{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:48:46Z","timestamp":1791625726785,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"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":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Temporomandibular disorders (TMD) present diverse signs and symptoms and often require clinical evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate variation in the volume of TMD treatment among adult patients in Finnish private oral healthcare between 2006 and 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective register\u2010based study used annual aggregate data from the Social Insurance Institution of Finland on patients aged 20\u2009years or older. Per year, an average of 56\u2009500 patients received TMD\u2010related procedures, which were primarily coded by visit duration; only splint therapy was coded as a single, specific procedure. TMD treatment volume was described as the number and proportion of TMD patients and procedures, overall in each year from 2006 to 2024 and in detail, by 5\u2010year age groups in selected years (2012, 2014, 2017, 2020, 2022 and 2024). Linear regression assessed associations between treatment year, age group and treatment volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 2006 to 2024, TMD patients constituted 4.1%\u20136.7% of all patients, peaking in 2015\u20132019 and in age groups 25\u201355\u2009years. TMD procedures accounted for 1.2% of all clinical procedures in 2006, 2.4% in 2020 and 2.0% in 2024. Short\u2010 and medium\u2010duration TMD procedures predominated; splint therapy was more common in younger patients (in 2024, 28%\u201332% of TMD patients aged 20\u201339\u2009years and 25%\u201327% aged 40\u201354\u2009years). Linear regression showed strong, negative associations between age group and TMD treatment volume (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TMD therapy is more common among younger adults. Register\u2010based data indicate increasing use of splint therapy, particularly among younger patients. Recent declines in overall volume after peak years may reflect changes in clinical decision\u2010making and promote a more nuanced understanding of treatment risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70272","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T04:09:21Z","timestamp":1784088561000},"page":"2166-2172","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Volume of Treatment of Temporomandibular Disorders in Adults\u2014A Nationwide Register\u2010Based Observation of Private Oral Healthcare in Finland in 2006\u20132024"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6319-854X","authenticated-orcid":false,"given":"Miira M.","family":"Vehkalahti","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Diseases, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3307-6605","authenticated-orcid":false,"given":"Kaija","family":"Hiltunen","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Diseases, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0900-3606","authenticated-orcid":false,"given":"Maria","family":"Valaste","sequence":"additional","affiliation":[{"name":"Centre for Social Data Science, Faculty of Social Sciences University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"issue":"4","key":"e_1_2_10_2_1","first-page":"232","article-title":"Epidemiology and Treatment Need for Temporomandibular Disorders","volume":"13","author":"Carlsson G. 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