{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T13:45:17Z","timestamp":1782740717252,"version":"3.54.5"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>War\u2010related stress may exacerbate parafunctional oral\/postural habits and hinder the normalization of swallowing in children. Evidence for low\u2010burden myofunctional protocols remains limited, particularly in juveniles living in high\u2010stressor settings. This study described short\u2010term trajectories of swallowing rehabilitation status in Ukrainian orthodontic patients treated with a standardized FroggyMouth\u2010based program during the wartime period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This study used a single\u2010center longitudinal observational design (March 2022\u2013June 2024) with consecutive enrollment. In total, 120 orthodontic patients aged 6\u201317 years with atypical swallowing and oral\/postural habits were prescribed FroggyMouth (15\u2009min\/day during a quiet activity). Reassessment was performed at ~5 (T1) and ~10 weeks (T2). Rehabilitation status (RS) was classified as RS0 (baseline), RS1 (engrammation), and RS2 (automation). Paired change in the three\u2010level RS distribution between T1 and T2 was assessed. Habit profiles and anxiety were recorded (age\u2010stratified STAI\u2010C\/STAI\u2010Y) and summarized descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Oral\/postural habits were frequently observed: resting the head on the hand in 80% of patients; sleeping on the hand in 36.7%; watching TV with the mouth open in 25.0%; and mouth breathing in 41.7%. Non\u2010nutritive sucking behaviors were uncommon. Anxiety varied across groups (means ~43\u201344 at ages 6\u201311 vs. ~50\u201355 at ages 12\u201317). RS distribution shifted toward later stages from T1 to T2 (RS0\/RS1\/RS2: 54.2%\/25.8%\/20.0% at T1 vs. 14.2%\/22.5%\/63.3% at T2). Age groups differed in the magnitude of within\u2010subject RS change (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while RS2 proportions at T2 were broadly similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this uncontrolled clinic\u2010based cohort, a standardized FroggyMouth\u2010based program demonstrated a short\u2010term shift toward RS2 between 5 and 10 weeks, reaching 63.3% (95% CI 54.1\u201371.9) overall at 10 weeks. These observational data quantify short\u2010term change; longer follow\u2010up and comparative designs are needed to establish persistence and relative effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70376","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:01:12Z","timestamp":1779274872000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Myofunctional Rehabilitation of Atypical Swallowing in Children and Adolescents With Stress\u2010Related Detrimental Habits: Single\u2010Center Longitudinal Study in Ukraine"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1199-8086","authenticated-orcid":false,"given":"Nataliia","family":"Makhlynets","sequence":"first","affiliation":[{"name":"Ivano\u2010Frankivsk National Medical University Ivano\u2010Frankivsk Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5753-9061","authenticated-orcid":false,"given":"Myroslava","family":"Kokoshko","sequence":"additional","affiliation":[{"name":"Taras Shevchenko National University of Kyiv Kyiv Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1017-5077","authenticated-orcid":false,"given":"Nataliia","family":"Kozan","sequence":"additional","affiliation":[{"name":"Ivano\u2010Frankivsk National Medical University Ivano\u2010Frankivsk Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-2658","authenticated-orcid":false,"given":"Zinovii","family":"Ozhogan","sequence":"additional","affiliation":[{"name":"Ivano\u2010Frankivsk National Medical University Ivano\u2010Frankivsk Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-2356","authenticated-orcid":false,"given":"Taras","family":"Kotyk","sequence":"additional","affiliation":[{"name":"Ivano\u2010Frankivsk National Medical University Ivano\u2010Frankivsk Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"issue":"6","key":"e_1_2_12_2_1","first-page":"4431","article-title":"Mouth Breathing in Pediatric Population: A Literature Review","volume":"25","author":"Achmad H.","year":"2021","journal-title":"Annals of the Romanian Society for Cell Biology"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjad018"},{"key":"e_1_2_12_4_1","volume-title":"Management of the Developing Dentition and Occlusion in Pediatric Dentistry. The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2025"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2021.1897421"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05994-w"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-83242009000200015"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/children12111533"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2016.08.018"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD015458"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-1513"},{"key":"e_1_2_12_12_1","unstructured":"Froggy & Co. The FroggyMouth treatment n.d.https:\/\/froggymouth.com\/en\/pages\/the-treatmentAccessed February 17 2026."},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1051\/odfen\/2014033"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.33552\/OJDOH.2018.01.000506"},{"key":"e_1_2_12_15_1","volume-title":"Neurosciences and Swallowing Rehabilitation: FroggyMouth: An Anoetic Approach","author":"Fellus P.","year":"2020"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2021.08.014"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj12020021"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjad009"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobcr.2025.09.004"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/2176-9451.19.4.094-099.oar"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1201\/9780429278051"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.5681\/joddd.2009.019"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.3958-09.2009"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.929165"},{"key":"e_1_2_12_25_1","first-page":"142","article-title":"Tongue Rehabilitation Through the Froggy Mouth Device: Case Series","volume":"34","author":"Manzini P.","year":"2020","journal-title":"Journal of Biological Regulators and Homeostatic Agents"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.11138\/oi.v16i3.56"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001583"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-023-02255-z"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40510-022-00420-9"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2022.07.004"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.15386\/mpr-2415"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9082652"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj12040096"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-019-09631-5"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2019.1633492"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2016.18.1\/ksmith"},{"key":"e_1_2_12_37_1","volume-title":"State\u2013Trait Anxiety Inventory for Children (STAIC): Preliminary Manual","author":"Spielberger C.","year":"1973"},{"key":"e_1_2_12_38_1","volume-title":"Manual for the State\u2010Trait Anxiety Inventory (Form Y)","author":"Spielberger C.","year":"1983"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.21802\/e-GMJ2024-A29"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.23804\/ejpd.2019.20.01.07"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01458-7"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70376","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cre2.70376","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T12:55:49Z","timestamp":1782737749000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.70376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,20]]},"references-count":40,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/cre2.70376"],"URL":"https:\/\/doi.org\/10.1002\/cre2.70376","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,20]]},"assertion":[{"value":"2025-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70376"}}