{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:54:08Z","timestamp":1791172448609,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"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 Oral Pathology Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examined how temporomandibular disorder (TMD) symptoms impact the four dimensions of Oral Health\u2010related Quality of Life (OHRQoL) and identified symptom determinants contributing to high jaw disability and low OHRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants with pain\u2010related (PT), intra\u2010articular (IT), and combined TMD (CT) symptoms completed the Five TMD Symptoms\u20104D Screener, Jaw Functional Limitation Scale\u20108, and Oral Health Impact Profile for TMDs. TMD symptoms and impact were each assessed in four dimensions: duration\u2010S1, frequency\u2010S2, intensity\u2010S3, and interference\u2010S4; oral function\u2010I1, orofacial pain\u2010I2, orofacial esthetics\u2010I3, and psychosocial impact\u2010I4. Data were analyzed using the chi\u2010squared test, nonparametric methods, and logistic regression (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 272 participants (mean age 31.3\u2009years), 5.5%, 18.0%, and 76.5% had PT, IT, and CT symptoms, respectively. Significant differences in global TMD severity (CT\u2009&gt;\u2009IT\/PT), duration (IT\u2009&gt;\u2009CT\u2009&gt;\u2009PT), frequency (IT\u2009&gt;\u2009CT\u2009&gt;\u2009PT), intensity (IT\/CT\u2009&gt;\u2009PT), jaw disability (PT\/CT\u2009&gt;\u2009IT), and global OHIP (PT\/CT\u2009&gt;\u2009IT) scores were observed. Additionally, significant differences were identified in I1 (CT\u2009&gt;\u2009IT), I2 (PT\/CT\u2009&gt;\u2009IT), and I4 (PT\/CT\u2009&gt;\u2009IT) dimensions. Symptom\u2010impact dimension correlations varied based on the type of TMD symptoms. PT, CT, and S4 were significantly associated with both high jaw functional limitation and low OHRQoL (ORs\u2009=\u20093.78\u201347.06).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TMD pain and symptom interference were key determinants of reduced OHRQoL, underscoring the need for symptom\u2010specific assessment and individualized care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jop.70165","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:29:47Z","timestamp":1783492187000},"page":"1034-1044","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<scp>TMD<\/scp>\n                    Symptom Characteristics and Their Four\u2010Dimensional Impact on Oral Health\u2010Related Quality of Life"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0361-6209","authenticated-orcid":false,"given":"Adrian Ujin","family":"Yap","sequence":"first","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain, Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"Division of Dentistry Ng Teng Fong General Hospital, National University Centre for Oral Health, and Faculty of Dentistry, National University Health System  Singapore Singapore"},{"name":"National Dental Research Institute Singapore, National Dental Centre Singapore and Duke\u2010NUS Medical School, Singapore Health Services  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5793-567X","authenticated-orcid":false,"given":"Zhi\u2010Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain, Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology and National Clinical Research Center for Oral Diseases  Beijing China"},{"name":"National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-0399","authenticated-orcid":false,"given":"Cheng\u2010Ge","family":"Liu","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain, Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology and National Clinical Research Center for Oral Diseases  Beijing China"},{"name":"National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7049-9888","authenticated-orcid":false,"given":"Kai Yuan","family":"Fu","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain, Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology and National Clinical Research Center for Oral Diseases  Beijing China"},{"name":"National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3429-4436","authenticated-orcid":false,"given":"Jie","family":"Lei","sequence":"additional","affiliation":[{"name":"Center for TMD &amp; Orofacial Pain, Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"Department of Oral &amp; Maxillofacial Radiology Peking University School &amp; Hospital of Stomatology  Beijing China"},{"name":"National Center for Stomatology and National Clinical Research Center for Oral Diseases  Beijing China"},{"name":"National Engineering Research Center of Oral Biomaterials and Digital Medical Devices  Beijing China"},{"name":"Beijing Key Laboratory of Digital Stomatology  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Temporomandibular Disorders: Priorities for Research and Care","author":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Health Sciences Policy","year":"2020"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12661"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051365"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12050575"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13719"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2021.11.009"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.14877"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jop.70050"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.23298"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102842.2011.02233.x"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.20243"},{"issue":"1","key":"e_1_2_13_14_1","first-page":"3","article-title":"Measuring Oral Health: A Conceptual Framework","volume":"5","author":"Locker D.","year":"1988","journal-title":"Community Dental Health"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2021.101619"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.14014"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3758\/bf03193146"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12643"},{"issue":"3","key":"e_1_2_13_19_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_13_20_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002864"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm\u20102020\u2010111569"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2024.2316081"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010021\u201003866\u2010z"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13606"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.12.017"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2019.07.005"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.05.009"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3290\/j.qi.b4174409"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sodo.2023.11.006"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.31372\/20200501.1082"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S104807"}],"container-title":["Journal of Oral Pathology &amp; Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jop.70165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jop.70165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jop.70165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:24:51Z","timestamp":1791170691000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jop.70165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jop.70165"],"URL":"https:\/\/doi.org\/10.1111\/jop.70165","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JOP.70165\/v5\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v5\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v4\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v6\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v4\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v6\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v6\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v5\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOP.70165\/v4\/decision1","asserted-by":"object"}]},"ISSN":["0904-2512","1600-0714"],"issn-type":[{"value":"0904-2512","type":"print"},{"value":"1600-0714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,7]]},"assertion":[{"value":"2025-05-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}