Constructing the brief diagnostic criteria for temporomandibular disorders (bDC/TMD) for field testing.

Autor: Durham J; School of Dental Sciences, Newcastle University, Newcastle, UK.; Newcastle Hospitals' NHS Foundation Trust, Newcastle, UK., Ohrbach R; Oral Diagnostic Sciences, University at Buffalo School of Dental Medicine, Buffalo, New York, USA., Baad-Hansen L; Department of Dentistry and Oral Health, Section for Orofacial Pain and Jaw Function, Aarhus University, Aarhus, Denmark., Davies S; Division of Dentistry, University of Manchester UK, Manchester, UK., De Laat A; Department Oral health Sciences KU Leuven and Department Dentistry, UZ Leuven, Belgium., Goncalves DG; School of Dentistry, Araraquara, São Paulo State University (Unesp), Araraquara, Brazil., Gordan VV; Restorative Dental Sciences Department, University of Florida College of Dentistry, Gainesville, Florida, USA., Goulet JP; Faculty of Dental Medicine, Laval University, Quebec, Quebec, Canada., Häggman-Henrikson B; Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.; Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden., Horton M; College of General Dentistry UK (CGDent), London, UK., Koutris M; Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Law A; Endodontist, The Dental Specialists, Woodbury, Minnesota, USA.; Research Professor, Division of Endodontics, University of Minnesota, Minneapolis, Minnesota, USA., List T; Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.; Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden.; Skåne University Hospital, Specialized Pain Rehabilitation, Lund, Sweden., Lobbezoo F; Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Michelotti A; Department of Neurosciences, School of Orthodontics, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Naples, Italy., Nixdorf DR; Division of TMD & Orofacial Pain, School of Dentistry and Department of Radiology, Medical School, University of Minnesota, Minneapolis, Minnesota, USA., Oyarzo JF; TMD and Orofacial Pain Program, Faculty of Odontology, Universidad Andres Bello, Santiago, Chile., Peck C; Faculty of Dentistry, National University of Singapore, Singapore, Singapore., Penlington C; School of Dental Sciences, Newcastle University, Newcastle, UK.; Newcastle Hospitals' NHS Foundation Trust, Newcastle, UK., Raphael KG; Department of Oral and Maxillofacial Pathology, Radiology & Medicine, New York University College of Dentistry, New York, New York, USA., Santiago V; Department of Oral and Maxillofacial Pathology, Radiology & Medicine, New York University College of Dentistry, New York, New York, USA., Sharma S; Oral Diagnostic Sciences, University at Buffalo School of Dental Medicine, Buffalo, New York, USA., Svensson P; Department of Dentistry and Oral Health, Section for Orofacial Pain and Jaw Function, Aarhus University, Aarhus, Denmark., Visscher CM; Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Yoshiki I; Department of Oral Diagnostic Sciences, Nihon University School of Dentistry, Tokyo, Japan., Alstergren P; Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden.; Skåne University Hospital, Specialized Pain Rehabilitation, Lund, Sweden.; Orofacial Pain Unit, Malmö University, Malmö, Sweden.
Jazyk: angličtina
Zdroj: Journal of oral rehabilitation [J Oral Rehabil] 2024 May; Vol. 51 (5), pp. 785-794. Date of Electronic Publication: 2023 Dec 27.
DOI: 10.1111/joor.13652
Abstrakt: Background: Despite advances in temporomandibular disorders' (TMDs) diagnosis, the diagnostic process continues to be problematic in non-specialist settings.
Objective: To complete a Delphi process to shorten the Diagnostic Criteria for TMD (DC/TMD) to a brief DC/TMD (bDC/TMD) for expedient clinical diagnosis and initial management.
Methods: An international Delphi panel was created with 23 clinicians representing major specialities, general dentistry and related fields. The process comprised a full day workshop, seven virtual meetings, six rounds of electronic discussion and finally an open consultation at a virtual international symposium.
Results: Within the physical axis (Axis 1), the self-report Symptom Questionnaire of the DC/TMD did not require shortening from 14 items for the bDC/TMD. The compulsory use of the TMD pain screener was removed reducing the total number of Axis 1 items by 18%. The DC/TMD Axis 1 10-section examination protocol (25 movements, up to 12 sets of bilateral palpations) was reduced to four sections in the bDC/TMD protocol involving three movements and three sets of palpations. Axis I then resulted in two groups of diagnoses: painful TMD (inclusive of secondary headache), and common joint-related TMD with functional implications. The psychosocial axis (Axis 2) was shortened to an ultra-brief 11 item assessment.
Conclusion: The bDC/TMD represents a substantially reduced and likely expedited method to establish (grouping) diagnoses in TMDs. This may provide greater utility for settings requiring less granular diagnoses for the implementation of initial treatment, for example non-specialist general dental practice.
(© 2023 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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