Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria

Summary

The objective of this study is to analyze the distribution of the most common diagnoses observed in patients with chronic temporomandibular disorders, based on the new diagnostic criteria (DC/TMD) adopted in 2014. The previous Research Diagnostic Criteria (RDC/TMD) adopted in 1992, consisted of three main groups of eight diagnostic subgroups and is currently transformed into two main groups and twelve subgroups, respectively. All subgroups correspond to the nomenclature of the ICD-10. The new clinical diagnostic indices are also modified. The analysis showed a prevalence of Pain-Related TMD compared with that of intra-articular disorders in ratio 57.89% to 42.10%. In Pain-Related TMD arthralgia was represented in 55% of cases; local myalgia - in 12%, myofascial pain - in 18%, myofascial pain with referral - in 14%, headache attributed to TMD - in 1%. In Intra-articular TMD disc displacement with reduction was found in 23% of the cases, disc displacement with reduction with intermittent locking - in 3%, disc displacement without reduction with limited opening - in 25%, disc displacement without reduction and without limited opening - in 8%. Degenerative diseases were found in 14.28%, and hypermobility and subluxations - in 26.98%. These analyzes differ and can only partly be compared with previous analyzes based on RDC system. The changes in the diagnostic criteria require new clinical studies in order to refine the picture of temporomandibular pathology in accordance with the modern views on the matter.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Dworkin SF, L LeResche. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique - J Craniomandib Disord Facial Oral Pain, 6, 1992, N1, 301-355.

  • 2. Dworkin SF. Research Diagnostic criteria for Temporomandibular Disorders: current status & future relevance. - J Oral Rehabil, 37, 2010, N1, 734-743.

  • 3. Manfredini, D, L Guarda-Nardini, Agreement between Research Diagnostic Criteria for Temporomandibular Disorders and Magnetic Resonance Diagnoses of Temporomandibular disc displacement in a patient population - Int J Oral Maxillofac Surg, 37, 2008, N7, 612-616

  • 4. Manfredini D, L Guarda-Nardini, E Winocur et al. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. - Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 112, 2011, N4: 453-462.

  • 5. Manfredini D, G Chiappe, M Bosco. Research diagnostic criteria for temporomandibular disorders (RDC/TMD) axis I diagnoses in an Italian patient population. - J Oral Rehabil. 33, 2006, N8, 551-558.

  • 6. Uşümez S, F Oz, E Güray. Comparison of clinical and magnetic resonance imaging diagnoses in patients with TMD history. - J Oral Rehabil., 31, 2004, N1, 52-56.

  • 7. Velly AM, M Gornitsky, P Philippe. Contributing factors to chronic myofascial pain: a case-control study. - Pain, 104, 2003, N3, 491-499.

  • 8. Rammelsberg P, L LeResche, S Dworkin, L Mancl. Longitudinal outcome of temporomandibular disorders: a 5-year epidemiologic study of muscle disorders defined by research diagnostic criteria for temporomandibular disorders. - J Orofac Pain, 17, 2003, N1, 9-20.

  • 9. American Society of Temporomandibular Joint Surgeons. Guidelines for diagnosis and management of disorders involving the temporomandibular joint and related musculoskeletal structures. - Cranio, 21, 2003, N1, 68-76.

  • 10. NIDCR. Study evaluates risk factors for chronic temporomandibular joint and muscle disorders, 2011, Available at: http://www.nidcr.nih.gov

  • 11. The American Academy of Orofacial Pain. Orofacial pain: guidelines for assessment, diagnosis and management, 5th ed. Chicago (IL): Quintessence Publishing Co, Inc.; 2013.

  • 12. Anderson G et al. Influence of headache frequency on clinical signs and symptoms of TMD in subjects with temple headache and TMD pain. - PAIN, 152, 2011, N4, 765-771

  • 13. Haketa T. Randomized Clinical Trial of Treatment for TMJ Disc Displacement. - JDR, 89, 2010, N11, 1259-1263

  • 14. Schiffman E et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. - Journal of oral & facial pain and headache, 28,2014, N1:6-27

  • 15. Peck C et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. - Journal of Oral Rehabilitation, 41, 2014; N1, 2-23

OPEN ACCESS

Journal + Issues

Search