{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:55:36Z","timestamp":1773928536108,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare clinical examination findings, functional limitations, and psychological profiles between patients with subclinical temporomandibular disorders (TMD) and those with self\u2010reported painful TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study investigated 98 subclinical TMD patients and 262 self\u2010reported painful TMD patients attending a specialised orofacial pain clinic. Subclinical TMD was defined as positive palpation findings without muscle or joint pain complaints. Self\u2010reported painful TMD required both pain complaints and positive clinical findings. Validated questionnaires assessed jaw functional limitations (JFLS\u201020), depression (PHQ\u20109), stress (SPST\u201020), and oral behaviours (OBC). Statistical analysis used Mann\u2013Whitney U tests and chi\u2010square tests with Bonferroni correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Self\u2010reported painful TMD patients were significantly older (median age 39 vs. 31\u2009years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), showed greater jaw functional limitations (JFLS global score: 1.88 vs. 0.75,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and higher depression scores (PHQ\u20109: 1.0 vs. 0.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Sleep bruxism frequency differed significantly between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with subclinical patients more commonly reporting frequent sleep bruxism. No significant differences were found in stress levels, overall oral behaviours, or daytime clenching frequency.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with self\u2010reported painful TMD demonstrate distinct clinical profiles characterised by greater functional impairment and psychological distress compared to subclinical cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>These findings suggest different phenotypes within the TMD spectrum that may require tailored clinical approaches. Longitudinal studies are needed to determine whether subclinical TMD represents an early stage or a distinct entity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70136","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T04:37:11Z","timestamp":1765600631000},"page":"770-775","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Psychological Profiles of Patients With Subclinical Versus Self\u2010Reported Painful Temporomandibular Disorders"],"prefix":"10.1111","volume":"53","author":[{"given":"Thiprawee","family":"Chattrattrai","sequence":"first","affiliation":[{"name":"Department of Masticatory Science, Faculty of Dentistry Mahidol University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0150-1977","authenticated-orcid":false,"given":"Supawadee","family":"Jariyasakulroj","sequence":"additional","affiliation":[{"name":"Department of Masticatory Science, Faculty of Dentistry Mahidol University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2134-8156","authenticated-orcid":false,"given":"Somsak","family":"Mitrirattanakul","sequence":"additional","affiliation":[{"name":"Department of Masticatory Science, Faculty of Dentistry Mahidol University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12803"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1595"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416686302"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010020\u201003710\u2010w"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.11607\/jofph.26206"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910708601119"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1472"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.02.010"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_9_11_1","first-page":"219","article-title":"The Jaw Functional Limitation Scale: Development, Reliability, and Validity of 8\u2010Item and 20\u2010Item Versions","volume":"22","author":"Ohrbach R.","year":"2008","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_9_13_1","first-page":"1","article-title":"The Construction of Suan Prung Stress Test for Thai Population","volume":"13","author":"Mahatnirunkul S.","year":"1997","journal-title":"Bulletin of Suan Prung"},{"key":"e_1_2_9_14_1","first-page":"306","article-title":"Oral Behaviors Checklist: Reliability of Performance in Targeted Waking\u2010State Behaviors","volume":"20","author":"Markiewicz M. 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