Interexaminer reliability for tomographic findings in temporomandibular joint degenerative disease and its agreement with clinical diagnosis: a blinded controlled cross sectional study.

Autor: Hilgenberg-Sydney PB; Restorative Dentistry Department, Federal University of Paraná, Av. Prefeito Lothário MeissnerJardim Botânico, Curitiba (Paraná), 632 - 80210-170, Brazil. priscila.sydney@ufpr.br., Schenato LF, Marques HB, de Paiva Bertoli FM; Naperville (Illinois), USA., Bonotto D
Jazyk: angličtina
Zdroj: Oral radiology [Oral Radiol] 2022 Jan; Vol. 38 (1), pp. 155-161. Date of Electronic Publication: 2021 May 24.
DOI: 10.1007/s11282-021-00539-1
Abstrakt: Objectives: The aim of this study was to evaluate the interexaminer reliability for tomographic findings in degenerative temporomandibular joint disease and its agreement with clinical diagnosis.
Methods: Women aged 18 and 60 years were invited to participate in this research. All participants were evaluated by a single experienced examiner according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Group 1 was comprised of TMJs with Degenerative Joint Disease (DJD). Group 2 was comprised of healthy TMJs, without any signs and/or symptoms of TMD. All CBCT images were evaluated by 2 calibrated examiners for the image evaluation criteria but blinded for the clinical diagnosis.
Results: From the 194 women evaluated, 41 were included, with a mean age of 35.23 (± 14.06) years. Group 1 was comprised of 26 TMJs with DJD and group 2 of 36 asymptomatic TMJs. The interexaminer reliability was κ = 0.706 (p < 0.000), while agreement between clinical and tomographic findings were κ = 0.301 (p = 0.01) and κ = 0.273 (p = 0.02) for each examiner. The use of CBCT as a diagnostic test had shown sensitivity and specificity values of 61.5% and 75%, respectively.
Conclusions: The interexaminer reliability for tomographic findings was strong. However, the agreement between clinical and tomographic findings was reasonable, for both examiners.
(© 2021. The Author(s), under exclusive licence to Japanese Society for Oral and Maxillofacial Radiology and Springer Nature Singapore Pte Ltd.)
Databáze: MEDLINE
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