{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:14:33Z","timestamp":1787015673936,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T00:00:00Z","timestamp":1592179200000},"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":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with Down syndrome (DS) present functional and anatomical alterations that may negatively impact their health and quality of life. Down syndrome patients have been shown to have a high prevalence of temporomandibular disorder (TMD), but little is known about the diagnosis, treatment and prevention in these individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of a home\u2010based multidisciplinary programme on muscular TMD in DS adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>After being diagnosed with TMD\u2010related masticatory muscle disorder, 20 adult men and 20 adult women with DS received an educational material with instructions on how to perform daily home facial self\u2010massage and exercises for orofacial and masticatory muscles. Participants were also provided with educational information on TMD. Those who failed to perform at least 50% of the programme (23\u00a0days) were considered non\u2010adherent. Oral parafunctional behaviours, facial pressure\u2010pain threshold and maximum mouth opening were assessed at baseline and after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010five patients adhered to the programme as opposed to 15 non\u2010adherent patients. Statistically significant improvements in all parameters were observed among adherent patients, except for the number of parafunctions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The proposed home\u2010based multidisciplinary programme seemed to be effective in improving some aspects related to muscular TMD in DS adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13027","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T17:44:11Z","timestamp":1591119851000},"page":"939-943","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A home\u2010based multidisciplinary programme for Down syndrome adults with muscular temporomandibular disorder"],"prefix":"10.1111","volume":"47","author":[{"given":"Let\u00edcia da Silva","family":"Sena","sequence":"first","affiliation":[{"name":"Discipline of Descriptive and Topographic Anatomy Department of Morphology and Genetics Federal University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4472-6941","authenticated-orcid":false,"given":"Luiz Felipe","family":"Palma","sequence":"additional","affiliation":[{"name":"Discipline of Descriptive and Topographic Anatomy Department of Morphology and Genetics Federal University of S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"MSc Dentistry Program Ibirapuera University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9rgio Ricardo","family":"Marques","sequence":"additional","affiliation":[{"name":"Discipline of Descriptive and Topographic Anatomy Department of Morphology and Genetics Federal University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique Lalue","family":"Sanches","sequence":"additional","affiliation":[{"name":"Discipline of Descriptive and Topographic Anatomy Department of Morphology and Genetics Federal University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5977-7023","authenticated-orcid":false,"given":"Lu\u00eds Ot\u00e1vio Carvalho","family":"de Moraes","sequence":"additional","affiliation":[{"name":"Discipline of Descriptive and Topographic Anatomy Department of Morphology and Genetics Federal University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9290.42956"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2016.02.003"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2008.01877.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/112785"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12681"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2013.07.010"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/790648"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sdeng.2016.07.001"},{"key":"e_1_2_7_11_1","first-page":"301","article-title":"Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique","volume":"6","author":"Dworkin SF","year":"1992","journal-title":"J Craniomandib Disord"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12098"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S127950"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2001.11746160"},{"key":"e_1_2_7_15_1","first-page":"250","article-title":"Effect of tooth clenching and jaw opening on pain\u2010pressure thresholds in the human jaw muscles","volume":"8","author":"McMillan AS","year":"1994","journal-title":"J Orofac Pain"},{"key":"e_1_2_7_16_1","first-page":"318","article-title":"Pressure pain threshold in the detection of masticatory myofascial pain: an algometer\u2010based study","volume":"19","author":"Santos Silva RS","year":"2005","journal-title":"J Orofac Pain"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12158"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2007.12.034"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12716"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoor.13027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joor.13027","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T12:31:11Z","timestamp":1693657871000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,15]]},"references-count":18,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/joor.13027"],"URL":"https:\/\/doi.org\/10.1111\/joor.13027","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,15]]},"assertion":[{"value":"2020-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}