Evidence map›Paper›PMID 33817818›Full record

ArticleJournal of oral rehabilitation2021

Diagnostic criteria for temporomandibular disorders (DC/TMD) for children and adolescents: An international Delphi study-Part 1-Development of Axis I.

Roberto Rongo, EwaCarin Ekberg, Ing-Marie Nilsson, Amal Al-Khotani, Per Alstergren, Paulo Cesar Rodrigues Conti, Justin Durham, Jean-Paul Goulet, Christian Hirsch, Stanimira I Kalaykova and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of oral rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
16.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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  7. Anxiety, symptoms of temporomandibular disorders (TMD), and awake bruxism in children: an observational study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 16 institutions in 13 countries.

Roberto RongoDepartment of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0000-0002-9741-794X
EwaCarin EkbergDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Ing-Marie NilssonDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-0550-8925
Amal Al-KhotaniScandinavian Center for Orofacial Neurosciences, Sweden.ORCID https://orcid.org/0000-0001-7168-9835
Per AlstergrenDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Paulo Cesar Rodrigues ContiDepartment of Prosthodontics and Periodontology, Bauru School of Dentistry - University of São Paulo, Bauru, Brazil.ORCID https://orcid.org/0000-0003-0413-4658
Justin DurhamSchool of Dental Sciences, Newcastle University, Newcastle Upon Tyne, UK.
Jean-Paul GouletFaculty of Dental Medicine, Laval University, Quebec, QC, Canada.
Christian HirschClinic of Pediatric Dentistry, University of Leipzig, Leipzig, Germany.
Stanimira I KalaykovaDepartment of Oral Function and Prosthetic Dentistry, College of Dental Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Flavia P KaposDepartment of Epidemiology, University of Washington, Seattle, WA, USA.ORCID https://orcid.org/0000-0002-6224-273X
Osamu KomiyamaDivision of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Japan.
Michail KoutrisDepartment of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Thomas ListDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Frank LobbezooDepartment of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-9877-7640
Richard OhrbachDepartment of Oral Diagnostic Sciences, University at Buffalo, Buffalo, NY, USA.ORCID https://orcid.org/0000-0002-9266-9734
Christopher C PeckFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Claudia RestrepoCES-LPH Research Group, Universidad CES, Medellin, Colombia.ORCID https://orcid.org/0000-0002-0695-7562
Maria Joao RodriguesInstitute for Occlusion and Orofacial Pain Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Sonia SharmaDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-1887-7420
Peter SvenssonDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Corine M VisscherDepartment of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-4448-6781
Kerstin WahlundDepartment of Stomatognathic Physiology, Kalmar County Hospital, Kalmar, Sweden.ORCID https://orcid.org/0000-0003-2236-8546
Ambra MichelottiDepartment of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics, University of Naples Federico II, Naples, Italy.
Malmö University · SEAcademic Center for Dentistry Amsterdam · NLFederico II University Hospital · ITAl Amal Hospital Jeddah · SAClínica CES · COLandstinget i Kalmar län · SENewcastle upon Tyne Hospitals NHS Foundation Trust · GBNihon University · JPRadboud University Nijmegen · NLThe University of Sydney · AUUniversidade de São Paulo · BRUniversité Laval · CAUniversity at Buffalo, State University of New York · USUniversity Hospital Leipzig · DEUniversity of Coimbra · PTUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince in children and adolescence prevalence is assessed mainly on self-reported or proxy-reported signs and symptoms; there is a need to develop a more comprehensive standardised process for the collection of clinical information and the diagnosis of TMD in these populations.

objectiveTo develop new instruments and to adapt the diagnostic criteria for temporomandibular disorders (DC/TMD) for the evaluation of TMD in children and adolescents.

methodA modified Delphi method was used to seek international consensus among TMD experts. Fourteen clinicians and researchers in the field of oro-facial pain and TMD worldwide were invited to participate in a workshop initiated by the International Network for Orofacial Pain and Related Disorders Methodology (INfORM scientific network) at the General Session of the International Association for Dental Research (IADR, London 2018), as the first step in the Delphi process. Participants discussed the protocols required to make physical diagnoses included in the Axis I of the DC/TMD. Thereafter, nine experts in the field were added, and the first Delphi round was created. This survey included 60 statements for Axis I, and the experts were asked to respond to each statement on a five-item Likert scale ranging from 'Strongly disagree' to 'Strongly agree'. Consensus level was set at 80% agreement for the first round, and at 70% for the next.

resultsAfter three rounds of the Delphi process, a consensus among TMD experts was achieved and two adapted DC/TMD protocols for Axis I physical diagnoses for children and adolescents were developed.

conclusionThrough international consensus among TMD experts, this study adapted the Axis I of the DC/TMD for use in evaluating TMD in children and adolescents.

Indexed as

Temporomandibular Joint DisordersAdolescentChildConsensusDelphi TechniqueFacial PainHumansLondonadolescentschildrenDelphi studydiagnostic criteriatemporomandibular disorders

Identifiers

PMID33817818
PMCPMC8252391
OpenAlexW3143214546

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.