Diagnostic accuracy of three screening questions (3Q/TMD) in relation to the DC/TMD in a specialized orofacial pain clinic

Lövgren, Anna; Parvaneh, Hasti; Lobbezoo, Frank; Häggman‐Henrikson, Birgitta; Wänman, Anders; Visscher, Corine M.

doi:10.1080/00016357.2018.1439528

Cited by 32 publications

(30 citation statements)

References 25 publications

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“…In a subsample of the current study population, affirmative answers to any of the 2 questions were primarily associated with a TMD pain diagnosis with a sensitivity of 0.82 and specificity of 0.87, 26 whereas among patients referred to a specialist clinic due to pain complaints, the sensitivity and specificity were 0.96 and 0.33, respectively. 28 Given that the subjective nature of pain justifies self-reported assessment, these screening questions could be a suitable measure for orofacial pain complaint, often related to the most common chronic orofacial pain condition, TMD. 24 …”

Section: Discussionmentioning

confidence: 99%

Increasing gender differences in the prevalence and chronification of orofacial pain in the population

Häggman‐Henrikson

Liv

Ilgunas

et al. 2020

Pain

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Although a fluctuating pattern of orofacial pain across the life span has been proposed, data on its natural course are lacking. The longitudinal course of orofacial pain in the general population was evaluated using data from routine dental check-ups at all Public Dental Health services in Västerbotten, Sweden. In a large population sample, 2 screening questions were used to identify individuals with pain once a week or more in the orofacial area. Incidence and longitudinal course of orofacial pain were evaluated using annual data for 2010 to 2017. To evaluate predictors for orofacial pain remaining over time, individuals who reported pain on at least 2 consecutive dental check-ups were considered persistent. A generalized estimating equation model was used to analyze the prevalence, accounting for repeated observations on the same individuals. In total, 180,308 individuals (equal gender distribution) were examined in 525,707 dental check-ups. More women than men reported orofacial pain (odds ratio 2.58, 95% confidence interval [CI] 2.48-2.68), and there was a significant increase in the prevalence of reported pain from 2010 to 2017 in both women and men. Longitudinal data for 135,800 individuals were available for incidence analysis. Women were at higher risk of both developing orofacial pain (incidence rate ratio 2.37; 95% CI 2.25-2.50) and reporting pain in consecutive check-ups (incidence rate ratio 2.56; 95% CI 2.29-2.87). In the northern Swedish population studied, the prevalence of orofacial pain increases over time and more so in women, thus indicating increasing differences in gender for orofacial pain.

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Section: Discussionmentioning

confidence: 99%

Increasing gender differences in the prevalence and chronification of orofacial pain in the population

Häggman‐Henrikson

Liv

Ilgunas

et al. 2020

Pain

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“…This result is comparable to the results of the study where patients received 33% TMJ disorders reference DC/TMD diagnosis. 10 Myalgia was the most common muscle pain disorder accompanying disc displacement with reduction. Myofascial pain with referral was the most prevalent muscle pain disorder in patients with DDw/oRwLO.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation and classification of patients with temporomandibular disorders using ‘Diagnostic Criteria for Temporomandibular Disorders’

Alpaslan

Yaman

2020

Acta Odontologica Turcica

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OBJECTIVE: The aim of the study was to evaluate the frequency of subgroups in a clinical setting of the patients with temporomandibular disorders (TMD) using 'Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)'. MATERIALS AND METHOD: A total of 128 patients with TMD (92 females and 36 males, mean age 33.5 ± 8.28) were involved in the study. DC/TMD Axis I diagnosis criteria was used for the clinical examination of pain disorders and temporomandibular joint (TMJ) disorders. Also, in DC/ TMD Axis I, The TMD Pain Screener, focusing on pain within the last 30 days, was used. In DC/TMD Axis II evaluation, the Jaw Functional Limitation Scale-8 (JFLS-8) was preferred to detect symptom severity and functional limitations. The data analysis was conducted by using the Chi-square, Kruskal Wallis test, and the Bonferroni correction for the Mann-Whitney U test. RESULTS: Out of 128 patients, 120 patients (93.75%) had TMJ disorders that were accompanied by muscle pain disorders. The effect of gender and age on TMJ/muscle pain disorders was not significant (TMJ disorders; p=0.123, p=0.263; Muscle pain disorders; p=0.145, p=0.100, respectively). According to JFLS-8, the limitation in mastication (item 1 and 2) and joint mobility (item 4) were major complaints in the group of patients with 'disc displacement without reduction with limited opening' compared to the other TMJ disorders (p=0.001, p=0.004, p=0.007, p<0.008). CONCLUSION: DC/TMD Axis I is a significant reference to clinicians in the diagnosis and evaluation of TMD. In DC/ TMD Axis II, JFLS-8 is an efficient instrument for the measurement of functional limitation associated with temporomandibular disorders.

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“… Concerns specific to the Coronavirus: These included worries about the risk of being contaminated (yes/no), and about the financial aspects, physical health, mental health, and relationship with relatives and friends (ranging from 1—not at all to 5—very worried). TMD screening: The 3Q/TMD questionnaire, which is a reliable and acceptable tool for screening the TMD conditions, was used for collecting data [ 24 , 25 ]. The questionnaire has an excellent negative predictive value and is regarded as a valid tool for screening [ 24 , 25 ].…”

Section: Methodsmentioning

confidence: 99%

“… TMD screening: The 3Q/TMD questionnaire, which is a reliable and acceptable tool for screening the TMD conditions, was used for collecting data [ 24 , 25 ]. The questionnaire has an excellent negative predictive value and is regarded as a valid tool for screening [ 24 , 25 ]. It asks about the existence of pain in the temple, face, and jaw during mouth opening or chewing, and whether there is an experience of jaw locking.…”

Section: Methodsmentioning

confidence: 99%

Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic—Concomitant Research in Two Countries

Emodi‐Perlman

Eli

Smardz

et al. 2020

JCM

113

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Background: In late December 2019, a new pandemic caused by the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection began to spread around the world. The new situation gave rise to severe health threats, economic uncertainty, and social isolation, causing potential deleterious effects on people’s physical and mental health. These effects are capable of influencing oral and maxillofacial conditions, such as temporomandibular disorders (TMD) and bruxism, which could further aggravate the orofacial pain. Two concomitant studies aimed to evaluate the effect of the current pandemic on the possible prevalence and worsening of TMD and bruxism symptoms among subjects selected from two culturally different countries: Israel and Poland. Materials and Methods: Studies were conducted as cross-sectional online surveys using similar anonymous questionnaires during the lockdown practiced in both countries. The authors obtained 700 complete responses from Israel and 1092 from Poland. In the first step, data concerning TMDs and bruxism were compared between the two countries. In the second step, univariate analyses (Chi2) were performed to investigate the effects of anxiety, depression, and personal concerns of the Coronavirus pandemic, on the symptoms of TMD, and bruxism symptoms and their possible aggravation. Finally, multivariate analyses (logistic regression models) were carried out to identify the study variables that had a predictive value on TMD, bruxism, and symptom aggravation in the two countries. Results: The results showed that the Coronavirus pandemic has caused significant adverse effects on the psychoemotional status of both Israeli and Polish populations, resulting in the intensification of their bruxism and TMD symptoms. Conclusions: The aggravation of the psychoemotional status caused by the Coronavirus pandemic can result in bruxism and TMD symptoms intensification and thus lead to increased orofacial pain.

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Diagnostic accuracy of three screening questions (3Q/TMD) in relation to the DC/TMD in a specialized orofacial pain clinic

Cited by 32 publications

References 25 publications

Increasing gender differences in the prevalence and chronification of orofacial pain in the population

Increasing gender differences in the prevalence and chronification of orofacial pain in the population

Clinical evaluation and classification of patients with temporomandibular disorders using ‘Diagnostic Criteria for Temporomandibular Disorders’

Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic—Concomitant Research in Two Countries

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