{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:06:33Z","timestamp":1786115193861,"version":"build-2736575974"},"reference-count":54,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100007547","name":"Air Force Medical University","doi-asserted-by":"publisher","award":["LX2022-308"],"award-info":[{"award-number":["LX2022-308"]}],"id":[{"id":"10.13039\/501100007547","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007547","name":"Air Force Medical University","doi-asserted-by":"publisher","award":["LXKX26-201"],"award-info":[{"award-number":["LXKX26-201"]}],"id":[{"id":"10.13039\/501100007547","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007547","name":"Air Force Medical University","doi-asserted-by":"publisher","award":["2024"],"award-info":[{"award-number":["2024"]}],"id":[{"id":"10.13039\/501100007547","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Orthodontics"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.ortho.2026.101210","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:39:44Z","timestamp":1784032784000},"page":"101210","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Finite element analysis of TMJ disc and PDL stress in mandibular advancement device therapy for OSA"],"prefix":"10.1016","volume":"24","author":[{"given":"Dan","family":"Gan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiangwei","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenya","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruyue","family":"Qiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2919-7172","authenticated-orcid":false,"given":"Junjie","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.ortho.2026.101210_bib0275","doi-asserted-by":"crossref","first-page":"773","DOI":"10.5664\/jcsm.4858","article-title":"Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015","volume":"11","author":"Ramar","year":"2015","journal-title":"J Clin Sleep Med"},{"issue":"8","key":"10.1016\/j.ortho.2026.101210_bib0280","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","article-title":"Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis","volume":"7","author":"Benjafield","year":"2019","journal-title":"Lancet Respir Med"},{"key":"10.1016\/j.ortho.2026.101210_bib0285","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1146\/annurev.me.36.020185.002101","article-title":"Pathophysiology and treatment of sleep apnea","volume":"36","author":"Ingbar","year":"1985","journal-title":"Annu Rev Med"},{"key":"10.1016\/j.ortho.2026.101210_bib0290","doi-asserted-by":"crossref","first-page":"1776553","DOI":"10.3389\/fmed.2026.1776553","article-title":"A perspective on precision medicine in obstructive sleep apnea: from pathophysiological phenotyping to integrated management pathways","volume":"13","author":"Chen","year":"2026","journal-title":"Front Med (Lausanne)"},{"issue":"4","key":"10.1016\/j.ortho.2026.101210_bib0295","doi-asserted-by":"crossref","first-page":"567","DOI":"10.34197\/ats-scholar.2023-0022OT","article-title":"Obstructive sleep apnea: pathophysiology and endotypes","volume":"4","author":"Sanchez-Azofra","year":"2023","journal-title":"ATS Sch"},{"issue":"14","key":"10.1016\/j.ortho.2026.101210_bib0300","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.1001\/jama.283.14.1829","article-title":"Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep heart health study","volume":"283","author":"Nieto","year":"2000","journal-title":"JAMA"},{"issue":"7","key":"10.1016\/j.ortho.2026.101210_bib0305","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/alr.23079","article-title":"International consensus statement on obstructive sleep apnea","volume":"13","author":"Chang","year":"2023","journal-title":"Int Forum Allergy Rhinol"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0310","doi-asserted-by":"crossref","first-page":"18976","DOI":"10.1038\/s41598-025-03816-9","article-title":"Clinical characteristics and treatment preferences of obstructive sleep apnea","volume":"15","author":"Kraiwattanapong","year":"2025","journal-title":"Sci Rep"},{"issue":"5","key":"10.1016\/j.ortho.2026.101210_bib0315","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1183\/09031936.00144711","article-title":"Non-cpap therapies in obstructive sleep apnoea: mandibular advancement device therapy","volume":"39","author":"Marklund","year":"2012","journal-title":"Eur Respir J"},{"key":"10.1016\/j.ortho.2026.101210_bib0320","doi-asserted-by":"crossref","first-page":"101557","DOI":"10.1016\/j.smrv.2021.101557","article-title":"Mandibular advancement device design: a systematic review on outcomes in obstructive sleep apnea treatment","volume":"60","author":"Uniken Venema","year":"2021","journal-title":"Sleep Med Rev"},{"issue":"21","key":"10.1016\/j.ortho.2026.101210_bib0325","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.1001\/jama.2015.16303","article-title":"Cpap vs. mandibular advancement devices and blood pressure in patients with obstructive sleep apnea: a systematic review and meta-analysis","volume":"314","author":"Bratton","year":"2015","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.ortho.2026.101210_bib0330","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/s11739-022-02983-1","article-title":"Treatment options in obstructive sleep apnea","volume":"17","author":"Gambino","year":"2022","journal-title":"Intern Emerg Med"},{"issue":"18","key":"10.1016\/j.ortho.2026.101210_bib0335","doi-asserted-by":"crossref","first-page":"1760","DOI":"10.1016\/j.jacc.2024.03.359","article-title":"Mandibular advancement vs. cpap for blood pressure reduction in patients with obstructive sleep apnea","volume":"83","author":"Ou","year":"2024","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.ortho.2026.101210_bib0340","doi-asserted-by":"crossref","first-page":"2312","DOI":"10.12998\/wjcc.v9.i10.2312","article-title":"Changes in sleep parameters following biomimetic oral appliance therapy: a case report","volume":"9","author":"Singh","year":"2021","journal-title":"World J Clin Cases"},{"issue":"10","key":"10.1016\/j.ortho.2026.101210_bib0345","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.5664\/jcsm.8666","article-title":"Tridimensional upper airway assessment in male patients with osa using oral advancement devices modifying their vertical dimension","volume":"16","author":"Barbero","year":"2020","journal-title":"J Clin Sleep Med"},{"issue":"12","key":"10.1016\/j.ortho.2026.101210_bib0350","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1111\/joor.12709","article-title":"Biomechanical effect of mandibular advancement device with different protrusion positions for treatment of obstructive sleep apnoea on tooth and facial bone: a finite element study","volume":"45","author":"Lee","year":"2018","journal-title":"J Oral Rehabil"},{"issue":"5","key":"10.1016\/j.ortho.2026.101210_bib0355","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1111\/joor.12485","article-title":"Long-term side effects on the temporomandibular joints and oro-facial function in patients with obstructive sleep apnoea treated with a mandibular advancement device","volume":"44","author":"Knappe","year":"2017","journal-title":"J Oral Rehabil"},{"issue":"4","key":"10.1016\/j.ortho.2026.101210_bib0360","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s00056-022-00441-3","article-title":"Changes in strain energy density in the temporomandibular joint disk after sagittal split ramus osteotomy using a computed tomography-based finite element model","volume":"85","author":"Murakami","year":"2024","journal-title":"J Orofac Orthop"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0365","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1186\/s12903-020-01074-x","article-title":"Finite elements analysis of the temporomandibular joint disc in patients with intra-articular disorders","volume":"20","author":"Lai","year":"2020","journal-title":"BMC Oral Health"},{"issue":"2","key":"10.1016\/j.ortho.2026.101210_bib0370","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.ortho.2021.04.002","article-title":"Effects of miniplate anchored herbst appliance on skeletal, dental and masticatory structures of the craniomandibular apparatus: a finite element study","volume":"19","author":"Duggal","year":"2021","journal-title":"Int Orthod"},{"issue":"4","key":"10.1016\/j.ortho.2026.101210_bib0375","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.ajodo.2023.06.019","article-title":"Queries regarding clinical finite element analysis of mandibular displacement model treated with twin-block appliance[J]","volume":"64","author":"Duggal","year":"2023","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"10.1016\/j.ortho.2026.101210_bib0380","doi-asserted-by":"crossref","first-page":"104542","DOI":"10.1016\/j.jmbbm.2021.104542","article-title":"Biomechanical impact of the porous-fibrous tissue behaviour in the temporomandibular joint movements. An in silico approach","volume":"120","author":"Ort\u00fan-Terrazas","year":"2021","journal-title":"J Mech Behav Biomed Mater"},{"key":"10.1016\/j.ortho.2026.101210_bib0385","doi-asserted-by":"crossref","first-page":"101211","DOI":"10.1016\/j.smrv.2019.101211","article-title":"Effects of mandibular advancement device for obstructive sleep apnea on temporomandibular disorders: a systematic review and meta-analysis","volume":"48","author":"Alessandri-Bonetti","year":"2019","journal-title":"Sleep Med Rev"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0390","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1186\/s12903-024-04623-w","article-title":"Effects of different treatments for obstructive sleep apnea on temporomandibular joint: a randomized clinical trial","volume":"24","author":"Attia","year":"2024","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.ortho.2026.101210_bib0395","doi-asserted-by":"crossref","first-page":"110298","DOI":"10.1016\/j.jbiomech.2021.110298","article-title":"A finite element analysis for evaluating mandibular advancement devices","volume":"19","author":"Caragiuli","year":"2021","journal-title":"J Biomech"},{"issue":"2","key":"10.1016\/j.ortho.2026.101210_bib0400","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S1361-8415(02)00108-1","article-title":"Patient specific finite element model of the face soft tissues for computer-assisted maxillofacial surgery","volume":"7","author":"Chabanas","year":"2003","journal-title":"Med Image Anal"},{"issue":"3","key":"10.1016\/j.ortho.2026.101210_bib0405","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1080\/10255842.2023.2183735","article-title":"Maxillary molar distalization treated with clear aligners combined with mini-implants and angel button using different traction force: a finite element study","volume":"27","author":"Cui","year":"2024","journal-title":"Comput Methods Biomech Biomed Engin"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0410","doi-asserted-by":"crossref","first-page":"cjad077","DOI":"10.1093\/ejo\/cjad077","article-title":"Biomechanical analysis of miniscrew-assisted molar distalization with clear aligners: a three-dimensional finite element study","volume":"46","author":"Guo","year":"2024","journal-title":"Eur J Orthod"},{"key":"10.1016\/j.ortho.2026.101210_bib0415","doi-asserted-by":"crossref","first-page":"104029","DOI":"10.1016\/j.jmbbm.2020.104029","article-title":"Effects of loading direction in prolonged clenching on stress distribution in the temporomandibular joint","volume":"112","author":"Barrientos","year":"2020","journal-title":"J Mech Behav Biomed Mater"},{"issue":"12","key":"10.1016\/j.ortho.2026.101210_bib0420","doi-asserted-by":"crossref","first-page":"2153","DOI":"10.1016\/j.jbiomech.2005.06.020","volume":"39","author":"P\u00e9rez Del Palomar","year":"2006","journal-title":"J Biomech"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0425","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ajodo.2022.10.010","article-title":"The effects of lingual buttons, precision cuts, and patient-specific attachments during maxillary molar distalization with clear aligners: comparison of finite element analysis","volume":"163","author":"Jia","year":"2023","journal-title":"Am J Orthod Dentofacial Orthop"},{"issue":"6","key":"10.1016\/j.ortho.2026.101210_bib0430","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.ajodo.2019.05.023","article-title":"Changes in mechanical properties, surface morphology, structure, and composition of invisalign material in the oral environment[J]","volume":"157","author":"Fang","year":"2020","journal-title":"Am J Orthod Dentofacial Orthop"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0435","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s40510-022-00421-8","article-title":"Torque movement of the upper anterior teeth using a clear aligner in cases of extraction: a finite element study","volume":"23","author":"Cheng","year":"2022","journal-title":"Prog Orthod"},{"issue":"3","key":"10.1016\/j.ortho.2026.101210_bib0440","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.ajodo.2023.02.012","article-title":"Clinical finite element analysis of mandibular displacement model treated with twin-block appliance","volume":"164","author":"Zhang","year":"2023","journal-title":"Am J Orthod Dentofacial Orthop"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0445","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s12903-021-01474-7","article-title":"The optimal orthodontic displacement of clear aligner for mild, moderate and severe periodontal conditions: an in vitro study in a periodontally compromised individual using the finite element model","volume":"21","author":"Ma","year":"2021","journal-title":"BMC Oral Health"},{"issue":"9","key":"10.1016\/j.ortho.2026.101210_bib0450","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/j.jcms.2018.06.018","article-title":"Biomechanical evaluation of Chinese customized three-dimensionally printed total temporomandibular joint prostheses: a finite element analysis","volume":"46","author":"Chen","year":"2018","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.ortho.2026.101210_bib0455","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.sleep.2024.02.035","article-title":"Comparative analysis of two custom-made mandibular advancement devices with varied designs for treating moderate to severe obstructive sleep apnea","volume":"117","author":"Vanderveken","year":"2024","journal-title":"Sleep Med"},{"issue":"4","key":"10.1016\/j.ortho.2026.101210_bib0460","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1080\/08869634.2021.1985209","article-title":"Periodontal effects of two somnodent oral devices for the treatment of osa: a finite element study","volume":"42","author":"Zalunardo","year":"2024","journal-title":"Cranio"},{"issue":"2242","key":"10.1016\/j.ortho.2026.101210_bib0465","first-page":"20200279","article-title":"Sindy-pi: a robust algorithm for parallel implicit sparse identification of nonlinear dynamics","volume":"476","author":"Kaheman","year":"2020","journal-title":"Proc Math Phys Eng Sci"},{"issue":"19","key":"10.1016\/j.ortho.2026.101210_bib0470","doi-asserted-by":"crossref","first-page":"6932","DOI":"10.3390\/app10196932","article-title":"Comparison of the effects caused by three different mandibular advancement devices on the periodontal ligaments and teeth for the treatment of osa: a finite element model study","volume":"10","author":"Bruno","year":"2020","journal-title":"Appl Sci"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0475","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1007\/s00784-021-04064-7","article-title":"Long-term dentoskeletal side effects of mandibular advancement therapy in patients with obstructive sleep apnea: data from the Pays de la Loire sleep cohort","volume":"26","author":"Baldini","year":"2022","journal-title":"Clin Oral Investig"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0480","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1093\/ejo\/cjy036","article-title":"Dental and skeletal long-term side effects of mandibular advancement devices in obstructive sleep apnea patients: a systematic review with meta-regression analysis","volume":"41","author":"Bartolucci","year":"2019","journal-title":"Eur J Orthod"},{"key":"10.1016\/j.ortho.2026.101210_bib0485","doi-asserted-by":"crossref","first-page":"106675","DOI":"10.1016\/j.cmpb.2022.106675","article-title":"Reporting guidelines for in-silico studies using finite element analysis in medicine (rifem)","volume":"216","author":"Mathur","year":"2022","journal-title":"Comput Methods Programs Biomed"},{"issue":"2","key":"10.1016\/j.ortho.2026.101210_bib0490","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1007\/s00784-024-05513-9","article-title":"Evaluation of condylar and mandibular movements on the upper airway during the use of mandibular advancement device for obstructive sleep apnea treatment","volume":"28","author":"Pereira","year":"2024","journal-title":"Clin Oral Investig"},{"issue":"4","key":"10.1016\/j.ortho.2026.101210_bib0495","doi-asserted-by":"crossref","first-page":"653","DOI":"10.2319\/060806-234","article-title":"Periodontal ligament hydrostatic pressure with areas of root resorption after application of a continuous torque moment","volume":"77","author":"Hohmann","year":"2007","journal-title":"Angle Orthod"},{"issue":"7","key":"10.1016\/j.ortho.2026.101210_bib0500","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1111\/joor.12982","article-title":"Effect of mandibular advancement device on the stomatognathic system in patients with mild-to-moderate obstructive sleep apnoea-hypopnoea syndrome","volume":"47","author":"Zhou","year":"2020","journal-title":"J Oral Rehabil"},{"issue":"3","key":"10.1016\/j.ortho.2026.101210_bib0505","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s00784-009-0298-9","article-title":"Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea[J]","volume":"14","author":"Aarab","year":"2010","journal-title":"Clin Oral Investig"},{"issue":"3","key":"10.1016\/j.ortho.2026.101210_bib0510","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1378\/chest.122.3.871","article-title":"Occlusal and skeletal effects of an oral appliance in the treatment of obstructive sleep apnea","volume":"122","author":"Rose","year":"2002","journal-title":"Chest"},{"key":"10.1016\/j.ortho.2026.101210_bib0515","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.sleep.2020.04.016","article-title":"Mandibular movement analisys by means of a kinematic model applied to the design of oral appliances for the treatment of obstructive sleep apnea","volume":"73","author":"Garc\u00eda","year":"2020","journal-title":"Sleep Med"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0520","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/s12903-019-0783-8","article-title":"Antero-posterior mandibular position at different vertical levels for mandibular advancing device design[J]","volume":"19","author":"Mayoral","year":"2019","journal-title":"BMC Oral Health"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0525","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1186\/s12903-024-05114-8","article-title":"Biomechanical effects of functional clear aligners on the stomatognathic system in teens with class ii malocclusion: a new model through finite element analysis","volume":"24","author":"Zhang","year":"2024","journal-title":"BMC Oral Health"},{"issue":"1","key":"10.1016\/j.ortho.2026.101210_bib0530","doi-asserted-by":"crossref","first-page":"5322","DOI":"10.1038\/s41598-020-61467-4","article-title":"Physiological and geometrical effects in the upper airways with and without mandibular advance device for sleep apnea treatment","volume":"10","author":"Martinez","year":"2020","journal-title":"Sci Rep"},{"issue":"3","key":"10.1016\/j.ortho.2026.101210_bib0535","first-page":"432","article-title":"Long-term dentofacial changes in Chinese obstructive sleep apnea patients after treatment with a mandibular advancement device","volume":"76","author":"Hou","year":"2006","journal-title":"Angle Orthod"},{"issue":"Suppl. 1","key":"10.1016\/j.ortho.2026.101210_bib0540","doi-asserted-by":"crossref","first-page":"S194","DOI":"10.4103\/japtr.japtr_151_22","article-title":"Morphometric analysis of Bonwill's triangle and its dental applications in dry human mandible bones","volume":"13","author":"Ganesh","year":"2022","journal-title":"J Adv Pharm Technol Res"}],"container-title":["International Orthodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S176172272600077X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S176172272600077X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:49:26Z","timestamp":1785977366000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S176172272600077X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":54,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S176172272600077X"],"URL":"https:\/\/doi.org\/10.1016\/j.ortho.2026.101210","relation":{},"ISSN":["1761-7227"],"issn-type":[{"value":"1761-7227","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Finite element analysis of TMJ disc and PDL stress in mandibular advancement device therapy for OSA","name":"articletitle","label":"Article Title"},{"value":"International Orthodontics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ortho.2026.101210","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 CEO. Published by Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"101210"}}