{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:43:14Z","timestamp":1787071394215,"version":"build-2736575974"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>\n                    Temporomandibular joint disorders (TMD) involve pain and dysfunction of the temporomandibular joint and associated muscles. Emerging evidence suggests associations with bruxism, poor sleep quality, anxiety disorders, and tension-type headache (TTH). To systematically review the associations between bruxism, sleep quality, anxiety disorders, and TTH in patients with TMD. Systematic searches were conducted in PubMed, Scopus, Web of Science, and Cochrane Library up to May 2025. Studies included adults with TMD and reported associations with bruxism, sleep quality, anxiety, or TTH. Risk of bias was assessed using the Newcastle-Ottawa Scale. Data were narratively synthesized. Twenty-six studies were included. Bruxism prevalence ranged from 45% to 87% in TMD patients, with significant associations with myofascial pain (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). Poor sleep quality was reported in 40\u201375% of TMD patients and correlated with pain severity. Anxiety disorders were present in 30\u201360% of TMD patients, often exacerbating pain perception. TTH coexisted in 25\u201365% of TMD patients, sharing central sensitization as a mechanism. Study heterogeneity prevented meta-analysis. Bruxism, poor sleep quality, anxiety disorders, and TTH frequently coexist with TMD. Multidisciplinary assessment is crucial. Future longitudinal studies are warranted.\n                  <\/jats:p>","DOI":"10.4103\/jpbs.jpbs_1251_25","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T16:03:49Z","timestamp":1765814629000},"page":"S3474-S3476","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Bruxism, Sleep Quality, Anxiety Disorders, and Tension-Type Headache in Temporomandibular Joint Disorders: A Systematic Review"],"prefix":"10.4103","volume":"17","author":[{"given":"Aditya S.","family":"Dupare","sequence":"first","affiliation":[{"name":"Oral Medicine and Radiology, Yogita Dental College and Hospital, Rantagiri, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukta","family":"Motwani","sequence":"additional","affiliation":[{"name":"Oral Medicine and Radiology, Ranjeet Deshmukh Dental College and Research Centre, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarati","family":"Panchbhai","sequence":"additional","affiliation":[{"name":"Oral Medicine and Radiology, Sharad Pawar Dental College, DMIHER, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidyarjan","family":"Sukhadeve","sequence":"additional","affiliation":[{"name":"Oral Medicine and Radiology, Yogita Dental College and Hospital, Rantagiri, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charwak","family":"Tayade","sequence":"additional","affiliation":[{"name":"Oral Medicine and Radiology, Yogita Dental College and Hospital, Rantagiri, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snehal V.","family":"Bhalerao","sequence":"additional","affiliation":[{"name":"Orthodontics and Dentofacial Orthopaedics, Yogita Dental College and Hospital, Rantagiri, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,13]]},"reference":[{"key":"R2-20260217","doi-asserted-by":"crossref","first-page":"99","DOI":"10.11607\/jop.921","article-title":"Epidemiology of bruxism in adults: A systematic review of the literature","volume":"27","author":"Manfredini","year":"2013","journal-title":"J Orofac Pain"},{"key":"R3-20260217","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S0011-8532(22)00487-6","article-title":"Bruxism and orofacial movements during sleep","volume":"45","author":"Kato","year":"2001","journal-title":"Dent Clin North Am"},{"key":"R4-20260217","first-page":"37","article-title":"Sleep quality in temporomandibular disorder patients: A systematic review of the literature","volume":"33","author":"Yap","year":"2020","journal-title":"Int J 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the population: An epidemiological study","volume":"24","author":"Gon\u00e7alves","year":"2010","journal-title":"J Orofac Pain"},{"key":"R24-20260217","first-page":"99","article-title":"Chronic temporomandibular disorder pain is accompanied by reduced habituation of sympathetic vasoconstrictor responses","volume":"23","author":"Schmitter","year":"2009","journal-title":"J Orofac Pain"},{"key":"R25-20260217","first-page":"2345","article-title":"Longitudinal multilevel modeling of change in TMD pain, pain-related disability, anxiety, and depression in a non-patient population","volume":"154","author":"Glaros","year":"2013","journal-title":"Pain"},{"key":"R26-20260217","first-page":"354","article-title":"The effect of catastrophizing and depression on chronic TMD pain: A prospective cohort study","volume":"12","author":"Velly","year":"2011","journal-title":"J Pain"}],"container-title":["Journal of Pharmacy and Bioallied 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