Diagnostic accuracy of the diagnostic criteria for Temporomandibular Disorders for children aged 8-12 years

• Verfasst von: Katsikogianni, Eleni [VerfasserIn]
• Verfasst von: Schweigert-Gabler, Susette [VerfasserIn]
• Verfasst von: Krisam, Johannes [VerfasserIn]
• Verfasst von: Orhan, Gül [VerfasserIn]
• Verfasst von: Bissar, Abdul [VerfasserIn]
• Verfasst von: Lux, Christopher J. [VerfasserIn]
• Verfasst von: Schmitter, Marc [VerfasserIn]
• Verfasst von: Giannakopoulos, Nikolaos Nikitas [VerfasserIn]
• Titel: Diagnostic accuracy of the diagnostic criteria for Temporomandibular Disorders for children aged 8-12 years
• Verf.angabe: Eleni Katsikogianni, Susette Schweigert-Gabler, Johannes Krisam, Gül Orhan, Abdul Bissar, Christopher J. Lux, Marc Schmitter, Nikolaos Nikitas Giannakopoulos
• Jahr: 2021
• Umfang: 10 S.
• Fussnoten: "First published: 30 September 2020".- Artikel-Frontdoor ; Gesehen am 24.10.2024
• Titel Quelle: Enthalten in: Journal of oral rehabilitation
• Ort Quelle: Oxford [u.a.] : Wiley-Blackwell, 1974
• Jahr Quelle: 2021
• Band/Heft Quelle: 48(2021), 1, Seite 18-27
• ISSN Quelle: 1365-2842
• DOI: doi:10.1111/joor.13104
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: children
• Sach-SW: craniomandibular disorders
• Sach-SW: Diagnostic Criteria for Temporomandibular Disorders
• Sach-SW: school dentistry
• K10plus-PPN: 1906773599

Abstract

Background and Objective Objective of this study was to determine whether the diagnostic accuracy of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) is sufficient for use among schoolchildren aged 8-12 years. Methods This prospective cohort study on diagnostic accuracy with calibrated examiners was conducted among 533 children of both sexes aged 8-12 years, with and without TMD symptoms, selected randomly from the Rhein-Neckar district. Self-reporting of non-dental facial pain was used as the reference standard, against which we calculated the following for the pain-related items of the DC/TMD (index test): sensitivity, specificity, positive and negative likelihood ratios, diagnostic odds ratio, accuracy and 95% Wilson Score confidence intervals. We also calculated the area under the receiver-operating characteristic (AUROC) curve displaying sensitivity and specificity. Results Our final sample consisted of 282 children, half of whom reported having facial pain and 3.2% reported sounds from the temporomandibular joints (TMJs). Despite high specificity (90.78%; 95% confidence interval (CI): [84.86%; 94.53%]), sensitivity of the adapted DC/TMD for pain on maximum jaw opening was poor (37.59%; 95% CI: [30.02%; 45.81%]). For pain on palpation, more similar values were recorded for sensitivity (74.47%; 95% CI: [66.69%; 80.95%]) and specificity (70.21%; 95% CI: [62.21%; 77.14%]). The diagnostic odds ratio was >1 for both examinations. The AUROC for pain on opening was 68.39% (95% CI: [62.62%; 74.16%]), and for pain on palpation, it was 74.63% (95% CI: [69.45%; 79.81%]), whereas the combination of both resulted to an AUROC of 74.09% (95% CI: [68.96%; 79.21%]). It was not possible to measure the diagnostic accuracy of the DC/TMD regarding TMJ sounds or jaw-opening limitations, as they occurred too rarely in our sample. Conclusion In this study, the diagnostic accuracy of the DC/TMD for TMD-related pain in children was lower than that recorded for adults in previous studies.