First Evidence-Based Diagnostic Criteria for Temporomandibular Disorders — Physician’s First Watch
First Evidence-Based Diagnostic Criteria for Temporomandibular Disorders
By the Editors
The first evidence-based criteria for diagnosing temporomandibular disorders (TMDs) have been published in the Journal of Oral and Facial Pain and Headache.
"We've had diagnostic criteria for years," said one of the lead authors in a National Institutes of Health press release. "What is unique here is instead of a panel of experts empirically deciding best practices, we relied on science as a methodology to test our best assumptions and see if we were actually correct."
The new criteria include two protocols, or "axes." Axis I focuses on diagnosis, with an easy-to-administer patient questionnaire to identify pain-related TMD, followed by new criteria to help clinicians differentiate between the different types of TMD. Axis II focuses on the patient's pain, distress, and related disability.