{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:18:51Z","timestamp":1791501531251,"version":"4.3.4"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":33,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Rheumatol"],"DOI":"10.1186\/s41927-026-00629-9","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T09:57:24Z","timestamp":1772099844000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Temporomandibular joint disorders in patients with systemic sclerosis: a cross-sectional study"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7715-668X","authenticated-orcid":false,"given":"Kiana","family":"Azadpeyma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2537-5170","authenticated-orcid":false,"given":"Seyed Habib","family":"Zayeni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2050-464X","authenticated-orcid":false,"given":"Pooneh Ghavidel","family":"Parsa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7287-1942","authenticated-orcid":false,"given":"Pedram","family":"Hajibagheri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1671-7279","authenticated-orcid":false,"given":"Maryam","family":"Basirat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"629_CR1","unstructured":"Abdouh I. The nature and impact of oral disease of systemic sclerosis. UCL (University College London); 2020."},{"key":"629_CR2","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1016\/j.abd.2021.02.008","volume":"96","author":"AL Sampaio","year":"2022","unstructured":"Sampaio AL, Bressan AL, Vasconcelos BN, Gripp AC. Skin manifestations associated with systemic diseases\u2013Part I. An Bras Dermatol. 2022;96:655\u201371.","journal-title":"An Bras Dermatol"},{"issue":"2","key":"629_CR3","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.bjae.2022.10.004","volume":"23","author":"C Efrimescu","year":"2023","unstructured":"Efrimescu C, Donnelly S, Buggy D. Systemic sclerosis. Part I: epidemiology, diagnosis and therapy. BJA Educ. 2023;23(2):66\u201375.","journal-title":"BJA Educ"},{"issue":"4","key":"629_CR4","first-page":"274","volume":"62","author":"E Wielosz","year":"2024","unstructured":"Wielosz E, Hy\u0142a MG. Musculoskeletal involvement in systemic sclerosis. Reumatologia. 2024;62(4):274.","journal-title":"Reumatologia"},{"issue":"7","key":"629_CR5","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.3390\/ijms17071189","volume":"17","author":"V Crincoli","year":"2016","unstructured":"Crincoli V, Fatone L, Fanelli M, Rotolo RP, Chial\u00e0 A, Favia G, et al. Orofacial manifestations and temporomandibular disorders of systemic scleroderma: an observational study. Int J Mol Sci. 2016;17(7):1189.","journal-title":"Int J Mol Sci"},{"key":"629_CR6","doi-asserted-by":"crossref","unstructured":"Puzio A, Przywara-Chowaniec B, Postek-Stefa\u0144ska L, Mr\u00f3wka-Kata K, Trzaska K. Systemic sclerosis and its oral health implications. Adv Clin Exp Med. 2019;28(4).","DOI":"10.17219\/acem\/76847"},{"key":"629_CR7","doi-asserted-by":"crossref","unstructured":"Ohrbach R, Sollecito T, Omolehinwa T, Greenberg MS. Temporomandibular disorders. In: Burket\u2019s Oral Medicine. 2021:349\u2013417.","DOI":"10.1002\/9781119597797.ch10"},{"issue":"5","key":"629_CR8","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1080\/08869634.2021.2019425","volume":"42","author":"C Pellicano","year":"2024","unstructured":"Pellicano C, Leodori G, Floridia S, Colalillo A, Gigante A, Rosato E, et al. Reciprocal effects of scleroderma and temporomandibular dysfunction between patient cohorts. CRANIO\u00ae. 2024;42(5):547\u201354.","journal-title":"CRANIO\u00ae"},{"issue":"8","key":"629_CR9","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1111\/joor.13472","volume":"50","author":"Z Qamar","year":"2023","unstructured":"Qamar Z, Alghamdi AMS, Haydarah NKB, Balateef AA, Alamoudi AA, Abumismar MA, et al. Impact of temporomandibular disorders on oral health-related quality of life: a systematic review and meta\u2010analysis. J Rehabil. 2023;50(8):706\u201314.","journal-title":"J Rehabil"},{"issue":"2","key":"629_CR10","first-page":"211","volume":"67","author":"GD Klasser","year":"2023","unstructured":"Klasser GD, Goulet J-P, Moreno-Hay I. Classification and diagnosis of temporomandibular disorders and temporomandibular disorder pain. Dent Clin. 2023;67(2):211\u201325.","journal-title":"Dent Clin"},{"issue":"1","key":"629_CR11","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.jbspin.2015.04.014","volume":"83","author":"G Matarese","year":"2016","unstructured":"Matarese G, Isola G, Alibrandi A, Gullo AL, Bagnato G, Cordasco G, et al. Occlusal and MRI characterizations in systemic sclerosis patients: A prospective study from Southern Italian cohort. Joint Bone Spine. 2016;83(1):57\u201362.","journal-title":"Joint Bone Spine"},{"key":"629_CR12","volume-title":"Systemic sclerosis (scleroderma)","author":"R Adigun","year":"2024","unstructured":"Adigun R, Goyal A, Hariz A. Systemic sclerosis (scleroderma). StatPearls [Internet]: StatPearls Publishing; 2024."},{"issue":"1","key":"629_CR13","doi-asserted-by":"publisher","first-page":"11","DOI":"10.5301\/jsrd.5000231","volume":"2","author":"D Khanna","year":"2017","unstructured":"Khanna D, Furst DE, Clements PJ, Allanore Y, Baron M, Czirjak L, et al. Standardization of the modified Rodnan skin score for use in clinical trials of systemic sclerosis. J scleroderma Relat disorders. 2017;2(1):11\u20138.","journal-title":"J scleroderma Relat disorders"},{"key":"629_CR14","doi-asserted-by":"crossref","unstructured":"Soltani F, Mafi S, Jamshidy L, Rad M. Validity and reliability of the Persian translation of the Diagnostic Criteria for Temporomandibular Disorders questionnaire. J Kermanshah Univ Med Sci. 2023;27(27).","DOI":"10.5812\/jkums-140581"},{"issue":"1","key":"629_CR15","first-page":"235","volume":"60","author":"AS Kuperstein","year":"2016","unstructured":"Kuperstein AS, Berardi TR, Mupparapu M. Systemic diseases and conditions affecting jaws. Dent Clin. 2016;60(1):235\u201364.","journal-title":"Dent Clin"},{"issue":"1","key":"629_CR16","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/1759720X16671928","volume":"9","author":"C Corallo","year":"2017","unstructured":"Corallo C, Cutolo M, Volpi N, Franci D, Aglian\u00f2 M, Montella A, et al. Histopathological findings in systemic sclerosis-related myopathy: fibrosis and microangiopathy with lack of cellular inflammation. Therapeutic Adv Musculoskelet disease. 2017;9(1):3\u201310.","journal-title":"Therapeutic Adv Musculoskelet disease"},{"key":"629_CR17","doi-asserted-by":"publisher","first-page":"164","DOI":"10.11604\/pamj.2016.25.164.10432","volume":"25","author":"R Chebbi","year":"2016","unstructured":"Chebbi R, Khalifa HB, Dhidah M. Temporomandibular joint disorder in systemic sclerosis: a case report. Pan Afr Med J. 2016;25:164.","journal-title":"Pan Afr Med J"},{"issue":"5","key":"629_CR18","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1038\/s41584-022-00749-9","volume":"18","author":"E Sanchez-Lopez","year":"2022","unstructured":"Sanchez-Lopez E, Coras R, Torres A, Lane NE, Guma M. Synovial inflammation in osteoarthritis progression. Nat Rev Rheumatol. 2022;18(5):258\u201375.","journal-title":"Nat Rev Rheumatol"},{"issue":"1","key":"629_CR19","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/2397198318779532","volume":"4","author":"RB Blank","year":"2019","unstructured":"Blank RB, Nwawka OK, Yusov AA, Gordon JK. Inflammatory arthritis in systemic sclerosis: What to do? J Scleroderma Relat Disorders. 2019;4(1):3\u201316.","journal-title":"J Scleroderma Relat Disorders"},{"issue":"1","key":"629_CR20","doi-asserted-by":"publisher","first-page":"19","DOI":"10.5301\/jsrd.5000228","volume":"2","author":"C Varj\u00fa","year":"2017","unstructured":"Varj\u00fa C, P\u00e9ntek M, L\u00f3r\u00e1nd V, Nagy G, Minier T, Czirj\u00e1k L. Musculoskeletal involvement in systemic sclerosis: an unexplored aspect of the disease. J Scleroderma Relat disorders. 2017;2(1):19\u201332.","journal-title":"J Scleroderma Relat disorders"},{"issue":"4","key":"629_CR21","doi-asserted-by":"publisher","first-page":"437","DOI":"10.3390\/diagnostics14040437","volume":"14","author":"A Antonacci","year":"2024","unstructured":"Antonacci A, Praino E, Abbinante A, Favia G, Rotondo C, Bartolomeo N, et al. Orofacial manifestation of systemic sclerosis: a cross-sectional study and future prospects of oral capillaroscopy. Diagnostics. 2024;14(4):437.","journal-title":"Diagnostics"},{"issue":"4","key":"629_CR22","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1111\/odi.12507","volume":"23","author":"S Jung","year":"2017","unstructured":"Jung S, Martin T, Schmittbuhl M, Huck O. The spectrum of orofacial manifestations in systemic sclerosis: a challenging management. Oral Dis. 2017;23(4):424\u201339.","journal-title":"Oral Dis"},{"key":"629_CR23","doi-asserted-by":"publisher","first-page":"520","DOI":"10.2174\/1874210601812010520","volume":"12","author":"J Miranda-Rius","year":"2018","unstructured":"Miranda-Rius J, Brunet-Llobet L, Lahor-Soler E. The Periodontium as a Potential Cause of Orofacial Pain:: A Comprehensive Review. Open Dentistry J. 2018;12:520.","journal-title":"Open Dentistry J"},{"key":"629_CR24","doi-asserted-by":"publisher","first-page":"1104817","DOI":"10.3389\/fneur.2023.1104817","volume":"14","author":"Q Jin","year":"2023","unstructured":"Jin Q, Chang Y, Lu C, Chen L, Wang Y. Referred pain: characteristics, possible mechanisms, and clinical management. Front Neurol. 2023;14:1104817.","journal-title":"Front Neurol"},{"key":"629_CR25","first-page":"656","volume":"11","author":"N Alketbi","year":"2022","unstructured":"Alketbi N, Talaat W. Prevalence and characteristics of referred pain in patients diagnosed with temporomandibular disorders according to the Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD) in Sharjah, United Arab Emirates. F1000Research. 2022;11:656.","journal-title":"F1000Research"},{"issue":"9","key":"629_CR26","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1111\/jop.12739","volume":"47","author":"R Smirani","year":"2018","unstructured":"Smirani R, Truchetet ME, Poursac N, Naveau A, Schaeverbeke T, Devillard R. Impact of systemic sclerosis oral manifestations on patients\u2019 health-related quality of life: A systematic review. J Oral Pathol Med. 2018;47(9):808\u201315.","journal-title":"J Oral Pathol Med"},{"issue":"8","key":"629_CR27","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1093\/rheumatology\/ket441","volume":"53","author":"M Baron","year":"2014","unstructured":"Baron M, Hudson M, Tatibouet S, Steele R, Lo E, Gravel S, et al. The Canadian systemic sclerosis oral health study: orofacial manifestations and oral health-related quality of life in systemic sclerosis compared with the general population. Rheumatology. 2014;53(8):1386\u201394.","journal-title":"Rheumatology"},{"issue":"2","key":"629_CR28","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1007\/s40477-023-00839-8","volume":"27","author":"D Melchiorre","year":"2024","unstructured":"Melchiorre D, Passalacqua M, Maresca M, Landi G, Bagni MA, El Aoufy K, et al. The effect of a combined rehabilitation program on the temporomandibular joint in systemic sclerosis evaluated by ultrasound exam. J Ultrasound. 2024;27(2):297\u2013302.","journal-title":"J Ultrasound"}],"container-title":["BMC Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s41927-026-00629-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s41927-026-00629-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s41927-026-00629-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T16:02:52Z","timestamp":1774972972000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s41927-026-00629-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,26]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["629"],"URL":"https:\/\/doi.org\/10.1186\/s41927-026-00629-9","relation":{},"ISSN":["2520-1026"],"issn-type":[{"value":"2520-1026","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,26]]},"assertion":[{"value":"3 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki (World Medical Association [WMA], 2013) and was approved by the Research Ethics Committee of Guilan University of Medical Sciences [IR.GUMS.REC.1399.055, Date: 2020-05-06]. Participants were informed about the study\u2019s purpose, procedures, and their rights prior to enrollment. Written informed consent was obtained from all participants, ensuring they voluntarily agreed to participate. The study strictly adhered to ethical guidelines by guaranteeing data confidentiality and participant anonymity. Personal information was protected throughout the study, with data securely stored and used exclusively for research purposes.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"29"}}