{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:45:44Z","timestamp":1784616344930,"version":"3.55.0"},"reference-count":52,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T00:00:00Z","timestamp":1701475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The objective of this investigation is to assess the relationship between the utilisation of orthodontic intermaxillary elastics and temporomandibular disorder (TMD) symptoms in clear aligner patients and to examine the correlation between the elastic usage time with the Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD)\u2014Axis II Evaluation Forms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was carried out on a total of 40 clear aligner patients using intermaxillary elastics in the experimental group and 30 clear aligner patients who did not use any intermaxillary elastics in the control group. The data were evaluated using the Mann\u2013Whitney <jats:italic>U<\/jats:italic>, chi\u2010square, Fisher's exact chi\u2010square, and Fisher Freeman Halton exact chi\u2010square tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The characteristic pain intensity, mastication, mobility, communication, global and PHQ\u20109 scores of the experimental group were significantly higher than those of the control group (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). The characteristic pain intensity score, interference score and chronic pain grade score of patients using Class III elastics were statistically significantly higher than those of patients using Class II elastics (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). Patients who used elastics for less than 6\u2009months had statistically significantly higher PHQ\u20109 scores than those who used elastics for more than 6\u2009months (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Orthodontic treatment may affect occlusion, bite force and jaw movement, which may cause or worsen TMD symptoms, and the DC\/TMD questionnaires can determine if orthodontic patients acquire TMD by assessing their psychosocial state and pain\u2010related problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.13614","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T19:50:21Z","timestamp":1701546621000},"page":"500-509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Prevalence of temporomandibular disorders in clear aligner patients using orthodontic intermaxillary elastics assessed with diagnostic criteria for temporomandibular disorders (DC\/TMD) axis II evaluation: A cross\u2010sectional study"],"prefix":"10.1111","volume":"51","author":[{"given":"Hande","family":"Uzun\u00e7\u0131buk","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Dentistry Faculty Trakya University  Edirne Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9494-6942","authenticated-orcid":false,"given":"Maria Maddalena","family":"Marrapodi","sequence":"additional","affiliation":[{"name":"Department of Woman, Child and General and Specialist Surgery University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aida","family":"Meto","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Faculty of Dental Sciences University of Aldent  Tirana Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Ronsivalle","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Medical\u2010Surgical Specialties, School of Dentistry University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Cicci\u00f9","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Medical\u2010Surgical Specialties, School of Dentistry University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Minervini","sequence":"additional","affiliation":[{"name":"Saveetha Dental College &amp; Hospitals, Saveetha Institute of Medical &amp; Technical Sciences Saveetha University  Chennai India"},{"name":"Multidisciplinary Department of Medical\u2010Surgical and Dental Specialties University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02075-8"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kjms.2018.01.004"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0975-5950.94463"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.5152\/TurkJOrthod.2022.21170"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.15386\/cjmed-485"},{"issue":"6","key":"e_1_2_11_7_1","first-page":"378","article-title":"Diagnosis and treatment of temporomandibular disorders","volume":"91","author":"Gauer RL","year":"2015","journal-title":"Am Fam Physician"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205874"},{"key":"e_1_2_11_9_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_11_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0192254"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.4026"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-016-0642-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3233\/THC-220910"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13491"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13496"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02174-6"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/jfmk4030063"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13473"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13427"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13418"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/prosthesis5020028"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/prosthesis5020038"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/prosthesis5020025"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajprenal.00304.2005"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biomaterials.2010.11.031"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2001.tb01699.x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2016.01.007"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1590\/S2176-94512013000100027"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2019.1572282"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-6343.2004.00307.x"},{"key":"e_1_2_11_32_1","first-page":"1075","article-title":"Clinical trial with bromelain in third molar exodontia","volume":"14","author":"Inchingolo F","year":"2010","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/jof7060476"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2010.02074.x"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104212"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.17214\/gaziaot.567544"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2019.1694756"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02048-x"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13260"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.2319\/013021-86.1"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13395"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2010.02087.x"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.4103\/jispcd.JISPCD_146_17"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.2319\/051015-318.1"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod.2019.49.3.181"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.59970"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2016.1203560"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2009.10.037"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13458"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59020410"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/1439203"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12500"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod.2015.45.2.95"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13614","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T09:58:58Z","timestamp":1707472738000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,2]]},"references-count":52,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/joor.13614"],"URL":"https:\/\/doi.org\/10.1111\/joor.13614","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,2]]},"assertion":[{"value":"2023-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}