{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T17:21:34Z","timestamp":1778347294635,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:00:00Z","timestamp":1625875200000},"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":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies on temporomandibular disorder (TMD) severity in patient populations are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study sought to compare the psychological states and oral health\u2013related quality of life (OHRQoL) among patients with differing TMD severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Adult patients (\u226518 years old) with and without (controls) TMDs were recruited from the TMD\/oro\u2010facial pain centre and prosthodontics department, respectively. The presence and severity of TMDs were established with the Fonseca Anamnestic Index (FAI), and TMD diagnoses were confirmed with the Diagnostic Criteria for TMDs (DC\/TMD). Psychological states and OHRQoL were examined with the Depression, Anxiety, Stress Scales\u201021 (DASS\u201021) and Oral Health Impact Profile for TMDs (OHIP\u2010TMD). Data were subjected to chi\u2010square, Kruskal\u2010Wallis\/Mann\u2010Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests and Spearman's correlation (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 961 participants with a mean age of 32.99\u00a0\u00b1\u00a013.14 years (71.19% women) were assessed. Frequencies of the various TMD categories were as follows: no TMD\/controls (12.07%), mild TMD (24.56%), moderate TMD (40.37%) and severe TMD (23.00%). The three most common TMD\u2010related symptoms were TMJ noises, mouth opening difficulty and muscle pain. Participants with moderate\/severe TMD presented a higher proportion of intra\u2010articular and\/or combined disorders. They reported significantly higher levels of depression, anxiety, stress and poorer OHRQoL than their counterparts with no\/mild TMD (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Moderate\u2010to\u2010strong correlations were observed between FAI and DASS\u201021\/OHIP\u2010TMD scores (rs\u00a0=\u00a00.42\u20130.72).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with moderate\/severe TMD had significantly higher levels of psychological disturbance and poorer OHRQoL. As OHRQoL and psychological states are correlated, psychological well\u2010being must be considered when managing patients with moderate\/severe TMDs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13216","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T14:49:47Z","timestamp":1624978187000},"page":"177-185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Comparison of psychological states and oral health\u2013related quality of life of patients with differing severity of temporomandibular disorders"],"prefix":"10.1111","volume":"49","author":[{"given":"Adrian Ujin","family":"Yap","sequence":"first","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Dentistry Faculty of Dentistry Ng Teng Fong General Hospital National University Health System Singapore City Singapore"},{"name":"Duke\u2010NUS Medical School National Dental Centre Singapore National Dental Research Institute Singapore Singapore Health Services Singapore City Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min\u2010Juan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7663-1480","authenticated-orcid":false,"given":"Ye","family":"Cao","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Lei","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7049-9888","authenticated-orcid":false,"given":"Kai\u2010Yuan","family":"Fu","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology Beijing China"},{"name":"National Clinical Research Center for Oral Diseases Beijing China"},{"name":"National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2013.878390"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416686302"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12661"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.04.021"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.09.010"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016350903431118"},{"issue":"1","key":"e_1_2_10_9_1","first-page":"3","article-title":"Quality of life in patients with temporomandibular disorders. 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