{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T19:06:57Z","timestamp":1773256017810,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Temporomandibular dysfunction (TMD) experience might impair oral health\u2010related quality of life (OHRQoL). Causal inference using population\u2010based cross\u2010sectional data is challenging given the potential for bias. Propensity Score Subclassification (PS\u2010Subclassification) provides a tool to mitigate confounding bias. The aim of this study was to estimate the Population\u2010Average Treatment Effect (PATE) of having TMD experience among Australian adults on OHRQoL using PS\u2010Subclassification and statistically estimated Minimally Important Differences (MID\u2010S).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Australia's National Survey of Adult Oral Health (NSAOH) 2004\u201306 data were used which included a Computer Assisted Telephone Interview, mailed questionnaire and oral epidemiological examination. Data included demographics, socioeconomics, caries experience (DMFT index), periodontitis, TMD experience using the TMD Diagnostic Criteria Question, the Oral Health Impact Profile (OHIP\u201014) and perceived stress. Analysis steps included: (1) generating propensity scores (PS) for TMD experience probability using causal model\u2010derived confounders while incorporating survey design elements; (2) PS\u2010Subclassification and weighting; (3) assessing common support and group balance and (4) estimating the PATE for TMD experience on OHIP\u201014 overall and domains scores using complex samples GLM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 4063 NSAOH participants, 397 with TMD and 3656 without TMD were included in PS\u2010Subclassification (all data were used) and shared common support for their PS and established adequate covariate balance (SMD &lt;\u20090.2). Experiencing TMD had higher OHIP\u201014 total scores (<jats:italic>B<\/jats:italic>\u2009=\u20093.498, 95% CI: 2.218\u20134.778) with a small MID\u2010S (Cohen's <jats:italic>F<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.03). TMD experience impaired all OHIP\u201014 domains (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) with physical pain and psychological domains among the highest impaired OHIP\u201014 domains with a small MID\u2010S.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TMD experience impaired the overall OHRQoL measured by the OHIP\u201014 among Australian adults with a small MID\u2010S. Physical pain and psychological domains were among the highest impaired OHRQoL domains with a small MID\u2010S. Clinicians and policymakers might consider these findings to support TMD screening and patient\u2010centred management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.13027","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T10:45:07Z","timestamp":1739789107000},"page":"265-277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Using Propensity Score Subclassification to Estimate the Population\u2010Average Causal Effect of Temporomandibular Dysfunction Experience on Oral Health\u2010Related Quality of Life Among Australian Adults"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2747-5220","authenticated-orcid":false,"given":"Kamal","family":"Hanna","sequence":"first","affiliation":[{"name":"Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ninuk","family":"Hariyani","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School The University of Adelaide  Adelaide South Australia Australia"},{"name":"Department of Dental Public Health, Faculty of Dental Medicine Universitas Airlangga  Surabaya Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Mejia","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9839-9280","authenticated-orcid":false,"given":"Lisa","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7888-0920","authenticated-orcid":false,"given":"David S.","family":"Brennan","sequence":"additional","affiliation":[{"name":"Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"issue":"432","key":"e_1_2_13_2_1","first-page":"e1","article-title":"Temporomandibular Dysfunction Is Associated With Oral Health\u2010Related Quality of Life: An Australian National Study","volume":"21","author":"Hanna K.","year":"2021","journal-title":"BMC Oral Health"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13472"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13040"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.06.001"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12994"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12298"},{"key":"e_1_2_13_8_1","volume-title":"Peterson's Principles of Oral and Maxillofacial Surgery","author":"Fletcher M.","year":"2004"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-007-9293-2"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-022544"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2011.568786"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12090"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000000078"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-043532"},{"issue":"6","key":"e_1_2_13_15_1","first-page":"1887","article-title":"Robust Causal Inference Using Directed Acyclic Graphs: The R Package \u2018dagitty\u2019","volume":"45","author":"Textor J.","year":"2016","journal-title":"International Journal of Epidemiology"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1998.tb02084.x"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12076"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-98837-5"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/302646"},{"issue":"4","key":"e_1_2_13_20_1","first-page":"317","article-title":"Gender Modifies the Effect of Perceived Stress on Orofacial Pain Symptoms: National Survey of Adult Oral Health","volume":"25","author":"Sanders A.","year":"2011","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104390"},{"key":"e_1_2_13_22_1","first-page":"253","article-title":"Temporomandibular Dysfunction Among Working Australian Adults and Association With Workplace Effort\u2010Reward Imbalance","volume":"37","author":"Hanna K.","year":"2020","journal-title":"Community Dental Health"},{"key":"e_1_2_13_23_1","unstructured":"Australian Institute of Health and Welfare \u201cNational dental data sources \u201d2017 accessed July 1 2017 http:\/\/www.aihw.gov.au\/dental\/data\u2010sources\/."},{"key":"e_1_2_13_24_1","unstructured":"Electronic white pages. Australia on Disc2004."},{"key":"e_1_2_13_25_1","volume-title":"Australia's Dental Generations: The National Survey of Adult Oral Health 2004\u201306","author":"Slade G.","year":"2007"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.15386\/cjmed-485"},{"key":"e_1_2_13_27_1","unstructured":"The University of Adelaide \u201cThe National Survey of Adult Oral Health 2004\/05: Protocol for Oral Epidemiological Examinations. Adelaide: Australian Research Centre for Population Oral Health \u201d2005."},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2003.11.014"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1989.tb00011.x"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2004.tb00045.x"},{"key":"e_1_2_13_31_1","volume-title":"The National Survey of Adult Oral Health 2004\u20102006","author":"Do L.","year":"2008"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060264"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_13_34_1","volume-title":"R: A Language and Environment for Statistical Computing","year":"2024"},{"key":"e_1_2_13_35_1","volume-title":"RStudio: Integrated Development Environment for R","year":"2024"},{"key":"e_1_2_13_36_1","unstructured":"Package \u2018MatchIt\u2019: Nonparametric Preprocessing for Parametric Causal Inference [computer program]. Version 4.5.52023."},{"key":"e_1_2_13_37_1","unstructured":"r\u2010project.org \u201cmethod_subclass {MatchIt}. R Documentation \u201d accessed Oct 10 2024 https:\/\/search.r\u2010project.org\/CRAN\/refmans\/MatchIt\/html\/method_subclass.html."},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000000595"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.115.125914"},{"key":"e_1_2_13_40_1","volume-title":"Practical Meta\u2010Analysis Effect Size Calculator","year":"2001"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2023.101371"},{"issue":"111","key":"e_1_2_13_42_1","first-page":"e1","article-title":"A Practical Guide to Calculating Cohen's f\n                  2, a Measure of Local Effect Size, From PROC MIXED","volume":"3","author":"Selya A.","year":"2012","journal-title":"Frontiers in Psychology"},{"key":"e_1_2_13_43_1","volume-title":"Statistical Power Analysis for the Social Science","author":"Cohen J.","year":"1988"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/25.6.1107"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2015.05.015"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12171"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6401294"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12428"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.te20"},{"key":"e_1_2_13_50_1","unstructured":"International Network of Orofacial Pain and Related Disorders Methodology \u201cInternational Network of Orofacial Pain and Related Disorders Methodology \u201d2021 accessed May 15 2021 https:\/\/ubwp.buffalo.edu\/rdc\u2010tmdinternational\/other\u2010instruments\u20102\/."},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01578-0"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtct.2023.09.021"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.13027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T13:13:06Z","timestamp":1748351586000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.13027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,17]]},"references-count":51,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/cdoe.13027"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.13027","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,17]]},"assertion":[{"value":"2024-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}