{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:32:55Z","timestamp":1787506375641,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012538","name":"Swedish Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012538","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005293","name":"G\u00f6teborgs Tandl\u00e4kare-S\u00e4llskap","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005293","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016669","name":"Sj\u00f6bergstiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016669","id-type":"DOI","asserted-by":"publisher"}]}],"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) are multifactorial and complex musculoskeletal conditions frequently associated with pain or dysfunction, including impaired jaw function and pain in the temporomandibular joint, masticatory muscles and\/or related structures. Recent studies have found that personality, behaviour and environment can affect the development of TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study investigates whether patient\u2010related factors can predict TMD among patients with head and neck cancer (HNC) after radiotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We randomised 58 consecutive patients with squamous cell carcinoma in the head and neck area into two groups: training with a jaw mobiliser once a day or a control group (no training). A comprehensive examination for TMD was conducted at baseline (before oncologic treatment) and 6 and 12\u2009months after radiotherapy. Potential predictors were analysed using linear and logistic regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Myalgia was associated with TMD diagnosis at baseline, and jaw exercise lowered the risk of developing myalgia at the follow\u2010ups. The degree of pain at baseline and jaw exercise were associated with the changes in pain at follow\u2010ups. Jaw exercise was associated with a lower degree of pain. A high degree of pain at baseline was associated with less pain at follow\u2010ups. Jaw exercise was associated with a reduced risk of decreased maximal incisal mouth opening post treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>No psychosocial or other background factor reduced risk for myalgic pain or pain to the same degree as jaw exercise. Therefore, we recommend using jaw training to prevent the deterioration of maximal incisal opening and the development of pain associated with TMD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70019","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T07:49:10Z","timestamp":1753084150000},"page":"2102-2113","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Risk and Health Factors for Temporomandibular Disorders Following Radiotherapy for Head and Neck Cancer"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9701-6249","authenticated-orcid":false,"given":"Ellie","family":"Saghafi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Institute of Odontology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Clinic of Orofacial Pain Public Dental Service  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalid","family":"Kadhim","sequence":"additional","affiliation":[{"name":"Clinic of Orofacial Pain Public Dental Service  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1238-5644","authenticated-orcid":false,"given":"Birgitta","family":"Johansson\u2010Cahlin","sequence":"additional","affiliation":[{"name":"Clinic of Orofacial Pain Public Dental Service  Gothenburg Sweden"},{"name":"Department of Orofacial Pain, Institute of Odontology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte Andr\u00e9n","family":"And\u00e5s","sequence":"additional","affiliation":[{"name":"Clinic of Orofacial Pain Public Dental Service  Gothenburg Sweden"},{"name":"Department of Orofacial Pain, Institute of Odontology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese","family":"Karlsson","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Finizia","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6ran","family":"Kjeller","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Institute of Odontology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Tuomi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Sahlgrenska University Hospital  Gothenburg Sweden"},{"name":"Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.06.009"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.08.007"},{"issue":"2","key":"e_1_2_11_4_1","first-page":"126","article-title":"An 8\u2010Year Follow\u2010Up Study of Temporomandibular Disorder and Psychosomatic Symptoms From Adolescence to Young Adulthood","volume":"18","author":"Suvinen T. 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