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Diagnostic accuracy...
Diagnostic accuracy of three screening questions (3Q/TMD) in relation to the DC/TMD in a specialized orofacial pain clinic
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- Lövgren, Anna (författare)
- Umeå universitet,Tandläkarutbildning,Department of Clinical Oral Physiology , Umeå University , Umeå , Sweden
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- Parvaneh, Hasti (författare)
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA) , University of Amsterdam , Amsterdam , The Netherlands
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- Lobbezoo, Frank (författare)
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA) , University of Amsterdam , Amsterdam , The Netherlands
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- Häggman-Henrikson, Birgitta (författare)
- Malmö universitet,Umeå universitet,Institutionen för odontologi,Department of Orofacial Pain and Jaw function, Faculty of Odontology, Malmö University,Odontologiska fakulteten (OD),Department of Clinical Oral Physiology , Umeå University , Umeå , Sweden
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- Wänman, Anders (författare)
- Umeå universitet,Institutionen för odontologi,Department of Clinical Oral Physiology , Umeå University , Umeå , Sweden
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- Visscher, Corine Mirjam (författare)
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA) , University of Amsterdam , Amsterdam , The Netherlands
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(creator_code:org_t)
- 2018-02-15
- 2018
- Engelska.
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Ingår i: Acta Odontologica Scandinavica. - : Taylor & Francis. - 0001-6357 .- 1502-3850. ; 76:6, s. 380-386
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: To determine the diagnostic accuracy of three screening questions (3Q/TMD) in relation to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), in a specialized clinic.Material and methods: Consecutive patients, >18 years, referred with a possible TMD complaint to the Orofacial Pain and Dysfunction clinic, Academic Centre for Dentistry Amsterdam, the Netherlands, were included in the study. All patients (n = 449; mean age 44 years; 72% females), answered the 3Q/TMD and the DC/TMD questionnaire before a DC/TMD examination. The 3Q/TMD constitutes of two questions on weekly pain from the jaw, face and temple region (Q1), and on function (Q2), and one function-related question on weekly catching and/or locking of the jaw (Q3). Q1 and Q2 were evaluated in relation to a DC/TMD pain diagnosis and Q3 in relation to a subgroup of DC/TMD intra-articular diagnosis, referred to as the reference standard.Results: In total, 44% of patients received a pain-related DC/TMD diagnosis and 33% an intra-articular reference DC/TMD diagnosis. Sensitivity for the two pain screening questions was high (0.83–0.94), whereas specificity was low (0.41–0.55). For the function-related question, sensitivity was low (0.48), whereas specificity was high (0.96).Conclusions: In a specialized pain clinic, the two pain questions (Q1, Q2) are positive in most patients with pain-related TMD. Therefore, in case of a positive response, further diagnostic procedures for TMD pain are warranted. For the functional screening question (Q3), a positive response is indicative for an intra-articular DC/TMD diagnosis, while in case of a negative outcome, an intra-articular TMD might still be present.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Nyckelord
- Temporomandibular disorders
- DC/TMD
- diagnostic accuracy
- screening instrument
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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