{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:14:06Z","timestamp":1759515246870},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,7,24]],"date-time":"2015-07-24T00:00:00Z","timestamp":1437696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Temporomandibular disorders (<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>) are a significant public health problem, affecting approximately 5\u201312% of the population. Objectives: This retrospective cross\u2010sectional study investigated the relationship between 8 <jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content> serum cortisol levels (8<jats:styled-content style=\"fixed-case\">ASC<\/jats:styled-content>) and disc displacement disorders (<jats:styled-content style=\"fixed-case\">DDD<\/jats:styled-content>) of <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>. One hundred and forty patients with <jats:styled-content style=\"fixed-case\">DDD<\/jats:styled-content> were recruited. Among them, 60 patients comprised the case group of disc displacement without reduction with limited opening (<jats:styled-content style=\"fixed-case\">DDWORWLO<\/jats:styled-content>, age 37\u00b77\u00a0\u00b1\u00a017\u00b722), and 80 were \u2018other <jats:styled-content style=\"fixed-case\">DDD<\/jats:styled-content>\u2019 for the control group (age 36\u00b74\u00a0\u00b1\u00a013\u00b708). The independent variables included domains of demography, history, malocclusion, comorbid symptoms, comorbid <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> and 8<jats:styled-content style=\"fixed-case\">ASC<\/jats:styled-content>. Data were analysed with the chi\u2010square test, logistic regression and receiver operating characteristic (<jats:styled-content style=\"fixed-case\">ROC<\/jats:styled-content>) curve. Results of multiple logistic regression showed that 8<jats:styled-content style=\"fixed-case\">ASC<\/jats:styled-content> was the only factor significantly related to <jats:styled-content style=\"fixed-case\">DDWORWLO<\/jats:styled-content> (<jats:italic>P<\/jats:italic> = 0\u00b7006). Receiver operating characteristic analysis of <jats:styled-content style=\"fixed-case\">DDWORWLO<\/jats:styled-content> and 8<jats:styled-content style=\"fixed-case\">ASC<\/jats:styled-content> indicated an area under the curve of 0\u00b7669, standard error of 0\u00b7049 and <jats:italic>P<\/jats:italic> value of 0\u00b7001. The adequate cut\u2010off point of 8<jats:styled-content style=\"fixed-case\">ASC<\/jats:styled-content> was 12\u00b745 (\u03bcg\u00a0dL<jats:sup>\u22121<\/jats:sup>), with sensitivity of 0\u00b7636, and specificity of 0\u00b7729. 8\u00a0AM serum cortisol level can be used as a clinical clue to differentiate <jats:styled-content style=\"fixed-case\">DDWORWLO<\/jats:styled-content> from other <jats:styled-content style=\"fixed-case\">DDD<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/joor.12331","type":"journal-article","created":{"date-parts":[[2015,7,24]],"date-time":"2015-07-24T07:21:06Z","timestamp":1437722466000},"page":"10-15","source":"Crossref","is-referenced-by-count":12,"title":["Serum cortisol level and disc displacement disorders of the temporomandibular joint"],"prefix":"10.1111","volume":"43","author":[{"given":"S.\u2010L.","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Psychiatry Kaohsiung Armed Forces General Hospital Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.\u2010L.","family":"Wu","sequence":"additional","affiliation":[{"name":"Centre for Environment and Population Health Griffith University Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.\u2010C.","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of General Surgery Madou Sin Lau Hospital Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.\u2010Y.","family":"Ko","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical Science College of Health Science Chang Jung Christian University Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.\u2010W.","family":"Yang","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical Science College of Health Science Chang Jung Christian University Tainan Taiwan"},{"name":"Department of Oral and Maxillofacial Surgery Tainan Sin Lau Hospital Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,24]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"6","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","volume":"28","author":"Schiffman E","year":"2014","journal-title":"J\u00a0Orofac Pain"},{"key":"e_1_2_10_3_1","first-page":"50","article-title":"The relationship between jaw injury, third molar removal, and orthodontic treatment and TMD symptoms in university students in Japan","volume":"22","author":"Akhter R","year":"2008","journal-title":"J Orofac Pain"},{"key":"e_1_2_10_4_1","first-page":"573","article-title":"Dental occlusion and subjective temporomandibular joint symptoms in men and women. 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