Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?
Background To investigate the difference in diagnostic reliability between self-instructed examiners and examiners taught in a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) course and if the reliability of self-instructed examiners improves after the course. Methods Six examiners were...
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Published in | Journal of headache and pain Vol. 16; no. 1; p. 505 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Milan
Springer Milan
25.03.2015
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
ISSN | 1129-2369 1129-2377 1129-2377 |
DOI | 10.1186/s10194-015-0505-9 |
Cover
Summary: | Background
To investigate the difference in diagnostic reliability between self-instructed examiners and examiners taught in a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) course and if the reliability of self-instructed examiners improves after the course.
Methods
Six examiners were divided into three groups: (1) formal two-day training and calibration course at a DC/TMD training center (Course group), (2) self-teaching through documents and movie (Self group) with three examiners on each and the Self group later participated in the course (Self + course group). Each group examined sixteen subjects, total of 48 volunteers (36 patients with TMD and 12 asymptomatic) and the reliabilities in relation to the diagnoses derived by a Reference Standard Examiner were compared by Cohen’s Kappa coefficient.
Results
The reliability was good to excellent in all three groups of examiners for all DC/TMD diagnoses, except for
Myofascial pain with referral
in the Self + course group. The course seemed to improve the reliability regarding
Myalgia
and
Arthralgia
at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence.
Conclusions
This study shows that the diagnostic reliability of formal DC/TMD training and calibration and DC/TMD self-instruction are similar, except for subgroups of
Myalgia
. Thus, self-instruction seems to be possible to use to diagnose the most common TMDs in general dental practice. The course further improves the reliability regarding
Myalgia
and
Arthralgia
at the same time as the examiners experienced the course to be valuable for self-perceived ability and confidence. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
ISSN: | 1129-2369 1129-2377 1129-2377 |
DOI: | 10.1186/s10194-015-0505-9 |