{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T06:14:33Z","timestamp":1778307273405,"version":"3.51.4"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100020570","name":"Pontif\u00edcia Universidade Cat\u00f3lica Do Rio Grande Do Sul","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100020570","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oral Maxillofac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate longitudinal changes in oral health\u2013related quality of life (OHRQoL), pain, and mandibular function over 12 months after temporomandibular joint (TMJ) disc repositioning with mini-anchor fixation in women with refractory bilateral disc displacement without reduction (DDwoR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective cohort study, 34 women with bilateral DDwoR confirmed by Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD) and magnetic resonance imaging (MRI), refractory to at least 6 months of conservative therapy, were assessed at baseline (T0), 1 month (T1), and 12 months (T2). Outcomes included the Oral Health Impact Profile-14 (OHIP-14), visual analog scale for pain (VAS-P), Helkimo Clinical Dysfunction Index (DI), and mandibular mobility measurements. Longitudinal changes were analyzed using repeated-measures ANOVA and linear mixed-effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pain (VAS-P) decreased from 7.6 to 0.7, OHIP-14 from 29.4 to 7.0, and DI from 4.1 to 1.4 by 12 months (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Reductions in OHIP-14 and VAS-P exceeded the predefined MCIDs (OHIP-14, \u2265\u20094.0 points; VAS-P, \u2265\u20092.0 points on the 0\u201310 scale). Mandibular mobility also improved significantly over time. Age-group analyses were exploratory; although an overall time \u00d7 age interaction was observed for OHIP-14, no significant between-group differences were found at postoperative time points.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TMJ disc repositioning with mini-anchor fixation was associated with significant improvements in OHRQoL, pain, and function in women with refractory bilateral DDwoR over 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial number<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10006-026-01569-x","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T06:00:05Z","timestamp":1778306405000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional and oral health\u2013related quality-of-life outcomes 12 months after disc repositioning in women with refractory bilateral disc displacement without reduction"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1620-0950","authenticated-orcid":false,"given":"Roberto Ferreira","family":"Zanin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0564-1179","authenticated-orcid":false,"given":"Cl\u00e1iton","family":"Heitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9863-9217","authenticated-orcid":false,"given":"Bruna Morgan","family":"Dellagostin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0733-9475","authenticated-orcid":false,"given":"Alexandre","family":"Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2004-5959","authenticated-orcid":false,"given":"Guilherme","family":"Omizzolo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6678-8780","authenticated-orcid":false,"given":"Ricardo Augusto","family":"Conci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9561-9767","authenticated-orcid":false,"given":"Jo\u00e3o Batista Blessmann","family":"Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,5,9]]},"reference":[{"key":"1569_CR1","doi-asserted-by":"publisher","first-page":"942","DOI":"10.1016\/j.jcms.2020.08.004","volume":"48","author":"MAG Silva","year":"2020","unstructured":"Silva MAG, Pantoja LLQ, Dutra-Horstmann KL, Valladares-Neto J, Wolff FL, Porporatti AL, Guerra ENS, De Luca CG (2020) Prevalence of degenerative disease in temporomandibular disorder patients with disc displacement: a systematic review and meta-analysis. J Craniomaxillofac Surg 48:942\u2013955","journal-title":"J Craniomaxillofac Surg"},{"key":"1569_CR2","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1016\/j.jcms.2024.06.012","volume":"52","author":"G Dimitroulis","year":"2024","unstructured":"Dimitroulis G (2024) A guide for temporomandibular joint surgery using a simple surgical classification\u2014a narrative-style review. J Craniomaxillofac Surg 52:1116\u20131121. https:\/\/doi.org\/10.1016\/j.jcms.2024.06.012","journal-title":"J Craniomaxillofac Surg"},{"key":"1569_CR3","doi-asserted-by":"publisher","first-page":"e340","DOI":"10.1016\/j.joms.2011.02.038","volume":"69","author":"XY Cai","year":"2011","unstructured":"Cai XY, Jin JM, Yang C (2011) Changes in disc position, disc length, and condylar height in the temporomandibular joint with anterior disc displacement: a longitudinal retrospective magnetic resonance imaging study. J Oral Maxillofac Surg 69:e340\u2013e346. https:\/\/doi.org\/10.1016\/j.joms.2011.02.038","journal-title":"J Oral Maxillofac Surg"},{"key":"1569_CR4","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/odi.13524","volume":"27","author":"OG Casta\u00f1o-Joaqui","year":"2021","unstructured":"Casta\u00f1o-Joaqui OG, Cano-S\u00e1nchez J, Campo-Trapero J, Mu\u00f1oz-Guerra MF (2021) TMJ arthroscopy with hyaluronic acid: a 12-month randomized clinical trial. Oral Dis 27:301\u2013311. https:\/\/doi.org\/10.1111\/odi.13524","journal-title":"Oral Dis"},{"key":"1569_CR5","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1111\/joor.13405","volume":"50","author":"NH El-Shaheed","year":"2023","unstructured":"El-Shaheed NH, Mostafa AZH, Aboelez MA (2023) Efficacy of stabilisation splint and low-level laser therapy for patients with chronic closed lock from non-reducible displaced temporo-mandibular joint discs: a parallel randomised clinical trial. J Oral Rehabil 50:177\u2013193","journal-title":"J Oral Rehabil"},{"key":"1569_CR6","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1111\/joor.13216","volume":"49","author":"AU Yap","year":"2021","unstructured":"Yap AU, Zhang MJ, Cao Y, Lei J, Fu KY (2021) Comparison of psychological states and oral health-related quality of life of patients with differing severity of temporomandibular disorders. J Oral Rehabil 49:177\u2013185","journal-title":"J Oral Rehabil"},{"key":"1569_CR7","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1111\/joor.12994","volume":"47","author":"I Oghli","year":"2020","unstructured":"Oghli I, List T, Su N, H\u00e4ggman-Henrikson B (2020) The impact of oral-facial pain conditions on oral health-related quality of life: a systematic review. J Oral Rehabil 47:1052\u20131064","journal-title":"J Oral Rehabil"},{"key":"1569_CR8","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1111\/idh.12266","volume":"16","author":"M Bayat","year":"2018","unstructured":"Bayat M, Abbasi AJ, Noorbala AA, Mohebbi SZ, Moharrami M, Yekaninejad MS (2018) Oral health-related quality of life in patients with temporomandibular disorders: a case-control study considering psychological aspects. Int J Dent Hyg 16:165\u2013170","journal-title":"Int J Dent Hyg"},{"key":"1569_CR9","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.oooo.2019.05.005","volume":"128","author":"RF Zanin","year":"2019","unstructured":"Zanin RF, Omizolo G, Weber A, Heitz C, de Lima EMS (2019) Oral health-related quality of life in women with temporomandibular joint disk anterior displacement before and after disk repositioning and anchoring surgery assessed with the oral health impact profile (OHIP-14). Oral Surg Oral Med Oral Pathol Oral Radiol 128:112\u2013116","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"1569_CR10","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.joms.2009.09.051","volume":"68","author":"S Abramowicz","year":"2010","unstructured":"Abramowicz S, Dolwick MF (2010) 20-year follow-up study of disc repositioning surgery for temporomandibular joint internal derangement. J Oral Maxillofac Surg 68:239\u2013242","journal-title":"J Oral Maxillofac Surg"},{"key":"1569_CR11","doi-asserted-by":"publisher","first-page":"47.e1","DOI":"10.1016\/j.joms.2014.06.452","volume":"73","author":"D He","year":"2015","unstructured":"He D, Yang C, Zhang S, Wilson JJ (2015) Modified temporomandibular joint disc repositioning with miniscrew anchor: Part I-surgical technique. J Oral Maxillofac Surg 73:47.e1-47.e9. https:\/\/doi.org\/10.1016\/j.joms.2014.06.452","journal-title":"J Oral Maxillofac Surg"},{"key":"1569_CR12","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1016\/j.oooo.2021.02.015","volume":"132","author":"TS Santos","year":"2021","unstructured":"Santos TS, Pagotto LEC, Santos Nascimento E, Rezende da Cunha L, Serra Cassano D, Gon\u00e7alves JR (2021) Effectiveness of disk repositioning and suturing comparing open-joint versus arthroscopic techniques: a systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 132:506\u2013513. https:\/\/doi.org\/10.1016\/j.oooo.2021.02.015","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"1569_CR13","doi-asserted-by":"publisher","first-page":"1403","DOI":"10.1016\/0277-9536(95)00112-K","volume":"41","author":"World Health Organization Quality of Life Group","year":"1995","unstructured":"World Health Organization Quality of Life Group (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41:1403\u20131409","journal-title":"Soc Sci Med"},{"key":"1569_CR14","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1111\/joor.13126","volume":"48","author":"AR Magesty","year":"2021","unstructured":"Magesty AR, Silva MAM, Sim\u00f5es CASC, Falci SGM, Douglas-de-Oliveira DW, Gon\u00e7alves PF, Flecha OD (2021) Oral health-related quality of life in patients with disc displacement with reduction after counselling treatment versus counselling associated with jaw exercises. J Oral Rehabil 48:369\u2013374","journal-title":"J Oral Rehabil"},{"key":"1569_CR15","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.1111\/joor.13363","volume":"49","author":"W Ning","year":"2022","unstructured":"Ning W, Schmalz G, Li P, Huang S (2022) Oral health-related quality of life in patients with osteoarthritis of the temporomandibular joint\u2014results of a systematic review. J Oral Rehabil 49:1106\u20131114","journal-title":"J Oral Rehabil"},{"key":"1569_CR16","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1111\/j.1600-0528.1997.tb00941.x","volume":"25","author":"GD Slade","year":"1997","unstructured":"Slade GD (1997) Derivation and validation of a short-form Oral Health Impact Profile. Community Dent Oral Epidemiol 25:284\u2013290","journal-title":"Community Dent Oral Epidemiol"},{"key":"1569_CR17","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11030472","volume":"11","author":"R Alonso-Royo","year":"2021","unstructured":"Alonso-Royo R, S\u00e1nchez-Torrelo CM, Ib\u00e1\u00f1ez-Vera AJ, Zagalaz-Anula N, Castellote-Caballero Y, Obrero-Gait\u00e1n E, Rodr\u00edguez-Almagro D, Lomas-Veja R (2021) Validity and reliability of the Helkimo clinical dysfunction index for the diagnosis of temporomandibular disorders. Diagnostics (Basel) 11:472","journal-title":"Diagnostics (Basel)"},{"key":"1569_CR18","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-17-00088","volume":"2","author":"DA Delgado","year":"2018","unstructured":"Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, Harris JD (2018) Validation of digital Visual Analog Scale pain scoring with a traditional paper-based Visual Analog Scale in adults. JAAOS Glob Res Rev 2:e088. https:\/\/doi.org\/10.5435\/JAAOSGlobal-D-17-00088","journal-title":"JAAOS Glob Res Rev"},{"key":"1569_CR19","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/joor.13121","volume":"48","author":"AU Yap","year":"2021","unstructured":"Yap AU, Cao Y, Zhang MJ, Lei J, Fu KY (2021) Age-related differences in diagnostic categories, psychological states, and oral health-related quality of life of adult temporomandibular disorder patients. J Oral Rehabil 48:361\u2013368","journal-title":"J Oral Rehabil"},{"key":"1569_CR20","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, Balateef AA, Alamoudi AA, Munther AA, Shivakumar S, Cicci\u00f9 M, Minervini G (2023) Impact of temporomandibular disorders on oral health-related quality of life: a systematic review and meta-analysis. J Oral Rehabil 50:706\u2013714","journal-title":"J Oral Rehabil"},{"key":"1569_CR21","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1080\/08869634.2025.2477963","volume":"43","author":"LG Mercuri","year":"2025","unstructured":"Mercuri LG, Greene CS, Manfredini D (2025) The temporomandibular joint disc: a complex fable about an elusive butterfly. Cranio 43:228\u2013235. https:\/\/doi.org\/10.1080\/08869634.2025.2477963","journal-title":"Cranio"},{"key":"1569_CR22","doi-asserted-by":"publisher","first-page":"1403","DOI":"10.1016\/j.ijom.2017.05.010","volume":"46","author":"H Hosgor","year":"2017","unstructured":"Hosgor H, Bas B, Celenk CA (2017) Comparison of the outcomes of four minimally invasive treatment methods for anterior disc displacement of the temporomandibular joint. Int J Oral Maxillofac Surg 46:1403\u20131410","journal-title":"Int J Oral Maxillofac Surg"},{"key":"1569_CR23","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1111\/j.1600-0528.2005.00225.x","volume":"33","author":"BH Oliveira","year":"2005","unstructured":"Oliveira BH, Nadanovsky P (2005) Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol 33:307\u2013314","journal-title":"Community Dent Oral Epidemiol"},{"key":"1569_CR24","doi-asserted-by":"publisher","first-page":"54","DOI":"10.11607\/ofph.2044","volume":"33","author":"N Su","year":"2019","unstructured":"Su N, Wang H, van Wijk AJ, Visscher CM, Lobbezoo F, Shi Z, van der Heijden GJMG (2019) Prediction models for oral health-related quality of life in patients with temporomandibular joint osteoarthritis 1 and 6 months after arthrocentesis with hyaluronic acid injections. J Oral Facial Pain Headache 33:54\u201366. https:\/\/doi.org\/10.11607\/ofph.2044","journal-title":"J Oral Facial Pain Headache"},{"key":"1569_CR25","doi-asserted-by":"publisher","first-page":"231","DOI":"10.11607\/ofph.1413","volume":"29","author":"G Almoznino","year":"2015","unstructured":"Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Hadad A, Chweidan H, Yarom N, Benoliel R (2015) Oral health-related quality of life in patients with temporomandibular disorders. J Oral Facial Pain Headache 29:231\u2013241","journal-title":"J Oral Facial Pain Headache"},{"key":"1569_CR26","doi-asserted-by":"publisher","first-page":"483","DOI":"10.2334\/josnusd.16-0224","volume":"58","author":"N Su","year":"2016","unstructured":"Su N, Liu Y, Yang X, Shen J, Wang H (2016) Correlation between oral health-related quality of life and clinical dysfunction index in patients with temporomandibular joint osteoarthritis. J Oral Sci 58:483\u2013490. https:\/\/doi.org\/10.2334\/josnusd.16-0224","journal-title":"J Oral Sci"},{"key":"1569_CR27","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1179\/crn.2007.041","volume":"25","author":"LM Wolford","year":"2007","unstructured":"Wolford LM (2007) Clinical indications for simultaneous TMJ and orthognathic surgery. Cranio 25:273\u2013282","journal-title":"Cranio"},{"key":"1569_CR28","doi-asserted-by":"publisher","first-page":"8079","DOI":"10.1097\/JS9.0000000000002926","volume":"111","author":"S Yue","year":"2025","unstructured":"Yue S, Zhao J, Wu S, Xie Q, Luo Y, Nie X, Chen M, Bai G, Yang C (2025) Temporomandibular joint disc position affects condylar bone modeling: a randomized controlled clinical trial. Int J Surg 111:8079\u20138087. https:\/\/doi.org\/10.1097\/JS9.0000000000002926","journal-title":"Int J Surg"},{"key":"1569_CR29","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1111\/joor.13661","volume":"51","author":"M Ulmner","year":"2024","unstructured":"Ulmner M, Bj\u00f8rnland T, Ros\u00e9n A, Olsen-Bergem H, Lund B (2024) Evidence for minimally invasive treatment\u2014a systematic review on surgical management of disc displacement. J Oral Rehabil 51:1061\u20131080","journal-title":"J Oral Rehabil"},{"key":"1569_CR30","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.ijom.2024.02.004","volume":"53","author":"EA Al-Moraissi","year":"2024","unstructured":"Al-Moraissi EA, Al-Otaibi K, Almaweri AA, Bastos RM, Haas OL Junior, Amran AG (2024) Treatment of painful temporomandibular joint disc displacement without reduction: network meta-analysis of randomized clinical trials. Int J Oral Maxillofac Surg 53:584\u2013595. https:\/\/doi.org\/10.1016\/j.ijom.2024.02.004","journal-title":"Int J Oral Maxillofac Surg"},{"key":"1569_CR31","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12093228","volume":"12","author":"AM de Almeida","year":"2023","unstructured":"de Almeida AM, Botelho J, Machado V, Mendes JJ, Manso C, Gonz\u00e1lez-L\u00f3pez S (2023) Comparison of the efficacy of two protocol treatments in patients with symptomatic disc displacement without reduction: a randomized controlled trial. J Clin Med 12:3228. https:\/\/doi.org\/10.3390\/jcm12093228","journal-title":"J Clin Med"},{"key":"1569_CR32","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1111\/joor.13040","volume":"48","author":"MT John","year":"2021","unstructured":"John MT (2021) Foundations of oral health-related quality of life. J Oral Rehabil 48:355\u2013359","journal-title":"J Oral Rehabil"},{"key":"1569_CR33","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1034\/j.1600-0528.2000.280305.x","volume":"28","author":"SJ Cunningham","year":"2000","unstructured":"Cunningham SJ, Garratt AM, Hunt NP (2000) Development of a condition-specific quality of life measure for patients with dentofacial deformity: reliability of the instrument. Community Dent Oral Epidemiol 28:195\u2013201","journal-title":"Community Dent Oral Epidemiol"},{"key":"1569_CR34","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1016\/j.joms.2024.01.003","volume":"82","author":"GF Bouloux","year":"2024","unstructured":"Bouloux GF, Chou J, DiFabio V, Ness G, Perez D, Mercuri L, Chung W, Crago CA (2024) The contemporary management of temporomandibular joint intra-articular pain and dysfunction. J Oral Maxillofac Surg 82:623\u2013631. https:\/\/doi.org\/10.1016\/j.joms.2024.01.003","journal-title":"J Oral Maxillofac Surg"},{"key":"1569_CR35","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1177\/00220345980770020401","volume":"77","author":"K Kurita","year":"1998","unstructured":"Kurita K, Westesson PL, Yuasa H, Toyama M, Machida J, Ogi N (1998) Natural course of untreated symptomatic temporomandibular joint disc displacement without reduction. J Dent Res 77:361\u2013365. https:\/\/doi.org\/10.1177\/00220345980770020401","journal-title":"J Dent Res"},{"key":"1569_CR36","first-page":"315","volume":"11","author":"S Sato","year":"1997","unstructured":"Sato S, Goto S, Kawamura H, Motegi K (1997) The natural course of nonreducing disc displacement of the TMJ: relationship of clinical findings at initial visit to outcome after 12 months without treatment. J Orofac Pain 11:315\u2013320","journal-title":"J Orofac Pain"}],"container-title":["Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10006-026-01569-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10006-026-01569-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10006-026-01569-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T06:00:11Z","timestamp":1778306411000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10006-026-01569-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,9]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1569"],"URL":"https:\/\/doi.org\/10.1007\/s10006-026-01569-x","relation":{},"ISSN":["1865-1569"],"issn-type":[{"value":"1865-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,9]]},"assertion":[{"value":"10 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki at the Department of Oral and Maxillofacial Surgery of Pontifical Catholic University of Rio Grande do Sul (PUCRS), Brazil, and was approved by the Institutional Research and Ethics Committee (CAAE 92776018.3.0000.5336).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent to participate in this study was obtained from all participants and, when applicable, their legal guardians.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Informed consent for publication was obtained from all patients or their parents or legal guardians.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Checklist of items that should be included in reports of observational studies.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Strobe statement"}}],"article-number":"81"}}