{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T19:29:25Z","timestamp":1783798165192,"version":"3.55.0"},"reference-count":70,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"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":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Splint therapy is a common treatment approach for temporomandibular disorders (TMDs), but the role of doctor\u2013patient communication in enhancing therapeutic outcomes remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to assess the impact of integrating a structured doctor\u2013patient communication concept with splint therapy on psychological and clinical outcomes and patient satisfaction in managing TMDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A randomised clinical trial was conducted on patients diagnosed with TMDs at the Oral and Maxillofacial Surgery Department Clinics, Mansoura University. 435 participants were randomised into two groups: the control group (splint therapy alone) and the study group (splint therapy combined with doctor\u2013patient communication).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Variables<\/jats:title>\n                    <jats:p>The psychological distress evaluated using the Depression Anxiety Stress Scale\u201010 (DASS\u201010) and clinical outcomes, including intra\u2010articular pain, unassisted maximal interincisal mouth opening, joint sounds and muscular pain, were measured at baseline (before intervention) and 6\u2009months post\u2010intervention. Patient satisfaction was analysed based on overall clinical satisfaction and postoperative expectations at 6 and 12\u2009months after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant improvements in clinical and psychological outcomes were observed within both groups at 6\u2009months compared to baseline (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The study group showed significantly improved anxiety and stress levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), better clinical outcomes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), higher overall clinical satisfaction and better alignment with postoperative expectations at 6\u2009months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Integrating a structured doctor\u2013patient communication concept with splint therapy significantly enhances psychological and clinical outcomes in managing TMDs, particularly enhancing long\u2010term satisfaction and alignment with postoperative expectations.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      ID: NCT06783530. First Posted Date: 01\/09\/2025. Last Update Posted 01\/14\/2025. Retrospectively registered\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.14005","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:25:10Z","timestamp":1747632310000},"page":"1651-1663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Psychological and Clinical Outcomes After Splint Therapy With Versus Without Doctor\u2013Patient Communication Concept in the Management of\n                    <scp>TMDs<\/scp>\n                    : A Randomised Controlled Clinical Trial"],"prefix":"10.1111","volume":"52","author":[{"given":"Mai Ahmed","family":"Haggag","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery, Faculty of Dentistry Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6946-284X","authenticated-orcid":false,"given":"Christine Raouf Micheal","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Prosthodontic, Faculty of Dentistry Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0834-8058","authenticated-orcid":false,"given":"Soaad Tolba","family":"Badawy","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery, Faculty of Dentistry Mansoura University  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"issue":"6","key":"e_1_2_12_2_1","first-page":"378","article-title":"Diagnosis and Treatment of Temporomandibular Disorders","volume":"91","author":"Gauer R. 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