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Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors
Umeå Univ, Fac Med, Dept Odontol Clin Oral Physiol, Umeå, Sweden; Dept Odontol Clin Oral Physiol, S-90186 Umeå, Sweden.
Malmö University, Faculty of Odontology (OD). Umeå Univ, Fac Med, Dept Odontol Clin Oral Physiol, Umeå, Sweden.ORCID iD: 0000-0003-1053-7170
Malmö University, Faculty of Odontology (OD). Umeå Univ, Fac Med, Dept Odontol Clin Oral Physiol, Umeå, Sweden.ORCID iD: 0000-0001-6088-3739
Umeå Univ, Fac Med, Dept Odontol Clin Oral Physiol, Umeå, Sweden.
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2023 (English)In: Journal of Evidence-Based Dental Practice, ISSN 1532-3382, E-ISSN 1532-3390, Vol. 23, no 3, article id 101888Article in journal (Refereed) Published
Abstract [en]

ObjectivesTemporomandibular disorders (TMDs) is a collective term for pain and functional disturbances related to the jaw muscles and the temporomandibular joint. In contrast to screening for orofacial pain, knowledge is limited on the association between patient-reported outcomes and screening for joint-related functional jaw disturbances. Therefore, our aim was to evaluate the association between a screening question for functional jaw disturbances, and disease-specific out-come measures for functional jaw limitations and oral behaviors.MethodsThis study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Vasterbotten, Northern Sweden in 2014. A single screening question for functional jaw disturbances "Does your jaw lock or become stuck once a week or more?" was used to categorize individuals as cases or controls. Patient-reported outcomes on functional jaw disturbances were assessed with the 20-item jaw functional limitation scale (JFLS-20) and oral behaviors with the 21-item Oral Behaviors Checklist (OBC-21).ResultsThe strongest predictive probability to have a positive screening outcome was functional jaw limitations related to mobility (AUC(boot) = 0.78, 95 CI:0.71-0.86, P < .001), followed by limitations related to communication (AUC(boot) = 0.74, 95 CI:0.63-0.80, P < .001) and mastication (AUC(boot) = 0.73, 95 CI:0.66-0.81, P < .001). The frequency of oral behaviors was not significantly associated with a positive screening outcome (AUC(boot) = 0.65, 95 CI:0.55-0.72, P = .223).ConclusionsSelf-reported functional limitations, but not oral behaviors, are strongly associated with a single screening question for frequent functional jaw disturbances. This finding provides support for incorporating a question on jaw catching/locking once a week or more in screening instruments for TMDs.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 23, no 3, article id 101888
Keywords [en]
General practice, Dental, Clinical decision-making, Screening, Temporomandibular joint disorders
National Category
Dentistry
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URN: urn:nbn:se:mau:diva-63598DOI: 10.1016/j.jebdp.2023.101888ISI: 001075753100001PubMedID: 37689443Scopus ID: 2-s2.0-85166922410OAI: oai:DiVA.org:mau-63598DiVA, id: diva2:1811121
Available from: 2023-11-10 Created: 2023-11-10 Last updated: 2024-11-11Bibliographically approved

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Ilgunas, A.Häggman-Henrikson, B.Lobbezoo, Frank

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