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Online Course for Teaching Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I in Undergraduate Dental Education: Interexaminer Reliability Between Students and Teachers
European journal of dental education : official journal of the Association for Dental Education in Europe · Applicability of Online Course for Teaching Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I in Undergraduate Dental Education-Interexaminer Reliability Between Students and Teachers in a Student Exercise.
完成DC/TMD線上課程後，牙醫學生能達成與專家水準的診斷一致性，支持線上教學在標準化TMJ診斷教育中的有效性。
PThird-year dental students (N=102)
IDC/TMD-FIN online course
CPeer examination vs. specialist examination
OExcellent interexaminer reliability for myalgia (κ=0.929), arthralgia (κ=0.789), and headache attributed to TMD (κ=0.828)
Telerehabilitation in Individuals With Myofascial Pain and Temporomandibular Joint Dysfunction: A Randomized Controlled Trial
Journal of oral rehabilitation · Effectiveness of Telerehabilitation in Individuals With Myofascial Pain and Temporomandibular Joint Dysfunction: A Randomized Controlled Trial.
督導式遠端康復顯著降低疼痛、改善顎部活動度與顎功能，優於標準居家運動計畫，顯示其在myofascial TMD中的短期臨床優勢。
P50 individuals with myofascial TMD
ISupervised telerehabilitation program (TeleR, n=25)
CHome-based exercise group (HomeEx, n=25)
OTeleR showed greater reductions in pain intensity (p<0.001), cervical and mandibular ROM, TMD severity, OBC, OHIP-14 and NDI scores (p=0.001-0.004)
Effects of Digital Health Interventions on Pain, Maximum Mouth Opening, and Jaw Function in Individuals With Temporomandibular Disorders: A Systematic Review
Journal of oral rehabilitation · Effects of Digital Health Interventions on Pain, Maximum Mouth Opening, and Jaw Function in Individuals With Temporomandibular Disorders: A Systematic Review.
行動應用與telerehabilitation可能改善疼痛、顎部功能與最大口開度，但證據確定性極低，凸顯需更嚴謹RCT驗證。
PIndividuals with TMD (6 RCTs, n=352)
IDigital health interventions (mobile apps, IBT, telerehabilitation)
CControl/no intervention
OMobile applications and telerehabilitation may improve pain, jaw function, and MMO; IBT showed no benefit; certainty of evidence: very low (GRADE)
Prevalence and Associated Factors of Temporomandibular Symptom Reporting in Portuguese Professional Orchestral Musicians: A Cross-Sectional Study
Medical problems of performing artists · Prevalence and Associated Factors of Temporomandibular Symptom Reporting in Portuguese Professional Orchestral Musicians: A Cross-Sectional Study.
專業樂團音樂家中61.6%報告TMJ症狀，女性與年輕音樂家患病率顯著升高，症狀與身心健康評分顯著負相關。
P271 Portuguese professional orchestral musicians
INone (observational)
CAsymptomatic vs symptomatic musicians
OTMD symptoms in 61.6%; females: 77.4% vs males: 48.3% (p<0.001); younger musicians (18-29) highest prevalence; symptomatic musicians had lower SF-12v2 physical/mental scores (p<0.01)
Repetitive tooth-clenching triggers kynurenine pathway activation in masseter muscle of women with temporomandibular disorders myalgia
Pain reports · Repetitive tooth-clenching triggers kynurenine pathway activation in masseter muscle of women with temporomandibular disorders myalgia.
咬牙緊咬激發顳肌中kynurenine代謝路徑，特別在伴隨放射性疼痛的TMDM患者中，提供肌肉層面的疼痛機制生物標誌。
P41 women (15 TMDM MFP, 13 TMDM MYA, 13 CTR)
I20-minute tooth-clenching exercise
CBaseline and recovery vs. exercise period
OTRP, KYN, QUIN increased only in MFP group (p<0.001 to p=0.041); NAM increased across all groups; KP metabolite changes separated MFP from CTR/MYA (p=0.040)
Diagnostic value of clinical signs for detecting temporomandibular joint disc displacement: a single-center cross-sectional diagnostic accuracy study using magnetic resonance imaging as the reference standard
La Clinica terapeutica · Diagnostic value of clinical signs for detecting temporomandibular joint disc displacement: a single-center cross-sectional diagnostic accuracy study using magnetic resonance imaging as the reference standard.
關節疼痛具有最高敏感度（92.7%）用於篩選盤位移位，而有限口開度具有最高特異度（69.5%），支持臨床檢查作為初步評估工具。
P178 patients (267 TMJs)
IClinical examination (joint pain, clicking, limited mouth opening)
CMRI as reference standard for disc displacement
OJoint pain: sensitivity 92.7%, specificity 33.9%, DOR 6.53; Limited mouth opening: specificity 69.5%; Joint clicking: DOR 1.34 (no discrimination)
MRI-detected joint effusion and disc displacement without reduction as independent predictors of pain in intraarticular temporomandibular joint disorders
Cranio : the journal of craniomandibular practice · MRI-detected joint effusion and disc displacement without reduction as independent predictors of pain in intraarticular temporomandibular joint disorders.
關節腔積液呈劑量依賴性疼痛預測（G3: OR=8.93），非復位盤位移亦為獨立預測因子（OR=2.51），支持MRI在疼痛風險分層中的核心角色。
P79 patients (158 TMJs) with intra-articular TMJ disorders
IMRI assessment of joint effusion (grade 0-3) and disc displacement without reduction
CPain severity (VAS)
ODD without reduction: OR=2.51 (p=0.014); Effusion: Grade 1 OR=3.23, Grade 2 OR=4.18, Grade 3 OR=8.93 (p≤0.004); Crepitation linked to mild effusion without osseous changes
Association between TMD signs and symptoms, condyle alterations and joint effusion: an MRI retrospective study
Brazilian oral research · Association between TMD signs and symptoms, condyle alterations and joint effusion: an MRI retrospective study.
50-59歲族群、關節點擊及髁狀骨侵蝕是關節積液的顯著風險因子，提示年齡與機械改變共同驅動TMJ病理。
P591 patients (1,182 TMJ MRIs from 2018)
IMRI assessment of effusion and condylar changes
CJoint pain, crepitation, clicking, irregular mouth opening, limited mouth opening
OEffusion prevalence: 51.6% (right), 52.8% (left); Age 50-59: OR=2.54; Clicking: OR=1.59; Condylar erosion: OR=2.84 (all p≤0.05)
📚其他值得關注的文獻
Lack of Efficacy of Low-Dose Cyclobenzaprine on Electromyographic Activity Related to Sleep Bruxism: A Randomized Crossover Double-Blind Placebo-Controlled Clinical Trial.
Journal of sleep research
低劑量環苯扎林未顯著改變睡眠磨牙相關肌肉活動或咬合力，提示其在SB中的臨床效用有限。
Head Posture and Cranio-Cervico-Mandibular Disorders in Portable Electronic Devices Users: A Comparative Cross-sectional Study.
Journal of dentistry
長時間使用電子裝置導致前倾頭姿勢與顳顎肌肉活動不平衡相關，但TMD狀態並不影響姿勢改變幅度。
Prevalence and Associated Factors of Temporomandibular Symptom Reporting in Portuguese Professional Orchestral Musicians: A Cross-Sectional Study.
Medical problems of performing artists
專業樂團音樂家中61.6%報告TMJ症狀，女性與年輕音樂家患病率顯著升高，症狀與身心健康評分顯著負相關。