Nondental orofacial pain in dental practices – diagnosis, therapy and self‐assessment of German dentists and dental students

Ziegeler, Christian; Wasiljeff, K.; May, Arne

doi:10.1002/ejp.1283

Cited by 33 publications

(44 citation statements)

References 21 publications

(25 reference statements)

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“…When comparing the consensus among OFP specialists, Swedish specialists had a higher consensus than Saudi specialists for both the "treatment and prognosis" and "etiology" domains. These differences might suggest that there is a need to improve healthcare workers' knowledge in TMD in Saudi Arabia by improving not only medical professional training but also by embracing specialized institutes with interdisciplinary management approaches [2]. In Sweden, OFP has been recognized as a specialty since 1993 by the Swedish National Board of Health and Welfare, which fosters the current suggestion.…”

Section: Discussionmentioning

confidence: 85%

“…Despite the fact that temporomandibular disorders (TMD) are a common musculoskeletal disease affecting the temporomandibular joint and associated structures in the orofacial region [1], many dentists are unable to treat patients suffering from TMD. Until recently, general dentists often misdiagnosed the orofacial pain (OFP) of the temporomandibular joint (TMJ) with OFP associated with the dentoalveolar region, which results in incorrect management [2]. Many studies found that general dentists spent additional time and effort with patients suffering from TMD [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, studies have shown that dentists' level of knowledge in the diagnosis and management of chronic, non-dental OFP was insufficient [2,7,8]. General dentists might be unaware of the continuous update of TMD taxonomies including the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) diagnostic system that was developed by the International Network for Orofacial Pain and Related Disorders Methodology (INfORM) [9].…”

Section: Introductionmentioning

confidence: 99%

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Newly graduated dentists’ knowledge of temporomandibular disorders compared to specialists in Saudi Arabia

et al. 2020

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Background General dentists are often the first healthcare professionals to see patients with orofacial pain (OFP). OFP conditions associated with the temporomandibular joint are often confused with dentoalveolar disorders, which leads to mismanagement. The objective of this study was to evaluate the level of knowledge of temporomandibular disorders (TMD) among newly graduated dentists compared to OFP specialists in Saudi Arabia. Methods This was a descriptive cross-sectional study utilizing an anonymous validated questionnaire assessing professional knowledge regarding TMDs in newly qualified dentists and OFP specialists. The questionnaire interrogated four domains including chronic pain/pain behavior, etiology, diagnosis/classification, and treatment/prognosis. OFP specialists were used as the reference group. Results A total of 393 dentists participated, a response rate of 67.6% in newly graduated dentists and 77.3% in OFP specialists. The degree of agreement between newly graduated general dentists and OFP specialists was highest for the “chronic pain and pain behavior” domain. The consensus among specialists was highest for the “treatment and prognosis” domain and the least for the “chronic pain and pain behavior” domain. Conclusion Newly graduated general dentists have limited knowledge of TMD in almost all domains compared to specialists. Given that a lack of knowledge of TMD can lead to clinical mismanagement, dental school curricula must address this important knowledge gap.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Newly graduated dentists’ knowledge of temporomandibular disorders compared to specialists in Saudi Arabia

et al. 2020

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“…Ziegeler et al found that 83% of German senior dental students reported that OFP was only included in a lecture on another topic (13). Thirty percent of senior German dental students did not feel confident at all in diagnosing OFP, while 48% were somewhat confident.…”

Section: Discussionmentioning

confidence: 99%

Barriers to improved orofacial pain practice in Saudi Arabia

hadlaq¹

2019

Preprint

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Background: Orofacial pain (OFP), an emerging field in dentistry, is associated with evaluation diagnosis, and treatment of non-odontogenic disorders affecting the mouth, jaws and face. The aim of this study was to investigate the barriers encountered by Saudi dentists engaged in OFP practice. Methods:A cross-sectional survey study was performed using a validated closed-end questionnaire that was distributed to the general dental practitioners (GDPs) and dental specialists in four major provinces in Saudi Arabia: Riyadh, Makkah, Asir, and Eastern Province. Inclusion criteria were registration with the Saudi Commission for Health Specialties and a minimum of 2 years' experience.The collected data were analysed using descriptive parameters.Results: Three-hundred-and-forty questionnaires were completed by 168 males and 172 females.Around two-third of the participants were GDPs (60.9%), and the remainder were dental specialists.There was an obvious consensus by the participants that "Low payment/reimbursement" and "Lack of OFP knowledge" were among the most common barriers (85% and 83.5%, respectively; both P-value < 0.01). In contrast, "Legal risks" was the least frequently reported factor (38.8%; P-value < 0.01).The most commonly reported barrier by GPDs was "Shortage of patients/lack of demand;" this was significantly different from the experience of dental specialists (87% vs. 72.2%; P-value < 0.01). In terms of the country of graduation or years of experience, there were no significant differences Conclusion: The current study demonstrates the existence of many significant barriers other than OFP knowledge, such as reimbursement, facility, and demand that could present obstacles and challenges to the management of OFP by dentists. Most participants believed that dentists should manage this condition and that OFP courses should be included in dental schools' curricula

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“…The diagnosis and treatment of dental pain is one of the everyday and nevertheless most important tasks of both dentists and dental students [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an interactive e-learning module “Toothache Clinic” for delivering information on dental pain: a prospective cohort study

Giraki¹,

Kann²,

Parvini³

et al. 2018

Open J Pain Med

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Nondental orofacial pain in dental practices – diagnosis, therapy and self‐assessment of German dentists and dental students

Abstract: Interdisciplinary pain treatment seems to be well acknowledged, however, with a focus on referral within the community of dental specialists. Dental curricula and post-graduate trainings need to implement the diagnosis and treatment options of non-dental orofacial pain.

Cited by 33 publications

References 21 publications

Newly graduated dentists’ knowledge of temporomandibular disorders compared to specialists in Saudi Arabia

Newly graduated dentists’ knowledge of temporomandibular disorders compared to specialists in Saudi Arabia

Barriers to improved orofacial pain practice in Saudi Arabia

Evaluation of an interactive e-learning module “Toothache Clinic” for delivering information on dental pain: a prospective cohort study

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