{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:19:40Z","timestamp":1787894380310,"version":"build-2784847793"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tooth wear is commonly assumed to be a marker of parafunctional load and, by extension, of mechanical stress on the temporomandibular joint (TMJ); whether greater wear accompanies greater degeneration in the same joint has rarely been tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether tooth wear severity is associated with ipsilateral CBCT\u2010detected TMJ degeneration in adults with TMD symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, 80 adults (160 joints; mean age 27\u2009years; 80% female) underwent standardised tooth\u2010wear scoring (Smith and Knight index, 0\u20134) and blinded CBCT assessment of osteophyte, erosion, subchondral cyst, flattening and sclerosis, categorised as no, indeterminate or definite osteoarthritis by established imaging criteria. Side\u2010wear was modelled against same\u2010side findings with generalised estimating equations for paired\u2010joint clustering, and patient\u2010level wear by logistic regression, adjusted for age, sex and Angle class with Bonferroni correction across the prespecified primary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Osseous findings were prevalent (flattening 86.9%, osteophyte 50.0%, erosion \u2265 Grade 1 66.2%) and 75.6% of joints met criteria for definite osteoarthritis. Tooth wear showed no association with any joint outcome: adjusted odds ratios per +5 side\u2010wear clustered around unity for osteophyte (1.01, 95% CI 0.79\u20131.27), subchondral cyst (1.00, 0.76\u20131.32) and definite osteoarthritis (0.95, 0.71\u20131.27), none reaching Bonferroni\u2010corrected or nominal significance. Patient\u2010level analyses were similarly null. Wear increased with age (Spearman\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.65,\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>Tooth wear severity was not associated with ipsilateral TMJ degeneration. The assumed positive link with TMJ osseous change was not observed; wear alone does not appear to be a reliable clinical proxy for joint loading.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70297","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T04:50:47Z","timestamp":1787892647000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tooth Wear Severity and Temporomandibular Joint Degenerative Findings on Cone\u2010Beam Computed Tomography: A Cross\u2010Sectional Study in Adults"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9165-8729","authenticated-orcid":false,"given":"Gizem","family":"Altundal","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Istanbul Kent University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8674-2369","authenticated-orcid":false,"given":"Ceyda Deniz","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Istanbul Kent University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5013-5743","authenticated-orcid":false,"given":"Ece","family":"Zorlu","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Istanbul Kent University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9328-4895","authenticated-orcid":false,"given":"Fatma","family":"Y\u00fcce","sequence":"additional","affiliation":[{"name":"Department of Oral Diagnosis and Radiology, Faculty of Dentistry Istanbul Kent University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibel","family":"Biren","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Istanbul Kent University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12663"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2010.02.013"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12340"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/59263880"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13005\u2010023\u201000392\u2010z"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/28078357"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/25523853"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103913(03)00332\u20109"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2006.01650.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2007.03.006"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010023\u201003160\u20102"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2007.01820.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2006.0222"},{"key":"e_1_2_12_15_1","first-page":"93","article-title":"The Etiology of Temporomandibular Disorders: Implications for Treatment","volume":"15","author":"Greene C. 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