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The Journal of Headache and Pain

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Open Access 01-12-2015 | Research article

Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?

Authors: Larissa Soares Reis Vilanova, Renata Cunha Matheus Rodrigues Garcia, Thomas List, Per Alstergren

Published in: The Journal of Headache and Pain | Issue 1/2015

Abstract

Background

To investigate the difference in diagnostic reliability between self-instructed examiners and examiners taught in a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) course and if the reliability of self-instructed examiners improves after the course.

Methods

Six examiners were divided into three groups: (1) formal two-day training and calibration course at a DC/TMD training center (Course group), (2) self-teaching through documents and movie (Self group) with three examiners on each and the Self group later participated in the course (Self + course group). Each group examined sixteen subjects, total of 48 volunteers (36 patients with TMD and 12 asymptomatic) and the reliabilities in relation to the diagnoses derived by a Reference Standard Examiner were compared by Cohen’s Kappa coefficient.

Results

The reliability was good to excellent in all three groups of examiners for all DC/TMD diagnoses, except for Myofascial pain with referral in the Self + course group. The course seemed to improve the reliability regarding Myalgia and Arthralgia at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence.

Conclusions

This study shows that the diagnostic reliability of formal DC/TMD training and calibration and DC/TMD self-instruction are similar, except for subgroups of Myalgia. Thus, self-instruction seems to be possible to use to diagnose the most common TMDs in general dental practice. The course further improves the reliability regarding Myalgia and Arthralgia at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence.

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Title: Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?
Authors: Larissa Soares Reis Vilanova
Renata Cunha Matheus Rodrigues Garcia
Thomas List
Per Alstergren
Publication date: 01-12-2015
Publisher: Springer Milan
Published in: The Journal of Headache and Pain / Issue 1/2015
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI: https://doi.org/10.1186/s10194-015-0505-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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