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Multidimensional evaluation of craniomandibular dysfunction. II: Pain assessment
J R de Leeuw1, W J Ros, M H Steenks
1Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, Faculty of Medicine, University of Utrecht, The Netherlands.
Journal of Oral Rehabilitation
|September 1, 1994
Summary
A new questionnaire, Screen, helps differentiate patients with craniomandibular dysfunction (CMD) based on pain characteristics. This tool aids in classifying CMD subtypes and identifying treatment needs.
Area of Science:
- Dentistry
- Pain Research
- Psychology
Background:
- Standardizing clinical history taking is crucial for accurate diagnosis.
- Craniomandibular dysfunction (CMD) diagnosis can be complex, requiring detailed patient history.
- The Screen questionnaire was developed to comprehensively assess various aspects of patient health.
Purpose of the Study:
- To evaluate the utility of the Screen questionnaire in characterizing pain in patients with CMD.
- To determine if pain characteristics can differentiate between CMD subgroups and controls.
- To assess the potential of pain descriptors in classifying CMD subtypes (myogenous vs. arthrogenous).
Main Methods:
- Development of the comprehensive Screen questionnaire covering pain, CMD symptoms, correlates, psychosocial factors, and general health.
- Focus on pain-related variables within Screen for patients with and without CMD signs/symptoms.
- Application of logistic regression analysis to pain characteristics for classification.
Main Results:
- Pain characteristics measured by Screen effectively discriminate between CMD patients and controls.
- Specific pain features differentiate subgroups of CMD patients and controls with CMD signs/symptoms.
- Four adverbs describing pain accurately classified 75% of myogenous and arthrogenous CMD patients.
Conclusions:
- The Screen questionnaire provides valuable insights into pain patterns associated with CMD.
- Pain characteristics are significant discriminators for CMD subtypes and patient groups.
- Findings support the use of Screen for classifying CMD and informing treatment needs.