{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:02:32Z","timestamp":1777726952695,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["LAETA - UIDB\/50022\/2020"],"award-info":[{"award-number":["LAETA - UIDB\/50022\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["LAETA - UIDp\/50022\/2020"],"award-info":[{"award-number":["LAETA - UIDp\/50022\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>This paper presents a clinical case study investigating the pattern of a saxophonist\u2019s embouchure as a possible origin of orofacial pain. The rehabilitation addressed the dental occlusion and a fracture in a metal ceramic bridge. To evaluate the undesirable loads on the upper teeth, two piezoresistive sensors were placed between the central incisors and the mouthpiece during the embouchure. A newly fixed metal ceramic prosthesis was placed from teeth 13 to 25, and two implants were placed in the premolar zone corresponding to teeth 14 and 15. After the oral rehabilitation, the embouchure force measurements showed that higher stability was promoted by the newly fixed metal-ceramic prosthesis. The musician executed a more symmetric loading of the central incisors (teeth 11 and 21). The functional demands of the saxophone player and consequent application of excessive pressure can significantly influence and modify the metal-ceramic position on the anterior zone teeth 21\/22. The contribution of engineering (i.e., monitoring the applied forces on the musician\u2019s dental structures) was therefore crucial for the correct assessment and design of the treatment plan.<\/jats:p>","DOI":"10.1177\/03000605231161285","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T02:47:08Z","timestamp":1685933228000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Oral rehabilitation of a saxophone player with orofacial pain: a case report"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2024-3408","authenticated-orcid":false,"given":"Miguel Pais","family":"Clemente","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4254-1879","authenticated-orcid":false,"given":"Joaquim","family":"Mendes","sequence":"additional","affiliation":[{"name":"Faculty of Engineering, University of Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3884-2687","authenticated-orcid":false,"given":"Gilberto","family":"Bernardes","sequence":"additional","affiliation":[{"name":"INESC TEC and Faculty of Engineering, University of Porto, Portugal"}]},{"given":"Henk","family":"Van Twillert","sequence":"additional","affiliation":[{"name":"IPP, Escola Superior de M\u00fasica e Artes do Espet\u00e1culo, Portugal"}]},{"given":"Afonso Pinh\u00e3o","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dental Medicine, University of Porto, Portugal"}]},{"given":"Jos\u00e9 Manuel","family":"Amarante","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Porto, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2023,6,4]]},"reference":[{"key":"bibr1-03000605231161285","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-381460-9.00012-2"},{"key":"bibr2-03000605231161285","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-018-0128-2"},{"key":"bibr3-03000605231161285","unstructured":"Liebman D. 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