Decision-making in dentistry related to temporomandibular disorders : a 5-yr follow-up study.

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Decision-making in dentistry related to temporomandibular disorders : a 5-yr follow-up study.

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Publication Article, peer reviewed scientific
Title Decision-making in dentistry related to temporomandibular disorders : a 5-yr follow-up study.
Author Lövgren, Anna ; Karlsson Wirebring, Linnea ; Häggman-Henrikson, Birgitta ; Wänman, Anders
Date 2018
English abstract
Temporomandibular disorders (TMDs) are common, but many patients with such disorders go undetected and under-treated. Our aim was to evaluate the outcome of using a screening tool (5 yr after it was first implemented), on the clinical decision-making for patients with TMDs. Adults who attended for a dental check-up at the Public Dental Health Services in Vasterbotten, Sweden, answered three screening questions (3Q/TMD) on frequent jaw pain, pain on jaw function, and catching/locking of the jaw. The dental records of a random sample of 200 individuals with at least one positive response to 3Q/TMD (3Q screen-positive patients) and 200 individuals with all negative responses (3Q screen-negative patients) were reviewed for TMD-related treatment decisions. A clinical decision related to TMD was absent in 45.5% of 3Q screen-positive patients. Treatment of TMDs was associated with a positive response to the screening question on jaw pain (OR = 6.7, 95% CI: 3.2-14.0) and was more frequent among 3Q screen-positive patients (24%) than among 3Q screen-negative patients (2%; OR = 15.5, 95% CI: 5.5-43.9), just as a female examiner was associated with more frequent treatment of TMDs (OR = 3.1, 95% CI: 1.2-8.4). The results indicate under-treatment of TMD within general dental practice and that male clinicians are less likely to initiate TMD treatment.
DOI https://doi.org/10.1111/eos.12572 (link to publisher's fulltext.)
Publisher Wiley
Host/Issue European Journal of Oral Sciences;6
Volume 126
ISSN 0909-8836
Language eng (iso)
Subject clinical decision-making
facial pain
prospective study
temporomandibular joint disorders
therapy
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/26679 Permalink to this page
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