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Patients' perceived treatment need owing to temporomandibular disorders and perceptions of related treatment in dentistry: a mixed method study
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0002-3334-1376
Umeå University, Faculty of Medicine, Department of Odontology.
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0002-8346-5289
Umeå University, Faculty of Medicine, Department of Odontology. (Recognito)ORCID iD: 0000-0003-2920-6654
2019 (English)In: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 46, no 9, p. 792-799Article in journal (Refereed) Published
Abstract [en]

Background: To easily identify patients who could benefit from a temporomandibular disorder (TMD) examination, three screening questions (3Q/TMD) have been introduced in large parts of Sweden. The questions are related to a TMD diagnosis. However, how the questions relate to a treatment need is unknown.

Objectives: The first aim of the study was to identify predicting factors for perceived treatment need among adult individuals who screened positive to the 3Q/TMD. The second aim was to explore individuals' thoughts and experiences related to treatment of their TMD complaint.

Methods: This mixed‐method study with a case‐control design was conducted in Västerbotten, Sweden, during 2014. Individuals who screened positive to at least one of the 3Q/TMD questions were allocated 3Q‐positives, whereas those with negative answers to all questions were allocated 3Q‐negatives. In total, 300 individuals (140 randomly selected 3Q‐positives, and 160 age‐ and gender‐matched 3Q‐negatives) were included. All individuals answered questions related to treatment need. The answers were analysed in a qualitative approach with qualitative content analysis.

Results: In total, 81% of 3Q‐positives expressed a treatment need related to their TMD symptoms. The perceived treatment need was predicted by frequent pain (Q1) and frequent functional disturbances (Q3). Among the 3Q‐positives, 54% reported mistrust in dentists' ability to treat TMD symptoms. The informants expressed a need for information about their symptoms and possible treatment options.

Conclusion: Affirmative answers to 3Q/TMD were associated with TMD treatment need. Dentists should give advice to patients with TMD symptoms and address their concerns.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019. Vol. 46, no 9, p. 792-799
Keywords [en]
attitudes, experiences, screening, temporomandibular disorders, treatment need
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-158641DOI: 10.1111/joor.12813ISI: 000480266600002PubMedID: 31046174OAI: oai:DiVA.org:umu-158641DiVA, id: diva2:1313615
Available from: 2019-05-05 Created: 2019-05-05 Last updated: 2019-09-02Bibliographically approved

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Fjellman-Wiklund, AnncristineNäsström, AnnaWänman, AndersLövgren, Anna

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Fjellman-Wiklund, AnncristineNäsström, AnnaWänman, AndersLövgren, Anna
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Department of Community Medicine and RehabilitationDepartment of Odontology
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Journal of Oral Rehabilitation
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