{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T14:35:55Z","timestamp":1783866955703,"version":"3.55.0"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005296","name":"Universit\u00e4tsklinikum Regensburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005296","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Oral Invest"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This retrospective, monocentric, questionnaire-based cross-sectional study investigated self-reported symptoms of temporomandibular disorders (TMDs) and oral splint use among elite German athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Elite athletes (all sports except disability sports, 18\u201335 years old) who completed a questionnaire on oral health in sports between May 2020 and April 2021 were included. The assessed parameters included anamnestic TMD symptoms (3Q\/TMD), oral splint use (presence, reason, wearing habits), current stress levels (scale 1\u201310), current training load (hours\/week), and oral health-related quality of life (OHRQoL; OHIP-G5). Data from 337 elite athletes (23\u2009\u00b1\u20094 years, 50% female) were analysed. The prevalence of self-reported TMD symptoms was compared across sexes, orofacial trauma risk levels, and types of sports activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      10% of the athletes reported TMD symptoms, with a significant sex difference (male: 5%, female: 15%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). There was no significant difference based on orofacial trauma risk (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.941) or activity type (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.913). A higher proportion of athletes with self-reported TMD symptoms reported impaired OHRQoL (OHIP\u2009&gt;\u20090:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas there were no differences in stress levels and training load. Oral splint use was reported by 26% of the athletes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>10% of elite German athletes require further diagnostic evaluation regarding possible TMD, which might be comparable to the prevalence of TMD among the general population. One quarter of the athletes reported having oral splints. Clinical Relevance: TMD, bruxism, and oral splints should be routinely considered in sports dental care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-025-06434-x","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T05:13:13Z","timestamp":1751433193000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Temporomandibular disorders and the use of oral splints among elite sport athletes: a questionnaire-based cross-sectional study in Germany"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0112-7631","authenticated-orcid":false,"given":"Cordula Leonie","family":"Merle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa Antonia","family":"Rott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3881-0549","authenticated-orcid":false,"given":"Angelika","family":"Rauch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6501-3003","authenticated-orcid":false,"given":"Bernd","family":"Wolfarth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4730-0214","authenticated-orcid":false,"given":"Jan","family":"W\u00fcstenfeld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Hellmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3716-4231","authenticated-orcid":false,"given":"Rainer","family":"Haak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6602-377X","authenticated-orcid":false,"given":"Gerhard","family":"Schmalz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9810-2368","authenticated-orcid":false,"given":"Dirk","family":"Ziebolz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"6434_CR1","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1136\/bjsports-2014-093617","volume":"49","author":"P Ashley","year":"2015","unstructured":"Ashley P, Di Iorio A, Cole E et al (2015) Oral health of elite athletes and association with performance: a systematic review. Br J Sports Med 49:14\u201319. https:\/\/doi.org\/10.1136\/bjsports-2014-093617","journal-title":"Br J Sports Med"},{"key":"6434_CR2","doi-asserted-by":"publisher","first-page":"297","DOI":"10.4103\/ijdr.IJDR_764_18","volume":"31","author":"FN Azeredo","year":"2020","unstructured":"Azeredo FN, Guimar\u00e3es LS, Lu\u00eds W et al (2020) Estimated prevalence of dental caries in athletes: an epidemiological systematic review and meta-analysis. Indian J Dent Res 31:297\u2013304. https:\/\/doi.org\/10.4103\/ijdr.IJDR_764_18","journal-title":"Indian J Dent Res"},{"key":"6434_CR3","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1007\/s11332-020-00624-8","volume":"16","author":"PHP de Queiroz Gon\u00e7alves","year":"2020","unstructured":"de Queiroz Gon\u00e7alves PHP, Guimar\u00e3es LS, de Azeredo FNA et al (2020) Dental erosion\u2019 prevalence and its relation to isotonic drinks in athletes: a systematic review and meta-analysis. Sport Sci Health 16:207\u2013216. https:\/\/doi.org\/10.1007\/s11332-020-00624-8","journal-title":"Sport Sci Health"},{"key":"6434_CR4","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1111\/cdoe.12392","volume":"46","author":"J Gallagher","year":"2018","unstructured":"Gallagher J, Ashley P, Petrie A et al (2018) Oral health and performance impacts in elite and professional athletes. Community Dent Oral Epidemiol 46:563\u2013568. https:\/\/doi.org\/10.1111\/cdoe.12392","journal-title":"Community Dent Oral Epidemiol"},{"key":"6434_CR5","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/s00784-020-03742-2","volume":"25","author":"HC Freiwald","year":"2021","unstructured":"Freiwald HC, Schwarzbach NP, Wolowski A (2021) Effects of competitive sports on temporomandibular dysfunction: a literature review. Clin Oral Invest 25:55\u201365. https:\/\/doi.org\/10.1007\/s00784-020-03742-2","journal-title":"Clin Oral Invest"},{"key":"6434_CR6","doi-asserted-by":"publisher","unstructured":"Singarapu R, Panneerselvam E, Balasubramaniam S et al (2023) The role of mouthguards in preventing temporomandibular joint injuries during contact sports: A prospective study. Front Dent 20. https:\/\/doi.org\/10.18502\/fid.v20i12.12661","DOI":"10.18502\/fid.v20i12.12661"},{"key":"6434_CR7","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1080\/08869634.2017.1370566","volume":"37","author":"P Friedman Rubin","year":"2019","unstructured":"Friedman Rubin P, Eli I, Greenbaum T et al (2019) Potential orofacial hazards of resistance training: A controlled comparative study. Cranio 37:45\u201352. https:\/\/doi.org\/10.1080\/08869634.2017.1370566","journal-title":"Cranio"},{"key":"6434_CR8","doi-asserted-by":"publisher","first-page":"e10882","DOI":"10.25248\/REAS.e10882.2022","volume":"15","author":"JS Miranda","year":"2022","unstructured":"Miranda JS, Santos JFR, de Aquino JA et al (2022) Risks of resistance training for the bruxism: a cross-sectional study. Acervo Sa\u00fade 15:e10882. https:\/\/doi.org\/10.25248\/REAS.e10882.2022","journal-title":"Acervo Sa\u00fade"},{"key":"6434_CR9","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1111\/joor.12663","volume":"45","author":"F Lobbezoo","year":"2018","unstructured":"Lobbezoo F, Ahlberg J, Raphael KG et al (2018) International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil 45:837\u2013844. https:\/\/doi.org\/10.1111\/joor.12663","journal-title":"J Oral Rehabil"},{"key":"6434_CR10","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1038\/s41432-023-00911-6","volume":"24","author":"N Mortazavi","year":"2023","unstructured":"Mortazavi N, Tabatabaei AH, Mohammadi M et al (2023) Is Bruxism associated with temporomandibular joint disorders? A systematic review and meta-analysis. Evid Based Dent 24:144. https:\/\/doi.org\/10.1038\/s41432-023-00911-6","journal-title":"Evid Based Dent"},{"key":"6434_CR11","volume-title":"Temporomandibular disorders","year":"2020","unstructured":"Yost O, Liverman CT, English R et al (eds) (2020) Temporomandibular disorders. Priorities for Research and Care, Washington (DC)"},{"key":"6434_CR12","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1097\/00002508-200503000-00007","volume":"21","author":"RJ van Grootel","year":"2005","unstructured":"van Grootel RJ, van der Glas HW, Buchner R et al (2005) Patterns of pain variation related to myogenous temporomandibular disorders. Clin J Pain 21:154\u2013165. https:\/\/doi.org\/10.1097\/00002508-200503000-00007","journal-title":"Clin J Pain"},{"key":"6434_CR13","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/s12955-021-01727-7","volume":"19","author":"LB Pigozzi","year":"2021","unstructured":"Pigozzi LB, Pereira DD, Pattussi MP et al (2021) Quality of life in young and middle age adult temporomandibular disorders patients and asymptomatic subjects: a systematic review and meta-analysis. Health Qual Life Outcomes 19:83. https:\/\/doi.org\/10.1186\/s12955-021-01727-7","journal-title":"Health Qual Life Outcomes"},{"key":"6434_CR14","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1111\/joor.13472","volume":"50","author":"Z Qamar","year":"2023","unstructured":"Qamar Z, Alghamdi AMS, Haydarah NKB et al (2023) Impact of temporomandibular disorders on oral health-related quality of life: A systematic review and meta-analysis. J Oral Rehabil 50:706\u2013714. https:\/\/doi.org\/10.1111\/joor.13472","journal-title":"J Oral Rehabil"},{"key":"6434_CR15","doi-asserted-by":"publisher","first-page":"1042","DOI":"10.1016\/j.ijom.2020.01.004","volume":"49","author":"EA Al-Moraissi","year":"2020","unstructured":"Al-Moraissi EA, Farea R, Qasem KA et al (2020) Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg 49:1042\u20131056. https:\/\/doi.org\/10.1016\/j.ijom.2020.01.004","journal-title":"Int J Oral Maxillofac Surg"},{"key":"6434_CR16","doi-asserted-by":"publisher","unstructured":"Cesanelli L, Cesaretti G, Ylait\u0117 B et al (2021) Occlusal splints and exercise performance: A systematic review of current evidence. Int J Environ Res Public Health 18. https:\/\/doi.org\/10.3390\/ijerph181910338","DOI":"10.3390\/ijerph181910338"},{"key":"6434_CR17","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","volume":"61","author":"E von Elm","year":"2008","unstructured":"von Elm E, Altman DG, Egger M et al (2008) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 61:344\u2013349. https:\/\/doi.org\/10.1016\/j.jclinepi.2007.11.008","journal-title":"J Clin Epidemiol"},{"key":"6434_CR18","doi-asserted-by":"publisher","DOI":"10.1097\/jsm.0000000000001302","author":"CL Merle","year":"2024","unstructured":"Merle CL, Rott TA, Rauch A et al (2024) Experience of orofacial injuries and use of Mouthguards - A survey in German elite sport. Clin J Sport Med. https:\/\/doi.org\/10.1097\/jsm.0000000000001302","journal-title":"Clin J Sport Med"},{"key":"6434_CR19","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1111\/joor.12428","volume":"43","author":"A L\u00f6vgren","year":"2016","unstructured":"L\u00f6vgren A, Visscher CM, H\u00e4ggman-Henrikson B et al (2016) Validity of three screening questions (3Q\/TMD) in relation to the DC\/TMD. J Oral Rehabil 43:729\u2013736. https:\/\/doi.org\/10.1111\/joor.12428","journal-title":"J Oral Rehabil"},{"key":"6434_CR20","unstructured":"Slade GD, Strauss RP, Atchison KA et al (1998) Conference summary: assessing oral health outcomes\u2013measuring health status and quality of life. Community Dent Health 15:3\u20137"},{"key":"6434_CR21","doi-asserted-by":"publisher","first-page":"101619","DOI":"10.1016\/j.jebdp.2021.101619","volume":"22","author":"MT John","year":"2022","unstructured":"John MT, Omara M, Su N et al (2022) Recommendations for use and and scoring of oral health impact profile versions. J Evid Based Dent Pract 22:101619. https:\/\/doi.org\/10.1016\/j.jebdp.2021.101619","journal-title":"J Evid Based Dent Pract"},{"key":"6434_CR22","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.1136\/bjsports-2013-092891","volume":"47","author":"I Needleman","year":"2013","unstructured":"Needleman I, Ashley P, Petrie A et al (2013) Oral health and impact on performance of athletes participating in the London 2012 olympic games: a cross-sectional study. Br J Sports Med 47:1054\u20131058. https:\/\/doi.org\/10.1136\/bjsports-2013-092891","journal-title":"Br J Sports Med"},{"key":"6434_CR23","unstructured":"Department of Scientific Information, Evidence Synthesis & Translation Research, ADA Science & Research Institute, LLC (2021) Athletic mouth protectors (mouthguards). https:\/\/www.ada.org\/en\/resources\/research\/science-and-research-institute\/oral-health-topics\/athletic-mouth-protectors-mouthguards. Accessed 09 Jun 2023"},{"key":"6434_CR24","doi-asserted-by":"publisher","first-page":"5313","DOI":"10.1007\/s00784-022-04499-6","volume":"26","author":"HC Freiwald","year":"2022","unstructured":"Freiwald HC, Schwarzbach NP, Wolowski A (2022) Impact of sports on temporomandibular dysfunction: a comparison of competitive and recreational female athletes as well as female non-athletes. Clin Oral Invest 26:5313\u20135323. https:\/\/doi.org\/10.1007\/s00784-022-04499-6","journal-title":"Clin Oral Invest"},{"key":"6434_CR25","first-page":"81","volume-title":"Current concepts on temporomandibular disorders","author":"D Paesani","year":"2010","unstructured":"Paesani D (2010) Etiopathogenesis of TMJ disc displacements. In: Manfredini D (ed) Current concepts on temporomandibular disorders. Quintessence, London, pp 81\u201383"},{"key":"6434_CR26","first-page":"97","volume":"22","author":"MA Al-Jundi","year":"2008","unstructured":"Al-Jundi MA, John MT, Setz JM et al (2008) Meta-analysis of treatment need for temporomandibular disorders in adult nonpatients. J Orofac Pain 22:97\u2013107","journal-title":"J Orofac Pain"},{"key":"6434_CR27","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1016\/j.tripleo.2011.04.021","volume":"112","author":"D Manfredini","year":"2011","unstructured":"Manfredini D, Guarda-Nardini L, Winocur E et al (2011) Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:453\u2013462. https:\/\/doi.org\/10.1016\/j.tripleo.2011.04.021","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"6434_CR28","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1002\/ejp.755","volume":"20","author":"A L\u00f6vgren","year":"2016","unstructured":"L\u00f6vgren A, H\u00e4ggman-Henrikson B, Visscher CM et al (2016) Temporomandibular pain and jaw dysfunction at different ages covering the lifespan\u2013A population based study. Eur J Pain 20:532\u2013540. https:\/\/doi.org\/10.1002\/ejp.755","journal-title":"Eur J Pain"},{"key":"6434_CR29","doi-asserted-by":"publisher","DOI":"10.1111\/sms.14143","author":"CL Merle","year":"2022","unstructured":"Merle CL, Richter L, Challakh N et al (2022) Orofacial conditions and oral health behavior of young athletes\u2013 a comparison of amateur and competitive sports. Scandinavian Med Sci Sports. https:\/\/doi.org\/10.1111\/sms.14143","journal-title":"Scandinavian Med Sci Sports"},{"key":"6434_CR30","doi-asserted-by":"publisher","unstructured":"Merle CL, Rott T, Challakh N et al (2022) Clinical findings and self-reported oral health status of biathletes and cross-country skiers in the preseason - a cohort study with a control group. Res Sports Med 1\u201315. https:\/\/doi.org\/10.1080\/15438627.2022.2090251","DOI":"10.1080\/15438627.2022.2090251"},{"key":"6434_CR31","doi-asserted-by":"publisher","unstructured":"Helmer LML, Koutris M, Chattrattrai T et al (2025) Trauma and TMD: the association between orofacial trauma and temporomandibular disorders in a tertiary referral clinic. Cranio 1\u20139. https:\/\/doi.org\/10.1080\/08869634.2025.2472086","DOI":"10.1080\/08869634.2025.2472086"},{"key":"6434_CR32","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1111\/j.1600-0501.2007.01445.x","volume":"3","author":"JC T\u00fcrp","year":"2007","unstructured":"T\u00fcrp JC, Motschall E, Schindler HJ et al (2007) In patients with temporomandibular disorders, do particular interventions influence oral health-related quality of life? A qualitative systematic review of the literature. Clin Oral Implants Res 18 Suppl 3:127\u2013137. https:\/\/doi.org\/10.1111\/j.1600-0501.2007.01445.x","journal-title":"Clin Oral Implants Res 18 Suppl"},{"key":"6434_CR33","doi-asserted-by":"crossref","unstructured":"Merle CL, Richter L, Challakh N et al (2022) Orofacial conditions and oral health behavior of young athletes\u2013 a comparison of amateur and competitive sports. Scand J Med Sci Sports Accepted","DOI":"10.1111\/sms.14143"},{"key":"6434_CR34","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/s0022-3913(11)60029-2","volume":"105","author":"MA Ommerborn","year":"2011","unstructured":"Ommerborn MA, Taghavi J, Singh P et al (2011) Therapies most frequently used for the management of Bruxism by a sample of German dentists. J Prosthet Dent 105:194\u2013202. https:\/\/doi.org\/10.1016\/s0022-3913(11)60029-2","journal-title":"J Prosthet Dent"},{"key":"6434_CR35","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1007\/s00784-009-0282-4","volume":"14","author":"MA Ommerborn","year":"2010","unstructured":"Ommerborn MA, Kollmann C, Handschel J et al (2010) A survey on German dentists regarding the management of craniomandibular disorders. Clin Oral Invest 14:137\u2013144. https:\/\/doi.org\/10.1007\/s00784-009-0282-4","journal-title":"Clin Oral Invest"},{"key":"6434_CR36","first-page":"268","volume":"22","author":"JA de Boever","year":"2008","unstructured":"de Boever JA, Nilner M, Orthlieb J-D et al (2008) Recommendations by the EACD for examination, diagnosis, and management of patients with temporomandibular disorders and orofacial pain by the general dental practitioner. J Orofac Pain 22:268\u2013278","journal-title":"J Orofac Pain"},{"key":"6434_CR37","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1111\/joor.13284","volume":"49","author":"C Fadillioglu","year":"2022","unstructured":"Fadillioglu C, Kanus L, M\u00f6hler F et al (2022) Influence of controlled masticatory muscle activity on dynamic reactive balance. J Oral Rehabil 49:327\u2013336. https:\/\/doi.org\/10.1111\/joor.13284","journal-title":"J Oral Rehabil"},{"key":"6434_CR38","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1111\/joor.13652","volume":"51","author":"J Durham","year":"2024","unstructured":"Durham J, Ohrbach R, Baad-Hansen L et al (2024) Constructing the brief diagnostic criteria for temporomandibular disorders (bDC\/TMD) for field testing. J Oral Rehabil 51:785\u2013794. https:\/\/doi.org\/10.1111\/joor.13652","journal-title":"J Oral Rehabil"},{"key":"6434_CR39","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1111\/joor.13180","volume":"48","author":"CS Greene","year":"2021","unstructured":"Greene CS, Manfredini D (2021) Transitioning to chronic temporomandibular disorder pain: A combination of patient vulnerabilities and iatrogenesis. J Oral Rehabil 48:1077\u20131088. https:\/\/doi.org\/10.1111\/joor.13180","journal-title":"J Oral Rehabil"},{"key":"6434_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/08869634.2024.2405298","volume":"43","author":"D Manfredini","year":"2025","unstructured":"Manfredini D, H\u00e4ggman-Henrikson B, Al Jaghsi A et al (2025) Temporomandibular disorders: inform\/iadr key points for good clinical practice based on standard of care. Cranio 43:1\u20135. https:\/\/doi.org\/10.1080\/08869634.2024.2405298","journal-title":"Cranio"},{"key":"6434_CR41","doi-asserted-by":"publisher","first-page":"437","DOI":"10.11607\/ijp.5210","volume":"30","author":"D Manfredini","year":"2017","unstructured":"Manfredini D, Serra-Negra J, Carboncini F et al (2017) Current concepts of Bruxism. Int J Prosthodont 30:437\u2013438. https:\/\/doi.org\/10.11607\/ijp.5210","journal-title":"Int J Prosthodont"},{"key":"6434_CR42","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1016\/j.coms.2018.04.003","volume":"30","author":"CS Greene","year":"2018","unstructured":"Greene CS, Menchel HF (2018) The use of oral appliances in the management of temporomandibular disorders. Oral Maxillofac Surg Clin N Am 30:265\u2013277. https:\/\/doi.org\/10.1016\/j.coms.2018.04.003","journal-title":"Oral Maxillofac Surg Clin N Am"},{"key":"6434_CR43","doi-asserted-by":"publisher","unstructured":"Ferreira I, Sahm BD, Dos Reis AC (2024) Association between anxiety and temporomandibular dysfunction in adult patients - a systematic review. Cranio 1\u20137. https:\/\/doi.org\/10.1080\/08869634.2024.2379554","DOI":"10.1080\/08869634.2024.2379554"},{"key":"6434_CR44","doi-asserted-by":"publisher","first-page":"990430","DOI":"10.3389\/fpsyt.2022.990430","volume":"13","author":"EA Dos Santos","year":"2022","unstructured":"Dos Santos EA, Peinado BRR, Fraz\u00e3o DR et al (2022) Association between temporomandibular disorders and anxiety: A systematic review. Front Psychiatry 13:990430. https:\/\/doi.org\/10.3389\/fpsyt.2022.990430","journal-title":"Front Psychiatry"},{"key":"6434_CR45","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1111\/joor.12685","volume":"45","author":"G La Torre Canales","year":"2018","unstructured":"La Torre Canales G, C\u00e2mara-Souza MB, Mu\u00f1oz Lora VRM et al (2018) Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review. J Oral Rehabil 45:881\u2013889. https:\/\/doi.org\/10.1111\/joor.12685","journal-title":"J Oral Rehabil"},{"key":"6434_CR46","doi-asserted-by":"publisher","unstructured":"Heikkinen EV, Kakko N, N\u00e4p\u00e4nkangas R et al (2024) Prevalence of temporomandibular disorders (TMD) and their association with sociodemographic factors and depression\/anxiety symptoms in Northern Finland birth cohort 1986. Cranio:1\u201311. https:\/\/doi.org\/10.1080\/08869634.2024.2437205","DOI":"10.1080\/08869634.2024.2437205"},{"key":"6434_CR47","doi-asserted-by":"publisher","first-page":"6","DOI":"10.11607\/jop.1151","volume":"28","author":"E Schiffman","year":"2014","unstructured":"Schiffman E, Ohrbach R, Truelove E et al (2014) Diagnostic criteria for temporomandibular disorders (DC\/TMD) for clinical and research applications: recommendations of the international RDC\/TMD consortium network** and orofacial pain special interest group\u2020. J Oral Facial Pain Headache 28:6\u201327. https:\/\/doi.org\/10.11607\/jop.1151","journal-title":"J Oral Facial Pain Headache"}],"container-title":["Clinical Oral Investigations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-025-06434-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00784-025-06434-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-025-06434-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T10:09:41Z","timestamp":1781604581000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00784-025-06434-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":47,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["6434"],"URL":"https:\/\/doi.org\/10.1007\/s00784-025-06434-x","relation":{},"ISSN":["1436-3771"],"issn-type":[{"value":"1436-3771","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,2]]},"assertion":[{"value":"30 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the local Ethics Committee of the medical faculty of Leipzig University, Germany (No. 075\/23-ek).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval statement"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors declare that they have no conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}],"article-number":"369"}}