{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:58:58Z","timestamp":1787579938874,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T00:00:00Z","timestamp":1500508800000},"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":[[2017,10]]},"abstract":"Summary<\/jats:title>Myotonic muscle dystrophy is a systemic disease with early engagement of the facial muscles. Our aim was to study dysfunction of the temporomandibular system in patients with \u2018classic\u2019 dystrophia myotonica (DM<\/jats:styled-content>1) and compare it with TMD<\/jats:styled-content> patients and healthy controls. The study included 27 referred patients with DM<\/jats:styled-content>1, 18 women and nine men, aged 30\u201362 years, and two matched control groups: patients with temporomandibular disorders symptoms (TMD<\/jats:styled-content>) and healthy controls, both groups were consecutive patients. The patients answered questions regarding facial pain, jaw function and dysfunction. A clinical examination of the temporomandibular system including the occlusion was performed, and the maximum bite force and finger forces were measured. Among the DM<\/jats:styled-content>1 patients, 33% reported difficulty biting off, and 22% had difficulty chewing, avoiding foods like meat and raw vegetables, and 37% of the DM<\/jats:styled-content>1 patients scored their pain and discomfort as moderate to fairly severe. Their main complaints were TMJ<\/jats:styled-content> clicking and locking, difficulty opening wide and tiredness. They had more clinical signs of dysfunction compared with the controls (P<\/jats:italic> < 0\u00b7001), but no statistically significant difference to the TMD<\/jats:styled-content> patients. The maximum bite force in DM<\/jats:styled-content>1 patients was impaired compared to both the TMD<\/jats:styled-content> patients and the controls (P<\/jats:italic> < 0\u00b7001). Significantly more occlusal interferences were found in DM<\/jats:styled-content>1 patients and were associated with chewing difficulties (P<\/jats:italic> < 0\u00b7001). In conclusion, patients suffering from DM<\/jats:styled-content>1 had an increased prevalence of TMD<\/jats:styled-content> symptoms, reported impaired chewing function and had a decreased maximum bite force.<\/jats:p>","DOI":"10.1111\/joor.12534","type":"journal-article","created":{"date-parts":[[2017,6,10]],"date-time":"2017-06-10T08:26:47Z","timestamp":1497083207000},"page":"749-755","source":"Crossref","is-referenced-by-count":8,"title":["Temporomandibular dysfunction in adult patients with myotonic dystrophy (DM<\/scp>1)"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4406-9216","authenticated-orcid":false,"given":"C.","family":"Mejersj\u00f6","sequence":"first","affiliation":[{"name":"Clinic of Orofacial Pain Sahlgrenska Academy and Public Dental Health Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kiliaridis","sequence":"additional","affiliation":[{"name":"Department of Orthodontics University Clinic of Dental Medicine University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,20]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"541","volume-title":"Disorders of voluntary muscle","author":"Harper PS","year":"2001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbadis.2014.05.019"},{"key":"e_1_2_8_4_1","first-page":"25","volume-title":"Current concepts on temporomandibular disorders","author":"Manfredini D","year":"2010"},{"key":"e_1_2_8_5_1","first-page":"129","volume-title":"Management of temporomandibular disorders and occlusion","author":"Okeson JP","year":"2013"},{"key":"e_1_2_8_6_1","first-page":"219","article-title":"The jaw functional limitation scale: development, reliability and validity of 8\u2010item and 20\u2010 item versions","volume":"22","author":"Ohrbach R","year":"2008","journal-title":"J Orofac Pain"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2012.0177"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016359209012774"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(89)90736-2"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2009.01174.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.1995.tb01048.x"},{"key":"e_1_2_8_12_1","first-page":"101","article-title":"Studies on function and dysfunction of the masticatory system. 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