Brief Diagnostic Criteria for Temporomandibular Disorders: Sensitivity and Specificity of Clinical Diagnoses (A Multi-Center Study).

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-04-07 DOI:10.1111/joor.13969

Laura Nykänen, Kirsi Sipilä, Ilana Eli, Pessia Freidman-Rubin, Lihi Keren, Antti Kämppi, Ritva Näpänkangas, Shalev Antshel Tamar, Johanna Tanner, Tuija Teerijoki-Oksa, Ephraim Winocur, Alona Emodi-Perlman

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引用次数: 0

Abstract

Background: The brief Diagnostic Criteria for Temporomandibular Disorders (bDC/TMD) was recently published to simplify the full Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) protocol.

Objective: To measure the inter-examiner reliability, sensitivity and specificity of bDC/TMD Axis I diagnoses against DC/TMD Axis I diagnoses in primary and tertiary clinic TMD patient populations.

Methods: A multi-center (Finland, Israel) retrospective study on 334 patients' records was conducted. A full DC/TMD clinical examination data was reduced to bDC/TMD items. Five Level 3 calibrated examiners independently determined a bDC/TMD diagnosis. Inter-examiner reliability, sensitivity and specificity were calculated for individual diagnoses, using DC/TMD diagnosis as the reference standard.

Results: Inter-examiner reliability showed excellent to good reliability in all diagnoses except headache attributed to TMD, in which it was fair. Apart from headache attributed to TMD, the sensitivity of individual pain diagnoses was high. The sensitivity was lower in joint diagnoses. The specificity was high in all diagnoses.

Conclusion: The bDC/TMD is a reliable instrument for general practitioner use.

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背景：最近发布了颞下颌关节紊乱症简明诊断标准（bDC/TMD），以简化完整的颞下颌关节紊乱症诊断标准（DC/TMD）方案：目的：在初级和三级诊所的 TMD 患者群体中，测量 bDC/TMD 轴 I 诊断与 DC/TMD 轴 I 诊断的检查者间可靠性、敏感性和特异性：对 334 名患者的病历进行了多中心（芬兰、以色列）回顾性研究。将完整的 DC/TMD 临床检查数据简化为 bDC/TMD 项目。五名三级校准检查员独立确定 bDC/TMD 诊断。以 DC/TMD 诊断为参考标准，计算了检查员之间的可靠性、敏感性和特异性：结果：除 TMD 引起的头痛外，所有诊断的考官间可靠性均为优秀或良好。除 TMD 引起的头痛外，其他疼痛诊断的灵敏度都很高。关节诊断的灵敏度较低。所有诊断的特异性都很高：bDC/TMD是一种可靠的工具，可供全科医生使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.