{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:30:34Z","timestamp":1792672234796,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T00:00:00Z","timestamp":1686528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T00:00:00Z","timestamp":1686528000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuromuscular Diseases"],"published-print":{"date-parts":[[2023,9,8]]},"abstract":"<jats:p>Open bite (OB) is a common malocclusion in individuals with orofacial dysfunction and syndromes, especially in neuromuscular diseases.<\/jats:p>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The objectives were to explore the prevalence of OB in myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD) and to create and compare orofacial dysfunction profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      In this database study, 143 individuals with DM1 and 99 with DMD were included. The Mun-H-Center questionnaire and observation chart were used together with the Nordic Orofacial Test \u2013Screening (NOT-S) to create orofacial dysfunction profiles. OB was categorised as: lateral (LOB); anterior (AOB); severe anterior (AOB\n                      <jats:sub>S<\/jats:sub>\n                      ); or both types of anterior OB (AOB\n                      <jats:sub>Tot<\/jats:sub>\n                      ). Descriptive and multivariate statistics were used to compare the OB prevalence and to study associations with orofacial variables, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was a statistically significant difference in OB prevalence between the DM1 (37%) and DMD (49%) groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u200a=\u200a0.048). LOB was seen in\u200a&lt;\u200a1% of DM1 and 18% of DMD. LOB was associated with macroglossia and closed mouth posture, AOB with hypotonic lips, and open mouth posture and AOB\n                      <jats:sub>S<\/jats:sub>\n                      with hypotonic jaw muscles. The orofacial dysfunction profiles showed similar patterns, although the mean NOT-S total scores for DM1 and DMD were 4.2\u00b12.8 (median 4.0, min-max 1\u20138) and 2.3\u00b12.0 (median 2.0, min-max 0\u20138), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Limitations:<\/jats:title>\n                    <jats:p>The two groups were not age- or gender-matched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>OB malocclusion is common in patients with DM1 and DMD and is associated with different types of orofacial dysfunction. This study highlights the need for multi-disciplinary assessments to support tailored treatment strategies that improve or sustain orofacial functions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jnd-230025","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T10:28:10Z","timestamp":1686652090000},"page":"885-896","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Open Bite Malocclusion and Orofacial Dysfunction in Patients with Myotonic Dystrophy Type 1 and Duchenne Muscular Dystrophy"],"prefix":"10.1177","volume":"10","author":[{"given":"Christina","family":"Havner","sequence":"first","affiliation":[{"name":"University of Gothenburg","place":["Sweden"]},{"name":"Orofacial Resource Centre for Rare Diseases","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna \u00d6dman","family":"Roussakis","sequence":"additional","affiliation":[{"name":"Orofacial Resource Centre for Rare Diseases","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotta","family":"Sj\u00f6green","sequence":"additional","affiliation":[{"name":"Orofacial Resource Centre for Rare Diseases","place":["Sweden"]},{"name":"University of Gothenburg","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Westerlund","sequence":"additional","affiliation":[{"name":"University of Gothenburg","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,12]]},"reference":[{"issue":"1","key":"e_1_3_5_2_2","first-page":"23","article-title":"Oral health and oromotor function in rare diseases\u2013a database study","volume":"39","author":"Sjogreen L","year":"2015","unstructured":"SjogreenL, Andersson-NorinderJ, BratelJ. 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