{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:18:43Z","timestamp":1789514323312,"version":"build-2803163510"},"reference-count":101,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"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":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Temporomandibular disorders (TMDs) may be an \u2018idiom\u2019 of psychological distress in Confucian heritage cultures (CHCs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This systematic review\/meta\u2010analysis estimated the prevalence of TMDs in CHCs and compared the differences in TMD occurrence between time periods and age groups. Additionally, the associated biopsychosocial risk factors were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study protocol was developed a priori following the PRISMA guidelines and Joanna Briggs Institute systematic review methodology (CRD42021245526). Electronic searches of seven databases were conducted from January 2002 to Dec 2021. Reference lists of identified studies were hand\u2010searched for additional articles. Study selection, quality assessment, and data extraction were done. Meta\u2010analysis was performed using the RevMan 5.4 software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010eight articles were included in the systematic review. Overall prevalences were: TMDs\u201015% (95% CI: 15\u201316%); TMD pain\u20108% (95% CI: 7\u20139%); TMJ sounds\u201024% (95% CI: 21\u201327%); and TMJ locking\u20107% (95% CI: 1\u201313%). While TMD prevalence appeared to have declined from 2002 to 2011 to 2012\u20132021, the occurrence of TMD pain, TMJ sounds, and locking increased marginally or remained constant. TMD prevalence in children\/adolescents was 18% (95% CI: 14\u201322%) and 17% (95% CI: 16\u201318%) among adults. Significant associations between TMDs and bruxism\/psychological distress\/education levels were specified by 73%\/90%\/88% of the relevant studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TMDs are prevalent in CHCs and a slight increase in TMD pain (2%) and TMJ sounds (8%) were discerned over the past two decades. TMDs are related to a myriad of biopsychosocial variables, particularly psychological distress, and these factors must be addressed within the cultural context of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13779","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T04:41:10Z","timestamp":1718340070000},"page":"2169-2194","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Prevalence of temporomandibular disorders and their associated factors in Confucian heritage cultures: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0361-6209","authenticated-orcid":false,"given":"Adrian Ujin","family":"Yap","sequence":"first","affiliation":[{"name":"Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry National University Health System  Singapore Singapore"},{"name":"National Dental Research Institute Singapore, National Dental Centre Singapore and Duke\u2010NUS Medical School, Singapore Health Services  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6426-4481","authenticated-orcid":false,"given":"Ye Choung","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry National University Health System  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7916-6868","authenticated-orcid":false,"given":"Henry Chee Wai","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry National University Health System  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416686302"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12661"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2011.04.021"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.19080\/ADOH.2019.10.555787"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10671-012-9131-3"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lindif.2010.05.003"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lindif.2010.08.006"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.01.040"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2021.1908571"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2017.09.010"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2007.10.003"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.6209"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_12_16_1","unstructured":"Joanna Briggs Institute.The JBI critical appraisal tools for use in JBI systematic reviews: Checklist for prevalence studies.https:\/\/jbi.global\/sites\/default\/files\/2019\u201005\/JBI_Critical_Appraisal\u2010Checklist_for_Prevalence_Studies2017_0.pdf2021."},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000054"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037324"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03710-w"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2019.1587243"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S331387"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01916-2"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2021.1982496"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12519"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/osi2.1038"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207408"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13033"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12751"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40557-018-0253-9"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2018.1471517"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12604"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12692"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-017-1057-0"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0191336"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/2010105817694907"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.16966\/2378-7090.243"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2017.01.001"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12366"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.14476\/jomp.2016.41.2.35"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1179\/2151090315Y.0000000021"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.2185\/jrm.2910"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod.2016.46.3.137"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.04.016"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-015-1422-7"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2014.12.025"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-15-8"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0145002"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-015-1018-1"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1229"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12126"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-58"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-13-62"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-160X-8-24"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874210601206010240"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2010.02195.x"},{"issue":"4","key":"e_1_2_12_57_1","first-page":"308","article-title":"Global self\u2010rating of oral health, concerns about oral health, and history of jaw injury related to temporomandibular joint symptoms in Korean adults","volume":"25","author":"Han DH","year":"2011","journal-title":"J Orofac Pain"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-160X-7-17"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-010-1004-x"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12548-009-0002-3"},{"issue":"1","key":"e_1_2_12_61_1","first-page":"50","article-title":"The relationship between jaw injury, third molar removal, and orthodontic treatment and TMD symptoms in university students in Japan","volume":"22","author":"Akhter R","year":"2008","journal-title":"J Orofac Pain"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2007.01841.x"},{"issue":"4","key":"e_1_2_12_63_1","first-page":"323","article-title":"Chronic orofacial pain in southern Chinese people: experience, associated disability, and help\u2010seeking response","volume":"22","author":"Leung WS","year":"2008","journal-title":"J Orofac Pain"},{"issue":"4","key":"e_1_2_12_64_1","first-page":"292","article-title":"Relationship between the frequency of sleep bruxism and the prevalence of signs and symptoms of temporomandibular disorders in an adolescent population","volume":"21","author":"Nagamatsu\u2010Sakaguchi C","year":"2008","journal-title":"Int J Prosthodont"},{"issue":"1","key":"e_1_2_12_65_1","first-page":"36","article-title":"A retrospective study on the prevalence of temporomandibular disorders in 9,909 Chinese subjects with malocclusions prior to orthodontic treatment","volume":"11","author":"Sun ZP","year":"2008","journal-title":"Chinese J Dent Res"},{"issue":"3","key":"e_1_2_12_66_1","first-page":"218","article-title":"Prevalence of orofacial pain and treatment seeking in Hong Kong Chinese","volume":"20","author":"McMillan AS","year":"2006","journal-title":"J Orofac Pain"},{"issue":"3","key":"e_1_2_12_67_1","first-page":"226","article-title":"Association between masseter muscle activity levels recorded during sleep and signs and symptoms of temporomandibular disorders in healthy young adults","volume":"19","author":"Baba K","year":"2005","journal-title":"J Orofac Pain"},{"key":"e_1_2_12_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2005.00134.x"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.08.014"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2004.01269.x"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2002.33249"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2842.2002.00968.x"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2021.02.016"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-985X.2008.00552.x"},{"key":"e_1_2_12_75_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2011.0088"},{"key":"e_1_2_12_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2021.11.009"},{"key":"e_1_2_12_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15354"},{"key":"e_1_2_12_78_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S104807"},{"issue":"3","key":"e_1_2_12_79_1","first-page":"270","article-title":"Symptoms of temporomandibular disorders in the population: An epidemiological study","volume":"24","author":"Gon\u00e7alves DA","year":"2010","journal-title":"J Orofac Pain"},{"issue":"2","key":"e_1_2_12_80_1","first-page":"143","article-title":"Prevalence of signs and symptoms of temporomandibular disorders in an urban and rural German population: results of a population\u2010based study of health in Pomerania","volume":"35","author":"Gesch D","year":"2004","journal-title":"Quintessence Int"},{"key":"e_1_2_12_81_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2020.1746395"},{"key":"e_1_2_12_82_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12803"},{"key":"e_1_2_12_83_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215534"},{"key":"e_1_2_12_84_1","doi-asserted-by":"publisher","DOI":"10.1177\/0810158"},{"key":"e_1_2_12_85_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12643"},{"key":"e_1_2_12_86_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.07.014"},{"key":"e_1_2_12_87_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12759"},{"key":"e_1_2_12_88_1","doi-asserted-by":"publisher","DOI":"10.1080\/000163502753740214"},{"key":"e_1_2_12_89_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2016.1247465"},{"key":"e_1_2_12_90_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12821"},{"key":"e_1_2_12_91_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13331"},{"key":"e_1_2_12_92_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2022.08.00292"},{"key":"e_1_2_12_93_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7020751"},{"key":"e_1_2_12_94_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.14343"},{"key":"e_1_2_12_95_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2018.1481495"},{"issue":"1","key":"e_1_2_12_96_1","first-page":"99","article-title":"Parents' beliefs and practices in education in Confucian heritage cultures: the Hong Kong case","volume":"3","author":"Lam CC","year":"2002","journal-title":"J Southeast Asian Educ"},{"key":"e_1_2_12_97_1","doi-asserted-by":"publisher","DOI":"10.1037\/apl0000904"},{"key":"e_1_2_12_98_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1324100"},{"key":"e_1_2_12_99_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2014.949843"},{"issue":"2","key":"e_1_2_12_100_1","first-page":"141","article-title":"Association between sociodemographic, behavioral, and medical conditions and signs of temporomandibular disorders across gender: results of the study of health in Pomerania (SHIP\u20100)","volume":"21","author":"Mundt T","year":"2008","journal-title":"Int J Prosthodont"},{"key":"e_1_2_12_101_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0121573"},{"key":"e_1_2_12_102_1","doi-asserted-by":"publisher","DOI":"10.5688\/aj7308142"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.13779","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T15:03:37Z","timestamp":1729177417000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.13779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,14]]},"references-count":101,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/joor.13779"],"URL":"https:\/\/doi.org\/10.1111\/joor.13779","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JOOR.13779\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.13779\/v3\/decision1","asserted-by":"object"}]},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,14]]},"assertion":[{"value":"2023-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}