Accuracy study of the main screening tools for temporomandibular disorder in children and adolescents

Santis, Tatiana Oliveira de; Motta, Lara Jansiski; Biasotto‐Gonzalez, Daniela Aparecida; Mesquita‐Ferrari, Raquel Agnelli; Fernandes, Kristianne Porta Santos; Godoy, Camila Haddad Leal de; Alfaya, Thays Almeida; Bussadori, Sandra Kalil

doi:10.1016/j.jbmt.2013.05.018

Cited by 30 publications

(29 citation statements)

References 16 publications

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“…With regard to the accuracy of the FAI, the present data are in partial agreement with findings described by de Santis et al (2014), who found low degrees of sensitivity, but high degrees of specificity regarding the detection of TMD in children and adolescents. The authors attributed these results to difficulties in comprehension due to the age group studied and the language used in the self-explanatory questions.…”

Section: Discussionsupporting

confidence: 92%

Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases

Berni

Dibai‐Filho

Rodrigues-Bigaton

2015

Journal of Bodywork and Movement Therapies

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Section: Discussionsupporting

confidence: 92%

Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases

Berni

Dibai‐Filho

Rodrigues-Bigaton

2015

Journal of Bodywork and Movement Therapies

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“…Thus, we defined the best cut-off points for both diagnoses as more than two positive responses (>2) for the long version and more than one positive response (>1) for the short version because they provided the best balance between sensitivity and specificity values, as previously recommended 12 . Our results are in agreement with a recent study in which, by using the AAOP questionnaire among adolescents, the values of specificity were observed to be higher than sensitivity values 4 . However, maybe due to the differences in the methodology employed, we were able to reach higher values of sensitivity and specificity.…”

Section: Discussionsupporting

confidence: 93%

“…The RDC/TMD are the most important diagnostic tool, properly translated into Portuguese 24 and other languages, in addition to being adapted and validated, and have been extensively used since 1992 6 . Today, revised criteria, known as Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), have been presented 25 , but the older RDC/TMD continue the most acceptable and well-known standard for diagnosing TMD in researches, and that is the reason they selected as reference standard in this study, as it has previously been done by others 4,21,30 . According to the literature, the RDC/TMD Axis I can be applied to both adults and adolescents 17,29 .…”

Section: Discussionmentioning

confidence: 99%

“…Similar to a previous study 29 , our results demonstrated that participants were able to completely understand the questions, which is of particular importance, since they were not specifically designed to be applied in adolescents. The understanding of the questions' meaning is an essential part and, in a recent research 4 , authors attributed the low sensitivity/specificity of the AAOP TMD screening questionnaire in a sample of adolescents to the language used in the self-explanatory questions and to difficulties in comprehension.…”

Section: Discussionmentioning

confidence: 99%

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Temporomandibular disorders among Brazilian adolescents: reliability and validity of a screening questionnaire

et al. 2014

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Temporomandibular disorders (TMD) screeners assume significant item overlap with the screening questionnaire proposed by the American Academy of Orofacial Pain (AAOP).ObjectiveTo test the reliability and validity of the Portuguese version of AAOP questions for TMD screening among adolescents.Material and MethodsDiagnoses from Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I were used as reference standard. Reliability was evaluated by internal consistency (KR-20) and inter-item correlation. Validity was tested by sensitivity, specificity, predictive values, accuracy and receiver operating characteristic (ROC) curves, the relationship between the true-positive rate (sensitivity) and the false-positive rate (specificity). Test-retest reliability of AAOP questions and intra-examiner reproducibility of RDC/TMD Axis I were tested with kappa statistics.ResultsThe sample consisted of 1307 Brazilian adolescents (56.8% girls; n=742), with mean age of 12.72 years (12.69 F/12.75 M). According to RDC/TMD, 397 [30.4% (32.7% F/27.3% M)] of adolescents presented TMD, of which 330 [25.2% (27.6% F/22.2% M)] were painful TMD. Because of low consistency, items #8 and #10 of the AAOP questionnaire were excluded. Remaining items (of the long questionnaire version) showed good consistency and validity for three positive responses or more. After logistic regression, items #4, #6, #7 and #9 also showed satisfactory consistency and validity for two or more positive responses (short questionnaire version). Both versions demonstrated excellent specificity (about 90%), but higher sensitivity for detecting painful TMD (78.2%). Better reproducibility was obtained for the short version (k=0.840).ConclusionsThe Portuguese version of AAOP questions showed both good reliability and validity for the screening of TMD among adolescents, especially painful TMD, according to RDC/TMD.

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“…The etiology of TMDs has been associated to several factors, namely traumatic injury, immune-mediated systemic disease, neoplastic, emotional stress, occlusal discrepancies, malocclusion or loss of teeth, postural changes, disease of the masticatory musculature and adjacent structures, extrinsic and intrinsic changes of TMJ structure, bruxism , tooth clenching habits, or a combination of such factors [52,53]. Prosthodontic rehabilitation, orthodontic treatment, orthognathic surgery, and mandibular fractures have been associated with TMJ changes and worsening of existing TMD [54].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Temporomandibular Joint Disorders among Yemeni University students: A prospective, cross-sectional study

Al-sanabani¹

2017

Int J Oral Craniofac Sci

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Purpose: The aim of this study was to estimate prevalence of temporomandibular Joint disorders (TMDs), among dental university student in Yemen. Material and methods:A prospective cross-sectional study was conducted in the Department of Oral Medicine and Oral Diagnosis, Faculty of Dentistry, Thamar University, Yemen. Study sample consisted of 207 university students (114 males and 93 females). Predictor's variables were age, gender and marital status. The outcomes variables were the signs and symptoms of TMDs using the Helkimo clinical dysfunction (Di) and anamnestic (Ai) indices. Results:The results revealed that prevalence of TMDs among Yemeni dental students was 41.07 % (mild: 14.01%, sever: 27.05%). In the clinical examination, 49.76 % (mild: 20.77%, moderate; 12.08% and sever; 16.91%) showed some degree of dysfunction. Females showed a signifi cant higher prevalence of TMDs than males. There was signifi cant association between the dysfunction of TMD and gender (P > 0.005). Conclusion:The result of this study showed that prevalence of TMDs among Yemeni dental students was higher than some studies have reported in the literature. Also, the results revealed that majority of studied sample were not aware of the presence of their TMD

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Accuracy study of the main screening tools for temporomandibular disorder in children and adolescents

Cited by 30 publications

References 16 publications

Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases

Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases

Temporomandibular disorders among Brazilian adolescents: reliability and validity of a screening questionnaire

Prevalence of Temporomandibular Joint Disorders among Yemeni University students: A prospective, cross-sectional study

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