Knowledge and clinical attitudes regarding temporomandibular disorders among orthodontists and oral and maxillofacial surgeons.

IF 5.4 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2026-09-16 DOI:10.1080/08869634.2026.2733447

Meyra Durmaz, Mehmet Alp Eriş, Merve Berika Kadıoğlu, Mehmet Emre Yurttutan

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引用次数: 0

Abstract

Objective: To compare temporomandibular disorder (TMDs) knowledge and clinical attitudes between orthodontists and oral and maxillofacial surgeons (OMFS).

Methods: This cross-sectional study included 160 participants (80 per specialty) in Türkiye. A 41-item online questionnaire assessed knowledge across four domains and clinical attitudes. Responses were compared with expert reference rates and between specialties.

Results: Both groups showed substantial knowledge deficiencies, particularly in pathophysiology and chronic pain. OMFS demonstrated significantly higher correct-response rates than orthodontists across multiple items in all four knowledge domains, whereas orthodontists performed better on one pathophysiology item. Clinical attitudes were generally positive; OMFS more frequently supported patient information and counseling, while orthodontists more frequently favored referral of suspected TMD cases.

Conclusion: Despite positive clinical attitudes, important TMD knowledge gaps persist in both specialties, with OMFS showing greater overall knowledge. Postgraduate education should reinforce evidence-based, diagnosis-driven, and biopsychosocial TMD management.

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正畸医师和口腔颌面外科医师对颞下颌疾病的知识和临床态度。

目的：比较正畸医师与口腔颌面外科医师对颞下颌关节紊乱（TMDs）的认知和临床态度。方法：这项横断面研究包括160名参与者（每个专业80名）。一份41项的在线问卷评估了四个领域的知识和临床态度。比较专家参考率和不同专业之间的回答。结果：两组患者在病理生理学和慢性疼痛方面均存在明显的知识不足。在所有四个知识领域的多个项目上，OMFS的正确率明显高于正畸医生，而正畸医生在一个病理生理学项目上的表现更好。临床态度普遍积极；OMFS更频繁地支持患者信息和咨询，而正畸医生更倾向于转诊疑似TMD病例。结论：尽管临床态度积极，但两个专业的TMD知识差距仍然存在，OMFS表现出更大的整体知识。研究生教育应加强循证、诊断驱动和生物心理社会TMD管理。

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

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.