{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:27:42Z","timestamp":1787840862606,"version":"build-2784847793"},"reference-count":47,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J Int Soc Prev Community Dent"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>bstract<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Temporomandibular disorders (TMDs) are multifactorial pathologies often associated with pain, muscle dysfunction, and joint alterations. Mediotrusive (MT) occlusal contacts have been implicated in TMDs due to their potential to alter mandibular biomechanics and masticatory patterns. However, the strength of this association, especially in individuals without psychosocial disorders, remains unclear. The aim was to investigate the relationship between MT occlusal contacts and acute TMDs symptomatology in young adults without psychosocial disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This case-control study included 116 university students aged 18\u201330 years, divided into cases (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 58) with TMDs and controls (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 58) without TMDs. The Diagnostic Criteria for TMDs were used for diagnosis. MT occlusal contacts were evaluated using 12 \u00b5m Arti-Fol tape. Guided lateral mandibular movements were performed to assess their role in TMD symptomatology. Statistical analyses, including Chi-square tests and multivariable logistic regression, were conducted to assess the association between MT contacts and TMDs, adjusting for confounders such as age, gender, angle classification, and retruded contact position to maximum intercuspation (RCP-MI) discrepancies \u22652\u2009mm. Statistical significance was set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      MT occlusal contacts were significantly associated with TMDs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003). The adjusted odds ratio (OR) for individuals with MT occlusal contacts was 3.70 (95% confidence interval (CI): 1.58\u20138.66). This association was strongest at short lateral movement trajectories, particularly at 0.5\u2009mm (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013, OR=2.63) and 1\u2009mm (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002, OR=4.56). Class II malocclusion and RCP-MI discrepancies \u22652\u2009mm were also significantly associated with TMDs in adjusted models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>MT occlusal contacts are associated with acute TMDs symptomatology in young adults without psychosocial disorders, particularly during short lateral mandibular movements. However, their predictive value is low, and adaptive mechanisms likely mitigate their long-term effects. This study does not support routine occlusal therapy for managing these contacts in TMD patients. Future longitudinal research should explore chronicity, digital methods for occlusal recording, and the interplay between MT contacts and other etiological factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jispcd.jispcd_162_24","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T12:01:11Z","timestamp":1740571271000},"page":"91-99","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Relationship between Mediotrusive Occlusal Contacts and Temporomandibular Disorders in Young Adults without Psychosocial Disorders: A Case\u2013Control Study"],"prefix":"10.4103","volume":"15","author":[{"given":"Yens","family":"Mendoza-Martiarena","sequence":"first","affiliation":[{"name":"Research Group in Dental Sciences, School of Dentistry, Universidad Cient\u00edfica del Sur, Lima, Per\u00fa"},{"name":"School of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerson","family":"Paredes-Coz","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, School of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Alvarado-Menacho","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, School of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romel","family":"Watanabe-Vel\u00e1squez","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, School of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"CIT0001-20250227","first-page":"555787","article-title":"Epidemiology of temporomandibular disorder in the general population: A systematic review","volume":"10","author":"Ryan","year":"2019","journal-title":"Adv Dent Oral Health"},{"key":"CIT0002-20250227","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00784-020-03710-w","article-title":"Prevalence of temporomandibular joint disorders: A systematic review and meta-analysis","volume":"25","author":"Valesan","year":"2021","journal-title":"Clin Oral Investig"},{"key":"CIT0003-20250227","first-page":"1","article-title":"Prevalence of temporomandibular disorders in the Brazilian population: A systematic review and meta-analysis","volume":"13","author":"Melo","year":"2023","journal-title":"J Craniomandib Sleep Pract"},{"key":"CIT0004-20250227","doi-asserted-by":"crossref","first-page":"157","DOI":"10.3390\/dj12060157","article-title":"Temporomandibular disorders management-what\u2019s new? A scoping review","volume":"12","author":"Mauro","year":"2024","journal-title":"Dent J (Basel)"},{"key":"CIT0005-20250227","first-page":"440\u2013450","article-title":"Malocclusion and temporomandibular disorders: Verification of the controversy","volume":"33","author":"Aboalnaga","year":"2019","journal-title":"J Oral Facial Pain Headache"},{"key":"CIT0006-20250227","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.jds.2020.02.007","article-title":"Influence of psychological factors on the prognosis of temporomandibular disorders pain","volume":"16","author":"Jung","year":"2021","journal-title":"J Dent Sci"},{"key":"CIT0007-20250227","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1111\/odi.13692","article-title":"Subtypes of acute and chronic temporomandibular disorders: Their relation to psychological and sleep impairments","volume":"27","author":"Cao","year":"2021","journal-title":"Oral Dis"},{"key":"CIT0008-20250227","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.prosdent.2022.08.002","article-title":"Prevalence of psychological disorders in patients with temporomandibular disorders: A systematic review and meta-analysis","volume":"132","author":"Felin","year":"2024","journal-title":"J Prosthet Dent"},{"key":"CIT0009-20250227","doi-asserted-by":"crossref","first-page":"990430","DOI":"10.3389\/fpsyt.2022.990430","article-title":"Association between temporomandibular disorders and anxiety: A systematic review","volume":"13","author":"Dos Santos","year":"2022","journal-title":"Front Psychiatry"},{"key":"CIT0010-20250227","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1111\/jopr.13328","article-title":"Mediotrusive occlusal contacts: Best evidence consensus statement","volume":"30","author":"Walton","year":"2021","journal-title":"J Prosthodont"},{"key":"CIT0011-20250227","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1111\/jopr.13310","article-title":"Does the stomatognathic system adapt to changes in occlusion? Best evidence consensus statement","volume":"30","author":"Goodacre","year":"2020","journal-title":"J Prosthodont"},{"key":"CIT0012-20250227","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1177\/2050168420911029","article-title":"Occlusion and temporomandibular disorders: A long-standing controversy in dentistry","volume":"9","author":"Al-Ani","year":"2020","journal-title":"Prim Dent J"},{"key":"CIT0013-20250227","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1111\/joor.13180","article-title":"Transitioning to chronic temporomandibular disorder pain: A combination of patient vulnerabilities and iatrogenesis","volume":"48","author":"Greene","year":"2021","journal-title":"J Oral Rehabil"},{"key":"CIT0014-20250227","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.cden.2022.11.002","article-title":"Temporomandibular disorders and dental occlusion: What do we know so far?","volume":"67","author":"Thomas","year":"2023","journal-title":"Dent Clin North Am"},{"key":"CIT0015-20250227","doi-asserted-by":"crossref","first-page":"6","DOI":"10.11607\/jop.1151","article-title":"Diagnostic criteria for temporomandibular disorders (DC\/TMM) for clinical and research applications: Recommendations of the international RDC\/TMD consortium network and orofacial pain special interest group","volume":"28","author":"Schiffman","year":"2014","journal-title":"J Oral Facial Pain Headache"},{"key":"CIT0016-20250227","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1111\/j.1752-7325.1989.tb02054.x","article-title":"Utility of the dental aesthetic index in industrialized and developing countries","volume":"49","author":"Cons","year":"1989","journal-title":"J Public Health Dent"},{"key":"CIT0017-20250227","first-page":"48","article-title":"The research diagnostic criteria for temporomandibular disorders. IV: Evaluation of psychometric properties of the axis II measures","volume":"24","author":"Ohrbach","year":"2010","journal-title":"J Orofac Pain"},{"key":"CIT0018-20250227","first-page":"613","article-title":"An ultra-brief screening scale for anxiety and depression: The PHQ-4","volume":"50","author":"Kroenke","year":"2009","journal-title":"Psychosomatics"},{"key":"CIT0019-20250227","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"key":"CIT0020-20250227","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/00006842-200203000-00008","article-title":"The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms","volume":"64","author":"Kroenke","year":"2002","journal-title":"Psychosom Med"},{"key":"CIT0021-20250227","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/MLR.0b013e318160d093","article-title":"Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population","volume":"46","author":"L\u00f6we","year":"2008","journal-title":"Med Care"},{"key":"CIT0022-20250227","first-page":"35","article-title":"The research diagnostic criteria for temporomandibular disorders. III: Validity of axis I diagnoses","volume":"24","author":"Truelove","year":"2010","journal-title":"J Orofac Pain"},{"key":"CIT0023-20250227","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S0300-5712(99)00045-7","article-title":"Validity of the examination method of occlusal contact pattern in relation to mandibular position","volume":"28","author":"Ogawa","year":"2000","journal-title":"J Dent"},{"key":"CIT0024-20250227","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/S0022-3913(11)60084-X","article-title":"Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences","volume":"105","author":"Troeltzsch","year":"2011","journal-title":"J Prosthet Dent"},{"key":"CIT0025-20250227","first-page":"1772","article-title":"Digital evaluation of functional occlusion parameters and their association with temporomandibular disorders","volume":"7","author":"Haralur","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"CIT0026-20250227","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.prosdent.2004.05.013","article-title":"Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system","volume":"92","author":"Landi","year":"2004","journal-title":"J Prosthet Dent"},{"key":"CIT0027-20250227","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1016\/j.sdentj.2023.07.018","article-title":"Effects of occlusal conditions on masseter and temporalis muscle activity: An electromyographic evaluation","volume":"35","author":"Pumklin","year":"2023","journal-title":"Saudi Dent J"},{"key":"CIT0028-20250227","doi-asserted-by":"crossref","first-page":"9750915","DOI":"10.1155\/2020\/9750915","article-title":"Electromyography as a means of assessing masticatory muscle activity in patients with pain-related temporomandibular disorders","volume":"2020","author":"Szyszka-Sommerfeld","year":"2020","journal-title":"Pain Res Manag"},{"key":"CIT0029-20250227","doi-asserted-by":"crossref","first-page":"626","DOI":"10.3109\/00016357.2015.1030767","article-title":"Effect of natural mediotrusive contact on electromyographic activity of jaw and cervical muscles during chewing","volume":"73","author":"Fuentes","year":"2015","journal-title":"Acta Odontol Scand"},{"key":"CIT0030-20250227","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1080\/08869634.2016.1173312","article-title":"Assessment of electromyographic activity in patients with temporomandibular disorders and natural mediotrusive occlusal contact during chewing and tooth grinding","volume":"35","author":"Fuentes","year":"2017","journal-title":"Cranio"},{"key":"CIT0031-20250227","doi-asserted-by":"crossref","first-page":"108725","DOI":"10.1016\/j.compbiomed.2024.108725","article-title":"Effect of occlusal contact on TMJ loading during occlusion: An in silico study","volume":"178","author":"Zhu","year":"2024","journal-title":"Comput Biol Med"},{"key":"CIT0032-20250227","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s11914-018-0462-8","article-title":"Part II: Temporomandibular joint (TMJ)-Regeneration, degeneration, and adaptation","volume":"16","author":"Roberts","year":"2018","journal-title":"Curr Osteoporos Rep"},{"key":"CIT0033-20250227","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/ors.12473","article-title":"Temporomandibular disorders: A review of current concepts in aetiology, diagnosis and management","volume":"13","author":"Kapos","year":"2020","journal-title":"Oral Surg"},{"key":"CIT0034-20250227","doi-asserted-by":"crossref","first-page":"e12919","DOI":"10.1111\/eos.12919","article-title":"Psychosocial factors associated with pain outcomes in patients with painful temporomandibular disorders and headaches","volume":"131","author":"van der Meer","year":"2023","journal-title":"Eur J Oral Sci"},{"key":"CIT0035-20250227","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1111\/j.1365-2842.1995.tb00235.x","article-title":"Experimental occlusal interferences. Part V. Mandibular rotations versus hemimandibular translations","volume":"22","author":"Christensen","year":"1995","journal-title":"J Oral Rehabil"},{"key":"CIT0036-20250227","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1046\/j.1365-2842.2000.00629.x","article-title":"A century of controversy regarding the benefit or detriment of occlusal contacts on the mediotrusive side","volume":"27","author":"Marklund","year":"2000","journal-title":"J Oral Rehabil"},{"key":"CIT0037-20250227","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1080\/08869634.2017.1414347","article-title":"The role of occlusion in temporomandibular disorders (TMD) in the Northern Finland Birth Cohort (NFBC) 1966","volume":"37","author":"Jussila","year":"2019","journal-title":"Cranio"},{"key":"CIT0038-20250227","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1111\/joor.12531","article-title":"Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era?","volume":"44","author":"Manfredini","year":"2017","journal-title":"J Oral Rehabil"},{"key":"CIT0039-20250227","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.coms.2018.04.002","article-title":"Occlusal equilibration for the management of temporomandibular disorders","volume":"30","author":"Manfredini","year":"2018","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"CIT0040-20250227","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1111\/joor.12034","article-title":"The difficult relationship between occlusal interferences and temporomandibular disorder-insights from animal and human experimental studies","volume":"40","author":"Xie","year":"2013","journal-title":"J Oral Rehabil"},{"key":"CIT0041-20250227","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1038\/s41415-022-5082-0","article-title":"Temporomandibular joint anatomy, function and clinical relevance","volume":"233","author":"Wilkie","year":"2022","journal-title":"Br Dent J"},{"key":"CIT0042-20250227","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/0266-4356(94)90130-9","article-title":"The shape of the condyle and position of the meniscus in temporomandibular joint dysfunction","volume":"32","author":"Juniper","year":"1994","journal-title":"Br J Oral Maxillofac Surg"},{"key":"CIT0043-20250227","doi-asserted-by":"crossref","first-page":"613","DOI":"10.2298\/SARH0912613D","article-title":"The role of occlusal factor in the etiology of temporomandibular dysfunction","volume":"137","author":"Dodi\u0107","year":"2009","journal-title":"Srp Arh Celok Lek"},{"key":"CIT0044-20250227","doi-asserted-by":"crossref","first-page":"001","DOI":"10.17352\/2455-4634.000051","article-title":"Correlation between temporomandibular disorders and malocclusions: A retrospective observational study-can malocclusions or previous orthodontic treatments affect Temporo-Mandibular Disorders?","volume":"8","author":"Marchesi","year":"2022","journal-title":"Int J Oral Craniofac Sci"},{"key":"CIT0045-20250227","first-page":"e54130","article-title":"Relationship between occlusal factors and temporomandibular disorders: A systematic literature review","volume":"16","author":"Lekaviciute","year":"2024","journal-title":"Cureus"},{"key":"CIT0046-20250227","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1080\/00016357.2022.2036364","article-title":"Prevalence of sagittal molar and canine relationships, asymmetries and midline shift in relation to temporomandibular disorders (TMD) in a Finnish adult population","volume":"80","author":"Tervahauta","year":"2022","journal-title":"Acta Odontol Scand"},{"key":"CIT0047-20250227","first-page":"99","article-title":"Effects of laterotrusive Occlusal. \u00c9cheme and body position on bilateral sternocleidomastoid EMG activity","volume":"21","author":"Leiva","year":"2003","journal-title":"J Craniomandib Pract"}],"container-title":["Journal of International Society of Preventive and Community Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jispcd.jispcd_162_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:30:57Z","timestamp":1787837457000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jispcd.jispcd_162_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jispcd.jispcd_162_24","relation":{},"ISSN":["2231-0762","2250-1002"],"issn-type":[{"value":"2231-0762","type":"print"},{"value":"2250-1002","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-09-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}