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Benefits of implementing pain-related disability and psychological assessment in dental practice for patients with temporomandibular pain and other oral health conditions
Vrije Univ Amsterdam, Gustav Mahlerlaan 3004, NL-1081 LA Amsterdam, Netherlands; Univ Amsterdam, Acad Ctr Dent, Dept Oral Kinesiol, Orofacial Phys Therapy, Gustav Mahlerlaan 3004, NL-1081 LA Amsterdam, Netherlands.
Aarhus Univ, Dept Dent & Oral Hlth, Aarhus, Denmark; Aarhus Univ, Sect Orofacial Pain & Jaw Funct, Aarhus, Denmark; SCON, Huddinge, Sweden.
Newcastle Univ, Inst Hlth & Soc, Ctr Oral Hlth Res, Orofacial Pain, Newcastle Upon Tyne, Tyne & Wear, England; Newcastle Upon Tyne Hosp NHS Fdn Trust, Newcastle Upon Tyne, Tyne & Wear, England.
Univ Laval, Sect Somatol, Fac Med Dent, Quebec City, PQ, Canada.
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2018 (English)In: The Journal of the American Dental Association (1939), ISSN 0002-8177, E-ISSN 1943-4723, Vol. 149, no 6, p. 422-431Article in journal (Refereed)
Abstract [en]

Background. Evidence in the field of dentistry has demonstrated the importance of pain-related disability and psychological assessment in the development of chronic symptoms. The Diagnostic Criteria for Temporomandibular Disorders offer a brief assessment for the diagnostic process in patients with orofacial pain (Axis II). The authors describe relevant outcomes that may guide general oral health care practitioners toward tailored treatment decisions and improved treatment outcomes and provide recommendations for the primary care setting. Methods. The authors conducted a review of the literature to provide an overview of knowledge about Axis II assessment relevant for the general oral health care practitioner. Results. The authors propose 3 domains of the Axis II assessment to be used in general oral health care: pain location (pain drawing), pain intensity and related disability (Graded Chronic Pain Scale [GCPS]), and psychological distress (Patient Health Questionnaire-4 [PHQ-4]). In the case of localized pain, low GCPS scores (0-II), and low PHQ-4 scores (0-5), patients preferably receive treatment in primary care. In the case of widespread pain, high GCPS scores (III-IV), and high PHQ-4 scores (6-12), the authors recommend referral to a multidisciplinary team, especially for patients with temporomandibular disorder (TMD) pain. Conclusions. The authors recommend psychological assessment at first intake of a new adult patient or for patients with persistent TMD pain. The authors recommend the pain-related disability screening tools for all TMD pain symptoms and for dental pain symptoms that persist beyond the normal healing period. Practical Implications. A brief psychological and pain-related disability assessment for patients in primary care may help the general oral health care practitioner make tailored treatment decisions.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 149, no 6, p. 422-431
Keywords [en]
Orofacial pain, primary health care, general practice
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-15806DOI: 10.1016/j.adaj.2017.12.031ISI: 000441838200017PubMedID: 29653670Local ID: 26586OAI: oai:DiVA.org:mau-15806DiVA, id: diva2:1419328
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-06-17Bibliographically approved

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Häggman-Henrikson, BirgittaEkberg, Ewa Carin

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