A disease-focused view on the temporomandibular joint using a Delphi-guided process
Autor: | Annika Rosén, Bodil Lund, Heming Olsen-Bergem, Tore Bjørnland, Mattias Ulmner, Trond Inge Berge |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Process (engineering) Delphi method Disease 03 medical and health sciences 0302 clinical medicine stomatognathic system medicine Humans Medical physics General Dentistry computer.programming_language Temporomandibular Joint business.industry Disease classification 030206 dentistry Gold standard (test) Temporomandibular Joint Disorders Temporomandibular joint stomatognathic diseases medicine.anatomical_structure Group discussion business computer 030217 neurology & neurosurgery Delphi |
Zdroj: | Journal of oral science. 62(1) |
ISSN: | 1880-4926 |
Popis: | Temporomandibular joint (TMJ) disease classification and subsequent treatment selection are highly debated subjects within dentistry and medicine. Several suggestions for diagnostic classification and treatment algorithms have been proposed thus far without achieving a clear gold standard. A universally accepted diagnostic classification is essential for therapeutic decision-making as well as a prerequisite for prognostic evaluation and is necessary for achieving research results that are reproducible, comparable, relevant, and applicable in the clinical setting. Often, problems of the TMJ are viewed as mere symptoms or as a syndrome-like group of conditions, without clear demarcation, impeding individualized treatment planning. A Scandinavian group of experienced TMJ surgeons participated in an iterative, structured group discussion process in accordance with the Delphi method, aiming to produce recommendations for a standardized patient clinical evaluation in relation to TMJ dysfunction. Guided by this standardized evaluation, a disease-focused and simplified diagnostic classification scheme is herein suggested. |
Databáze: | OpenAIRE |
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