Obesity is associated with periodontal disease, which compromises chewing by reducing masticatory efficiency. However, little is known about periodontal health and the use of removable prostheses in obese older adults.
Objective
To evaluate the effects of removable partial denture (RPD) insertion on periodontal condition, maximum bite force (MBF), and oral health-related quality of life (OHRQoL) in obese and normal-weight older adults.
Material and Methods
Edentulous older adults in the maxilla and partially edentulous in the mandible were assigned to obese (71.9 ± 5.0 years; n = 12, 6 women and 6 men) and normal-weight (69.9 ± 6.7 years; n = 6 women and 6 men) groups. Periodontal parameters (probing depth, clinical attachment loss, gingival recession, bleeding on probing) were measured with William's probe, and plaque was assessed with the modified O'Leary index. MBF was recorded with pressure sensors, and OHRQoL was evaluated with the OHIP-14. Periodontal parameters and MBF were measured before and 3, 6, 9, and 12 months after RPD insertion, while OHRQoL was measured before, and after 6 and 12 months. Data were analysed by repeated-measures ANOVA with Bonferroni post hoc tests (α = 0.05).
Results
Obese individuals showed higher bleeding on probing (p = 0.02) and greater MBF (p = 0.002) at all time points. MBF increased in both groups after 3 months, while OHRQoL remained lower in obese individuals (p = 0.01). Both groups showed significant plaque reduction after RPD insertion (p < 0.05).
Conclusion
Obese older adults wearing RPDs exhibit greater periodontal impairment and poorer OHRQoL, despite similar improvements in MBF and plaque reduction. These findings underscore the need for closer periodontal monitoring and targeted oral health strategies for obese older adults receiving RPDs.
Trial Registration
Brazilian Registry of Clinical Trials: ReBEC #U1111-1228-7273
{"title":"Periodontal Health, Bite Force and Oral Health-Related Quality of Life of Obese Older Adults Using Removable Partial Dentures","authors":"Guilherme Fantini Ferreira, Talita Malini Carletti, Lorena Tavares Gama, Thais Marques Simek Vega Gonçalves, Renata Cunha Matheus Rodrigues Garcia","doi":"10.1111/joor.70122","DOIUrl":"10.1111/joor.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Obesity is associated with periodontal disease, which compromises chewing by reducing masticatory efficiency. However, little is known about periodontal health and the use of removable prostheses in obese older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the effects of removable partial denture (RPD) insertion on periodontal condition, maximum bite force (MBF), and oral health-related quality of life (OHRQoL) in obese and normal-weight older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Edentulous older adults in the maxilla and partially edentulous in the mandible were assigned to obese (71.9 ± 5.0 years; <i>n</i> = 12, 6 women and 6 men) and normal-weight (69.9 ± 6.7 years; <i>n</i> = 6 women and 6 men) groups. Periodontal parameters (probing depth, clinical attachment loss, gingival recession, bleeding on probing) were measured with William's probe, and plaque was assessed with the modified O'Leary index. MBF was recorded with pressure sensors, and OHRQoL was evaluated with the OHIP-14. Periodontal parameters and MBF were measured before and 3, 6, 9, and 12 months after RPD insertion, while OHRQoL was measured before, and after 6 and 12 months. Data were analysed by repeated-measures ANOVA with Bonferroni post hoc tests (<i>α</i> = 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Obese individuals showed higher bleeding on probing (<i>p</i> = 0.02) and greater MBF (<i>p</i> = 0.002) at all time points. MBF increased in both groups after 3 months, while OHRQoL remained lower in obese individuals (<i>p</i> = 0.01). Both groups showed significant plaque reduction after RPD insertion (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Obese older adults wearing RPDs exhibit greater periodontal impairment and poorer OHRQoL, despite similar improvements in MBF and plaque reduction. These findings underscore the need for closer periodontal monitoring and targeted oral health strategies for obese older adults receiving RPDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>Brazilian Registry of Clinical Trials: ReBEC #U1111-1228-7273</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 3","pages":"685-694"},"PeriodicalIF":4.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12902204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634931","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}
Fernanda Faot, Luciana Rezende Pinto, Lucas Jardim Da Silva, Laura Lourenço Morel, Otacílio Luiz Chagas-Júnior, Anna Paula Da Rosa Possebon
Background
The long-term influence of mandibular atrophy on masticatory function, patient-reported outcomes, and prosthetic maintenance in users of implant-retained overdentures remains unclear.
Objective
To assess the impact of mandibular bone atrophy on masticatory function, quality of life, patient satisfaction, and prosthetic maintenance over a five-year period.
Methods
Twenty-four fully edentulous patients were rehabilitated with mandibular overdentures retained by two narrow-diameter implants and divided into two groups according to mandibular bone height: atrophic mandible (AM) and non-atrophic mandible (NAM). Masticatory performance (MP) and swallowing threshold (ST) were assessed, while quality of life and satisfaction were evaluated using the Dental Impact on Daily Living (DIDL) questionnaire. Prosthetic maintenance events were recorded over 5 years. Multilevel mixed-effects regression evaluated temporal trends and group differences, and chi-square tests were used for prosthetic events.
Results
Four participants were lost to follow-up, resulting in 10 individuals per group at 5 years. The AM group showed significant reductions in MP_X50 (–9.66%; p = 0.00) and ST_X50 (–1.9%; p = 0.01); and increase in ST_ME5.6 (+43.32%; p = 0.01). The eating/chewing domain of the DIDL was significantly lower in the AM group (0.35 ± 0.72) compared to the NAM group (0.73 ± 0.47). Although overall prosthetic maintenance did not differ significantly, the AM group exhibited a higher frequency of Equator dislodgement (9.24%; p = 0.00) and attachment replacement (6.02%; p = 0.00).
Conclusion
Mandibular atrophy adversely affected masticatory function, patient-reported chewing satisfaction, and the frequency of specific prosthetic complications over 5 years.
背景：下颌萎缩对种植覆盖义齿使用者咀嚼功能、患者报告的结果和义肢维护的长期影响尚不清楚。目的：评估下颌骨萎缩对咀嚼功能、生活质量、患者满意度和修复体维护的影响。方法：对24例全牙缺失患者采用两种窄径种植体保留下颌覆盖义齿进行修复，根据颌骨高度分为萎缩性下颌骨（AM）组和非萎缩性下颌骨（NAM）组。评估咀嚼功能（MP）和吞咽阈值（ST），同时使用牙齿对日常生活的影响（DIDL）问卷评估生活质量和满意度。假体维护事件记录超过5年。多水平混合效应回归评估时间趋势和组间差异，卡方检验用于修复事件。结果：4名参与者失去随访，5年时每组10人。AM组MP_X50 （-9.66%, p = 0.00）、ST_X50 （-1.9%, p = 0.01）显著降低；ST_ME5.6升高（+43.32%;p = 0.01）。AM组进食/咀嚼区DIDL（0.35±0.72）明显低于NAM组（0.73±0.47）。虽然整体假体维持没有显著差异，但AM组出现赤道移位（9.24%,p = 0.00）和附着体置换（6.02%,p = 0.00）的频率更高。结论：下颌萎缩在5年内对咀嚼功能、患者报告的咀嚼满意度和特定义肢并发症的频率产生不利影响。
{"title":"Mandibular Atrophy and Its Impact on Overdenture Performance: Insights From a 5-Year Longitudinal Study","authors":"Fernanda Faot, Luciana Rezende Pinto, Lucas Jardim Da Silva, Laura Lourenço Morel, Otacílio Luiz Chagas-Júnior, Anna Paula Da Rosa Possebon","doi":"10.1111/joor.70113","DOIUrl":"10.1111/joor.70113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The long-term influence of mandibular atrophy on masticatory function, patient-reported outcomes, and prosthetic maintenance in users of implant-retained overdentures remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the impact of mandibular bone atrophy on masticatory function, quality of life, patient satisfaction, and prosthetic maintenance over a five-year period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-four fully edentulous patients were rehabilitated with mandibular overdentures retained by two narrow-diameter implants and divided into two groups according to mandibular bone height: atrophic mandible (AM) and non-atrophic mandible (NAM). Masticatory performance (MP) and swallowing threshold (ST) were assessed, while quality of life and satisfaction were evaluated using the Dental Impact on Daily Living (DIDL) questionnaire. Prosthetic maintenance events were recorded over 5 years. Multilevel mixed-effects regression evaluated temporal trends and group differences, and chi-square tests were used for prosthetic events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four participants were lost to follow-up, resulting in 10 individuals per group at 5 years. The AM group showed significant reductions in MP_X50 (–9.66%; <i>p</i> = 0.00) and ST_X50 (–1.9%; <i>p</i> = 0.01); and increase in ST_ME5.6 (+43.32%; <i>p</i> = 0.01). The eating/chewing domain of the DIDL was significantly lower in the AM group (0.35 ± 0.72) compared to the NAM group (0.73 ± 0.47). Although overall prosthetic maintenance did not differ significantly, the AM group exhibited a higher frequency of Equator dislodgement (9.24%; <i>p</i> = 0.00) and attachment replacement (6.02%; <i>p</i> = 0.00).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mandibular atrophy adversely affected masticatory function, patient-reported chewing satisfaction, and the frequency of specific prosthetic complications over 5 years.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 3","pages":"662-672"},"PeriodicalIF":4.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12902194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604643","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}
A bidirectional relationship exists between sleep-disordered breathing (SDB) and stroke. Post-stroke patients have worse oral health status.
Objectives
Post-stroke patients with worse SDB would also have worse oral health status.
Methods
Post-stroke patients in convalescent rehabilitation wards were enrolled in this study. An overnight sleep test using WatchPAT to measure the apnea-hypopnea index (AHI) was conducted. Each oral health assessment tool (OHAT) score between three groups divided by SDB severity was compared, and binary logistic regression analysis was used to assess the association between the total OHAT score and AHI. Also, a receiver operating characteristic curve analysis was performed using the total OHAT score for severe or non-severe SDB.
Results
Among the 196 participants enrolled, 140 participants (78 men and 62 women; mean age, 73.3 ± 12.4 years) underwent a sleep test, with 91 completing it. Significant differences were found between non- or mild SDB and severe SDB groups, as well as between moderate SDB and severe SDB groups in terms of natural teeth and total OHAT score. Binary logistic regression analysis revealed a significant association between AHI and total score of OHAT after adjusting for confounding factors. The cut-off value of the total OHAT score for severe or non-severe SDB was seven, with sensitivity and specificity of 0.524 and 0.735, respectively.
Conclusion
This study revealed that oral health status is associated with SDB severity, highlighting the need for dental professionals in convalescent rehabilitation wards to be involved with SDB.
{"title":"Oral Health Status and Sleep-Disordered Breathing in Post-Stroke Patients in Convalescent Rehabilitation Wards: A Cross-Sectional Study","authors":"Ryosuke Yanagida, Kohei Yamaguchi, Kazuharu Nakagawa, Kanako Yoshimi, Takami Hino, Ayumi Kisara, Haruka Tohara","doi":"10.1111/joor.70109","DOIUrl":"10.1111/joor.70109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A bidirectional relationship exists between sleep-disordered breathing (SDB) and stroke. Post-stroke patients have worse oral health status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Post-stroke patients with worse SDB would also have worse oral health status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Post-stroke patients in convalescent rehabilitation wards were enrolled in this study. An overnight sleep test using WatchPAT to measure the apnea-hypopnea index (AHI) was conducted. Each oral health assessment tool (OHAT) score between three groups divided by SDB severity was compared, and binary logistic regression analysis was used to assess the association between the total OHAT score and AHI. Also, a receiver operating characteristic curve analysis was performed using the total OHAT score for severe or non-severe SDB.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 196 participants enrolled, 140 participants (78 men and 62 women; mean age, 73.3 ± 12.4 years) underwent a sleep test, with 91 completing it. Significant differences were found between non- or mild SDB and severe SDB groups, as well as between moderate SDB and severe SDB groups in terms of natural teeth and total OHAT score. Binary logistic regression analysis revealed a significant association between AHI and total score of OHAT after adjusting for confounding factors. The cut-off value of the total OHAT score for severe or non-severe SDB was seven, with sensitivity and specificity of 0.524 and 0.735, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study revealed that oral health status is associated with SDB severity, highlighting the need for dental professionals in convalescent rehabilitation wards to be involved with SDB.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 3","pages":"640-647"},"PeriodicalIF":4.0,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145587589","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}
Dysphagia in older inpatients prolongs hospitalisation and increases pneumonia-related medical costs. In acute care hospitals, the prompt evaluation of oral intake potential is essential.
Objective
Early identification of patients with difficulty resuming oral intake and appropriate interventions, including alternative nutritional support, is crucial for preventing malnutrition and promoting functional recovery. This study aimed to identify the predictors of oral intake resumption at discharge in older inpatients by assessing swallowing function using the videoendoscopic Hyodo score and nutritional status using the Mini Nutritional Assessment–Short Form (MNA-SF) score.
Methods
This retrospective study included 114 older patients (mean age 77.9 ± 7.0 years) with a Functional Oral Intake Scale (FOIS) of 1 who underwent videoendoscopic evaluation between April 2020 and March 2022. Patients were classified into an oral intake group (FOIS ≥ 4 at discharge) or a non-oral intake group (FOIS < 4). Demographic, clinical, nutritional and swallowing-related variables were compared. Logistic regression was used to identify independent predictors, and receiver operating characteristic (ROC) analysis was used to assess predictive performance.
Results
In the logistic regression analysis, the MNA-SF score (odds ratio [OR] = 1.29, p = 0.003) and Hyodo score (OR = 0.84, p = 0.049) were independent predictors. Combined Hyodo and MNA-SF score, ROC analysis showed a sensitivity of 0.81, specificity of 0.61, and an area under the curve of 0.75 (95% confidence interval, 0.65–0.82).
Conclusion
Hyodo and MNA-SF scores can predict oral intake recovery at discharge in older inpatients, and a predictive model combining both is useful.
背景：老年住院患者吞咽困难延长住院时间并增加肺炎相关医疗费用。在急症护理医院，及时评估口服摄入潜力是必不可少的。目的：早期识别恢复口服进食困难的患者并采取适当的干预措施，包括替代营养支持，对于预防营养不良和促进功能恢复至关重要。本研究旨在通过视频内镜下Hyodo评分评估吞咽功能和Mini营养评估-简短形式（MNA-SF）评分评估营养状况，确定老年住院患者出院时口服摄入恢复的预测因素。方法：本回顾性研究纳入114例老年患者（平均年龄77.9±7.0岁），功能性口服摄入量表（FOIS）为1，于2020年4月至2022年3月期间接受了内镜检查。将患者分为口服摄入组（出院时FOIS≥4）和非口服摄入组(FOIS结果：logistic回归分析中，MNA-SF评分（优势比[or] = 1.29, p = 0.003）和Hyodo评分（or = 0.84, p = 0.049）为独立预测因子。综合Hyodo评分和MNA-SF评分，ROC分析显示敏感性为0.81，特异性为0.61，曲线下面积为0.75（95%可信区间为0.65 ~ 0.82）。结论：Hyodo评分和MNA-SF评分可以预测老年住院患者出院时的口服摄入恢复情况，两者结合的预测模型是有用的。
{"title":"Factors Influencing Oral Intake Restoration at Discharge in Patients Undergoing Fasting During Acute Care Hospitalisation","authors":"Kohei Yoshikawa, Jun Kayashita, Takao Hamamoto, Masahiro Nakamori, Yukio Mikami, Sachio Takeno","doi":"10.1111/joor.70107","DOIUrl":"10.1111/joor.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dysphagia in older inpatients prolongs hospitalisation and increases pneumonia-related medical costs. In acute care hospitals, the prompt evaluation of oral intake potential is essential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Early identification of patients with difficulty resuming oral intake and appropriate interventions, including alternative nutritional support, is crucial for preventing malnutrition and promoting functional recovery. This study aimed to identify the predictors of oral intake resumption at discharge in older inpatients by assessing swallowing function using the videoendoscopic Hyodo score and nutritional status using the Mini Nutritional Assessment–Short Form (MNA-SF) score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study included 114 older patients (mean age 77.9 ± 7.0 years) with a Functional Oral Intake Scale (FOIS) of 1 who underwent videoendoscopic evaluation between April 2020 and March 2022. Patients were classified into an oral intake group (FOIS ≥ 4 at discharge) or a non-oral intake group (FOIS < 4). Demographic, clinical, nutritional and swallowing-related variables were compared. Logistic regression was used to identify independent predictors, and receiver operating characteristic (ROC) analysis was used to assess predictive performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the logistic regression analysis, the MNA-SF score (odds ratio [OR] = 1.29, <i>p</i> = 0.003) and Hyodo score (OR = 0.84, <i>p</i> = 0.049) were independent predictors. Combined Hyodo and MNA-SF score, ROC analysis showed a sensitivity of 0.81, specificity of 0.61, and an area under the curve of 0.75 (95% confidence interval, 0.65–0.82).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Hyodo and MNA-SF scores can predict oral intake recovery at discharge in older inpatients, and a predictive model combining both is useful.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 3","pages":"630-639"},"PeriodicalIF":4.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573667","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}
Patrícia Vieira Salles, Amanda Freitas Valentim, Maria Luiza Neves Caldeira, Denise Sabbagh Haddad, Renata Maria Moreira Moraes Furlan, Andréa Rodrigues Motta
Background
Infrared thermography is an objective method for investigating muscle functioning, enabling inferences about physiology and therapeutics. This noninvasive and non-ionising imaging diagnostic method allows real-time visualisation of the vascular and musculoskeletal systems through skin microcirculation dynamics. It transforms information about the human body's thermal radiation, captured via infrared radiation, into an analysable image.
Objective
To describe the thermographic behaviour of the orbicularis oris muscle during sustained contraction and chewing tasks.
Methods
The study included 56 healthy women aged 18–52 years, who underwent thermographic evaluations before, during, and after performing sustained contraction and chewing tasks. The orbicularis oris muscle was analysed qualitatively and quantitatively using anatomical thermal areas and Student's t-test to compare mean temperature data.
Results
Qualitative analysis revealed temperature changes during the provocative tasks. A comparison of mean temperatures showed a significant temperature increase, corroborating the qualitative findings. The mean temperature variation per task was as follows: 0.57°C during lip compression, 0.20°C during lip protrusion, 0.57°C while chewing peanuts, 0.43°C while chewing crackers, and 0.37°C while chewing a bread roll. There was a decrease in mean temperature during the intervals between tasks, though insufficient to return to baseline levels, indicating a cumulative temperature effect between tasks.
Conclusion
The orbicularis oris muscle temperature increased during the provocative tasks. The 2-min interval between tasks was insufficient for the resting temperature to return to baseline levels. These findings confirm that thermography is an effective method for identifying such temperature changes.
{"title":"Thermographic Behaviour of the Orbicularis Oris Muscle Under Different Provocative Tests","authors":"Patrícia Vieira Salles, Amanda Freitas Valentim, Maria Luiza Neves Caldeira, Denise Sabbagh Haddad, Renata Maria Moreira Moraes Furlan, Andréa Rodrigues Motta","doi":"10.1111/joor.70117","DOIUrl":"10.1111/joor.70117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Infrared thermography is an objective method for investigating muscle functioning, enabling inferences about physiology and therapeutics. This noninvasive and non-ionising imaging diagnostic method allows real-time visualisation of the vascular and musculoskeletal systems through skin microcirculation dynamics. It transforms information about the human body's thermal radiation, captured via infrared radiation, into an analysable image.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the thermographic behaviour of the orbicularis oris muscle during sustained contraction and chewing tasks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 56 healthy women aged 18–52 years, who underwent thermographic evaluations before, during, and after performing sustained contraction and chewing tasks. The orbicularis oris muscle was analysed qualitatively and quantitatively using anatomical thermal areas and Student's <i>t</i>-test to compare mean temperature data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Qualitative analysis revealed temperature changes during the provocative tasks. A comparison of mean temperatures showed a significant temperature increase, corroborating the qualitative findings. The mean temperature variation per task was as follows: 0.57°C during lip compression, 0.20°C during lip protrusion, 0.57°C while chewing peanuts, 0.43°C while chewing crackers, and 0.37°C while chewing a bread roll. There was a decrease in mean temperature during the intervals between tasks, though insufficient to return to baseline levels, indicating a cumulative temperature effect between tasks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The orbicularis oris muscle temperature increased during the provocative tasks. The 2-min interval between tasks was insufficient for the resting temperature to return to baseline levels. These findings confirm that thermography is an effective method for identifying such temperature changes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 3","pages":"621-629"},"PeriodicalIF":4.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12902201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549706","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}
Chuanfang Xu, Xianyan Wu, Shibin Li, Qun Zhong, Chengbin Ye, Jiena Pan, Wenjie Yan
<div> <section> <h3> Background</h3> <p>Chronic pain around the temporomandibular joint (TMJ) and masticatory muscles is a primary symptom of temporomandibular disorders (TMD). However, the clinical significance of magnetic resonance imaging (MRI) features in predicting TMD-related pain remains unclear. This study aimed to develop and interpret machine learning (ML) models based on MRI characteristics for predicting pain severity in patients with TMD.</p> </section> <section> <h3> Methods</h3> <p>The present retrospective study included 584 patients with TMD between January 2022 and December 2024, yielding a total of 755 TMJ MRI data sets. Pain severity was classified using the visual analogue scale (VAS). Demographic variables (age, sex) and MRI features—including lesion side, disc position, disc morphology, disc signal, disc perforation, bilaminar zone tear, joint space, joint effusion, condylar movement, bony changes and morphology/signal of the lateral pterygoid muscle—were collected. Eleven ML models based on demographic and MRI features were developed: logistic regression (LR), support vector machine (SVM), random forest (RF), extreme gradient boosting (XGBoost), light gradient boosting machine (LightGBM), adaptive boosting (AdaBoost), gradient boosting classifier (GBC), bagging classifier (BC), extremely randomised trees (ETC), decision tree classifier (DTC) and multilayer perceptron (MLP). Model performance was evaluated using multiple metrics, including the area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity and F1 score. Precision–recall (PR) curves and calibration curves were plotted to assess discrimination and model calibration. Decision curve analysis (DCA) was conducted to evaluate the clinical net benefit across a range of threshold probabilities. Model interpretability was enhanced using Shapley Additive Explanations (SHAP), which quantified the contribution of each feature to individual predictions. Feature selection was conducted based on mean SHAP values, and separate LightGBM models were constructed using the Top 3, 5, and 9 most important features, as well as the full-feature set, for performance comparison.</p> </section> <section> <h3> Results</h3> <p>The data set was randomly divided into a training set (<i>n</i> = 604) and a test set (<i>n</i> = 151). Among the 11 ML models, the LightGBM model demonstrated the best predictive performance, with an AUC of 0.899, and was therefore identified as the optimal model. SHAP analysis identified age, disc position and condylar movement as the top three contributing features. Feature selection analysis indicated that selecting the top nine SHAP-ranked variables led to the highest diagnostic performance
{"title":"An Interpretable Machine Learning Model Based on MRI Features for Predicting Pain Severity in Temporomandibular Disorders","authors":"Chuanfang Xu, Xianyan Wu, Shibin Li, Qun Zhong, Chengbin Ye, Jiena Pan, Wenjie Yan","doi":"10.1111/joor.70108","DOIUrl":"10.1111/joor.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Chronic pain around the temporomandibular joint (TMJ) and masticatory muscles is a primary symptom of temporomandibular disorders (TMD). However, the clinical significance of magnetic resonance imaging (MRI) features in predicting TMD-related pain remains unclear. This study aimed to develop and interpret machine learning (ML) models based on MRI characteristics for predicting pain severity in patients with TMD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The present retrospective study included 584 patients with TMD between January 2022 and December 2024, yielding a total of 755 TMJ MRI data sets. Pain severity was classified using the visual analogue scale (VAS). Demographic variables (age, sex) and MRI features—including lesion side, disc position, disc morphology, disc signal, disc perforation, bilaminar zone tear, joint space, joint effusion, condylar movement, bony changes and morphology/signal of the lateral pterygoid muscle—were collected. Eleven ML models based on demographic and MRI features were developed: logistic regression (LR), support vector machine (SVM), random forest (RF), extreme gradient boosting (XGBoost), light gradient boosting machine (LightGBM), adaptive boosting (AdaBoost), gradient boosting classifier (GBC), bagging classifier (BC), extremely randomised trees (ETC), decision tree classifier (DTC) and multilayer perceptron (MLP). Model performance was evaluated using multiple metrics, including the area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity and F1 score. Precision–recall (PR) curves and calibration curves were plotted to assess discrimination and model calibration. Decision curve analysis (DCA) was conducted to evaluate the clinical net benefit across a range of threshold probabilities. Model interpretability was enhanced using Shapley Additive Explanations (SHAP), which quantified the contribution of each feature to individual predictions. Feature selection was conducted based on mean SHAP values, and separate LightGBM models were constructed using the Top 3, 5, and 9 most important features, as well as the full-feature set, for performance comparison.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The data set was randomly divided into a training set (<i>n</i> = 604) and a test set (<i>n</i> = 151). Among the 11 ML models, the LightGBM model demonstrated the best predictive performance, with an AUC of 0.899, and was therefore identified as the optimal model. SHAP analysis identified age, disc position and condylar movement as the top three contributing features. Feature selection analysis indicated that selecting the top nine SHAP-ranked variables led to the highest diagnostic performance","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 3","pages":"609-620"},"PeriodicalIF":4.0,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145541007","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}
<div> <section> <h3> Background</h3> <p>Awake bruxism (AB) is characterised by repetitive or sustained masticatory muscle activity during wakefulness, including clenching, grinding, or mandibular bracing. Recent consensus defines AB as a motor behaviour influenced by psychological and contextual factors. Among these, dispositional mindfulness may play a modulatory role in the frequency and intensity of AB episodes.</p> </section> <section> <h3> Objective</h3> <p>This study aimed to evaluate how standardised cognitive tasks of varying complexity modulate awake bruxism (AB) and to investigate whether dispositional mindfulness is associated with the frequency, duration, and amplitude of AB episodes measured by surface electromyography.</p> </section> <section> <h3> Methods</h3> <p>A cross-sectional study was conducted with 68 dental students (18–40 years) from the School of Dentistry of Ribeirão Preto, University of São Paulo. Participants were classified into AB and control groups based on self-report and Ecological Momentary Assessment (EMA). Surface electromyography (sEMG) of the masseter muscle was recorded during five conditions: rest, maximal voluntary clenching, self-report questionnaires, mathematical tasks of different complexity, and an electronic memory game (Genius). Episodes were analysed at thresholds of 10%, 20%, and 30% of maximal voluntary contraction (Ap10, Ap20, Ap30), extracting frequency, duration, and amplitude. Dispositional mindfulness was assessed using the Five Facet Mindfulness Questionnaire (FFMQ). Statistical analyses included Friedman tests, Mann–Whitney <i>U</i> tests, Generalised Estimating Equations (GEE), and Spearman correlations.</p> </section> <section> <h3> Results</h3> <p>Controls showed increased episode frequency at lower thresholds (Ap10) as task complexity rose, whereas AB individuals maintained elevated frequencies across all tasks. Significant between-group differences were observed at higher thresholds (Ap20, Ap30). Duration and amplitude showed no significant differences, except for a trend of greater amplitude in controls during the Genius task. Within the AB group, higher dispositional mindfulness was associated with fewer and shorter contraction episodes, a pattern consistent with previous research indicating a potential protective association. (notably at Ap30) and shorter durations across tasks, while no associations were observed in controls.</p> </section> <section> <h3> Conclusion</h3> <p>AB indiv
{"title":"Mindfulness Level Influences the Frequency, Amplitude and Duration of Awake Bruxism Episodes During Standardised Mental Capacity Tasks","authors":"Rafael Chadud Matoso-Filho, Caio Sberni Pinheiro Souza, Nykolas Jorge Silva Castaldi, Melissa Oliveira Melchior, Fabiane Carneiro Lopes-Olhê, Simone Cecílio Hallak Regalo, Laís Valencise Magri, Jardel Francisco Mazzi-Chaves","doi":"10.1111/joor.70119","DOIUrl":"10.1111/joor.70119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Awake bruxism (AB) is characterised by repetitive or sustained masticatory muscle activity during wakefulness, including clenching, grinding, or mandibular bracing. Recent consensus defines AB as a motor behaviour influenced by psychological and contextual factors. Among these, dispositional mindfulness may play a modulatory role in the frequency and intensity of AB episodes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to evaluate how standardised cognitive tasks of varying complexity modulate awake bruxism (AB) and to investigate whether dispositional mindfulness is associated with the frequency, duration, and amplitude of AB episodes measured by surface electromyography.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with 68 dental students (18–40 years) from the School of Dentistry of Ribeirão Preto, University of São Paulo. Participants were classified into AB and control groups based on self-report and Ecological Momentary Assessment (EMA). Surface electromyography (sEMG) of the masseter muscle was recorded during five conditions: rest, maximal voluntary clenching, self-report questionnaires, mathematical tasks of different complexity, and an electronic memory game (Genius). Episodes were analysed at thresholds of 10%, 20%, and 30% of maximal voluntary contraction (Ap10, Ap20, Ap30), extracting frequency, duration, and amplitude. Dispositional mindfulness was assessed using the Five Facet Mindfulness Questionnaire (FFMQ). Statistical analyses included Friedman tests, Mann–Whitney <i>U</i> tests, Generalised Estimating Equations (GEE), and Spearman correlations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Controls showed increased episode frequency at lower thresholds (Ap10) as task complexity rose, whereas AB individuals maintained elevated frequencies across all tasks. Significant between-group differences were observed at higher thresholds (Ap20, Ap30). Duration and amplitude showed no significant differences, except for a trend of greater amplitude in controls during the Genius task. Within the AB group, higher dispositional mindfulness was associated with fewer and shorter contraction episodes, a pattern consistent with previous research indicating a potential protective association. (notably at Ap30) and shorter durations across tasks, while no associations were observed in controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AB indiv","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"579-591"},"PeriodicalIF":4.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540960","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}
Pain frequency is considered an important aspect of pain chronicity, linked to heightened pain and psychosocial distress. In the International Classification of Orofacial Pain (ICOP), temporomandibular disorders (TMD) are classified as frequent (FR, 1–14 days/month) and highly frequent (HF, ≥ 15 days/month), but whether this is clinically relevant is unknown.
Objectives
This retrospective study aimed to examine differences in FR and HF TMD patients regarding demographics, diagnostics, characteristic pain intensity (CPI) and disability (GCPS), jaw function (JFLS), psychosocial variables (depression, anxiety, pain catastrophizing (PCS) and somatic symptoms) and oral-health-related quality of life (OHIP-5).
Methods
Records of 208 patients with either FR or HF TMD pain (ICOP), were included. All patients had been examined according to the Diagnostic Criteria for TMD (DC/TMD) axis I and axis II. Univariate statistics were used to compare FR and HF TMD, and multivariate statistics to identify variables differentiating HF from FR TMD (p < 0.05).
Results
Arthralgia and degenerative joint disease were more common in HF TMD compared to FR (p = 0.004 and p = 0.010). HF TMD had higher CPI (p < 0.001), JFLS (p < 0.001), PCS (p < 0.001) and OHIP-5 (p < 0.001) scores. Higher CPI, GCPS, PCS, JFLS and OHIP-5 distinguished HF from FR TMD patients (p < 0.05).
Conclusion
HF TMD patients showed increased pain intensity, disability, catastrophizing jaw functional limitations, and reduced quality of life distinguishing them from FR TMD patients. This study is the first to demonstrate the clinical relevance of the ICOP frequency-based classification of TMD, highlighting its importance in the risk assessment and management of these patients.
{"title":"Does Frequency of Temporomandibular Disorders Pain Influence on Physical and Emotional Function?","authors":"Goli Chamani, Nora Gourie, Zam-Zam Osman, Petra Lahdo, Golnaz Barjandi, Malin Ernberg","doi":"10.1111/joor.70102","DOIUrl":"10.1111/joor.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pain frequency is considered an important aspect of pain chronicity, linked to heightened pain and psychosocial distress. In the International Classification of Orofacial Pain (ICOP), temporomandibular disorders (TMD) are classified as frequent (FR, 1–14 days/month) and highly frequent (HF, ≥ 15 days/month), but whether this is clinically relevant is unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This retrospective study aimed to examine differences in FR and HF TMD patients regarding demographics, diagnostics, characteristic pain intensity (CPI) and disability (GCPS), jaw function (JFLS), psychosocial variables (depression, anxiety, pain catastrophizing (PCS) and somatic symptoms) and oral-health-related quality of life (OHIP-5).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Records of 208 patients with either FR or HF TMD pain (ICOP), were included. All patients had been examined according to the Diagnostic Criteria for TMD (DC/TMD) axis I and axis II. Univariate statistics were used to compare FR and HF TMD, and multivariate statistics to identify variables differentiating HF from FR TMD (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Arthralgia and degenerative joint disease were more common in HF TMD compared to FR (<i>p</i> = 0.004 and <i>p</i> = 0.010). HF TMD had higher CPI (<i>p</i> < 0.001), JFLS (<i>p</i> < 0.001), PCS (<i>p</i> < 0.001) and OHIP-5 (<i>p</i> < 0.001) scores. Higher CPI, GCPS, PCS, JFLS and OHIP-5 distinguished HF from FR TMD patients (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>HF TMD patients showed increased pain intensity, disability, catastrophizing jaw functional limitations, and reduced quality of life distinguishing them from FR TMD patients. This study is the first to demonstrate the clinical relevance of the ICOP frequency-based classification of TMD, highlighting its importance in the risk assessment and management of these patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"556-567"},"PeriodicalIF":4.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540942","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}
<div> <section> <h3> Background</h3> <p>Tooth wear is an increasing concern, particularly among younger individuals, driven by lifestyle and dietary changes as well as by bruxism. This condition, including attrition, abrasion and erosion, can result in sensitivity, aesthetic decline and functional impairment. Although dental caries prevention has improved, tooth wear remains a complex, multifactorial problem requiring early detection and effective management.</p> </section> <section> <h3> Objectives</h3> <p>This paper is a literature survey that provides an overview and compares three diagnostic systems for tooth wear assessment—the Smith and Knight Index (TWI), Basic Erosive Wear Examination (BEWE) and Tooth Wear Evaluation System (TWES 2.0)—as recommended by the European Consensus Statement (2017). BEWE is primarily designed to assess erosive tooth wear, whereas TWI and TWES 2.0 provide a more comprehensive evaluation that also encompasses attrition and abrasion. This paper evaluates the suitability of all three indices for both population-level screening and individual patient assessment, focusing on efficiency, detail and ease of use. All three indices can be applied for screening purposes and for detailed evaluation of patients, although their primary applications may differ: BEWE is primarily used for screening populations, whereas TWI and TWES 2.0 are more often employed for assessing individual patients requiring treatment. It should be noted, however, that the TWI is not a screening tool but a diagnostic index intended for detailed clinical evaluation. The article also examines limitations, especially regarding the assessment of wear on restorative materials, and explores emerging technologies.</p> </section> <section> <h3> Methods</h3> <p>A literature review was conducted to assess the clinical relevance, diagnostic performance and practical application of the TWI, BEWE and TWES 2.0, based on a literature search performed using PubMed, Embase, ScienceDirect and Web of Science databases. Key outcome parameters compared for each index included scoring system, focus area, simplicity, level of detail, sensitivity to early wear, inclusion of restorations, ease of standardisation, application, advantages and limitations. Emerging diagnostic technologies were also considered.</p> </section> <section> <h3> Results</h3> <p>All three systems offer structured approaches to diagnosing tooth wear, but each has limitations. BEWE is efficient for population screening but lacks clinical detail. TWI is comprehensive but time-consuming. TWES 2.0 balances efficiency with detail. Importantly, TWES 2.0 is the first diagnostic tool designed t
{"title":"Methods for Assessing and Measuring Tooth Wear—Applications in Clinical Research and a Comparison of the Basic Erosive Wear Examination, Tooth Wear Index and Tooth Wear Evaluation System Version 2.0","authors":"Maria Lorens, Iwona Tomaszewska","doi":"10.1111/joor.70104","DOIUrl":"10.1111/joor.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Tooth wear is an increasing concern, particularly among younger individuals, driven by lifestyle and dietary changes as well as by bruxism. This condition, including attrition, abrasion and erosion, can result in sensitivity, aesthetic decline and functional impairment. Although dental caries prevention has improved, tooth wear remains a complex, multifactorial problem requiring early detection and effective management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This paper is a literature survey that provides an overview and compares three diagnostic systems for tooth wear assessment—the Smith and Knight Index (TWI), Basic Erosive Wear Examination (BEWE) and Tooth Wear Evaluation System (TWES 2.0)—as recommended by the European Consensus Statement (2017). BEWE is primarily designed to assess erosive tooth wear, whereas TWI and TWES 2.0 provide a more comprehensive evaluation that also encompasses attrition and abrasion. This paper evaluates the suitability of all three indices for both population-level screening and individual patient assessment, focusing on efficiency, detail and ease of use. All three indices can be applied for screening purposes and for detailed evaluation of patients, although their primary applications may differ: BEWE is primarily used for screening populations, whereas TWI and TWES 2.0 are more often employed for assessing individual patients requiring treatment. It should be noted, however, that the TWI is not a screening tool but a diagnostic index intended for detailed clinical evaluation. The article also examines limitations, especially regarding the assessment of wear on restorative materials, and explores emerging technologies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A literature review was conducted to assess the clinical relevance, diagnostic performance and practical application of the TWI, BEWE and TWES 2.0, based on a literature search performed using PubMed, Embase, ScienceDirect and Web of Science databases. Key outcome parameters compared for each index included scoring system, focus area, simplicity, level of detail, sensitivity to early wear, inclusion of restorations, ease of standardisation, application, advantages and limitations. Emerging diagnostic technologies were also considered.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All three systems offer structured approaches to diagnosing tooth wear, but each has limitations. BEWE is efficient for population screening but lacks clinical detail. TWI is comprehensive but time-consuming. TWES 2.0 balances efficiency with detail. Importantly, TWES 2.0 is the first diagnostic tool designed t","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"568-578"},"PeriodicalIF":4.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540975","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}
Chen TC, Lin CS. “Neuroimaging Meta-Analysis of Brain Mechanisms of the Association Between Orofacial Pain and Mastication,” J Oral Rehabil. 2023;50(10):1070–81.
In the published article, the affiliation for Ta-chung Chen was incorrectly listed. In addition to the first affiliation (1Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan), a second affiliation should also have been included (2Department of Dentistry, National Yang Ming Chiao Tung University, Hsinchu, Taiwan). The final correct version of the affiliation is as follows:
1Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan
2Department of Dentistry, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
{"title":"Correction to “Neuroimaging Meta-Analysis of Brain Mechanisms of the Association Between Orofacial Pain and Mastication”","authors":"","doi":"10.1111/joor.70116","DOIUrl":"10.1111/joor.70116","url":null,"abstract":"<p>Chen TC, Lin CS. “Neuroimaging Meta-Analysis of Brain Mechanisms of the Association Between Orofacial Pain and Mastication,” <i>J Oral Rehabil</i>. 2023;50(10):1070–81.</p><p>In the published article, the affiliation for <b>Ta-chung Chen</b> was incorrectly listed. In addition to the first affiliation (<sup>1</sup>Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan), a second affiliation should also have been included (<sup>2</sup>Department of Dentistry, National Yang Ming Chiao Tung University, Hsinchu, Taiwan). The final correct version of the affiliation is as follows:</p><p><sup>1</sup>Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan</p><p><sup>2</sup>Department of Dentistry, National Yang Ming Chiao Tung University, Hsinchu, Taiwan</p><p>We apologize for this error.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513233","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}
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