{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:11:55Z","timestamp":1791666715374,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"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>Some studies suggest that oral behaviours, such as clenching, grinding and nail biting, are common in patients with temporomandibular disorders (TMDs). However, the relationship between oral behaviours and key aspects of TMDs, such as pain\u2010related disability, remains unexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Objective<\/jats:title>\n                    <jats:p>The study aimed to assess the relationship between oral behaviours and pain in TMD patients with low or high pain\u2013related disability, compared to pain\u2010free individuals without TMD (non\u2010TMD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, adult participants who attended the dental unit at the University of Trieste, Italy, between January 2018 and June 2021 were asked to complete the oral behaviour checklist (OBC) and graded chronic pain scale (GCPS). OBC total score and item scores were compared between TMD patients with low pain\u2013related disability, TMD patients with high pain\u2013related disability and pain\u2010free individuals without TMD, using one\u2010way ANOVA with Bonferroni\u2010adjusted pairwise comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1581 patients participated, of whom 1304 were pain\u2010free, 234 were TMD patients with low pain\u2013related disability and 43 were TMD patients with high pain\u2013related disability. Average OBC total scores were 12.2\u2009\u00b1\u20098.8 for pain\u2010free non\u2010TMD participants, 17.2\u2009\u00b1\u200910.9 for TMD patients with low pain\u2013related disability and 23.16\u2009\u00b1\u200912.15 for TMD patients with high pain\u2010related disability. Significant differences were found across all pairwise comparisons (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Specific oral behaviours, such as awake and sleep\u2010related clenching, were notably higher in both TMD groups compared to the pain\u2010free group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A significant association between pain\u2010related disability and oral behaviours in TMD patients has been demonstrated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70013","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T02:31:05Z","timestamp":1752114665000},"page":"2059-2065","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["<scp>TMD<\/scp>\n                    Patients With High Pain\u2013Related Disability Have Higher Oral Behaviour Scores Than Individuals Without Pain and\n                    <scp>TMD<\/scp>\n                    Patients With Low Pain\u2013Related Disability"],"prefix":"10.1111","volume":"52","author":[{"given":"Bachar","family":"Reda","sequence":"first","affiliation":[{"name":"Department of Medical, Surgical and Health Sciences School of Dentistry, University of Trieste  Trieste Italy"}],"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"}]},{"given":"Luca","family":"Contardo","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical and Health Sciences School of Dentistry, University of Trieste  Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Pozzan","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical and Health Sciences School of Dentistry, University of Trieste  Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Franco","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical and Health Sciences School of Dentistry, University of Trieste  Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6677-7897","authenticated-orcid":false,"given":"Ghizlane","family":"Aarab","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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4352-3085","authenticated-orcid":false,"given":"Daniele","family":"Manfredini","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, School of Dentistry University of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13527"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2008.00560.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13221"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S490269"},{"key":"e_1_2_13_7_1","first-page":"31","article-title":"Self\u2010Reported Oral Parafunctions and Pain Intensity in Temporomandibular Disorder Patients","volume":"20","author":"Meulen M. 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