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Similar Stressors Different Expression: Ethnic Disparities in Temporomandibular Disorders and Bruxism During Wartime.

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Τίτλος: Similar Stressors Different Expression: Ethnic Disparities in Temporomandibular Disorders and Bruxism During Wartime.
Συγγραφείς: Emodi-Perlman A; Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Grey Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel., Masarwe K; Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Grey Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel., Mahajne N; Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Grey Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel., Keren L; Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Grey Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel., Eli I; Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Grey Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Πηγή: Journal of oral rehabilitation [J Oral Rehabil] 2026 Aug; Vol. 53 (8), pp. 1509-1516. Date of Electronic Publication: 2026 Apr 17.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 0433604 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2842 (Electronic) Linking ISSN: 0305182X NLM ISO Abbreviation: J Oral Rehabil Subsets: MEDLINE
Imprint Name(s): Original Publication: Oxford, Blackwell Scientific Publications.
Ιατρικοί όροι (MeSH): Bruxism*/psychology , Bruxism*/ethnology , Temporomandibular Joint Disorders*/psychology , Temporomandibular Joint Disorders*/ethnology , Jews*/psychology , Jews*/statistics & numerical data , Stress, Psychological*/ethnology , Stress, Psychological*/psychology , Arabs*/psychology , Arabs*/statistics & numerical data, Humans ; Female ; Cross-Sectional Studies ; Male ; Adult ; Adaptation, Psychological ; Surveys and Questionnaires ; Middle Aged ; Young Adult ; Subjective Stress
Περίληψη: Background: War, an intense and enduring source of stress, exerts wide-ranging impacts on psychological well-being, provoking significant stress and anxiety reactions even in individuals not directly exposed to combat.
Objective: To examine how ethnicity influences bruxism and temporomandibular disorders (TMD) during an armed conflict.
Methods: In a cross-sectional design, 895 subjects from two ethnic origins (595 Jews and 301 Arabs) were evaluated through an online survey. The assessment tools covered demographic data, TMD screening, subject-based sleep bruxism (SB), subject-based awake bruxism (AB) including grinding, clenching, teeth contact, and bracing behaviours, along with measures of psychological distress (Patient Health Questionnaire-4), perceived stress (Perceived Stress Scale), and resilient coping (Brief Resilient Coping Scale).
Results: Arab participants reported the greatest psychological distress and perceived stress, yet they also displayed the strongest resilient coping. Regression analyses identified a distinct pattern in the Arab group regarding TMD and bruxism. Compared with a Jewish reference group, Arabs had markedly higher odds of TMD (OR = 2.58) and higher odds of grinding (OR = 1.81). In contrast, they showed lower odds for sleep bruxism (OR = 0.55) and awake bruxism behaviours of teeth contact (OR = 0.44) and bracing (OR = 0.55).
Conclusion: The elevated TMD risk among Arab participants (more than double that of Jewish participants) suggests combined effects of chronic psychosocial stress and potential barriers to accessing health care. These findings highlight the need for culturally informed approaches to diagnosing and treating TMD and bruxism, particularly during periods of widespread societal stress.
(© 2026 The Author(s). Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.)
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Grant Information: 3737/24 The Israel science foundatiom
Contributed Indexing: Keywords: armed conflict; bruxism; ethnicity; psychological; resilience; temporomandibular disorders
Entry Date(s): Date Created: 20260418 Date Completed: 20260713 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13358408
DOI: 10.1111/joor.70205
PMID: 41999075
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1365-2842
DOI:10.1111/joor.70205