{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T05:04:54Z","timestamp":1780031094370,"version":"3.53.1"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Temporomandibular disorders (TMD) can impact on daily life, and are therefore important to treat with a fitting therapy. However, the factors that may influence the received treatment remain unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the deviation between the indicated and received TMD treatment, and to identify patient and clinician characteristics that could influence the received treatment and the deviation from indicated treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study collected data on the indicated and received treatment of 140 TMD patients. The treatment modalities were counselling, occlusal appliance (OA), physical therapy, psychological treatment, contingent electrical stimulation, ecological momentary assessment and medication. Potential predictors for receiving treatment and deviation from indicated treatment included patient\u2010related factors such as TMD diagnosis, bruxism, psychosocial factors and clinician\u2010related factors such as clinician's specialty level and experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A good to perfect agreement between indicated and received treatments was observed for all treatment (84.3%\u2013100%), except psychological treatment (66.4%). Received OA was associated with having a pain diagnosis (OR [95% CI]\u2009=\u20092.596 [1.189, 5.669],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017). In addition, received physical therapy was significantly associated with a pain diagnosis (OR [95% CI]\u2009=\u20093.876 [1.401, 10.721],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009), awake bruxism (OR [95% CI]\u2009=\u20091.730 (1.112, 2.690),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) and clinician's level\u2013being staff (OR [95% CI]\u2009=\u20096.068 [1.729, 20.553],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016). Received psychological therapy was significantly associated with a pain diagnosis (OR [95% CI]\u2009=\u20094.013 [1.077, 14.951],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038), sleep bruxism (OR [95% CI]\u2009=\u20091.381 [1.041, 1.830],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.025), and physical symptoms (OR [95% CI]\u2009=\u20092.578 [1.561, 4.259],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant predictors were found for deviation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Receiving TMD treatment was associated with both patient\u2010related factors\u2014such as a TMD diagnosis, bruxism and physical symptoms\u2014and clinician\u2010related factors, such as the clinician's level of experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70012","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T03:25:19Z","timestamp":1751340319000},"page":"2031-2043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Initial Treatment Plan Versus the Actually Performed Treatment of Patients With Temporomandibular Disorders in the First 6\u2009Months After the Initial Visit"],"prefix":"10.1111","volume":"52","author":[{"given":"Kaylee","family":"van Ee","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8544-6495","authenticated-orcid":false,"given":"Magdalini","family":"Thymi","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naichuan","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Oral Public Health, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4939-0321","authenticated-orcid":false,"given":"Michail","family":"Koutris","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiprawee","family":"Chattrattrai","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Department of Masticatory Science Faculty of Dentistry, Mahidol University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9877-7640","authenticated-orcid":false,"given":"Frank","family":"Lobbezoo","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Department of Orofacial Pain and Jaw Function, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9020452"},{"issue":"3","key":"e_1_2_11_3_1","first-page":"206","article-title":"Care Seeking for Orofacial Pain","volume":"26","author":"Rollman A.","year":"2012","journal-title":"Journal of Orofacial Pain"},{"issue":"6","key":"e_1_2_11_4_1","first-page":"e669","article-title":"Influence of Clinical and Psychological Variables Upon the Oral Health\u2010Related Quality of Life in Patients With Temporomandibular Disorders","volume":"22","author":"Blanco\u2010Aguilera A.","year":"2017","journal-title":"Medicina Oral, Patolog\u00eda Oral y Cirug\u00eda Bucal"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-016-0690-1"},{"issue":"3","key":"e_1_2_11_6_1","first-page":"215","article-title":"Self\u2010Reported Impact on Daily Life Activities Related to Temporomandibular Disorders, Headaches, and Neck\u2010Shoulder Pain Among Women in a Sami Population Living in Northern Sweden","volume":"26","author":"Mienna C. 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