{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:30:43Z","timestamp":1790767843149,"version":"4.1.0"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Faculty of Dentistry, Universitas Indonesia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Mandibulofacial asymmetry can cause disharmony in facial appearance and smile and may also impair stomatognathic function and speech ability, negatively affecting psychological well-being and quality of life. This condition is also commonly associated with temporomandibular disorders (TMDs). This study aimed to analyze the relationship between mandibulofacial asymmetry and TMDs.<\/jats:p>\n                  <jats:p>This study conducted a cross-sectional study involving 42 patients (14 males and 28 females) aged 17 to 45 years. The diagnosis of TMDs was made using the Diagnostic Criteria for Temporomandibular Disorders, and facial asymmetry was assessed using frontal photography.<\/jats:p>\n                  <jats:p>The results showed that 76.2% of the patients with mandibulofacial asymmetry had a TMD. Statistical tests showed a relationship between mandibulofacial asymmetry and TMDs (p-value\u2009&lt;\u20090.05).<\/jats:p>\n                  <jats:p>The TMD is closely related to mandibulofacial asymmetry. However, the relationship between mandibulofacial asymmetry and the specific categories of TMDs was not statistically significant, as determined by multinomial regression analysis.<\/jats:p>","DOI":"10.1055\/s-0045-1809698","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T22:59:43Z","timestamp":1754434783000},"page":"245-250","source":"Crossref","is-referenced-by-count":1,"title":["Association between Mandibulofacial Asymmetry and Temporomandibular Disorder Using Diagnostic Criteria for Temporomandibular Disorder (DC\/TMD)"],"prefix":"10.1055","volume":"20","author":[{"given":"Agia T.","family":"Andriani","sequence":"additional","affiliation":[{"name":"Orthodontic Residency Program, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8072-3967","authenticated-orcid":false,"given":"Maria","family":"Purbiati","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Krisnawati","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ira","family":"Tanti","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, 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Gonial angle of healthy young males and females in Indonesia: a study using the facial photometry","volume":"17","author":"R Irawan","year":"2021","journal-title":"Malaysian J Med Heal Sci"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1007\/s00784-018-2603-y","article-title":"Long-term outcomes of bimaxillary surgery for treatment of asymmetric skeletal class III deformity using surgery-first approach","volume":"23","author":"Y F Liao","year":"2019","journal-title":"Clin Oral Investig"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"6","DOI":"10.11607\/jop.1151","article-title":"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","volume":"28","author":"E Schiffman","year":"2014","journal-title":"J Oral Facial Pain Headache"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"h1154","DOI":"10.1136\/bmj.h1154","article-title":"Temporomandibular disorders","volume":"350","author":"J Durham","year":"2015","journal-title":"BMJ"},{"issue":"02","key":"ref22","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1067\/mod.2003.16","article-title":"Comparison of radiographic and photographic measurement of mandibular asymmetry","volume":"123","author":"R Edler","year":"2003","journal-title":"Am J Orthod Dentofacial Orthop"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"421","DOI":"10.2319\/022107-85.1","article-title":"Asymmetry of the face in orthodontic patients","volume":"78","author":"S Haraguchi","year":"2008","journal-title":"Angle Orthod"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1093\/ejo\/cjr091","article-title":"Three-dimensional quantification of facial symmetry in adolescents using laser surface scanning","volume":"36","author":"J Djordjevic","year":"2014","journal-title":"Eur J Orthod"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1053\/joms.2001.21872","article-title":"The effect of sex and age on facial asymmetry in healthy subjects: a cross-sectional study from adolescence to mid-adulthood","volume":"59","author":"V F Ferrario","year":"2001","journal-title":"J Oral Maxillofac Surg"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"315","DOI":"10.4067\/S0717-95022012000100056","article-title":"Prevalence of vertical condilar asymmetry of the temporomandibular joint in patients with signs and symptoms of temporomandibular disorders","volume":"30","author":"V Iturriaga","year":"2012","journal-title":"Int J Morphol"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"100","DOI":"10.14476\/jomp.2014.39.3.100","article-title":"Relationship between mandibular asymmetry and temporomandibular disorders","volume":"39","author":"J-Y Noh","year":"2014","journal-title":"J Oral Med Pain"},{"issue":"05","key":"ref28","first-page":"290","article-title":"Temporomandibular disorders and mandibular vertical asymmetry","volume":"37","author":"L V Mendoza-Garc\u00eda","year":"2019","journal-title":"Cranio - J Craniomandib Pract"},{"issue":"03","key":"ref29","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1080\/08869634.2017.1300994","article-title":"Three-dimensional morphological characterization of malocclusions with mandibular lateral displacement using cone-beam computed tomography","volume":"36","author":"R L Vel\u00e1squez","year":"2018","journal-title":"Cranio"},{"issue":"01","key":"ref30","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.jobcr.2017.04.010","article-title":"Facial asymmetry revisited: part I- diagnosis and treatment planning","volume":"8","author":"D Srivastava","year":"2018","journal-title":"J Oral Biol Craniofac Res"}],"container-title":["European Journal of Dentistry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1809698.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T23:44:36Z","timestamp":1770767076000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1809698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,5]]},"references-count":30,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,2,10]]},"published-print":{"date-parts":[[2026,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1809698","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1305-7456","1305-7464"],"issn-type":[{"value":"1305-7456","type":"print"},{"value":"1305-7464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,5]]}}}