Ji-Su Park, Motoyoshi Morishita, HyunDong Kim, NaMi Han, Tae-Hyung Yoon
Background
Oral frailty is characterised by age-related declines in oral function, with masticatory dysfunction being one of the most prevalent issues among older adults.
Objective
This study examined the effects of personalised masticatory training using a visual biofeedback-assisted digital device on oral function in older adults with oral frailty.
Methods
In this study, 50 community-dwelling older adults who were screened and identified as having oral frailty were randomly assigned to either the experimental group or the control group. The experimental group performed personalised masticatory training using a visual biofeedback-assisted digital device, exercising at 70% of their one-repetition maximum (1-RM), with a total of 60 repetitions per day, 5 days per week, for 6 weeks. In contrast, the control group performed gum chewing exercises using gum, matching the experimental group in frequency and duration. The primary outcomes were assessed by measuring maximum occlusal force, masticatory performance, masseter muscle thickness and oral mucosal moisture.
Results
As a result, the experimental group demonstrated significantly greater improvements in maximum occlusal force, masticatory performance, masseter muscle thickness and oral mucosal moisture than the control group (all, p < 0.05).
Conclusion
Personalised masticatory training using a visual biofeedback-assisted digital device has been shown to be a more effective method than gum chewing exercises for improving oral function in older adults with oral frailty.
{"title":"Personalised Masticatory Training Using a Visual Biofeedback-Assisted Digital Device for Improving Oral Function in Older Adults With Oral Frailty","authors":"Ji-Su Park, Motoyoshi Morishita, HyunDong Kim, NaMi Han, Tae-Hyung Yoon","doi":"10.1111/joor.70112","DOIUrl":"10.1111/joor.70112","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral frailty is characterised by age-related declines in oral function, with masticatory dysfunction being one of the most prevalent issues among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the effects of personalised masticatory training using a visual biofeedback-assisted digital device on oral function in older adults with oral frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this study, 50 community-dwelling older adults who were screened and identified as having oral frailty were randomly assigned to either the experimental group or the control group. The experimental group performed personalised masticatory training using a visual biofeedback-assisted digital device, exercising at 70% of their one-repetition maximum (1-RM), with a total of 60 repetitions per day, 5 days per week, for 6 weeks. In contrast, the control group performed gum chewing exercises using gum, matching the experimental group in frequency and duration. The primary outcomes were assessed by measuring maximum occlusal force, masticatory performance, masseter muscle thickness and oral mucosal moisture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>As a result, the experimental group demonstrated significantly greater improvements in maximum occlusal force, masticatory performance, masseter muscle thickness and oral mucosal moisture than the control group (all, <i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Personalised masticatory training using a visual biofeedback-assisted digital device has been shown to be a more effective method than gum chewing exercises for improving oral function in older adults with oral frailty.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"529-536"},"PeriodicalIF":4.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513205","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. Complex Associations Between Pain and Masticatory Function in Patients With Muscular Temporomandibular Disorders. J Oral Rehabil. 2025;52(11):2084–2094.
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, Taipei, Taiwan). The final correct version of the affiliation is:
1Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan
2Department of Dentistry, National Yang Ming Chiao Tung University, Taipei, Taiwan
{"title":"Correction to ‘Complex Associations Between Pain and Masticatory Function in Patients With Muscular Temporomandibular Disorders’","authors":"","doi":"10.1111/joor.70115","DOIUrl":"10.1111/joor.70115","url":null,"abstract":"<p>Chen TC, Lin CS. Complex Associations Between Pain and Masticatory Function in Patients With Muscular Temporomandibular Disorders. J Oral Rehabil. 2025;52(11):2084–2094.</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, Taipei, Taiwan). The final correct version of the affiliation is:</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, Taipei, Taiwan</p><p>We apologise 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.70115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145513157","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}
This study aimed to elucidate the effect of minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges in patients with complex impacted teeth.
Methods
Eighty patients with complex impacted teeth were categorised into a control group (received piezosurgery extraction treatment) and an observation group (received high-speed turbine-assisted minimally invasive extraction plus medical collagen sponge treatment). Outcome measures included intraoperative blood loss, integrity of the tooth socket, degree of postoperative mouth-opening limitation, VAS scores, degree of swelling, postoperative complications and the Pink Aesthetic Score (PES).
Results
The observation group exhibited less intraoperative blood loss and superior tooth socket integrity compared to the control group (p < 0.05). The degree of mouth-opening limitation in the observation group was better than that in the control group (p < 0.05). VAS scores on postoperative Days 3 and 7 were significantly lower in the observation group compared with the control group (p < 0.05). On postoperative Day 5, the swelling rate was lower in the observation group than the control group (p < 0.05). Furthermore, the incidence of postoperative complications was reduced and the PES index was higher in the observation group compared with the control group (both p < 0.05).
Conclusion
Minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges effectively reduces postoperative pain, swelling, and complications in patients with complex impacted teeth, while improving aesthetic outcomes.
{"title":"Effect of High-Speed Turbine–Assisted Minimally Invasive Tooth Extraction Combined With Collagen Sponges in Patients With Complex Impacted Teeth","authors":"Yin Zhu, Cunbao Zhang, Lina Zou","doi":"10.1111/joor.70114","DOIUrl":"10.1111/joor.70114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to elucidate the effect of minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges in patients with complex impacted teeth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eighty patients with complex impacted teeth were categorised into a control group (received piezosurgery extraction treatment) and an observation group (received high-speed turbine-assisted minimally invasive extraction plus medical collagen sponge treatment). Outcome measures included intraoperative blood loss, integrity of the tooth socket, degree of postoperative mouth-opening limitation, VAS scores, degree of swelling, postoperative complications and the Pink Aesthetic Score (PES).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The observation group exhibited less intraoperative blood loss and superior tooth socket integrity compared to the control group (<i>p</i> < 0.05). The degree of mouth-opening limitation in the observation group was better than that in the control group (<i>p</i> < 0.05). VAS scores on postoperative Days 3 and 7 were significantly lower in the observation group compared with the control group (<i>p</i> < 0.05). On postoperative Day 5, the swelling rate was lower in the observation group than the control group (<i>p</i> < 0.05). Furthermore, the incidence of postoperative complications was reduced and the PES index was higher in the observation group compared with the control group (both <i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges effectively reduces postoperative pain, swelling, and complications in patients with complex impacted teeth, while improving aesthetic outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"549-555"},"PeriodicalIF":4.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145523582","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}
Adrian Ujin Yap, Jie Lei, Cheng-Ge Liu, Zhi-Wei Huang, Kai Yuan Fu
Background
Although females comprise the majority of patients with temporomandibular disorders (TMDs), few studies have prioritised the influence of sex on symptom severity and impact.
Objectives
This cross-sectional study investigated sex-related differences in TMD symptom severity, jaw functional limitation (JFL) and oral health-related quality of life (OHRQoL); examined their interrelationships by sex; and identified symptom-specific factors linked to high JFL and low OHRQoL.
Methods
Consecutively enrolled patients completed a survey including demographics, the Four-Dimensional Six TMD symptoms (6Ts-4D) screener, JFL Scale-8 (JFLS-8) and Oral Health Impact Profile for TMDs (OHIP-TMD). TMD diagnostic subtypes were subsequently determined according to the DC/TMD protocol. Data were evaluated using chi-square, non-parametric tests and logistic regression (α = 0.05).
Results
Among 280 participants (mean age 31.2 years [SD 11.8]), 79.3% were female. Females showed significantly higher rates of combined pain-related and intra-articular TMDs, more TMD symptoms, more severe headaches, greater JFL and poorer overall OHRQoL than males. They also demonstrated stronger correlations between global TMD severity and OHRQoL dimensions (rs = 0.38–0.66), as well as between JFL and OHRQoL (rs = 0.48–0.79). Multivariate analysis revealed that high JFL was significantly associated with jaw muscle pain (OR 1.22), jaw joint pain (OR 1.21), TMJ closed-lock (OR 1.24) and open-lock (OR 1.25), while low OHRQoL was related to jaw muscle pain (OR 1.16), jaw joint pain (OR 1.24), headache (OR 1.23) and TMJ closed-lock (OR 1.13).
Conclusions
Findings support sex-informed TMD care, though generalizability is constrained by study design and sample composition.
{"title":"Sex-Related Differences in Temporomandibular Disorder Symptom Severity: Correlates With Jaw Function and Oral Health-Related Quality of Life Among Patients","authors":"Adrian Ujin Yap, Jie Lei, Cheng-Ge Liu, Zhi-Wei Huang, Kai Yuan Fu","doi":"10.1111/joor.70103","DOIUrl":"10.1111/joor.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although females comprise the majority of patients with temporomandibular disorders (TMDs), few studies have prioritised the influence of sex on symptom severity and impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This cross-sectional study investigated sex-related differences in TMD symptom severity, jaw functional limitation (JFL) and oral health-related quality of life (OHRQoL); examined their interrelationships by sex; and identified symptom-specific factors linked to high JFL and low OHRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Consecutively enrolled patients completed a survey including demographics, the Four-Dimensional Six TMD symptoms (6Ts-4D) screener, JFL Scale-8 (JFLS-8) and Oral Health Impact Profile for TMDs (OHIP-TMD). TMD diagnostic subtypes were subsequently determined according to the DC/TMD protocol. Data were evaluated using chi-square, non-parametric tests and logistic regression (<i>α</i> = 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 280 participants (mean age 31.2 years [SD 11.8]), 79.3% were female. Females showed significantly higher rates of combined pain-related and intra-articular TMDs, more TMD symptoms, more severe headaches, greater JFL and poorer overall OHRQoL than males. They also demonstrated stronger correlations between global TMD severity and OHRQoL dimensions (<i>r</i>s = 0.38–0.66), as well as between JFL and OHRQoL (<i>r</i>s = 0.48–0.79). Multivariate analysis revealed that high JFL was significantly associated with jaw muscle pain (OR 1.22), jaw joint pain (OR 1.21), TMJ closed-lock (OR 1.24) and open-lock (OR 1.25), while low OHRQoL was related to jaw muscle pain (OR 1.16), jaw joint pain (OR 1.24), headache (OR 1.23) and TMJ closed-lock (OR 1.13).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings support sex-informed TMD care, though generalizability is constrained by study design and sample composition.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"537-548"},"PeriodicalIF":4.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145523590","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}
G. Asquini, V. Devecchi, G. Borromeo, P. Tessera, A. Russillo, A. Michelotti, R. Bucci, D. Falla
<div> <section> <h3> Background</h3> <p>Manual therapy (MT) is frequently used to manage temporomandibular disorders (TMDs), yet patient responses vary significantly. Predictive models may help clinicians tailor treatments to individual patients.</p> </section> <section> <h3> Objectives</h3> <p>The primary aim of this study was to externally validate a previously developed prediction model for identifying patients with TMDs who are more likely to benefit from MT. Additionally, new prognostic models to predict outcomes at a one-month follow-up were developed.</p> </section> <section> <h3> Methods</h3> <p>A cohort of 124 adults with a diagnosis of a TMD received a four-week MT program (one session per week) applied to craniomandibular structures. Predictors collected at baseline included clinical and psychosocial variables: pain during mouth opening, pain localisation, treatment expectations, and the central sensitisation inventory (CSI). The primary outcome was a ≥ 30% pain reduction post-treatment. Model performance was assessed using discrimination, calibration, and decision curve analysis. New models predicting one-month outcomes were developed and internally validated via bootstrapping.</p> </section> <section> <h3> Results</h3> <p>The original model showed strong discrimination and overall fit in the validation cohort (AUC = 0.95, <i>R</i><sup>2</sup> = 0.75). Except for pain location, the predictors in the original model also showed excellent discrimination in the developed model based on the outcome at the one-month follow-up (AUC = 0.96). A significant interaction between treatment expectations and CSI was found, with high CSI negatively affecting the outcome in people with positive treatment expectations.</p> </section> <section> <h3> Conclusions</h3> <p>This study externally validated a clinical prediction model for pain reduction in people with TMDs following MT, confirming previously identified predictors of good outcome such as pain during mouth opening, positive treatment expectations, localisation of pain in the craniocervical region, and lower CSI scores. A link to a web-based calculator of the prediction model is provided. The interaction between treatment expectations and CSI suggests that CSI plays a key role in shaping treatment response, modulating the influence of treatment expectation. Future studies with a control group are needed to confirm these results and distinguish true treatment effect modifiers from general prognostic
{"title":"External Validation of a Clinical Prediction Tool for the Use of Manual Therapy in Patients With Temporomandibular Disorders","authors":"G. Asquini, V. Devecchi, G. Borromeo, P. Tessera, A. Russillo, A. Michelotti, R. Bucci, D. Falla","doi":"10.1111/joor.70092","DOIUrl":"10.1111/joor.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Manual therapy (MT) is frequently used to manage temporomandibular disorders (TMDs), yet patient responses vary significantly. Predictive models may help clinicians tailor treatments to individual patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The primary aim of this study was to externally validate a previously developed prediction model for identifying patients with TMDs who are more likely to benefit from MT. Additionally, new prognostic models to predict outcomes at a one-month follow-up were developed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cohort of 124 adults with a diagnosis of a TMD received a four-week MT program (one session per week) applied to craniomandibular structures. Predictors collected at baseline included clinical and psychosocial variables: pain during mouth opening, pain localisation, treatment expectations, and the central sensitisation inventory (CSI). The primary outcome was a ≥ 30% pain reduction post-treatment. Model performance was assessed using discrimination, calibration, and decision curve analysis. New models predicting one-month outcomes were developed and internally validated via bootstrapping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The original model showed strong discrimination and overall fit in the validation cohort (AUC = 0.95, <i>R</i><sup>2</sup> = 0.75). Except for pain location, the predictors in the original model also showed excellent discrimination in the developed model based on the outcome at the one-month follow-up (AUC = 0.96). A significant interaction between treatment expectations and CSI was found, with high CSI negatively affecting the outcome in people with positive treatment expectations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study externally validated a clinical prediction model for pain reduction in people with TMDs following MT, confirming previously identified predictors of good outcome such as pain during mouth opening, positive treatment expectations, localisation of pain in the craniocervical region, and lower CSI scores. A link to a web-based calculator of the prediction model is provided. The interaction between treatment expectations and CSI suggests that CSI plays a key role in shaping treatment response, modulating the influence of treatment expectation. Future studies with a control group are needed to confirm these results and distinguish true treatment effect modifiers from general prognostic","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"515-528"},"PeriodicalIF":4.0,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145489025","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}
Anita Almeida Gonzaga, Jade Louise Alves Macedo Padilha Silva, Rafaella Silva dos Santos Aguiar Gonçalves, Luiz Felipe Tavares, Álvaro Campos Cavalcanti Maciel, Karyna Myrelly Oliveira Bezerra Figueiredo Ribeiro
Background
Increased personal protective equipment (PPE) use, working hours and psychological disorders were observed among healthcare workers during the COVID-19 pandemic, possibly leading to craniocervical and otological symptoms.
Objective
This study aimed to identify factors associated with craniocervical and otological symptoms in healthcare workers during the COVID-19 pandemic.
Methods
A total of 147 healthcare workers in the care of patients with COVID-19 were included. Craniocervical symptoms (headache, orofacial pain and neck pain), otological symptoms and PPE use before and during the pandemic were assessed. Pearson's chi-square, McNemar's tests, the paired t-test and a binary logistic regression were used for analysis.
Results
The onset of symptoms during the pandemic was 44.2% for headache, 36.7% for orofacial pain, 38.0% for neck pain and 54.4% for otological symptoms. Worsening of pre-existing symptoms was observed for headache (59.5%), orofacial pain (60.8%), neck pain (38.7%), and otological symptoms (29.4%). Depressive symptoms, associated symptoms and co-occurrence of symptoms during the pandemic were associated with the onset of craniocervical symptoms (OR 2.42–3.99). The use and duration of surgical masks before the pandemic and face shield and orofacial pain during the pandemic were associated factors to the onset of otological symptoms (OR 2.98–3.89). Working in the nursing ward, female sex, lack of physical activity and previous medical history were associated with the worsening of pre-existing craniocervical symptoms (OR 3.25–4.72).
Conclusion
Craniocervical and otological symptoms increased among healthcare workers during the COVID-19 pandemic. Addressing biopsychosocial factors may mitigate the health burden and improve the quality of care.
{"title":"Factors Associated With Craniocervical and Otological Symptoms in Healthcare Workers During Covid-19 Pandemic: A Cross-Sectional Study","authors":"Anita Almeida Gonzaga, Jade Louise Alves Macedo Padilha Silva, Rafaella Silva dos Santos Aguiar Gonçalves, Luiz Felipe Tavares, Álvaro Campos Cavalcanti Maciel, Karyna Myrelly Oliveira Bezerra Figueiredo Ribeiro","doi":"10.1111/joor.70099","DOIUrl":"10.1111/joor.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Increased personal protective equipment (PPE) use, working hours and psychological disorders were observed among healthcare workers during the COVID-19 pandemic, possibly leading to craniocervical and otological symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to identify factors associated with craniocervical and otological symptoms in healthcare workers during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 147 healthcare workers in the care of patients with COVID-19 were included. Craniocervical symptoms (headache, orofacial pain and neck pain), otological symptoms and PPE use before and during the pandemic were assessed. Pearson's chi-square, McNemar's tests, the paired t-test and a binary logistic regression were used for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The onset of symptoms during the pandemic was 44.2% for headache, 36.7% for orofacial pain, 38.0% for neck pain and 54.4% for otological symptoms. Worsening of pre-existing symptoms was observed for headache (59.5%), orofacial pain (60.8%), neck pain (38.7%), and otological symptoms (29.4%). Depressive symptoms, associated symptoms and co-occurrence of symptoms during the pandemic were associated with the onset of craniocervical symptoms (OR 2.42–3.99). The use and duration of surgical masks before the pandemic and face shield and orofacial pain during the pandemic were associated factors to the onset of otological symptoms (OR 2.98–3.89). Working in the nursing ward, female sex, lack of physical activity and previous medical history were associated with the worsening of pre-existing craniocervical symptoms (OR 3.25–4.72).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Craniocervical and otological symptoms increased among healthcare workers during the COVID-19 pandemic. Addressing biopsychosocial factors may mitigate the health burden and improve the quality of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"505-514"},"PeriodicalIF":4.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482557","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}
Transcutaneous auricular vagus nerve stimulation (TAVNS) stands out as a neuromodulation method that shows therapeutic potential thanks to its ability to regulate autonomic responses. However, the role of TAVNS in the management of bruxism-related clinical parameters has not been sufficiently investigated.
Objective
This study aimed to investigate the holistic effects of TAVNS added to exercise therapy on bruxism-related clinical parameters in patients with clinically based bruxism.
Methods
This randomised, controlled, single-blind experimental clinical study included 40 individuals diagnosed with clinically based bruxism, who were randomly assigned to two groups: the TAVNS group (n = 20) and the control group (n = 20). Both groups performed the Rocabado exercise program for 8 weeks, while the TAVNS group additionally performed TAVNS. Oral health-related quality of life, sleep quality, perceived stress level, pain intensity, pain threshold, biomechanical properties of masticatory muscles, masseter muscle activation and autonomic parameters were evaluated before and after treatment.
Results
The TAVNS group showed significantly better results in oral health-related quality of life, stress levels, masseter muscle functional parameters (resting activation, tonus, stiffness), and autonomic parameters (pulse rate, respiratory rate, sympathetic activity, sympathovagal balance) compared to the control group (p < 0.05).
Conclusion
This study revealed that TAVNS added to exercise therapy provided significant improvements in key clinical parameters associated with bruxism, including both local symptoms (muscle activation and biomechanical properties) and systemic parameters (autonomic parameters, stress, oral health-related quality of life) in bruxism. Although our findings support the clinical potential of TAVNS as a non-invasive complementary option for managing bruxism-related dysfunctions, these effects need to be confirmed in larger samples and long-term follow-ups.
{"title":"Effectiveness of Transcutaneous Auricular Vagus Nerve Stimulation in Bruxism: A Randomised, Controlled, Single-Blind Experimental Trial","authors":"Hazel Celik Guzel, Ozan Bahadır Turkmen, Ebru Kaya Mutlu, Gizem Turkmen, Olcay Sakar, Gülsen Ozturk Ormeci","doi":"10.1111/joor.70096","DOIUrl":"10.1111/joor.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Transcutaneous auricular vagus nerve stimulation (TAVNS) stands out as a neuromodulation method that shows therapeutic potential thanks to its ability to regulate autonomic responses. However, the role of TAVNS in the management of bruxism-related clinical parameters has not been sufficiently investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to investigate the holistic effects of TAVNS added to exercise therapy on bruxism-related clinical parameters in patients with clinically based bruxism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomised, controlled, single-blind experimental clinical study included 40 individuals diagnosed with clinically based bruxism, who were randomly assigned to two groups: the TAVNS group (<i>n</i> = 20) and the control group (<i>n</i> = 20). Both groups performed the Rocabado exercise program for 8 weeks, while the TAVNS group additionally performed TAVNS. Oral health-related quality of life, sleep quality, perceived stress level, pain intensity, pain threshold, biomechanical properties of masticatory muscles, masseter muscle activation and autonomic parameters were evaluated before and after treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The TAVNS group showed significantly better results in oral health-related quality of life, stress levels, masseter muscle functional parameters (resting activation, tonus, stiffness), and autonomic parameters (pulse rate, respiratory rate, sympathetic activity, sympathovagal balance) compared to the control group (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study revealed that TAVNS added to exercise therapy provided significant improvements in key clinical parameters associated with bruxism, including both local symptoms (muscle activation and biomechanical properties) and systemic parameters (autonomic parameters, stress, oral health-related quality of life) in bruxism. Although our findings support the clinical potential of TAVNS as a non-invasive complementary option for managing bruxism-related dysfunctions, these effects need to be confirmed in larger samples and long-term follow-ups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT06386809</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"493-504"},"PeriodicalIF":4.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482528","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}
Frailty prevention is essential in older adults, as oral frailty and hypofunction are linked to increased risks of physical frailty, dependency and mortality. Declines in integrated oral functions, particularly mastication and swallowing, can reduce dietary diversity, impair nutrition and accelerate frailty progression. Although oral hypofunction tests are used for screening and management, the underlying mechanisms and priorities for targeted interventions remain unclear.
Objective
To investigate the associations between declines in masticatory and swallowing functions and specific oral functional impairments among dental outpatients.
Methods
In this cross-sectional study, we included 204 outpatients aged ≥ 50 years (mean age: 77.1 ± 8.5 years) who underwent oral hypofunction tests for the first time. Data were collected on systemic health and seven oral function domains: oral hygiene, oral dryness, occlusal force, tongue–lip motor function, tongue pressure, masticatory function and swallowing function. Pearson's correlation and multiple linear regression analyses were conducted, adjusting for age, sex and comorbidities.
Results
Masticatory function decline was significantly associated with reduced occlusal force and posterior tongue–lip motor function. Swallowing function decline was significantly associated with reduced tongue pressure and anterior tongue–lip motor function.
Conclusion
Masticatory and swallowing functions are closely linked to occlusal force, tongue strength and tongue motor function. These findings highlight the need for targeted oral function training, especially of the tongue and occlusal system, to maintain dietary intake and support frailty prevention in older adults.
{"title":"Oral Factors Associated With Declines in Masticatory and Swallowing Function in Older and Middle-Aged Dental Outpatients","authors":"Yukiko Hatanaka, Tomohiro Tabata, Masatsugu Teraoka, Housei Suzuki, Risako Taue, Kunihito Yamane, Tomoko Mukai, Tokiko Osawa, Junichi Furuya","doi":"10.1111/joor.70097","DOIUrl":"10.1111/joor.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Frailty prevention is essential in older adults, as oral frailty and hypofunction are linked to increased risks of physical frailty, dependency and mortality. Declines in integrated oral functions, particularly mastication and swallowing, can reduce dietary diversity, impair nutrition and accelerate frailty progression. Although oral hypofunction tests are used for screening and management, the underlying mechanisms and priorities for targeted interventions remain unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate the associations between declines in masticatory and swallowing functions and specific oral functional impairments among dental outpatients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, we included 204 outpatients aged ≥ 50 years (mean age: 77.1 ± 8.5 years) who underwent oral hypofunction tests for the first time. Data were collected on systemic health and seven oral function domains: oral hygiene, oral dryness, occlusal force, tongue–lip motor function, tongue pressure, masticatory function and swallowing function. Pearson's correlation and multiple linear regression analyses were conducted, adjusting for age, sex and comorbidities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Masticatory function decline was significantly associated with reduced occlusal force and posterior tongue–lip motor function. Swallowing function decline was significantly associated with reduced tongue pressure and anterior tongue–lip motor function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Masticatory and swallowing functions are closely linked to occlusal force, tongue strength and tongue motor function. These findings highlight the need for targeted oral function training, especially of the tongue and occlusal system, to maintain dietary intake and support frailty prevention in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"475-482"},"PeriodicalIF":4.0,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458969","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}
In order to understand the psychological aspects of chronic pain, it is important to consider the relationships between pain and psychosocial factors in patients with chronic pain. While psychosocial factors are known to affect pain intensity in temporomandibular disorders, few studies have evaluated them in patients with other types of chronic orofacial pain.
Objective
The purpose of the present study was to evaluate the relationships between pain intensity and patient characteristics, diagnostic categories and psychosocial factors in chronic non-nociceptive orofacial pain patients.
Methods
In a retrospective, cross-sectional study, we collected information from the medical records of 123 patients with chronic non-nociceptive orofacial pain. Pain intensity was measured using the Brief Pain Inventory (BPI) total score. Analysis of the correlations among the variables revealed several strong correlations. Principal component analysis identified two components: the psychological distress and self-efficacy/quality of life (QOL) components. Multiple linear regression analyses of the overall study population and each ICOP pain category were also performed.
Results
In the overall sample, higher BPI scores were significantly associated with a greater psychological distress component and lower self-efficacy/QOL component. The pain category was not a significant predictor of the BPI score. In the subgroup analyses, both components were significant predictors of the BPI score in myofascial orofacial pain; whereas, only the self-efficacy/QOL component was in idiopathic orofacial pain.
Conclusion
The results indicated that pain intensity in chronic non-nociceptive orofacial pain is related to the self-efficacy/QOL psychosocial factor component. These findings suggest that assessing psychosocial factors may be clinically important for the diagnosis and treatment of chronic orofacial pain.
{"title":"Is Pain Intensity Related to Psychosocial Factors in Chronic Non-Nociceptive Orofacial Pain Patients?","authors":"Akiko Kawase, Hitoshi Higuchi, Fumika Hashimoto, Saki Miyake, Yukiko Nishioka, Midori Inoue, Hitomi Ujita, Aki Kawauchi, Shigeru Maeda, Takuya Miyawaki","doi":"10.1111/joor.70094","DOIUrl":"10.1111/joor.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In order to understand the psychological aspects of chronic pain, it is important to consider the relationships between pain and psychosocial factors in patients with chronic pain. While psychosocial factors are known to affect pain intensity in temporomandibular disorders, few studies have evaluated them in patients with other types of chronic orofacial pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The purpose of the present study was to evaluate the relationships between pain intensity and patient characteristics, diagnostic categories and psychosocial factors in chronic non-nociceptive orofacial pain patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In a retrospective, cross-sectional study, we collected information from the medical records of 123 patients with chronic non-nociceptive orofacial pain. Pain intensity was measured using the Brief Pain Inventory (BPI) total score. Analysis of the correlations among the variables revealed several strong correlations. Principal component analysis identified two components: the psychological distress and self-efficacy/quality of life (QOL) components. Multiple linear regression analyses of the overall study population and each ICOP pain category were also performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the overall sample, higher BPI scores were significantly associated with a greater psychological distress component and lower self-efficacy/QOL component. The pain category was not a significant predictor of the BPI score. In the subgroup analyses, both components were significant predictors of the BPI score in myofascial orofacial pain; whereas, only the self-efficacy/QOL component was in idiopathic orofacial pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results indicated that pain intensity in chronic non-nociceptive orofacial pain is related to the self-efficacy/QOL psychosocial factor component. These findings suggest that assessing psychosocial factors may be clinically important for the diagnosis and treatment of chronic orofacial pain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"466-474"},"PeriodicalIF":4.0,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458961","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}
Bo Young Jeong, Seong Hae Kim, Xin Xiong, Ji Woon Park
Objectives
To analyse clinical features and psychological status according to the presence of concomitant headache in a well-defined group of temporomandibular disorders (TMD).
Methods
Graded Chronic Pain Scale and Symptom Checklist-90-Revision were applied to evaluate pain disability and psychological characteristics in a group of 793 TMD patients. The presence of generalised bodily symptoms, sleep disturbance, and general health status was collected. Clinical and psychological variables associated with concomitant headache were statistically identified.
Results
Among the TMD patients, 290 reported headache (37%). Those with headache reported higher levels of TMD pain intensity (p = 0.005) and more frequently reported pain on palpation of the masticatory muscles (p = 0.031) and temporomandibular joint (p = 0.007). Also, clenching (p = 0.016), sleep disturbance (p < 0.001), and insomnia (p < 0.001) were more prevalent. Those with headache experienced pain in other body regions more frequently. Higher levels of somatization (p < 0.001), depression (p = 0.045), anxiety (p = 0.005), and paranoid ideation (p = 0.022) were found in the headache group.
Conclusions
TMD patients when reporting concomitant headache showed higher pain levels, widespread pain, and higher levels of psychological distress. The results indicate the need to appropriately address the issue of headache in TMD patients with an emphasis on psychological issues to improve overall prognosis.
{"title":"Concomitant Headache and Its Association With Worse Psychological and Clinical Status in Temporomandibular Disorders","authors":"Bo Young Jeong, Seong Hae Kim, Xin Xiong, Ji Woon Park","doi":"10.1111/joor.70100","DOIUrl":"10.1111/joor.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To analyse clinical features and psychological status according to the presence of concomitant headache in a well-defined group of temporomandibular disorders (TMD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Graded Chronic Pain Scale and Symptom Checklist-90-Revision were applied to evaluate pain disability and psychological characteristics in a group of 793 TMD patients. The presence of generalised bodily symptoms, sleep disturbance, and general health status was collected. Clinical and psychological variables associated with concomitant headache were statistically identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the TMD patients, 290 reported headache (37%). Those with headache reported higher levels of TMD pain intensity (<i>p</i> = 0.005) and more frequently reported pain on palpation of the masticatory muscles (<i>p</i> = 0.031) and temporomandibular joint (<i>p</i> = 0.007). Also, clenching (<i>p</i> = 0.016), sleep disturbance (<i>p</i> < 0.001), and insomnia (<i>p</i> < 0.001) were more prevalent. Those with headache experienced pain in other body regions more frequently. Higher levels of somatization (<i>p</i> < 0.001), depression (<i>p</i> = 0.045), anxiety (<i>p</i> = 0.005), and paranoid ideation (<i>p</i> = 0.022) were found in the headache group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>TMD patients when reporting concomitant headache showed higher pain levels, widespread pain, and higher levels of psychological distress. The results indicate the need to appropriately address the issue of headache in TMD patients with an emphasis on psychological issues to improve overall prognosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"483-492"},"PeriodicalIF":4.0,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145471199","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号