{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:55:19Z","timestamp":1790564119301,"version":"4.1.0"},"reference-count":61,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021721","name":"New Zealand Dental Association","doi-asserted-by":"publisher","award":["RF.0021.2023"],"award-info":[{"award-number":["RF.0021.2023"]}],"id":[{"id":"10.13039\/501100021721","id-type":"DOI","asserted-by":"publisher"}]}],"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>Aim<\/jats:title>\n                    <jats:p>To investigate associations between wake\u2010time and sleep\u2010time masticatory muscle activity (MMA) in free\u2010living adults with high levels of oral behaviours, and to examine associations with tooth wear, masticatory muscle pain, stress, and anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this observational repeated\u2010measures study, 30 adults (mean age 31.4\u2009\u00b1\u200911.2\u2009years) reporting clenching or grinding behaviours were recruited following screening with the Oral Behaviours Checklist. MMA was recorded during 77 sessions (2\u20133 sessions per participant) under free\u2010living conditions using a wearable electromyography device, capturing wake\u2010time and sleep\u2010time activity. Tooth wear was assessed from intraoral scans and photographs using a standardised index. Stress and anxiety were assessed using validated questionnaires, muscle tenderness by standardised palpation, and pain on awakening by self\u2010report. Associations were analysed using correlation and multivariable models accounting for repeated measures and covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Moderate associations were observed between sleep time and wake time MMA for episode frequency, duty time, and rhythmic masticatory muscle activity (RMMA%), and remained significant after adjustment for confounders. Tooth wear showed limited association with MMA after accounting for age and sex, whereas higher sleep\u2010time RMMA was associated with muscle pain on awakening. MMA measures were not associated with perceived stress, anxiety, or oral behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sleep\u2010time and wake\u2010time masticatory muscle activity showed partial within\u2010individual coupling in free\u2010living adults, suggesting that some quantitative features of MMA may be shared across behavioural states. Tooth wear and self\u2010reported behaviours may not reflect current MMA, whereas pain on awakening may be more informative. Integrating objective MMA assessment across behavioural states may improve clinical evaluation of bruxism and related conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70325","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:15:46Z","timestamp":1790561746000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Wake\u2010Time and Sleep\u2010Time Masticatory Muscle Activity and Clinical Correlates in Free\u2010Living Adults"],"prefix":"10.1111","author":[{"given":"D.","family":"Waller","sequence":"first","affiliation":[{"name":"Discipline of Orthodontics University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8725-0915","authenticated-orcid":false,"given":"F.","family":"Firth","sequence":"additional","affiliation":[{"name":"Discipline of Orthodontics University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3920-8031","authenticated-orcid":false,"given":"H.","family":"Bennani","sequence":"additional","affiliation":[{"name":"Discipline of Orthodontics University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4516-647X","authenticated-orcid":false,"given":"M.","family":"Farella","sequence":"additional","affiliation":[{"name":"Discipline of Orthodontics University of Otago  Dunedin New Zealand"},{"name":"Department of Surgical Sciences University of Cagliari  Cagliari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"issue":"5","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","DOI":"10.1111\/jsr.13320","article-title":"Research Routes on Improved Sleep Bruxism Metrics: Toward a Standardised Approach","volume":"30","author":"Lavigne G.","year":"2021","journal-title":"Journal of Sleep Research"},{"issue":"11","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1111\/joor.12663","article-title":"International Consensus on the Assessment of Bruxism: Report of a Work in Progress","volume":"45","author":"Lobbezoo F.","year":"2018","journal-title":"Journal of Oral Rehabilitation"},{"issue":"9","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1111\/joor.13985","article-title":"Updating the Bruxism Definitions: Report of an International Consensus Meeting","volume":"52","author":"Verhoeff M. 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