{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T02:33:17Z","timestamp":1786415597563,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"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":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emerging research suggests that reduced Oral Health\u2010Related Quality of Life (OHRQoL) in orthodontic patients may be more closely linked to Temporomandibular disorders (TMDs) than malocclusion severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study assessed the burden and severity of TMD symptoms in prospective orthodontic patients, examined their relationships with malocclusion severity, somatic symptoms, psychological distress, jaw function and OHRQoL, and identified factors associated with high jaw functional limitation (JFL) and low OHRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants completed a survey covering demographics, the Five TMD Symptoms\u2010Burden screener, Short\u2010form Fonseca Anamnestic Index, Somatic Symptom Scale\u20108, Patient Health Questionnaire\u20104, Jaw Functional Limitation Scale\u20108 and Oral Health Impact Profile\u201014. Data were matched to the Index of Orthodontic Treatment Need (IOTN) and nature of malocclusion, then analysed using Chi\u2010square\/non\u2010parametric tests and multivariate regression (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 296 participants (mean age 21.6 [SD\u2009=\u20095.6]; 58.1% female), 40.2% had no TMD symptoms, while 15.4% experienced intra\u2010articular, 8.8% pain\u2010related and 35.5% combined symptoms. Significant differences in age, within\u2010race patterns, TMD symptom burden\/severity, IOTN\u2010aesthetic component, somatic symptom burden, psychological distress, JFL and OHRQoL were observed. Moderate correlations were found between TMD burden and TMD severity, somatic burden and OHRQoL (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u20090.45\u20130.67), as well as between TMD severity and somatic burden (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u20090.42).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>High JFL was significantly associated with age, sex, race, TMD symptom severity and the nature of malocclusion. Conversely, low OHRQoL was significantly related to age, somatic symptom burden and JFL. Routine TMD screening is essential for prospective orthodontic patients given their high prevalence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70049","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:01:43Z","timestamp":1756468903000},"page":"2420-2430","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Temporomandibular Disorder Symptoms in Prospective Orthodontic Patients: Correlations With Treatment Needs, Psychosocial Distress, Jaw Function and Oral Health\u2010Related Quality of Life"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0361-6209","authenticated-orcid":false,"given":"Adrian Ujin","family":"Yap","sequence":"first","affiliation":[{"name":"Division of Dentistry, Ng Teng Fong General Hospital, National University Centre for Oral Health, and Faculty of Dentistry National University Health System  Singapore 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Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0904-2501","authenticated-orcid":false,"given":"Kathreena","family":"Kadir","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3177-7918","authenticated-orcid":false,"given":"Zamri bin","family":"Radzi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Temporomandibular Disorders: Priorities for Research and Care","author":"National Academies of Sciences, Engineering, and 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