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Kutschke, A., Bechmann, B., Häggman-Henrikson, B., Wänman, A., Durham, J. & Lövgren, A. (2025). Exploring the patients' perspective on digital tools for psychosocial assessment in dentistry. Journal of Oral Rehabilitation, 52(4), 495-505
Open this publication in new window or tab >>Exploring the patients' perspective on digital tools for psychosocial assessment in dentistry
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2025 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 52, no 4, p. 495-505Article in journal (Refereed) Published
Abstract [en]

Background: Psychosocial screening is a valuable part of the assessment of patients with orofacial pain, as psychosocial factors will affect prognosis and treatment outcomes. Paper-based questionnaires are predominately used to assess the degree of psychosocial comorbidity; however, digital alternatives for screening questionnaires may be more cost-effective and resource-saving if patients are receptive to using them.

Objective: To evaluate how patients perceive digital psychosocial screening in dentistry.

Method: Using a qualitative approach, individual semi-structured interviews were conducted with a purposive sample of adult patients with orofacial pain (n = 16) recruited from specialist dental clinics in Umeå and Gävle, Sweden. The interviews were transcribed verbatim and then analysed using Qualitative Content Analysis. Before the interviews, patients first completed the paper-based questionnaires and then the digital version.

Results: The analysis of patients' experiences resulted in an overarching theme: Patients appreciate a holistic approach, thus valuing psychosocial screening, and they particularly favour screening in a digital format. From this theme, two categories emerged:

  1. Perceptions about health shape patients' expectations of dental care, and with deeper understanding of the value of psychosocial assessment, patients appreciate a holistic approach that includes psychosocial factors.
  2. Digital screening is perceived by patients as a reliable, meaningful and environmentally sustainable method.

Conclusions: In general, the patients appreciated a holistic approach in dentistry and understood the value of psychosocial screening as part of this. From the patients' perspective, digital psychosocial screening was both acceptable and beneficial. The findings support the introduction of digital psychosocial screening into daily dental practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025
Keywords
dental care, facial pain, qualitative research, questionnaires, telemedicine, temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-235081 (URN)10.1111/joor.13909 (DOI)001406816300001 ()39871666 (PubMedID)2-s2.0-105001076377 (Scopus ID)
Available from: 2025-02-06 Created: 2025-02-06 Last updated: 2025-04-28Bibliographically approved
Häggman-Henrikson, B., Lövgren, A., Wu, W.-Y. Y., Peck, C., Westergren, H. & List, T. (2025). Prevalence of temporomandibular disorder symptoms after whiplash trauma: a systematic review and meta-analysis. European Journal of Pain, 29(3), Article ID e4792.
Open this publication in new window or tab >>Prevalence of temporomandibular disorder symptoms after whiplash trauma: a systematic review and meta-analysis
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2025 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 29, no 3, article id e4792Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVES: Temporomandibular disorders (TMDs) is an umbrella term for pain and dysfunction involving jaw muscles and/or the temporomandibular joint, with whiplash trauma suggested to be one risk factor. The aim was to evaluate prevalence and relative risk of TMDs in the acute and chronic stages after whiplash trauma.

DATABASES AND DATA TREATMENT: This review was registered in Prospero (CRD42023407091) and followed the PRISMA guidelines. A literature search in PubMed, Scopus and Web of Science on 10 March 2023 and updated 29 April 2024 identified studies reporting prevalence of TMD after whiplash trauma. Risk of bias was assessed with Joanna Briggs Institute Prevalence Critical Appraisal Tool. A random effect meta-analysis was performed for prevalence of TMD pain.

RESULTS: After screening of 671 identified studies, 96 articles were assessed in full text. Fourteen studies, with 840 cases in the acute and 8293 cases in the chronic stage (i.e., > 3 months post-trauma) were included in a qualitative analysis together with 1591 controls. Nine studies, including 449 cases in the acute and 7912 individuals in the chronic stage after trauma, together with 515 controls, were included in the meta-analysis. Mean prevalence for TMD pain was 18.9% (95% CI 9.71-29.98) in the acute case group, 26.8% (95% CI 15.07-38.79) in the chronic case group, and 5.7% (95% CI 3.08-8.96) in the control group.

CONCLUSIONS: The higher prevalence of TMD pain already in the early stage after whiplash trauma, emphasises the need for early comprehensive clinical assessment as well as targeted research to understand underlying mechanisms.

SIGNIFICANCE: The prevalence of Temporomandibular disorder pain was high already in the acute stage after whiplash trauma, and there was no evidence of any decrease from the acute to the chronic stage. This finding suggests that early assessment and management rather than a 'wait-and see' approach should be recommended when patients present with orofacial pain related to whiplash trauma.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025
Keywords
facial pain, neck injury, prevalence, temporomandibular joint disorders, whiplash associated disorders
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-235180 (URN)10.1002/ejp.4792 (DOI)39921489 (PubMedID)2-s2.0-85216948281 (Scopus ID)
Available from: 2025-02-09 Created: 2025-02-09 Last updated: 2025-02-12Bibliographically approved
Manfredini, D., Häggman-Henrikson, B., Al Jagshi, A., Baad-Hansen, L., Beecroft, E., Bijelic, T., . . . Durham, J. (2025). Temporomandibular disorders: INfORM/IADR key points for good clinical practice based on standard of care. Cranio, 43(1), 1-5
Open this publication in new window or tab >>Temporomandibular disorders: INfORM/IADR key points for good clinical practice based on standard of care
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2025 (English)In: Cranio, ISSN 0886-9634, E-ISSN 2151-0903, Vol. 43, no 1, p. 1-5Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To present a list of key points for good Temporomandibular Disorders (TMDs) clinical practice on behalf of the International Network for Orofacial Pain and Related Disorders Methodology (INfORM) group of the International Association for Dental, Oral and Craniofacial Research (IADR).

METHODS: An open working group discussion was held at the IADR General Session in New Orleans (March 2024), where members of the INfORM group finalized the proposal of a list of 10 key points.

RESULTS: The key points covered knowledge on the etiology, diagnosis, and treatment. They represent a summary of the current standard of care for management of TMD patients. They are in line with the current need to assist general dental practitioners advance their understanding and prevent inappropriate treatment.

CONCLUSIONS: The key points can be viewed as a guiding template for other national and international associations to prepare guidelines and recommendations on management of TMDs adapted to the different cultural, social, educational, and healthcare requirements.

Place, publisher, year, edition, pages
Taylor & Francis, 2025
Keywords
Bruxism, TMJ, good practice, guidelines, orofacial pain, standard of care, temporomandibular disorders
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-230628 (URN)10.1080/08869634.2024.2405298 (DOI)001325616800001 ()39360749 (PubMedID)2-s2.0-85206630762 (Scopus ID)
Available from: 2024-10-08 Created: 2024-10-08 Last updated: 2025-05-28Bibliographically approved
Lövgren, A., Vallin, S., Häggman-Henrikson, B., Kapos, F. P., Peck, C. C., Visscher, C. M. & Liv, P. (2025). Women are worse off in developing and recovering from temporomandibular disorder symptoms. Scientific Reports, 15(1), Article ID 4732.
Open this publication in new window or tab >>Women are worse off in developing and recovering from temporomandibular disorder symptoms
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2025 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 15, no 1, article id 4732Article in journal (Refereed) Published
Abstract [en]

Decision-making for temporomandibular disorders (TMDs) is reported being a clinical challenge, partly due to uncertainities in assessment of long-term prognosis. Therefore, our aim was to explore variations over time in TMD symptoms and possible sex or age differences. In this cohort study, data were prospectively collected 2010-2017 from the general population in Västerbotten, Northern Sweden. Adults were eligible if they had undergone at least two routine dental check-ups that included screening for TMDs (3Q/TMD) from which states were defined as absence or presence of TMD pain and/or jaw catching/locking. The rate of transitions was estimated between TMD states within a time span of one year. A total of 94,769 individuals were included (49.9% women) with 205,684 repeated visits and 9,006 state transitions recorded over the 8-year period. Compared to men, women had higher rates of transitions from no TMDs to any TMD symptoms. Furthermore, women had a lower rate of transition from TMD pain only to no TMDs. The finding of a poorer prognosis in women, as well as previously reported potential gender differences in pain perception and reporting, reinforces that gender differences should be accounted for in the treatment planning stage for patients with onset of TMDs.

Place, publisher, year, edition, pages
Springer Nature, 2025
Keywords
Decision-making, Epidemiology, Facial pain, Temporomandibular joint dysfunction syndrome
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-235181 (URN)10.1038/s41598-025-86502-0 (DOI)001416649500031 ()39922904 (PubMedID)2-s2.0-85218359042 (Scopus ID)
Available from: 2025-02-09 Created: 2025-02-09 Last updated: 2025-04-24Bibliographically approved
De la Torre Canales, G., Câmara-Souza, M. B., Ernberg, M., Al-Moraissi, E. A., Grigoriadis, A., Poluha, R. L., . . . Christidis, N. (2024). Botulinum toxin-a for the treatment of myogenous temporomandibular disorders: an umbrella review of systematic reviews. Drugs, 84(7), 779-809
Open this publication in new window or tab >>Botulinum toxin-a for the treatment of myogenous temporomandibular disorders: an umbrella review of systematic reviews
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2024 (English)In: Drugs, ISSN 0012-6667, E-ISSN 1179-1950, Vol. 84, no 7, p. 779-809Article, review/survey (Refereed) Published
Abstract [en]

Objective: Temporomandibular disorders (TMDs) encompass several conditions that cause pain and impair function of the masticatory muscles (M-TMDs) and temporomandibular joints. There is a large interest among clinicians and researchers in the use of botulinum toxin-A (BoNT-A) as a treatment for M-TMD. However, due to the lack of consistent evidence regarding the efficacy as well as adverse events of BoNT-A, clinical decision making is challenging. Therefore, this umbrella review aimed to systematically assess systematic reviews (SRs) evaluating BoNT-A treatment effects on pain intensity, mandibular movements, and adverse events in patients with M-TMDs.

Method: An electronic search was undertaken in the databases MEDLINE, EMBASE, CINAHL, Cochrane Central Registry of Controlled Trials (CENTRAL), Web of Science, Epistemonikos, ClinicalTrials.gov, and ICTRP to identify SRs investigating BoNT-A effects on M-TMDs, published from the inception of each database until 6 December 2023. The quality of evidence was rated according to the critical appraisal checklist developed by the umbrella review methodology working group. Only high-quality SRs were included.

Results: In total, 18 SRs were included. BoNT-A was shown to be more effective than placebo to reduce pain intensity, but not compared to standard treatments. Additionally, BoNT-A was not superior to placebo or standard treatments regarding improvement of mandibular movements. BoNT-A was considered to have a higher risk for adverse events on muscle and bony tissue compared with other treatments.

Conclusion: The synthesis in this umbrella review provides the highest level of evidence present. Taken together, there are indications of effectiveness of BoNT-A for treatment of M-TMDs, supported by moderate evidence. However, considering the risk of causing serious adverse events, treatment with BoNT-A is recommended to be the last treatment alternative.

Place, publisher, year, edition, pages
Adis, 2024
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-227338 (URN)10.1007/s40265-024-02048-x (DOI)001251012800003 ()38900335 (PubMedID)2-s2.0-85196413162 (Scopus ID)
Available from: 2024-06-28 Created: 2024-06-28 Last updated: 2024-08-20Bibliographically approved
Faghihian, H., Böthun, A., Häggman-Henrikson, B., Lalouni, M., Svensson, P., Hellström, F., . . . Lövgren, A. (2024). Gender variability in palpation performance for temporomandibular disorders with three different methods: an experimental study. European Journal of Oral Sciences, 132(6), Article ID e13026.
Open this publication in new window or tab >>Gender variability in palpation performance for temporomandibular disorders with three different methods: an experimental study
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2024 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 132, no 6, article id e13026Article in journal (Refereed) Published
Abstract [en]

Gender differences in pain reporting and prevalence have been demonstrated. As gender of examiner also affects reporting of pain on palpation, the aim of this study was to evaluate the effects of examiner gender on palpation performance using three different palpation methods. Examiners of both genders were instructed on the correct technique for each palpation method by either a female or male instructor. The target was to achieve a pressure of 100 kPa, corresponding to the 1 kg of force for muscle palpation described in the diagnostic criteria for temporomandibular disorders (DC/TMD). All examiners performed traditional palpation with the index finger, palpation with a palpometer, and a novel bimanual palpation with visual feedback, in a randomized order. The examiner's gender, and its interaction with the gender of the instructor did not significantly affect magnitude, accuracy, or precision of the pressure applied. The method of palpation was the only factor that significantly impacted all metrics. The palpometer achieved the lowest palpation magnitude (mean pressure applied = 113.7  kPa, 95% CI: 109.8-117.6), the highest accuracy (absolute difference = 15.7  kPa, 95% CI: 12.3-19.1), and the highest precision (mean coefficient of variation = 6.8, 95% CI: 6.0-7.6), followed by bimanual palpation and traditional palpation. The results suggest that gender differences in pain reporting in patients are not likely to be a result of the technical aspects associated with the gender of the examiner. Instead, these differences may be attributed to other factors, such as sociocultural influences.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
diagnostic equipment, diagnostics, facial pain, gender differences, temporomandibular joint disorders
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-231934 (URN)10.1111/eos.13026 (DOI)001357087500001 ()39543835 (PubMedID)2-s2.0-85208982832 (Scopus ID)
Funder
Region Västerbotten
Available from: 2024-11-18 Created: 2024-11-18 Last updated: 2025-04-24Bibliographically approved
Vallin, S., Liv, P., Häggman-Henrikson, B., Visscher, C., Lobbezoo, F. & Lövgren, A. (2024). Temporomandibular disorder pain is associated with increased sick leave and reduced health related quality of life. European Journal of Pain, 28(10), 1827-1840
Open this publication in new window or tab >>Temporomandibular disorder pain is associated with increased sick leave and reduced health related quality of life
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2024 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 28, no 10, p. 1827-1840Article in journal (Refereed) Published
Abstract [en]

Background: Temporomandibular disorders (TMD) are the most common reason for chronic pain in the orofacial area and significantly impact the lives of those affected. The role of lifestyle factors in TMD, however, remains less explored. This cohort study aims to estimate TMD prevalence by addressing potential selection biases and to evaluate the association between TMD and lifestyle factors with a specific focus on sick leave and health related quality of life.

Methods: By linking data on TMD in the general population in Västerbotten, northern Sweden (n = 180,000) to health survey data (n = 120,000), information on sociodemographic factors and quality of life was available for 52,961 individuals (50.6% women) with a mean age of 53 years. We applied inverse probability weighting to adjust for selection bias and Poisson regression to explore associations with TMD.

Results: TMD prevalence was 9.2% during the study period, being higher in women (12.9%) than men (5.4%). Weighting for varying visiting frequencies did not affect TMD prevalence (average difference 0.4% points). Individuals with TMD, especially women, reported more sick leave and use of pain medication, with a significant association between TMD and increased sick leave (prevalence ratio 1.89, 95% CI: 1.78–2.01) among both women and men. In addition, TMD was associated with a lower health related quality of life (p < 0.001).

Conclusion: The association of TMD with sick leave highlights the condition's profound impact on the lives of affected individuals. These findings underscore the influence of TMD on work life and the burden of TMD on the societal level.

Significance Statement: The findings provide insight into how TMD affect individuals, by incorporating lifestyle factors, social determinants and the impact of sick leave at a population level. By incorporating these areas into the study of TMD, we can deepen our understanding of how TMD affects individuals' lives. This approach may also create opportunities to develop more comprehensive strategies to address TMD, focusing on broader implications beyond the clinical symptoms.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-228278 (URN)10.1002/ejp.2314 (DOI)001280684800001 ()39072933 (PubMedID)2-s2.0-85200030896 (Scopus ID)
Funder
Region Västerbotten
Available from: 2024-08-09 Created: 2024-08-09 Last updated: 2024-10-29Bibliographically approved
Wänman, M., Betnér, S., Esberg, A., Holm, C., Isehed, C., Holmlund, A., . . . Lundberg, P. (2024). The PerioGene North Study uncovers serum proteins related to periodontitis. Journal of Dental Research, 103(10), 999-1007
Open this publication in new window or tab >>The PerioGene North Study uncovers serum proteins related to periodontitis
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2024 (English)In: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 103, no 10, p. 999-1007Article in journal (Refereed) Published
Abstract [en]

The sequalae of periodontitis include irreversible degradation of tooth-supporting structures and circulatory spread of inflammatory mediators. However, the serum protein profile in periodontitis is not well described, which is partly attributable to the limited number of studies based on large and well-characterized periodontitis cohorts. This study aims to identify novel, circulating inflammation-related proteins associated with periodontitis within the PerioGene North case-control study, which includes 478 cases with severe periodontitis and 509 periodontally healthy controls. The serum concentrations of high-sensitivity C-reactive protein (hs-CRP) and a panel of 45 inflammation-related proteins were analyzed using targeted proteomics. A distinguishable serum protein profile was evident in periodontitis cases. The protein pattern could separate cases from controls with a sensitivity of 0.81 and specificity of 0.81 (area under the curve = 0.87). Adjusted levels for hs-CRP and 24 of the 45 proteins were different between cases and controls. High levels of hs-CRP and matrix metalloproteinase–12, and low levels of epidermal growth factor (EGF) and oxidized low-density lipoprotein receptor 1 (OLR-1) were detected among the cases. Furthermore, the levels of C-C motif chemokine–19, granulocyte colony-stimulating factor–3 (CSF-3), interleukin-7 (IL-7), and hs-CRP were significantly higher in cases with a high degree of gingival inflammation. The levels of CSF-3 and tumor necrosis factor ligand superfamily member–10 TNFSF-10 were higher in cases with many deep periodontal pockets. The PerioGene North study includes detailed clinical periodontal data and uncovers a distinct serum protein profile in periodontitis. The findings of lower EGF and OLR-1 among the cases are highlighted, as this has not been presented before. The role of EGF and OLR-1 in periodontitis pathogenesis and as possible future biomarkers should be further explored.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
biomarkers, bone loss, epidemiology, inflammation, periodontal disease, proteomics
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-228582 (URN)10.1177/00220345241263320 (DOI)001285920500001 ()39101637 (PubMedID)2-s2.0-85201008899 (Scopus ID)
Funder
Region Västerbotten, RV 396172146Region Västerbotten, RV 396172134Swedish Dental Association
Available from: 2024-08-19 Created: 2024-08-19 Last updated: 2024-10-29Bibliographically approved
Böthun, A., Lövgren, A., Stålnacke, B.-M., Lampa, E., Österlund, C., Häggman-Henrikson, B. & Hellström, F. (2024). Whiplash trauma did not predict jaw pain after 2 years: an explorative study. Clinical Oral Investigations, 28, Article ID 165.
Open this publication in new window or tab >>Whiplash trauma did not predict jaw pain after 2 years: an explorative study
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2024 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 28, article id 165Article in journal (Refereed) Published
Abstract [en]

Objectives: To explore predictive factors for the development and maintenance of jaw pain over a 2-year period.

Methods: One hundred nineteen cases (73 women) and 104 controls (59 women), mean age 34.9 years (SD 13.9), attended baseline and 2-year follow-up examinations. The whiplash cases visited the emergency department at Umeå University Hospital, Sweden, with neck pain within 72 h following a car accident, and baseline questionnaires were answered within a month after trauma. Controls were recruited via advertising. Inclusion criteria were age 18–70 years, living in Umeå municipality and Swedish speaking. The exclusion criterion was neck fracture for cases and a previous neck trauma for controls. Validated questionnaires recommended in the standardized Research Diagnostic Criteria for temporomandibular disorders were used. Jaw pain was assessed by two validated screening questions answered with “yes” or “no.” A logistic regression analysis was used to predict the outcome variable jaw pain (yes/no) after 2 years.

Results: Whiplash trauma did not increase the odds of development of jaw pain over a 2-year period (OR 1.97, 95% CI 0.53–7.38). However, non-specific physical symptoms (OR 8.56, 95% CI 1.08–67.67) and female gender (OR 4.89, 95% CI 1.09–22.02) did increase the odds for jaw pain after 2 years.

Conclusion: The development and maintenance of jaw pain after whiplash trauma are primarily not related to the trauma itself, but more associated with physical symptoms.

Clinical relevance: The development of jaw pain in connection with a whiplash trauma needs to be seen in a biopsychosocial perspective, and early assessment is recommended.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
Temporomandibular disorders, Whiplash injuries, Facial pain, Jaw pain, Neck pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-221419 (URN)10.1007/s00784-024-05555-z (DOI)001169289000002 ()38383824 (PubMedID)2-s2.0-85185695499 (Scopus ID)
Funder
Region Västerbotten, RV-909851Region Västerbotten, VLL-324631
Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2025-04-24Bibliographically approved
Lövgren, A., Ilgunas, A., Häggman-Henrikson, B., Elias, B., Roudini, O. A., Visscher, C., . . . Liv, P. (2023). Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors. Journal of Evidence-Based Dental Practice, 23(3), Article ID 101888.
Open this publication in new window or tab >>Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors
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2023 (English)In: Journal of Evidence-Based Dental Practice, ISSN 1532-3382, E-ISSN 1532-3390, Vol. 23, no 3, article id 101888Article in journal (Refereed) Published
Abstract [en]

Objectives: Temporomandibular disorders (TMDs) is a collective term for pain and functional disturbances related to the jaw muscles and the temporomandibular joint. In contrast to screening for orofacial pain, knowledge is limited on the association between patient-reported outcomes and screening for joint-related functional jaw disturbances. Therefore, our aim was to evaluate the association between a screening question for functional jaw disturbances, and disease-specific outcome measures for functional jaw limitations and oral behaviors.

Methods: This study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Västerbotten, Northern Sweden in 2014. A single screening question for functional jaw disturbances “Does your jaw lock or become stuck once a week or more?” was used to categorize individuals as cases or controls. Patient-reported outcomes on functional jaw disturbances were assessed with the 20-item jaw functional limitation scale (JFLS-20) and oral behaviors with the 21-item Oral Behaviors Checklist (OBC-21).

Results: The strongest predictive probability to have a positive screening outcome was functional jaw limitations related to mobility (AUCboot=0.78, 95 CI:0.71-0.86, P <.001), followed by limitations related to communication (AUCboot = 0.74, 95 CI:0.63-0.80, P <.001) and mastication (AUCboot = 0.73, 95 CI:0.66-0.81, P <.001). The frequency of oral behaviors was not significantly associated with a positive screening outcome (AUCboot = 0.65, 95 CI:0.55-0.72, P =.223).

Conclusions: Self-reported functional limitations, but not oral behaviors, are strongly associated with a single screening question for frequent functional jaw disturbances. This finding provides support for incorporating a question on jaw catching/locking once a week or more in screening instruments for TMDs.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Clinical decision-making, Dental, General practice, Screening, Temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-212835 (URN)10.1016/j.jebdp.2023.101888 (DOI)001075753100001 ()2-s2.0-85166922410 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2025-04-24Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2920-6654

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