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Decision-making in dentistry related to temporomandibular disorders: a 5-yr follow-up study
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0003-2920-6654
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Medicine, Department of Odontology. Department of Orofacial Pain and Jawfunction, Faculty of Odontology, Malmö University, Malmö, Sweden.
Umeå University, Faculty of Medicine, Department of Odontology.
2018 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 126, no 6, p. 493-499Article in journal (Refereed) Published
Abstract [en]

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 Västerbotten, 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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 126, no 6, p. 493-499
Keywords [en]
clinical decision-making, facial pain, prospective study, temporomandibular joint disorders, therapy
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-152625DOI: 10.1111/eos.12572ISI: 000449881600007PubMedID: 30298596OAI: oai:DiVA.org:umu-152625DiVA, id: diva2:1256294
Available from: 2018-10-16 Created: 2018-10-16 Last updated: 2018-12-18Bibliographically approved

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Lövgren, AnnaKarlsson Wirebring, LinneaHäggman-Henrikson, BirgittaWänman, Anders

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Lövgren, AnnaKarlsson Wirebring, LinneaHäggman-Henrikson, BirgittaWänman, Anders
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