Evidence map›Paper›PMID 40195591›Full record

ArticleJournal of oral rehabilitation2025

Brief Diagnostic Criteria for Temporomandibular Disorders: Sensitivity and Specificity of Clinical Diagnoses (A Multi-Center Study).

Laura Nykänen, Kirsi Sipilä, Ilana Eli, Pessia Freidman-Rubin, Lihi Keren, Antti Kämppi, Ritva Näpänkangas, Shalev Antshel Tamar, Johanna Tanner, Tuija Teerijoki-Oksa and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Review
  5. Article
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

12 authors.

Laura NykänenDepartment of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0001-5807-1555
Kirsi SipiläResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-2456-5036
Ilana EliDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.
Pessia Freidman-RubinDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.
Lihi KerenDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.
Antti KämppiDepartment of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Ritva NäpänkangasResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.
Shalev Antshel TamarDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.
Johanna TannerDepartment of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland.ORCID https://orcid.org/0000-0001-6423-6811
Tuija Teerijoki-OksaDepartment of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland.
Ephraim WinocurDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.
Alona Emodi-PerlmanDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe brief Diagnostic Criteria for Temporomandibular Disorders (bDC/TMD) was recently published to simplify the full Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) protocol.

objectiveTo measure the inter-examiner reliability, sensitivity and specificity of bDC/TMD Axis I diagnoses against DC/TMD Axis I diagnoses in primary and tertiary clinic TMD patient populations.

methodsA multi-center (Finland, Israel) retrospective study on 334 patients' records was conducted. A full DC/TMD clinical examination data was reduced to bDC/TMD items. Five Level 3 calibrated examiners independently determined a bDC/TMD diagnosis. Inter-examiner reliability, sensitivity and specificity were calculated for individual diagnoses, using DC/TMD diagnosis as the reference standard.

resultsInter-examiner reliability showed excellent to good reliability in all diagnoses except headache attributed to TMD, in which it was fair. Apart from headache attributed to TMD, the sensitivity of individual pain diagnoses was high. The sensitivity was lower in joint diagnoses. The specificity was high in all diagnoses.

conclusionThe bDC/TMD is a reliable instrument for general practitioner use.

Indexed as

Facial PainTemporomandibular Joint DisordersAdolescentAdultAgedFemaleHumansIsraelMaleMiddle AgedPain MeasurementReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityYoung AdultAxis IDC/TMDinstrument reliabilitytemporomandibular disordersTMD

Identifiers

PMID40195591
PMCPMC12392378

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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.