Myofascial pain with or without mouth opening limitation was the commonest diagnosis in TMD patient population s , and disc displacement with reduction was the commonest diagnosis in community sample
Adapting the diagnostic definitions of the RDC/TMD to routine clinical practice: a feasibility study.
UNLABELLED The Research Diagnostic Criteria for Temporom and ibular Disorders ( RDC/TMD ) is a well-known diagnostic tool for clinical trials on TMD . OBJECTIVES This study aims to assess the reliability , validity and feasibility of a new method of physically diagnosing temporom and ibular disorders ( TMD ) , design ed for routine clinical use . This version , known as Clinical Examination Protocol -TMD ( CEP-TMD ) , was compared to the gold st and ard original RDC/TMD . METHODS A total of 49 subjects ( 41 referred TMD patients and 8 symptom free subjects ) were examined using both RDC/TMD and CEP-TMD versions . Three examiners , with varying levels of experience in diagnosing TMD , worked in pairs . Each member of a pair saw the same patient twice , once for the RDC/TMD and once for the CEP-TMD examination . The examination order was r and omized . Each patient 's examinations alternated between examiners to reduce the memory effect . Examinations could yield single , multiple or no diagnosis . Kappa statistics were calculated to estimate reliability . RESULTS There was substantial overall agreement between the CEP-TMD and the RDC/TMD ( kappa=0.70 ) . Intra-examination agreements were substantial in both RDC/TMD ( kappa=0.70 ) and CEP-TMD ( kappa=0.90 ) . For examination and diagnosis , the CEP-TMD was almost 3 min faster than the RDC/TMD ( p<0.05 ) . CONCLUSIONS It was concluded that the CEP-TMD 's diagnosis is comparable to the RDC/TMD thus providing a convenient and intuitive approach for dentists to physically diagnose TMD in clinical practice . The well-established RDC/TMD remains the gold st and ard for research diagnosis of TMD
Myofascial pain with or without mouth opening limitation was the commonest diagnosis in TMD patient population s , and disc displacement with reduction was the commonest diagnosis in community sample