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Diagnostic criteria for intraarticular T.M. disorders
E Schiffman1, G Anderson, J Fricton
1TMJ and Craniofacial Pain Clinic, University of Minnesota School of Dentistry, Minneapolis.
Community Dentistry and Oral Epidemiology
|October 1, 1989
Summary
This study developed specific diagnostic criteria for temporomandibular joint (TMJ) internal derangement (ID) and osteoarthritis. These criteria demonstrate acceptable accuracy for epidemiological studies of TMJ disorders.
Area of Science:
- Dental Science
- Medical Imaging
- Epidemiology
Background:
- Prevalence studies of temporomandibular joint (TMJ) internal derangement (ID) and osteoarthritis often lack standardized diagnostic criteria.
- Existing methods rely on symptoms and signs without precise diagnostic parameters.
Purpose of the Study:
- To develop and validate specific diagnostic criteria for TMJ internal derangement (ID).
- To assess the accuracy of these criteria against arthrotomography.
- To evaluate the criteria's utility in diagnosing osteoarthritis.
Main Methods:
- Developed diagnostic criteria incorporating historical, clinical, and tomographic data.
- Compared developed criteria against arthrotomography for diagnostic accuracy assessment.
- Evaluated sensitivity and specificity of the new criteria.
Main Results:
- The developed criteria showed 75% overall agreement with arthrotomography.
- Predictability for specific stages of TMJ ID varied.
- Sensitivity and specificity were found to be acceptable.
- Tomography alone was predictive for osteoarthritis diagnosis.
Conclusions:
- The newly developed diagnostic criteria are valid for epidemiological studies of TMJ ID due to their high predictiveness in large populations.
- These criteria improve diagnostic specificity for TMJ disorders.
- Further research may refine criteria for specific TMJ ID stages.