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Outcome of three screening questions for temporomandibular disorders (3Q/TMD) on clinical decision-making.
Umeå University, Faculty of Medicine, Department of Odontology.
Umeå University, Faculty of Medicine, Department of Odontology.
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2017 (English)In: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842Article in journal (Refereed) Epub ahead of print
Abstract [en]

Patients with temporomandibular disorders (TMD) seem to go undetected and not adequately managed within dentistry. To identify these patients, three screening questions (3Q/TMD) have been introduced within dentistry in parts of Sweden. It is not known whether 3Q/TMD affects the clinical decision-making for these patients. OBJECTIVES: To evaluate the outcome of 3Q/TMD on the clinical decision-making, and to analyse if gender, age, and the fee-system the individual was assigned to, were related to prescribed TMD treatment. METHODS: This cohort study was carried out within the Public Dental Health service in Vasterbotten, Sweden. As part of the routine dental check-up, a health declaration including 3Q/TMD was completed. The study population was randomly selected based on their 3Q/TMD answers. In total, 300 individuals with an affirmative answer to any of the 3Q/TMD, and 500 individuals with all negative answers were selected. The 3Q/TMD includes questions on weekly jaw-face-temple pain (Q1), pain on function (Q2), and catching/locking of the jaw (Q3). The 3Q/TMD was analysed in relation to prescribed treatment assessed from dental records. RESULTS: There was significantly more treatment performed or recommended for 3Q-positives (21.5%), compared to 3Q-negatives (2.2%) (P<0.001). The odds ratio for TMD-related treatment for 3Q-positives versus 3Q-negatives was 12.1 (95% CI:6.3-23.4). CONCLUSION: Although affirmative answers to the 3Q/TMD was related to TMD treatment, the majority of individuals with a screen positive still did not, according to dental records, receive assessment or treatment. Further studies are needed to better understand the clinical decision-making process for patients with TMD.

Place, publisher, year, edition, pages
2017.
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Dentistry
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URN: urn:nbn:se:umu:diva-134718DOI: 10.1111/joor.12518ISI: 28452123PubMedID: 28452123OAI: oai:DiVA.org:umu-134718DiVA: diva2:1104075
Available from: 2017-05-31 Created: 2017-05-31 Last updated: 2017-05-31

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Lövgren, AnnaHäggman-Henrikson, BirgittaWänman, Anders
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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
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  • sv-SE
  • Other locale
More languages
Output format
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