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The study was approved by the Research Ethics Committee of the School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo (FORP\/USP) (CAAE No. 02198018.5.0000.5419) and the Research Ethics Committee on Human Beings of the Ribeir\u00e3o Preto Medical School (HCRP\/FMRP) (CAAE No. 59992522.1.3001.5440). All volunteers provided informed consent before participation. Inclusion criteria consisted of individuals over 18\u2009years of age, patients of the AING, who were hormone\u2010free or had not used hormones for at least 6 months (for trans women), and those with no prior hormone use (for trans men). Exclusion criteria included individuals with cognitive limitations that could hinder comprehension of the research instruments, those who had used analgesics, non\u2010steroidal anti\u2010inflammatory drugs (NSAIDs) or opioids within 24\u2009h before the assessments, and individuals with reports of head and neck trauma, a history of plastic surgeries or orofacial harmonisation procedures or those undergoing orthodontic treatment or extensive oral rehabilitation. Each participant completed a sociodemographic questionnaire and was assessed for periodontal health using the Periodontal Screening Recording (PSR), TMD using DC\/TMD criteria and anxiety levels with the GAD\u20107 scale. Data analysis included descriptive statistics, chi\u2010squared,\n                      <jats:italic>T<\/jats:italic>\n                      \u2010test (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) and multivariate logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 54 trans individuals over the age of 18 from the Gender Incongruence Clinic (AING) at Ribeir\u00e3o Preto Medical School (FMRP\u2010USP) were invited, with 45 participants completing the study (24 trans men, 21 trans women). High levels of gingivitis and plaque accumulation were found in all participants, with no significant gender differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). TMD was present in 83.33% of trans men and 47.62% of trans women, with a significantly higher incidence among trans men (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046). Alcohol consumption (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) and anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043) were significantly associated with TMD, especially among trans men 1.624 [Confidence Interval (95% CI): 1.006\u20132.621].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study revealed alarming levels of gingivitis across all participants, highlighting the need for periodontal intervention. Over half of the participants exhibited TMD, with trans men showing a higher occurrence. TMD was significantly associated with alcohol consumption and anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The findings emphasise the need for integrated dental and mental health care in transgender populations, particularly for the prevention and management of TMD and periodontal disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13973","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T09:32:45Z","timestamp":1748338365000},"page":"1059-1069","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Oral Health and Sociodemographic Aspects in Transgender People: A Descriptive Exploratory Study"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0433-2681","authenticated-orcid":false,"given":"Alex 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