Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
Oral medicineResearch diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings
Section snippets
Search strategy
On March 7, 2010, a systematic search in the National Library of Medicine's Pubmed Database was performed to identify all peer-reviewed papers in the English-language literature using the RDC/TMD to assess the prevalence of axis I diagnoses.
The search strategy consisted of 4 steps: 1) a word terms search within Pubmed; 2) a search within Pubmed to articles related to the selected ones; 3) a search within the reference lists of the selected articles; and 4) a manual search within some selected
Results
Fifteen of the included papers were based on patient populations,7, 8, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55 and 6 dealt with data gathered from community samples.33, 56, 57, 58, 59, 60 The studies on patients referred to populations of Italians,8, 49, 51, 53 Israeli,43, 44, 50 Chinese,46, 52, 54 USA Americans,37, 55 Germans,47, 48 Swedes,37 and Brazilians,45 and the studies on general populations were performed on Swedes,56, 58 Germans,57, 60 Finns,33 and USA Americans.37
The 15
Discussion
Since the time of their introduction, the RDC/TMD have been used to classify TMD patients according to their physical diagnosis (axis I) and pain-related disability and psychologic status (axis II).9 The RDC/TMD provide researchers and clinicians with a standardized system that can be used for examining, diagnosing, and classifying the most common subtypes of TMD. One of the primary aims of this classification system was to implement diagnostic standardization and to enable cross-population
Conclusions
In the present systematic review, a large variability of findings was noticed, particularly regarding the joint disorders (group II and III diagnoses). If RDC/TMD version 1.0 was used, muscle disorders were diagnosed in about one-half of the TMD patients, being the commonest diagnosis. Disc displacements and inflammatory-degenerative disorders were diagnosed in 41.1% and 30.1% of patients, respectively. In community populations, disc displacement with reduction was the commonest diagnosis,
References (75)
Management of temporomandibular disorders: concepts and controversies
J Prosthet Dent
(1997)Etiology of the pain-dysfunction syndrome
J Am Dent Assoc
(1969)- et al.
Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls
J Am Dent Assoc
(1990) - et al.
Age peaks of different RDC/TMD diagnoses in a patient population
J Dent
(2010) - et al.
Prevalence of temporomandibular disorders in patients with gastroesophageal reflux disease: a case controlled study
J Oral Maxillofac Surg
(2010) - et al.
Impact of tobacco use on the symptoms of painful temporomandibular joint disorders
Pain
(2009) - et al.
Adapting the diagnostic definitions of the RDC/TMD to routine clinical practice: a feasibility study
J Dent
(2009) - et al.
Reliability of clinical temporomandibular disorder diagnoses
Pain
(2005) - et al.
Clinical implications of sex in acute temporomandibular disorders
J Am Dent Assoc
(2001) - et al.
A model for predicting chronic TMD: practical application in clinical settings
J Am Dent Assoc
(1999)