{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:24:23Z","timestamp":1789050263539,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T00:00:00Z","timestamp":1532044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2018,10]]},"abstract":"Summary<\/jats:title>Background<\/jats:title>Temporomandibular Disorders (TMD<\/jats:styled-content>) is a multifactorial condition, which could be associated to occlusal and psychological factors, such as anxiety.<\/jats:p><\/jats:sec>Objective<\/jats:title>Investigate if anxiety and malocclusion are associated with the prevalence of TMD<\/jats:styled-content> in adolescents.<\/jats:p><\/jats:sec>Methods<\/jats:title>To ensure a population\u2010based representative sample, 934 adolescents aged 10 to 14\u00a0years old from Curitiba\u2010PR<\/jats:styled-content>, Brazil were randomly selected and examined according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC<\/jats:styled-content>\/TMD<\/jats:styled-content>) and malocclusion by a single\u2010calibrated examiner (Kappa\u00a0>\u00a00.80). Anxiety was assessed according to trait anxiety (STAI<\/jats:styled-content>\u2010T), categorised as high, moderate and low levels. For occlusal exam, it was considered: Angel's molar relationship, anterior and posterior crossbite, excessive overjet, open and deep bite. The associations were analysed by the crude and adjusted prevalence ration (RP<\/jats:styled-content>a<\/jats:sub>) of TMJ<\/jats:styled-content>, calculated by a Poisson multivariate regression with robust variance (\u03b1<\/jats:italic>\u00a0=\u00a00.05).<\/jats:p><\/jats:sec>Results<\/jats:title>The prevalence of at least one type of malocclusion was found in 52.3%. Anxiety was found in high level (12.2%), moderate (70.4%) and low (17.5%). Presence of high anxiety was significantly associated with the prevalence of TMD<\/jats:styled-content> symptoms (RP<\/jats:styled-content>a<\/jats:sub>\u00a0=\u00a04.06, P\u00a0<\/jats:italic><\u00a00.001), as well as the prevalence of myofascial pain (RP<\/jats:styled-content>a<\/jats:sub>\u00a0=\u00a024.78; P<\/jats:italic>\u00a0<\u00a00.001) and prevalence of disc displacement with reduction (RP<\/jats:styled-content>a<\/jats:sub>\u00a0=\u00a011.08, P<\/jats:italic>\u00a0<\u00a00.001). Adolescents Class II<\/jats:styled-content> had higher prevalence of myofascial pain (Class II RP<\/jats:styled-content>a<\/jats:sub>\u00a0=\u00a01.73; P\u00a0<\u00a00.015) than adolescents Class I. Adolescents Class III<\/jats:styled-content> presented higher prevalence of myofascial pain (PR<\/jats:styled-content>a<\/jats:sub> 2.53; P<\/jats:italic>\u00a0=\u00a00.004) than adolescents Class I.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Anxiety is strongly associated with TMD<\/jats:styled-content> in adolescents. Presence of Class II<\/jats:styled-content> or III<\/jats:styled-content> is associated with higher prevalence of myofascial pain in adolescentsPLESAE<\/jats:styled-content> check and approve the edit made in the article title.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.12684","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T17:54:51Z","timestamp":1530726891000},"page":"747-755","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC<\/scp>\/TMD<\/scp>. A cross\u2010sectional study"],"prefix":"10.1111","volume":"45","author":[{"given":"Fernanda Mara","family":"de Paiva Bertoli","sequence":"first","affiliation":[{"name":"Dentistry Departament Universidade Positivo Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Dea","family":"Bruzamolin","sequence":"additional","affiliation":[{"name":"Dentistry Departament Universidade Positivo Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graciely Osternack","family":"de Almeida Kranz","sequence":"additional","affiliation":[{"name":"Dentistry Departament Universidade Positivo Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estela Maris","family":"Losso","sequence":"additional","affiliation":[{"name":"Dentistry Departament Universidade Positivo Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao 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