Accuracy of the Fonseca Anamnestic Index for identifying pain-related and/or intra-articular Temporomandibular Disorders.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-05-01 Epub Date: 2021-07-14 DOI:10.1080/08869634.2021.1954375

Adrian Ujin Yap, Min Juan Zhang, Jie Lei, Kai-Yuan Fu

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引用次数: 0

Abstract

Objectives: This study established the diagnostic accuracy of the Fonseca Anamnestic Index (FAI) in relation to the Diagnostic Criteria for TMD (DC/TMD) standard.Methods: A total of 866 TMD patients and 57 TMD-free controls were instructed to answer the FAI and DC/TMD Symptom Questionnaire (SQ). Participants were subsequently categorized into no (NT), pain-related (PT), and/or intra-articular (IT) TMDs using the DC/TMD protocolized examination/algorithms. Receiver operating characteristics (ROC) curves, best cut-off points, and accuracy measures were determined.Results:The FAI demonstrated high accuracy for detecting all TMDs, PT, and IT (AUC = 0.96-0.98). The best cut-off points were 22.50 for all TMDs/IT and 27.50 for PT. Sensitivity of the FAI was high (94.23-98.21%), but specificity was moderate (87.72%) for all diagnostic categories.Discussion:The diagnostic accuracy of the FAI for identifying pain-related and intra-articular TMDs was high. FAI scores ≥25 points should be used to screen for TMDs.

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丰塞卡颞下颌关节疼痛指数识别疼痛相关疾病和/或关节内疾病的准确性。

研究目的本研究确定了丰塞卡症状指数（FAI）与TMD诊断标准（DC/TMD）的诊断准确性：共指导 866 名 TMD 患者和 57 名无 TMD 的对照者回答 FAI 和 DC/TMD 症状问卷 (SQ)。随后，使用 DC/TMD 协议检查/算法将参与者分为无 TMD (NT)、疼痛相关 TMD (PT)和/或关节内 TMD (IT)。结果：FAI 对所有 TMD、PT 和 IT 的检测准确率很高（AUC = 0.96-0.98）。所有 TMDs/IT 的最佳截断点为 22.50，PT 为 27.50。FAI的灵敏度较高（94.23%-98.21%），但对所有诊断类别的特异性适中（87.72%）。FAI评分≥25分应用于筛查TMD。

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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.