{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:55:29Z","timestamp":1773928529107,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Joint hypermobility (JH), particularly at the temporomandibular joint (TMJ), has been proposed as a potential risk factor for temporomandibular disorders (TMD). However, its heterogeneous diagnostic approaches (clinical, anamnestic and imaging) limit the identification of reliable predictors of masticatory dysfunction and TMD outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine which diagnostic methods for TMJ hypermobility best predict masticatory dysfunction and the clinical and functional repercussions of TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 126 adults recruited at the Bauru School of Dentistry. Participants were classified by Diagnostic Criteria for TMD (DC\/TMD) into painful, dysfunction or combined groups, balanced by history of open\u2010locking. Assessments comprised DC\/TMD and ICOP examinations, symptom intensity on the visual analog scale (VAS), Beighton score, pressure pain thresholds, bite\u2010force and fatigue tests, ultrasound of the TMJ capsule and masseter, CBCT\u2010based condylar angle and validated measures of mandibular function and psychosocial factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Bivariate analyses yielded associations, but multivariate models identified specific predictors. Open\u2010locking independently predicted TMJ subluxation and higher joint instability. Increased condylar angle was associated with greater assisted opening and midline deviation. Unassisted opening predicted a larger condylar angle, greater pain\u2010free opening and lateral condylar jump; assisted opening similarly predicted pain\u2010free opening and lateral condylar jump. Lateral condylar jump independently predicted functional limitation in wide\u2010opening tasks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinical, functional and imaging indicators of TMJ hypermobility capture distinct aspects of the condition. While open\u2010locking, condylar angle and mouth\u2010opening measures predict specific features, no single marker explains the full spectrum and TMJ hypermobility shows limited impact on overall TMD outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70120","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T12:38:46Z","timestamp":1764247126000},"page":"673-684","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive Value of Diagnostic Methods for TMJ Hypermobility in the Associated Clinical and Functional Features of Temporomandibular Disorders: A Regression Study"],"prefix":"10.1111","volume":"53","author":[{"given":"Samilla Pontes","family":"Braga","sequence":"first","affiliation":[{"name":"Bauru Orofacial Pain Group, Department of Prosthodontics and Periodontology, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dyanne Medina","family":"Flores","sequence":"additional","affiliation":[{"name":"Bauru Orofacial Pain Group, Department of Prosthodontics and Periodontology, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5251-9053","authenticated-orcid":false,"given":"Maria Emilia Servin","family":"Berden","sequence":"additional","affiliation":[{"name":"Bauru Orofacial Pain Group, Department of Prosthodontics and Periodontology, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9658-1652","authenticated-orcid":false,"given":"Ana Claudia de Castro Ferreira","family":"Conti","sequence":"additional","affiliation":[{"name":"Bauru Orofacial Pain Group, Department of Orthodontics, Bauru School of Dentistry University of Sao Paulo  Bauru Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambrosina","family":"Michelotti","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Orthodontics and Master Program in TMD\/Orofacial Pain, Faculty of Dentistry University of Naples Federico II  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0413-4658","authenticated-orcid":false,"given":"Paulo C\u00e9sar Rodrigues","family":"Conti","sequence":"additional","affiliation":[{"name":"Bauru Orofacial Pain Group, Department of Prosthodontics and Periodontology, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management","author":"Klasser G. 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