{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T14:20:08Z","timestamp":1783088408515,"version":"3.54.6"},"reference-count":63,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"German Society of Dentistry and Oral Medicine"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>While current evidence suggests that dentofacial orthopaedic treatment neither increases nor decreases TMD signs and symptoms, corresponding data on treatment performed in adults are lacking. Therefore, the objective of this study was to assess the long-term (\u226515\u2005years) prevalence of signs and symptoms of TMD in adult Class II Herbst-multibracket appliance (MBA) patients including oral health related quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>All patients (Department of Orthodontics, University of Giessen, Germany) in which Herbst-MBA treatment had been performed during adulthood and ended \u226515\u2005years ago, that could be contacted and were willing to participate. Records from before (T0) and after active treatment (T1) were compared with the recall data (T2). The DC\/TMD and the Helkimo index were used for TMJ analysis. In addition, the participants filled out the oral health impact profile (OHIP) questionnaire 14 at T2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>31 out of 51 patients with an average age at recall of 43.4 \u00b1 7.4\u2005years participated. The prevalence of patients free of TMD signs and symptoms (DC\/TMD) was 50% (T0), 84% (T1), 75% (T2). The corresponding reduction in TMD prevalence went along with a decrease in TMD severity both anamnestically and clinically (Helkimo Index). Overall, signs and symptoms fluctuated and there was a trend towards improvement (T0-T1) and recurrence (T1\u2013T2). None of the changes was statistically significant. The level of oral health related quality of life was very high (OHIP: median = 1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adult Herbst-MBA Class II treatment does not seem to be associated with a clear trend regarding incidence\/prevalence of TMD in the long-term (\u226515\u2005years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>WHO ID: DRKS00023022.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejo\/cjaf107","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:14:37Z","timestamp":1764767677000},"source":"Crossref","is-referenced-by-count":0,"title":["Very long-term (\u2265 15\u2005years) prevalence of signs and symptoms of temporomandibular disorders in adult Herbst patients"],"prefix":"10.1093","volume":"48","author":[{"given":"Sabine","family":"Ruf","sequence":"first","affiliation":[{"name":"Department of Orthodontics, University of Giessen , Schlangenzahl 14, Giessen 35392 ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2978-0605","authenticated-orcid":false,"given":"Niko Christian","family":"Bock","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, University of Giessen , Schlangenzahl 14, Giessen 35392 ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"2026070309291367000_cjaf107-B1","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1016\/S0889-5406(99)70285-4","article-title":"Temporomandibular joint remodeling in adolescents and young adults during Herbst treatment","volume":"115","author":"Ruf","year":"1999","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B2","first-page":"239","article-title":"Dentoskeletal effects and facial profile changes in young adults treated with the Herbst appliance","volume":"69","author":"Ruf","year":"1999","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B3","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1093\/ejo\/cjaa052","article-title":"Outcome quality of Class II division 1 Herbst multibracket appliance treatment: influence of pre-treatment Class II severity and skeletal maturity","volume":"43","author":"Bock","year":"2021","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B4","doi-asserted-by":"publisher","first-page":"cjae050","DOI":"10.1093\/ejo\/cjae050","article-title":"Adult Herbst-multibracket appliance treatment\u2014how stable are the results long-term?","volume":"46","author":"Bock","year":"2024","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B5","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1093\/ejo\/cji116","article-title":"Herbst\/multibracket appliance treatment of Class II division 1 malocclusions in early and late adulthood. A prospective cephalometric study of consecutively treated subjects","volume":"28","author":"Ruf","year":"2006","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B6","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/j.ajodo.2005.01.019","article-title":"Herbst appliance therapy and temporomandibular joint disc position: a prospective longitudinal magnetic resonance imaging study","volume":"129","author":"Aidar","year":"2006","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B7","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1590\/0103-6440201302114","article-title":"Morphological changes of condyles and Helkimo clinical dysfunction index in patients treated with Herbst orthodontic appliance","volume":"24","author":"Aidar","year":"2013","journal-title":"Braz Dent J"},{"key":"2026070309291367000_cjaf107-B8","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1016\/j.ajodo.2007.12.027","article-title":"Effects of Herbst appliance treatment on temporomandibular joint disc position and morphology: a prospective magnetic resonance imaging study","volume":"136","author":"Aidar","year":"2009","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B9","doi-asserted-by":"publisher","first-page":"843","DOI":"10.2319\/093009-545.1","article-title":"Changes in temporomandibular joint position and form following Herbst and fixed orthodontic treatment","volume":"80","author":"Aidar","year":"2010","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B10","doi-asserted-by":"publisher","first-page":"e565","DOI":"10.4317\/medoral.21180","article-title":"Impact of functional mandibular advancement appliances on the temporomandibular joint\u2014a systematic review","volume":"21","author":"Ivorra-Carbonell","year":"2016","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"2026070309291367000_cjaf107-B11","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1016\/S0889-5406(99)70219-2","article-title":"Mandibular articular disk position changes during Herbst treatment: a prospective longitudinal MRI study","volume":"116","author":"Pancherz","year":"1999","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B12","first-page":"183","article-title":"Does bite-jumping damage the TMJ? A prospective longitudinal clinical and MRI study of Herbst patients","volume":"70","author":"Ruf","year":"2000","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B13","doi-asserted-by":"publisher","first-page":"735","DOI":"10.2319\/072914-530.1","article-title":"Signs and symptoms of TMJ disorders in adults after adolescent Herbst therapy: a 6-year and 32-year radiographic and clinical follow-up study","volume":"85","author":"Pancherz","year":"2015","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B14","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1093\/ejo\/cjy040","article-title":"Long-term (&lt;15 years) effects of Class II treatment: a longitudinal and cross-sectional study on signs and symptoms of temporomandibular disorders","volume":"41","author":"Ruf","year":"2019","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B15","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1016\/S0889-5406(98)70166-0","article-title":"Long-term TMJ effects of Herbst treatment: a clinical and MRI study","volume":"114","author":"Ruf","year":"1998","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B16","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1186\/s12903-023-03738-w","article-title":"Prevalence of temporomandibular disorder diagnosis in patients treated with Herbst appliance: a systematic review and meta-analysis","volume":"24","author":"Minervini","year":"2024","journal-title":"BMC Oral Health"},{"key":"2026070309291367000_cjaf107-B17","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1259\/dmfr\/70972585","article-title":"Effects of orthodontic treatment with fixed functional orthopaedic appliances on the disc-condyle relationship in the temporomandibular joint: a magnetic resonance imaging study (Part II)","volume":"35","author":"Kinzinger","year":"2006","journal-title":"Dentomaxillofac Radiol"},{"key":"2026070309291367000_cjaf107-B18","first-page":"154","article-title":"Effect of age on the adaptive response of the adult temporomandibular joint. A study of induced protrusion in Macaca mulatta","volume":"54","author":"Hinton","year":"1984","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B19","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1093\/ejo\/6.3.155","article-title":"Temporal bone adaptations in response to protrusive function in juvenile and young adult rhesus monkeys (Macaca mulatta)","volume":"6","author":"Hinton","year":"1984","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B20","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/0002-9416(82)90463-8","article-title":"Histological analysis of temporomandibular joint adaptation to protrusive function in young adult rhesus monkeys (Macaca mulatta)","volume":"82","author":"McNamara","year":"1982","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B21","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1053\/sodo.2003.34022","article-title":"Histological changes associated with the Herbst appliance in adult rhesus monkeys (Macaca mulatta)","volume":"9","author":"McNamara","year":"2003","journal-title":"Semin Orthod"},{"key":"2026070309291367000_cjaf107-B22","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1002\/(SICI)1097-0185(199808)251:4&lt;439::AID-AR3&gt;3.0.CO;2-N","article-title":"Age changes in the articular tissue of human mandibular condyles from adolescence to old age: a semiquantitative light microscopic study","volume":"252","author":"Luder","year":"1998","journal-title":"Anat Rec"},{"key":"2026070309291367000_cjaf107-B23","doi-asserted-by":"publisher","first-page":"768","DOI":"10.5005\/jp-journals-10024-2594","article-title":"Architecture of the mandibular condylar cartilage of elderly individuals: a semiquantitative light microscopic histological study","volume":"20","author":"Ramirez-Yanez","year":"2019","journal-title":"J Contemp Dent Pract"},{"key":"2026070309291367000_cjaf107-B24","doi-asserted-by":"publisher","first-page":"187","DOI":"10.3109\/00016358009004719","article-title":"Skeletal stages of the hand and wrist as indicators of the pubertal growth spurt","volume":"38","author":"H\u00e4gg","year":"1980","journal-title":"Acta Odontol Scand"},{"key":"2026070309291367000_cjaf107-B25","first-page":"101","article-title":"Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state","volume":"67","author":"Helkimo","year":"1974","journal-title":"Sven Tandlak Tidskr"},{"key":"2026070309291367000_cjaf107-B26","first-page":"301","article-title":"Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique","volume":"6","author":"Dworkin","year":"1992","journal-title":"J Craniomandib Disord"},{"key":"2026070309291367000_cjaf107-B27","doi-asserted-by":"publisher","first-page":"6","DOI":"10.11607\/jop.1151","article-title":"International RDC\/TMD Consortium Network, International association for Dental Research; Orofacial Pain Special Interest Group, International Association for the Study of Pain. 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","volume":"28","author":"Schiffman","year":"2014","journal-title":"J Oral Facial Pain Headache"},{"key":"2026070309291367000_cjaf107-B28","first-page":"645","article-title":"A prospective long-term study of signs and symptoms of temporomandibular disorders in patients who received orthodontic treatment in childhood","volume":"75","author":"Egermark","year":"2005","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B29","first-page":"109","article-title":"A 20-year follow-up of signs and symptoms of temporomandibular disorders and malocclusions in subjects with and without orthodontic treatment in childhood","volume":"73","author":"Egermark","year":"2003","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B30","doi-asserted-by":"publisher","first-page":"692.e1","DOI":"10.1016\/j.ajodo.2008.10.017","article-title":"Twenty-year cohort study of health gain from orthodontic treatment: temporomandibular disorders","volume":"135","author":"Macfarlane","year":"2009","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B31","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1080\/00016350510019739","article-title":"A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables. A final summary","volume":"63","author":"Magnusson","year":"2005","journal-title":"Acta Odontol Scand"},{"key":"2026070309291367000_cjaf107-B32","first-page":"319","article-title":"Malocclusion and temporomandibular disorder: a comparison of adolescents with moderate to severe dysfunction with those without signs and symptoms of temporomandibular disorder and their further development to 30 years of age","volume":"74","author":"Mohlin","year":"2004","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B33","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1111\/joor.13471","article-title":"Longitudinal trends in temporomandibular joint disorder symptoms, the impact of malocclusion and orthodontic treatment: a 20-year prospective study","volume":"50","author":"Myllym\u00e4ki","year":"2023","journal-title":"J Oral Rehabil"},{"key":"2026070309291367000_cjaf107-B34","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1093\/ejo\/22.3.283","article-title":"Temporomandibular disorders and the need for stomatognathic treatment in orthodontically treated and untreated girls","volume":"22","author":"Henriksson","year":"2000","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B35","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1111\/joor.12516","article-title":"Diagnostic criteria for temporomandibular disorders (DC\/TMD): interexaminer reliability of the Finnish version of Axis I clinical diagnoses","volume":"44","author":"Leskinen","year":"2017","journal-title":"J Oral Rehabil"},{"key":"2026070309291367000_cjaf107-B36","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1186\/s12903-024-03983-7","article-title":"Accuracy of temporomandibular disorders diagnosis evaluated through the diagnostic criteria for temporomandibular disorder (DC\/TMD) axis II compared to the axis I evaluations: a systematic review and meta-analysis","volume":"24","author":"Minervini","year":"2024","journal-title":"BMC Oral Health"},{"key":"2026070309291367000_cjaf107-B37","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/j.oooo.2012.10.020","article-title":"The correlation of research diagnostic criteria for temporomandibular disorders and magnetic resonance imaging: a study of diagnostic accuracy","volume":"115","author":"Galhardo","year":"2013","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"2026070309291367000_cjaf107-B38","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.adaj.2016.01.007","article-title":"Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications","volume":"147","author":"Schiffman","year":"2016","journal-title":"J Am Dent Assoc"},{"key":"2026070309291367000_cjaf107-B39","doi-asserted-by":"publisher","first-page":"T20","DOI":"10.1016\/j.jpain.2013.07.014","article-title":"Signs and symptoms of first-onset TMD and socieodemographic predictors of its development: the OPPERA prospective cohort study","volume":"14","author":"Slade","year":"2013","journal-title":"J Pain"},{"key":"2026070309291367000_cjaf107-B40","first-page":"193","article-title":"Symptoms and signs of temporomandibular disorders before, during and after orthodontic treatment","volume":"23","author":"Henrikson","year":"1999","journal-title":"Swed Dent J"},{"key":"2026070309291367000_cjaf107-B41","doi-asserted-by":"publisher","first-page":"44","DOI":"10.3109\/00016357.2015.1040063","article-title":"Do changes in oral health-related quality-of-life, facial pain and temporomandibular disorders correlate after treatment of severe malocclusion?","volume":"74","author":"Silvola","year":"2016","journal-title":"Acta Odontol Scand"},{"key":"2026070309291367000_cjaf107-B42","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1002\/cre2.289","article-title":"The course of pain intensity and frequency of adolescents treated because of temporomandibular disorders: a long-term follow-up","volume":"6","author":"Wahlund","year":"2020","journal-title":"Clin Exp Dent Res"},{"key":"2026070309291367000_cjaf107-B43","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1002\/ejp.1358","article-title":"The effectiveness of self-management interventions in adults with chronic orofacial pain: a systematic review, meta-analysis and meta-regression","volume":"23","author":"Aggarwal","year":"2019","journal-title":"Eur J Pain"},{"key":"2026070309291367000_cjaf107-B44","doi-asserted-by":"publisher","first-page":"105430","DOI":"10.1016\/j.archoralbio.2022.105430","article-title":"Testosterone decreases temporomandibular joint nociception. A systematic review of studies on animal models","volume":"139","author":"Javed","year":"2022","journal-title":"Arch Oral Biol"},{"key":"2026070309291367000_cjaf107-B45","doi-asserted-by":"publisher","first-page":"4406","DOI":"10.3390\/jcm13154406","article-title":"Estrogen hormones implications on the physiopathology of temporomandibular dysfunction","volume":"13","author":"Leucuta","year":"2024","journal-title":"J Clin Med"},{"key":"2026070309291367000_cjaf107-B46","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.pain.2009.06.003","article-title":"Momentary pain and coping in temporomandibular disorders pain: exploring mechanisms of cognitive behavioral treatment for chronic pain","volume":"145","author":"Litt","year":"2009","journal-title":"Pain"},{"key":"2026070309291367000_cjaf107-B47","doi-asserted-by":"publisher","first-page":"110623","DOI":"10.1016\/j.jbiomech.2021.110623","article-title":"Sexual dimorphism in three-dimensional masticatory muscle attachment morphometry regulates temporomandibular joint mechanics","volume":"126","author":"She","year":"2021","journal-title":"J Biomech"},{"key":"2026070309291367000_cjaf107-B48","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1111\/idh.12266","article-title":"Oral health-related quality of life in patients with temporomandibular disorders: a case-control study considering psychological aspects","volume":"16","author":"Bayat","year":"2018","journal-title":"Int J Dent Hyg"},{"key":"2026070309291367000_cjaf107-B49","doi-asserted-by":"publisher","first-page":"129","DOI":"10.3390\/dj12050129","article-title":"Treatment outcomes in patients with muscular temporomandibular joint disorders: a prospective case-control study","volume":"12","author":"Izzetti","year":"2024","journal-title":"Dent J (Basel)"},{"key":"2026070309291367000_cjaf107-B50","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.4317\/jced.59480","article-title":"Relationship between self-reported pain, pain threshold, pain catastrophization and quality of life in patients with TMD","volume":"15","author":"Januzzi","year":"2023","journal-title":"J Clin Exp Dent"},{"key":"2026070309291367000_cjaf107-B51","doi-asserted-by":"publisher","first-page":"101577","DOI":"10.1016\/j.jormas.2023.101577","article-title":"Assessing change in quality of life using the Oral Health Impact Profile in patients undergoing orthognathic surgery: a before and after comparison with a minimal follow-up of two years","volume":"124","author":"Tan","year":"2023","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"2026070309291367000_cjaf107-B52","doi-asserted-by":"publisher","first-page":"1435","DOI":"10.1007\/s00784-023-04933-3","article-title":"Comparison of the quality of life changes of patients receiving sagittal split ramus osteotomy or intraoral vertical subsigmoid osteotomy for mandibular prognathism","volume":"27","author":"Wong","year":"2023","journal-title":"Clin Oral Investig"},{"key":"2026070309291367000_cjaf107-B53","doi-asserted-by":"publisher","first-page":"1554","DOI":"10.1111\/joor.13574","article-title":"Occurrence of temporomandibular disorders among patients undergoing treatment for obstructive sleep apnoea syndrome (OSAS) using mandibular advancement device (MAD): a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews","volume":"50","author":"Langaliya","year":"2023","journal-title":"J Oral Rehabil"},{"key":"2026070309291367000_cjaf107-B54","doi-asserted-by":"publisher","first-page":"30","DOI":"10.2319\/030309-122.1","article-title":"Five years of sleep apnea treatment with a mandibular advancement device","volume":"80","author":"Martinez-Gomis","year":"2010","journal-title":"Angle Orthod"},{"key":"2026070309291367000_cjaf107-B55","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1093\/ejo\/cju011","article-title":"Masticatory function in patients with dentofacial deformities before and after orthognathic treatment-a prospective, longitudinal, and controlled study","volume":"37","author":"Abrahamsson","year":"2015","journal-title":"Eur J Orthod"},{"key":"2026070309291367000_cjaf107-B56","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1016\/j.ijom.2012.10.016","article-title":"TMD before and after correction of dentofacial deformities by orthodontic and orthognathic treatment","volume":"42","author":"Abrahamsson","year":"2013","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2026070309291367000_cjaf107-B57","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/S1010-5182(89)80071-X","article-title":"Temporomandibular joint symptoms in orthognathic surgery","volume":"17","author":"Kerstens","year":"1989","journal-title":"J Craniomaxillofac Surg"},{"key":"2026070309291367000_cjaf107-B58","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/S0901-5027(00)80089-2","article-title":"Effects of orthognathic surgery on temporomandibular joint dysfunction. A controlled prospective 4-year-follow-up study","volume":"29","author":"Panula","year":"2000","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2026070309291367000_cjaf107-B59","doi-asserted-by":"publisher","first-page":"1835","DOI":"10.1016\/j.joms.2017.03.029","article-title":"Does orthognathic surgery cause or cure temporomandibular disorders? A systematic review and meta-analysis","volume":"75","author":"Al-Moraissi","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"2026070309291367000_cjaf107-B60","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1016\/j.joms.2020.11.010","article-title":"The effect of orthognathic surgery on temporomandibular joint function and symptoms: what are the risk factors? A longitudinal analysis of 375 patients","volume":"79","author":"Ploder","year":"2021","journal-title":"J Oral Maxillofac Surg"},{"key":"2026070309291367000_cjaf107-B61","doi-asserted-by":"publisher","first-page":"1093","DOI":"10.1111\/joor.13534","article-title":"Prevalence of temporomandibular disorders in orthognathic surgery patients: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions","volume":"50","author":"Abdul","year":"2023","journal-title":"J Oral Rehabil"},{"key":"2026070309291367000_cjaf107-B62","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/0889-5406(92)70076-M","article-title":"Orthodontic risk factors for temporomandibular disorders (TMD). I: premolar extractions","volume":"101","author":"Kremenak","year":"1992","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070309291367000_cjaf107-B63","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1093\/ejo\/14.1.16","article-title":"Long-term effects of orthodontic treatment, including extraction, on signs and symptoms attributed to CMD","volume":"14","author":"Dibbets","year":"1992","journal-title":"Eur J Orthod"}],"container-title":["European Journal of Orthodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejo\/article-pdf\/48\/4\/cjaf107\/68691277\/cjaf107.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejo\/article-pdf\/48\/4\/cjaf107\/68691277\/cjaf107.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T13:29:28Z","timestamp":1783085368000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejo\/article\/doi\/10.1093\/ejo\/cjaf107\/8724147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":63,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,6,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ejo\/cjaf107","relation":{},"ISSN":["0141-5387","1460-2210"],"issn-type":[{"value":"0141-5387","type":"print"},{"value":"1460-2210","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,6,2]]},"article-number":"cjaf107"}}