Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint

Objective: The objective of this study is to assess the validity Diagnostic Criteria for Temporomandibular joint Disorder (DC/TMD) in the diagnosis of disc displacement (DD) disorders of temporomandibular joint (TMJ). Study Design: It was a prospective study in which total of 55 patients accounting...

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Main Authors: Shikha N Goyal, Freny R Karjodkar, Kaustubh Sansare
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=4;spage=332;epage=335;aulast=Goyal
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author Shikha N Goyal
Freny R Karjodkar
Kaustubh Sansare
author_facet Shikha N Goyal
Freny R Karjodkar
Kaustubh Sansare
author_sort Shikha N Goyal
collection DOAJ
description Objective: The objective of this study is to assess the validity Diagnostic Criteria for Temporomandibular joint Disorder (DC/TMD) in the diagnosis of disc displacement (DD) disorders of temporomandibular joint (TMJ). Study Design: It was a prospective study in which total of 55 patients accounting to 110 TMJ; with clinical diagnosis of DD disorder as per DC/TMD criteria and all above age of 18 years were included. All the patients with clinical diagnosis of DD disorder were advised MRI. All the MRI scans were read by single radiologist. Clinician and Radiologist were blinded to each others findings. MRI diagnosis and clinical diagnosis were compared and results were formulated. Results: The use of the Kappa statistic test indicated a good diagnostic agreement (k = 0.68) between the clinician and the radiologist. The DC/TMD criterion was found to have good validity and reliability in the diagnosis of DD disorders with sensitivity of 91.57% and specificity of 77.78%. The positive predictive value and negative predicted value calculated were 92.68% and 78%, respectively. The positive and negative likelihood ratio found was 4.12 and 0.11, respectively. Conclusion: DC/TMD is a simple, reliable, valid, cost-effective tool in the diagnosis of DD disorders.
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spelling doaj.art-2dab15250b304b9f86494aa26b5fc9222022-12-21T23:01:01ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612020-01-0111433233510.4103/ccd.ccd_237_18Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular jointShikha N GoyalFreny R KarjodkarKaustubh SansareObjective: The objective of this study is to assess the validity Diagnostic Criteria for Temporomandibular joint Disorder (DC/TMD) in the diagnosis of disc displacement (DD) disorders of temporomandibular joint (TMJ). Study Design: It was a prospective study in which total of 55 patients accounting to 110 TMJ; with clinical diagnosis of DD disorder as per DC/TMD criteria and all above age of 18 years were included. All the patients with clinical diagnosis of DD disorder were advised MRI. All the MRI scans were read by single radiologist. Clinician and Radiologist were blinded to each others findings. MRI diagnosis and clinical diagnosis were compared and results were formulated. Results: The use of the Kappa statistic test indicated a good diagnostic agreement (k = 0.68) between the clinician and the radiologist. The DC/TMD criterion was found to have good validity and reliability in the diagnosis of DD disorders with sensitivity of 91.57% and specificity of 77.78%. The positive predictive value and negative predicted value calculated were 92.68% and 78%, respectively. The positive and negative likelihood ratio found was 4.12 and 0.11, respectively. Conclusion: DC/TMD is a simple, reliable, valid, cost-effective tool in the diagnosis of DD disorders.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=4;spage=332;epage=335;aulast=Goyaldiagnostic criteriadisc displacement disordermagnetic resonance imaging
spellingShingle Shikha N Goyal
Freny R Karjodkar
Kaustubh Sansare
Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
Contemporary Clinical Dentistry
diagnostic criteria
disc displacement disorder
magnetic resonance imaging
title Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
title_full Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
title_fullStr Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
title_full_unstemmed Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
title_short Validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
title_sort validity of diagnostic criteria for temporomandibular joint disorder in the diagnosis of disc displacement disorders of temporomandibular joint
topic diagnostic criteria
disc displacement disorder
magnetic resonance imaging
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2020;volume=11;issue=4;spage=332;epage=335;aulast=Goyal
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AT frenyrkarjodkar validityofdiagnosticcriteriafortemporomandibularjointdisorderinthediagnosisofdiscdisplacementdisordersoftemporomandibularjoint
AT kaustubhsansare validityofdiagnosticcriteriafortemporomandibularjointdisorderinthediagnosisofdiscdisplacementdisordersoftemporomandibularjoint