Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria

The objective of this study is to analyze the distribution of the most common diagnoses observed in patients with chronic temporomandibular disorders, based on the new diagnostic criteria (DC/TMD) adopted in 2014. The previous Research Diagnostic Criteria (RDC/TMD) adopted in 1992, consisted of thre...

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Autores principales: Svechtarov V., Nencheva-Svechtarova S., Uzunov Ts.
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Lenguaje:EN
Publicado: Sciendo 2015
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Acceso en línea:https://doaj.org/article/a8f90e5773c4491abff84e4776f8e26b
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spelling oai:doaj.org-article:a8f90e5773c4491abff84e4776f8e26b2021-12-02T16:42:08ZAnalysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria0324-175010.1515/amb-2015-0007https://doaj.org/article/a8f90e5773c4491abff84e4776f8e26b2015-05-01T00:00:00Zhttps://doi.org/10.1515/amb-2015-0007https://doaj.org/toc/0324-1750The objective of this study is to analyze the distribution of the most common diagnoses observed in patients with chronic temporomandibular disorders, based on the new diagnostic criteria (DC/TMD) adopted in 2014. The previous Research Diagnostic Criteria (RDC/TMD) adopted in 1992, consisted of three main groups of eight diagnostic subgroups and is currently transformed into two main groups and twelve subgroups, respectively. All subgroups correspond to the nomenclature of the ICD-10. The new clinical diagnostic indices are also modified. The analysis showed a prevalence of Pain-Related TMD compared with that of intra-articular disorders in ratio 57.89% to 42.10%. In Pain-Related TMD arthralgia was represented in 55% of cases; local myalgia - in 12%, myofascial pain - in 18%, myofascial pain with referral - in 14%, headache attributed to TMD - in 1%. In Intra-articular TMD disc displacement with reduction was found in 23% of the cases, disc displacement with reduction with intermittent locking - in 3%, disc displacement without reduction with limited opening - in 25%, disc displacement without reduction and without limited opening - in 8%. Degenerative diseases were found in 14.28%, and hypermobility and subluxations - in 26.98%. These analyzes differ and can only partly be compared with previous analyzes based on RDC system. The changes in the diagnostic criteria require new clinical studies in order to refine the picture of temporomandibular pathology in accordance with the modern views on the matter.Svechtarov V.Nencheva-Svechtarova S.Uzunov Ts.Sciendoarticlediagnostic criteriatemporomandibular disordersdc/tmdpain-relatedintra-articularMedicineRENActa Medica Bulgarica, Vol 42, Iss 1, Pp 49-55 (2015)
institution DOAJ
collection DOAJ
language EN
topic diagnostic criteria
temporomandibular disorders
dc/tmd
pain-related
intra-articular
Medicine
R
spellingShingle diagnostic criteria
temporomandibular disorders
dc/tmd
pain-related
intra-articular
Medicine
R
Svechtarov V.
Nencheva-Svechtarova S.
Uzunov Ts.
Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria
description The objective of this study is to analyze the distribution of the most common diagnoses observed in patients with chronic temporomandibular disorders, based on the new diagnostic criteria (DC/TMD) adopted in 2014. The previous Research Diagnostic Criteria (RDC/TMD) adopted in 1992, consisted of three main groups of eight diagnostic subgroups and is currently transformed into two main groups and twelve subgroups, respectively. All subgroups correspond to the nomenclature of the ICD-10. The new clinical diagnostic indices are also modified. The analysis showed a prevalence of Pain-Related TMD compared with that of intra-articular disorders in ratio 57.89% to 42.10%. In Pain-Related TMD arthralgia was represented in 55% of cases; local myalgia - in 12%, myofascial pain - in 18%, myofascial pain with referral - in 14%, headache attributed to TMD - in 1%. In Intra-articular TMD disc displacement with reduction was found in 23% of the cases, disc displacement with reduction with intermittent locking - in 3%, disc displacement without reduction with limited opening - in 25%, disc displacement without reduction and without limited opening - in 8%. Degenerative diseases were found in 14.28%, and hypermobility and subluxations - in 26.98%. These analyzes differ and can only partly be compared with previous analyzes based on RDC system. The changes in the diagnostic criteria require new clinical studies in order to refine the picture of temporomandibular pathology in accordance with the modern views on the matter.
format article
author Svechtarov V.
Nencheva-Svechtarova S.
Uzunov Ts.
author_facet Svechtarov V.
Nencheva-Svechtarova S.
Uzunov Ts.
author_sort Svechtarov V.
title Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria
title_short Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria
title_full Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria
title_fullStr Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria
title_full_unstemmed Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria
title_sort analysis of chronic temporomandibular disorders based on the latest diagnostic criteria
publisher Sciendo
publishDate 2015
url https://doaj.org/article/a8f90e5773c4491abff84e4776f8e26b
work_keys_str_mv AT svechtarovv analysisofchronictemporomandibulardisordersbasedonthelatestdiagnosticcriteria
AT nenchevasvechtarovas analysisofchronictemporomandibulardisordersbasedonthelatestdiagnosticcriteria
AT uzunovts analysisofchronictemporomandibulardisordersbasedonthelatestdiagnosticcriteria
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