K07.6
Conditions
Interventions
Group 1: Potential participants were approached at the CMD Center Berlin. Those interested in the study received detailed information on the data collection process, the study description, two questio
Sponsors
CMD-Zentrum Berlin
Eligibility
Sex/Gender
All
Age
10 Years to 50 Years
Inclusion criteria
Inclusion criteria: Asymptomatic Patients for temporomandibular disorders
Exclusion criteria
Exclusion criteria: -Head/face/jaw joint pain, facial tension, cracking, rubbing, mouth-opening limitation, or mouth-closing blockage for the previous three months -Systemic rheumatic, neurological, neuropathic, collagen, vascular, and autoimmune diseases -Fibromyalgia -Depression -Pregnancy -Head/neck trauma within the previous two months -Medication use within the previous six weeks -Use of analgesics, narcotics, and muscle relaxants within the previous two weeks -Conservative or orthodontic treatment in the previous three months -Radiotherapy to the head and neck -Temporomandibular joint surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Do compensated TMD findings occur in asymptomatic patients? (Assignment of parameters, prevalences) Are there differences between the four screening tests (PMSA, PSBS, CMD screening, CMD short findings) in terms of their diagnostic quality? (Assignment of parameters, sensitivity, specificity) Are there differences between the four screening tests and the reference standard DC/TMD? (Assignment of parameters, sensitivity, specificity) To address these questions, the following parameters were assigned to the five DC/TMD diagnoses: 1. Muscle pain measures using palpation (0.5kg for posterior/anterior digastric venter muscle, lateral pterygoid muscle, temporalis tendon.; 1kg for masseter muscle, temporalis muscle), isometric tests (80 sec), investigation of active/passive mouth opening, asking for pain 2. joint pain measures using palpation (0.5kg temporomandibular joint, 1kg lateral condylar pole ), passive compression (cranial, dorsal, dorsocranial, dorsolateral, and dorsolateral-cranial directions), asking for pain, investigation of active/passive mouth opening 3. cracking sounds measures using palpation of temporomandibular joints (during mouth opening/closing, protrusion, lateral movements), dynamic translation (medial, lateral direction), asking for cracking sounds 4.rubbing sound measures using palpation of temporomandibular joints (during mouth opening/closing, protrusion, lateral movements), dynamic compression, asking for rubbing sounds 5. limited mouth opening measures using assisted/unassisted mouth opening (less than 43mm, 40mm, 38mm), asking for blockages/pain | — |
Secondary
| Measure | Time frame |
|---|---|
| -Is the number of DC/TMD symptoms different for the four screening methods? (above-mentioned assignment of parameters, study prevalences per test) -Is the prevalence of DC/TMD diagnoses higher for adults than for minors? (above-mentioned assignment of parameters, age) -Can the five DC/TMD diagnoses be detected with a lower prevalence in asymptomatic individuals than in studies with symptomatic patients? (above-mentioned assignment of parameters, reference prevalences) -Can other palpation combinations not detect compensated muscle findings in anamnestically asymptomatic individuals as well as the combination of Mm. masseter/temporalis/digastricus pars anterior and posterior? (PMSA: palpation masticatory muscles) -Are isometric tests as effective as palpatory tests in detecting compensated myogenic pain in asymptomatic individuals? (PMSA: isometric test, palpation masticatory muscles) -Is passive compression in the dorsolateral direction sufficient to detect compensated capsulitis? (PMSA: Passive compression DKL; DL DK; K; D) | — |
Countries
Germany
Contacts
Public ContactMaria Ertl
CMD-Zentrum Berlin
Outcome results
None listed