Article Menu

Export Article

More by Authors Links

Article Data

  • Views 403
  • Dowloads 73

Original Research

Open Access

Diagnostic Tool Using the Diagnostic Criteria for Temporomandibular Disorders: A Randomized Crossover-Controlled, Double-Blinded, Two-Center Study

  • Andrew Young1,*,
  • Samantha Gallia2
  • John F. Ryan3
  • Atsushi Kamimoto4
  • Olga A. Korczeniewska5
  • Mythili Kalladka6
  • Junad Khan6
  • Noboru Noma7,8

1Department of Diagnostic Sciences, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, California, USA

2Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, California, USA

3University of California San Diego, School of Medicine, La Jolla, California, USA

4Department of Comprehensive Dentistry and Clinical Education, Division of Dental Education, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan

5Center for Orofacial Pain and Temporomandibular Disorders, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Rutgers The State University of New, Jersey, Newark, New Jersey, USA

6Orofacial Pain and TMJD, Eastman Institute for Oral Health, University of Rochester Medical Center, School of Medicine and Dentistry, Rochester, New York, USA

7Department of Oral Diagnostic Sciences, Nihon University, School of Dentistry, Tokyo, Japan

8Clinical Research Division, Dental Research Institute, Nihon University, Tokyo, Japan

DOI: 10.11607/ofph.3008 Vol.35,Issue 3,September 2021 pp.241-252

Submitted: 09 May 2021 Accepted: 25 May 2021

Published: 30 September 2021

*Corresponding Author(s): Andrew Young E-mail: ayoung@pacific.edu

PDF (715.36 kB) View Full-text

Abstract

Aims: To assess the speed and accuracy of a checklist user interface for the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Methods: A diagnostic tool formatted as a checklist was developed and compared to an existing diagnostic tool, the DC/TMD diagnsostic decision trees. Both types of tools use the DC/TMD and were tested by dental students, interns, and residents in the USA and Japan for diagnosis of hypothetical patients. The comparisons were done in a randomized, crossover, controlled, double-blinded trial. Results: Overall, subjects using the experimental tool answered 25% more correct diagnoses (P < .001) and missed 27% fewer diagnoses (P < .01). They were also able to finalize their diagnoses faster than those using the control tool, in 16% less time (P < .05). The difference in accuracy was more pronounced in complex cases, while the difference in speed was more pronounced in simple cases. Conclusion: This checklist is an alternative user interface for the DC/TMD.

Keywords

DC/TMD; diagnosis; Diagnostic Criteria for Temporomandibular Disorders; temporomandibular disorders; TMD

Cite and Share

Andrew Young,Samantha Gallia,John F. Ryan,Atsushi Kamimoto,Olga A. Korczeniewska,Mythili Kalladka,Junad Khan,Noboru Noma. Diagnostic Tool Using the Diagnostic Criteria for Temporomandibular Disorders: A Randomized Crossover-Controlled, Double-Blinded, Two-Center Study. Journal of Oral & Facial Pain and Headache. 2021. 35(3);241-252.

URL:

https://www.jofph.com/articles/10.11607/ofph.3008

References

1. de Leeuw R, Klasser G (eds). Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management, ed 6. Batavia, IL: Quintessence, 2019.

2. National Institute of Dental and Craniofacial Research. Prevalence of TMJD and its Signs and Symptoms. Updated July 2018. nidcr. nih.gov/research/data-statistics/facial-pain/prevalence. Accessed 12 July 2021.

3. Maixner W, Fillingim RB, Williams DA, Smith SB, Slade GD. Overlapping chronic pain conditions: Implications for diagnosisand classification. J Pain 2016;17(suppl 9):T93–T107.

4. Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: A systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:453–462.

5. Yost O, Liverman CT, English R, Mackey S, Bond EC (eds). Temporomandibular Disorders: Priorities for Research and Care. Washington, DC: National Academies Press, 2020.

6. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301–355.

7. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2014;28:6–27.

8. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): Diagnostic Decision Trees. Pain-Related TMD and Headache. Intra-articular Joint Disorders. https://www.iadr.org/Portals/69/docs/Groups/INfORM/DC-TMD-Decision-trees_2013_06_08. pdf. Accessed 12 July 2021.

9. Raju PS. Product familiarity, brand name, and price influences on product evaluation. In: Perreault WD JR (ed). Advances inConsumer Research, volume 4. Atlanta: Association for Consumer Research, 1977:64–77.

10. Peck CC, Goulet JP, Lobbezoo F, et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil 2014;41:2–23.

Abstracted / indexed in

Science Citation Index (SCI)

Science Citation Index Expanded (SCIE)

BIOSIS Previews

Scopus

Cumulative Index to Nursing and Allied Health Literature (CINAHL)

Submission Turnaround Time

Conferences

Top