{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:00:59Z","timestamp":1790139659421,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["pericles.pericles-gcp.literatumonline.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Individuals with spastic cerebral palsy are more predisposed to parafunctional oral activities and oral motor problems because of spasticity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the study was to evaluate the relationship between the gross motor function classification system score (GMFCS), age, bruxism, parafunctional oral habits and oral motor problems in children with cerebral palsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study included 63 children with spastic cerebral palsy, aged 3\u201318\u2009years, with developmental disabilities. The relationship between parentally reported bruxism, parafunctional oral activity rates, oral motor problems, and GMFCS was analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of bruxism was 52.4%, and the rate decreased as age increased. There was a greater likelihood of bruxism in individuals with tongue thrust (OR [95% CI]\u2009=\u20098.15 [1.4\u201347.3]) and swallowing problems (OR [95% CI]\u2009=\u20095.78 [1.3\u201324.68]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In children with spastic cerebral palsy, bruxism and the rate of parafunctional oral habits were high, thus affecting oral motor activities. A relationship was found between oral motor problems and increased GMFCS levels, but no relationship was found between bruxism and GMFCS levels. Children with spastic cerebral palsy who display tongue thrust or swallowing problems have an increased likelihood of presenting with bruxism.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.13578","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T05:45:12Z","timestamp":1693287912000},"page":"1393-1400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Bruxism, parafunctional oral habits and oral motor problems in children with spastic cerebral palsy: A cross\u2010sectional study"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-1134","authenticated-orcid":false,"given":"Aysenur","family":"Tuncer","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Hasan Kalyoncu University  Gaziantep Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asiye","family":"Uzun","sequence":"additional","affiliation":[{"name":"Fizyomer Special Education and Rehabilitation Center  Gaziantep Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abidin H.","family":"Tuncer","sequence":"additional","affiliation":[{"name":"Children's Hospital Colorado Department of Pediatric Dentistry  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazel C.","family":"Guzel","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Vocational School of Health Services Band\u0131rma Onyedi Eyl\u00fcl University  Bal\u0131kesir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif D.","family":"At\u0131lgan","sequence":"additional","affiliation":[{"name":"Faculty of Vocational School of Health Services Batman University  Batman Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"8","article-title":"A report: the definition and classification of cerebral palsy April 2006","volume":"109","author":"Rosenbaum P","year":"2007","journal-title":"Dev Med Child Neurol Suppl"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spen.2004.01.002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2004.tb01699.x"},{"key":"e_1_2_11_5_1","first-page":"61","article-title":"Why we cannot afford to ignore prolonged digit sucking","volume":"18","author":"Norman RAV","year":"2001","journal-title":"Contemp Pediatr"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2006.01703.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107BOR-2015.vol29.0009"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-017-0312-x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4625-44.1.12"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4625-44.4.3"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2007.01766.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2016.1239894"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0103-64402012000300011"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107BOR-2015.vol29.0024"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03089.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12663"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18189544"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12471"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1992.00530360057018"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02412423"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12028"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12506"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12069"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.51129"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14316"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2003.tb00965.x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.17712\/nsj.2016.4.20150729"},{"key":"e_1_2_11_29_1","first-page":"4","article-title":"Assessment of oral and dental health status in children with cerebral palsy: an exploratory study","volume":"12","author":"Sedky NA","year":"2018","journal-title":"Int J Health Sci (Qassim)"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-020-1022-z"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12544"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2842.2001.00839.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pdj.2022.06.001"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12211"},{"issue":"6","key":"e_1_2_11_35_1","first-page":"445","article-title":"Drooling, chewing and swallowing dysfunctions in children with cerebral palsy: treatment according to Castillo\u2010Morales","volume":"57","author":"Limbrock GJ","year":"1990","journal-title":"ASDC J Dent Child"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.10.020"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03674-8"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.116923"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00385801"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T11:31:09Z","timestamp":1701257469000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,28]]},"references-count":38,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1111\/joor.13578"],"URL":"https:\/\/doi.org\/10.1111\/joor.13578","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,28]]},"assertion":[{"value":"2023-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}