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Remote physical examination for temporomandibular disorders
Fernando G Exposto1,2, Eduardo E Castrillon1,2, Cristina R Exposto1,2
1Section for Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Pain
|August 26, 2021
Summary
Telemedicine for temporomandibular disorders (TMD) is feasible. Remote assessments showed high accuracy for pain-related TMD diagnoses like myalgia and arthralgia, supporting its use in patient care.
Area of Science:
- Dentistry and Oral Health
- Telemedicine and Digital Health
Background:
- The COVID-19 pandemic necessitates advanced telemedicine solutions for patient care.
- Temporomandibular disorders (TMD) require effective remote assessment strategies.
Purpose of the Study:
- To develop and validate a remote protocol for assessing patients with TMD.
- To compare the diagnostic agreement of remote assessments with established guidelines (DC/TMD).
Main Methods:
- A remote assessment protocol was compared against a reference standard examination (RSE).
- Three examination methods were used: standard physical, physically distanced, and video communication.
- Diagnostic agreement was quantified using the Fleiss kappa coefficient.
Main Results:
- Substantial to almost perfect agreement was found for myalgia (0.86-1.00) and arthralgia (0.74-0.87) diagnoses.
- Poor agreement was observed for the diagnosis of disk displacement with reduction (0.30-0.58).
- Remote assessment demonstrated high accuracy for pain-related TMD diagnoses.
Conclusions:
- Remote assessment of patients with pain-related TMD is feasible and accurate.
- Telemedicine protocols can effectively support the diagnosis of common TMD symptoms.
- Further refinement may be needed for diagnosing intra-articular TMD conditions remotely.
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