORP/USP) (CAAE No. 02198018.5.0000.5419) and the Research Ethics Committee on Human Beings of the Ribeirão Preto Medical School (HCRP/FMRP) (CAAE No. 59992522.1.3001.5440). All volunteers provided informed consent before participation. Inclusion criteria consisted of individuals over 18 years of age, patients of the AING, who were hormone-free or had not used hormones for at least 6 months (for trans women), and those with no prior hormone use (for trans men). Exclusion criteria included individuals with cognitive limitations that could hinder comprehension of the research instruments, those who had used analgesics, non-steroidal anti-inflammatory drugs (NSAIDs) or opioids within 24 h before the assessments, and individuals with reports of head and neck trauma, a history of plastic surgeries or orofacial harmonisation procedures or those undergoing orthodontic treatment or extensive oral rehabilitation. Each participant completed a sociodemographic questionnaire and was assessed for periodontal health using the Periodontal Screening Recording (PSR), TMD using DC/TMD criteria and anxiety levels with the GAD-7 scale. Data analysis included descriptive statistics, chi-squared, T-test (p &lt; 0.05) and multivariate logistic regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 54 trans individuals over the age of 18 from the Gender Incongruence Clinic (AING) at Ribeirão Preto Medical School (FMRP-USP) were invited, with 45 participants completing the study (24 trans men, 21 trans women). High levels of gingivitis and plaque accumulation were found in all participants, with no significant gender differences (p &gt; 0.05). TMD was present in 83.33% of trans men and 47.62% of trans women, with a significantly higher incidence among trans men (p = 0.046). Alcohol consumption (p = 0.049) and anxiety (p = 0.043) were significantly associated with TMD, especially among trans men 1.624 [Confidence Interval (95% CI): 1.006-2.621].&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The study revealed alarming levels of gingivitis across all participants, highlighting the need for periodontal intervention. Over half of the participants exhibited TMD, with trans men showing a higher occurrence. TMD was significantly associated with alcohol consumption and anxiety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical rele","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018996","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 BruxChecker System for Quantitatively Assessing Sleep Bruxism at the Dental Level: Reliability, Reference Values and Methodological Considerations.","authors":"Mireia Ustrell-Barral, Carla Zamora-Olave, Laura Khoury-Ribas, Bernat Rovira-Lastra, Jordi Martinez-Gomis","doi":"10.1111/joor.13959","DOIUrl":"https://doi.org/10.1111/joor.13959","url":null,"abstract":"<p><strong>Background: </strong>There is a need for reliable instruments that can quantitatively assess sleep bruxism at the dental level.</p><p><strong>Objectives: </strong>This study aimed to determine the test-retest reliability of the occlusal peeled area using the BruxChecker, the methodological aspects that affect this reliability, and the reference values in a population of dental students.</p><p><strong>Methods: </strong>Eighty-four dental students participated in this test-retest study (median age, 21.7 years; 74 women). A BruxChecker was worn for 3 consecutive nights and scanned after each night in the plaster model and by transillumination. The relative and absolute peeled areas were measured using the FIJI software, and BruxChecker perforation was determined visually. Reliability was assessed by the intraclass correlation coefficient (ICC) and Cohen's kappa.</p><p><strong>Results: </strong>The absolute and relative peeled areas of the BruxChecker by transillumination after 2 or 3 nights provided the highest ICC values, which ranged from 0.918 to 0.929. BruxChecker perforation was present in 45% of the participants, with a kappa value of 0.777. The respective median peeled areas were 84.3 mm² and 9.9% for the absolute and relative values after using the BruxChecker for three nights. Ranges for the 10th-90th percentiles were 4.7%-17.0% and 39.4%-143.4 mm², respectively.</p><p><strong>Conclusions: </strong>The BruxChecker system demonstrates excellent reliability in measuring the occlusal peeled area in the studied population. This study proposes reference values for absolute and relative peeled areas after using the BruxChecker for three nights and scanning by transillumination.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997241","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 Blood Test Results and Oral Function Tests in Individuals Undergoing Regular Physical Examinations.","authors":"Hitomi Kanie, Mitsuyoshi Yoshida, Miyuki Yokoi, Mieko Okamoto, Hitomi Sasaki, Kazuhiro Ono","doi":"10.1111/joor.13977","DOIUrl":"https://doi.org/10.1111/joor.13977","url":null,"abstract":"<p><strong>Background: </strong>There is growing interest in the relationship between oral function and lifestyle-related diseases.</p><p><strong>Objectives: </strong>This study aimed to investigate the associations between the results of oral function tests and those of blood tests for lipid abnormalities, glucose metabolism and kidney function.</p><p><strong>Methods: </strong>A total of 118 individuals aged ≥ 50 years (80 men and 38 women) who had undergone health check-ups at our hospital in 2021 and 2023 were examined. Based on the fasting blood glucose (GLU), HbA1c, high-density lipoproteins (HDL), low-density lipoproteins (LDL), urea nitrogen (BUN) and estimated glomerular filtration rate (eGFR) values obtained from the health check-up results; the subjects were divided into two groups: those with test values outside the reference range in 2021 and/or 2023 and those with test values within the reference range. The results of seven oral function tests were compared between the groups using the Mann-Whitney U test. p < 0.05 was considered significant.</p><p><strong>Results: </strong>The group with GLU and HbA1c values outside the reference ranges had significantly lower numbers of remaining teeth (RTN) and oral diadochokinesis (OD) values compared to the group within the reference range. The groups with HDL and LDL values outside the standard ranges had a significantly higher tongue coat index (TCI) and significantly lower OD. Significant differences in TCI and OD/ta/ /ka/ were observed between BUN groups within and outside the reference range. Likewise, significant differences in TCI, RTN and OD/ta/ /ka/ were observed between eGFR groups within and outside the reference range.</p><p><strong>Conclusions: </strong>Subjects with blood test values outside the reference range exhibited a decline in oral function, indicating that a decline in oral function might increase the risk of lifestyle-related diseases and facilitate the progression of frailty.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012982","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":"Exploring the Association Between Clinical Features and CBCT Findings in TMJ Degenerative Joint Disease.","authors":"Michael Wu, Hollis Lai, Fabiana T Almeida, Reid Friesen","doi":"10.1111/joor.13970","DOIUrl":"https://doi.org/10.1111/joor.13970","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint (TMJ) degenerative joint disease (DJD) involves progressive osseous changes and is commonly associated with temporomandibular disorders (TMD). Cone-beam computed tomography (CBCT) is a valuable diagnostic tool for evaluating these changes. However, the relationship between clinical signs and symptoms, such as TMJ clicking or pain and radiographic findings remains poorly understood. Clarifying these associations can refine imaging prescribing practices and improve patient-specific diagnostic strategies.</p><p><strong>Objective: </strong>This study aimed to investigate the association between clinical signs and symptoms of TMD and radiographic features of TMJ DJD detected on CBCT, emphasising its diagnostic value and limitations.</p><p><strong>Methods: </strong>A retrospective chart review of 98 patients (196 TMJs) was conducted at a university-based oral medicine clinic. Clinical signs, including TMJ clicking, muscle pain and joint pain, were documented and CBCT findings, such as osteophytes and erosions, were analysed. Logistic regression was used to assess associations.</p><p><strong>Results: </strong>A significant association was identified between TMJ clicking and the presence of osteophytes (p < 0.05). No significant associations were observed between other clinical features, including muscle and joint pain and CBCT findings.</p><p><strong>Conclusion: </strong>The findings support an indication-driven approach to CBCT imaging, highlighting its diagnostic value in patients with specific clinical presentations, such as TMJ clicking, combined with additional clinical indicators. Routine CBCT imaging for all patients with TMD is not justified and future research should focus on refining imaging guidelines to ensure judicious use in TMJ diagnostics.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030962","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":"Effect of Mandibular Advancement on Condylar Remodelling of Class II Malocclusion Adolescent Patients With or Without Anterior Disc Displacement: A Retrospective Study.","authors":"Cunyi Wang, Na Wu, Chenyu Wang, Shiyu Hu, Yu Chen, Jiejun Shi","doi":"10.1111/joor.13967","DOIUrl":"https://doi.org/10.1111/joor.13967","url":null,"abstract":"<p><strong>Objective: </strong>To compare condylar remodelling in Class II malocclusion adolescents with or without anterior disc displacement (ADD) before and after treatment with mandibular advancement.</p><p><strong>Methods: </strong>CBCT data were collected from 20 Class II division 1 malocclusion adolescent patients with normal disc-condyle relationships and 20 Class II division 1 malocclusion adolescent patients with ADD, before and after mandibular advancement. All the TMJs were classified into three types: normal disc-condyle relationship joint, anterior disc displacement with reduction (ADDwR) joint, and anterior disc displacement without reduction (ADDwoR) joint. 3D Slicer 5.0.3 software was used to compare the quantitative index changes before and after treatment, including condylar volume, superficial area, morphological index, maximum cross-sectional area, width, depth, height and length. In addition, three-dimensional reconstructions and superimpositions of the condyle-glenoid fossa were performed to visualise condylar remodelling, and the condylar osseous change during treatment was evaluated qualitatively.</p><p><strong>Results: </strong>Before treatment, the morphological index and depth of the condyle were smaller in the ADDwoR joint. After treatment, condylar dimensions increased in all three types. The amount of increase in various indices of the ADDwR joint was comparable to that of the normal joint, with the highest rate of condylar repair and regeneration observed in the ADDwR joint. Specifically, the condylar volume changes in the normal joint (95% CI: 187.59 ± 107.05) and the ADDwR joint (95% CI: 199.97 ± 135.32) showed no significant difference (p = 0.672). The increase in condylar volume (p < 0.05), superficial area (p < 0.01) and length (p < 0.01) in the ADDwoR joint was lower than that in the normal joint. Three-dimensional reconstructions showed posterior and superior condylar growth in all three types.</p><p><strong>Conclusion: </strong>Mandibular advancement significantly promotes condylar remodelling in Class II malocclusion adolescent patients, with or without ADD, effectively promoting the backward growth of the condyle. Condylar growth of ADDwR joints was comparable to that of normal joints, while the condylar growth of ADDwoR joints was less.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040696","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":"Brief Diagnostic Criteria for Temporomandibular Disorders: Sensitivity and Specificity of Clinical Diagnoses (A Multi-Center Study).","authors":"Laura Nykänen, Kirsi Sipilä, Ilana Eli, Pessia Freidman-Rubin, Lihi Keren, Antti Kämppi, Ritva Näpänkangas, Shalev Antshel Tamar, Johanna Tanner, Tuija Teerijoki-Oksa, Ephraim Winocur, Alona Emodi-Perlman","doi":"10.1111/joor.13969","DOIUrl":"https://doi.org/10.1111/joor.13969","url":null,"abstract":"<p><strong>Background: </strong>The brief Diagnostic Criteria for Temporomandibular Disorders (bDC/TMD) was recently published to simplify the full Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) protocol.</p><p><strong>Objective: </strong>To measure the inter-examiner reliability, sensitivity and specificity of bDC/TMD Axis I diagnoses against DC/TMD Axis I diagnoses in primary and tertiary clinic TMD patient populations.</p><p><strong>Methods: </strong>A multi-center (Finland, Israel) retrospective study on 334 patients' records was conducted. A full DC/TMD clinical examination data was reduced to bDC/TMD items. Five Level 3 calibrated examiners independently determined a bDC/TMD diagnosis. Inter-examiner reliability, sensitivity and specificity were calculated for individual diagnoses, using DC/TMD diagnosis as the reference standard.</p><p><strong>Results: </strong>Inter-examiner reliability showed excellent to good reliability in all diagnoses except headache attributed to TMD, in which it was fair. Apart from headache attributed to TMD, the sensitivity of individual pain diagnoses was high. The sensitivity was lower in joint diagnoses. The specificity was high in all diagnoses.</p><p><strong>Conclusion: </strong>The bDC/TMD is a reliable instrument for general practitioner use.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803644","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}