{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T05:09:01Z","timestamp":1775797741802,"version":"3.50.1"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the performance, applicability, and real-world utility of a validated digital screening tool for early identification of temporomandibular disorder (TMD) risk in Colombian and Mexican adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional, multicenter study included 429 adults (299 Mexico, 130 Colombia) who completed a standardized digital application assessing joint pain, bruxism, mandibular locking, joint sounds, parafunctional habits, trauma history, and emotional factors. TMD risk was classified using a composite digital score into low, moderate, or high categories, emphasizing that the tool measures participants\u2019 risk classification and internal construct consistency rather than population prevalence or causal risk factors. Descriptive statistics (mean \u00b1 SD, frequencies %) and effect sizes (Cohen\u2019s d, Cram\u00e9r\u2019s V) were calculated. Logistic regression identified independent predictors of high TMD risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean age was 29.9 \u00b1 13.3 years in Mexico and 28.8 \u00b1 10.8 in Colombia (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.35,\n                      <jats:italic>d<\/jats:italic>\n                      = 0.09). Diurnal bruxism (OR = 12.43), joint pain (OR = 7.73), mandibular locking (OR = 4.98), other parafunctional habits (OR = 4.61), nocturnal bruxism (OR = 3.34), fatigue during mastication (OR = 2.84), history of trauma (OR = 3.40), and female sex (OR = 3.42) were independent predictors of high TMD risk, demonstrating the tool\u2019s capability to identify key risk patterns consistently across countries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The digital screening tool effectively stratified TMD risk in a multicenter, real-world setting, highlighting its potential for early identification, population-based screening, and clinical implementation in diverse Latin American populations. Indicators classified as high-risk were observed more frequently among women and younger adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1794091","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T04:27:15Z","timestamp":1775795235000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multicenter evaluation of a digital screening tool for early identification of temporomandibular disorder risk in Colombian and Mexican adults"],"prefix":"10.3389","volume":"13","author":[{"given":"Irene Aurora Espinosa","family":"De Santillana","sequence":"first","affiliation":[{"name":"Departamento de Cirug\u00eda, Facultad de Estomatolog\u00eda, Benem\u00e9rita Universidad Aut\u00f3noma de Puebla","place":["Puebla, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga Patricia","family":"L\u00f3pez-Soto","sequence":"additional","affiliation":[{"name":"Departamento de Salud Oral, Facultad de Salud, Universidad Aut\u00f3noma de Manizales","place":["Manizales, Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Alberto","family":"Aristiz\u00e1bal-Hoyos","sequence":"additional","affiliation":[{"name":"Departamento de Salud Oral, Facultad de Salud, Universidad Aut\u00f3noma de Manizales","place":["Manizales, Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9ctor","family":"Fuentes-Barria","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n en Medicina de Altura (CEIMA), Universidad Arturo Prat","place":["Iquique, Chile"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal","family":"Aguilera-Egu\u00eda","sequence":"additional","affiliation":[{"name":"Departamento de Salud P\u00fablica, Facultad de Medicina, Universidad Cat\u00f3lica de la 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Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"Roco-Videla","sequence":"additional","affiliation":[{"name":"Direcci\u00f3n de Desarrollo y Postgrado, Universidad Aut\u00f3noma de Chile","place":["Santiago, Chile"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"48","DOI":"10.22514\/jofph.2025.025","article-title":"Global prevalence of temporomandibular disorders: a systematic review and meta-analysis.","volume":"39","author":"Alqutaibi","year":"2025","journal-title":"J Oral Facial Pain Headache"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.3390\/jcm13051365","article-title":"A meta-analysis of the global prevalence of temporomandibular disorders.","volume":"13","author":"Zieli\u0144ski","year":"2024","journal-title":"J Clin 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