Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center.

IF 2.4 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Oral & Facial Pain and Headache Pub Date : 2021-02-01 DOI:10.11607/ofph.2787

Hedwig A van der Meer, Merete Bakke, Henrik W Schytz, Bjarne Kjeldgaard Madsen

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引用次数: 3

Abstract

Aims: To investigate the sensitivity and specificity of the TMD pain screener in a headache population.

Methods: A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. The pain screener was compared to the outcome of a full Diagnostic Criteria for TMD (DC/TMD) examination.

Results: A total of 62 headache patients were included (77% women). The sensitivity of the pain screener short version (three questions) was 85% (95% CI: 70% to 94%), and the specificity was 64% (95% CI: 41% to 83%). In the full version (six questions), the sensitivity was 83% (95% CI: 67% to 93%), and the specificity was 82% (95% CI: 60% to 95%).

Conclusion: The TMD pain screener seems to be a valid tool to accurately screen for the presence of TMD to provide the most optimal treatment for headache patients. These findings should however be confirmed in a larger sample with migraine, tension-type headache, and trigeminal neuralgia.

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颞下颌紊乱疼痛筛查在一个专门的头痛中心的验证。

目的:探讨TMD疼痛筛查在头痛人群中的敏感性和特异性。方法:在丹麦头痛中心(DHC)进行横断面研究。如果患者有原发性或继发性头痛、三叉神经痛或面部疼痛，则纳入研究。将疼痛筛查结果与TMD完整诊断标准(DC/TMD)检查结果进行比较。结果:共纳入62例头痛患者(77%为女性)。疼痛筛查简短版(三个问题)的敏感性为85% (95% CI: 70%至94%)，特异性为64% (95% CI: 41%至83%)。在完整版本(6个问题)中，敏感性为83% (95% CI: 67%至93%)，特异性为82% (95% CI: 60%至95%)。结论:TMD疼痛筛查仪是一种有效的工具，可以准确地筛查TMD的存在，为头痛患者提供最佳的治疗方案。然而，这些发现应该在更大的偏头痛、紧张性头痛和三叉神经痛的样本中得到证实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.