Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders

Detalhes bibliográficos
Autor(a) principal: Dantas, Isabelle Sousa
Data de Publicação: 2018
Outros Autores: Cordeiro, Jairo Matozinho, Câmara-Souza, Mariana Barbosa, de Resende, Camila Maria Bastos Machado, Oliveira, Angelo Giuseppe Roncalli da Costa, Barbosa, Gustavo Augusto Seabra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Dental Science
Texto Completo: https://ojs.ict.unesp.br/index.php/cob/article/view/1614
Resumo: Objective: To verify the level of agreement among different indexes used to achieve the prevalence of Temporomandibular Disorders (TMD). Material and Methods: One hundred one dental students were selected by a randomized process. TMD were evaluated by the Fonseca’s Anamnestic Index (FAI), Helkimo’s Clinical Index (HCI), and the Research Diagnostic Criteria for TMD (RDC/TMD). Data was analyzed using Chi-square and Kappa tests, considering a significance level of 5%. Results: HCI showed the highest prevalence of TMD, and the comparison between RDC/TMD, FAI, and HCI showed low agreement (k=0.17 and k=0.35 respectively). Most individuals presented mild TMD for both FAI and HCI indexes. A moderate correlation for TMD severity was obtained (kw=0.53) between FAI and HCI, and a high sensitivity and low specificity were observed for both diagnosis when compared to RDC/TMD. Conclusion: The prevalence of TMD may vary significantly depending on the index used for its diagnosis, which may lead to a large number of false positives and overtreatments. Keywords: Epidemiology; Prevalence; Temporomandibular joint; Temporomandibular joint disorders; Young adult.
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spelling Sensitivity and specificity of different indexes used to diagnose Temporomandibular DisordersObjective: To verify the level of agreement among different indexes used to achieve the prevalence of Temporomandibular Disorders (TMD). Material and Methods: One hundred one dental students were selected by a randomized process. TMD were evaluated by the Fonseca’s Anamnestic Index (FAI), Helkimo’s Clinical Index (HCI), and the Research Diagnostic Criteria for TMD (RDC/TMD). Data was analyzed using Chi-square and Kappa tests, considering a significance level of 5%. Results: HCI showed the highest prevalence of TMD, and the comparison between RDC/TMD, FAI, and HCI showed low agreement (k=0.17 and k=0.35 respectively). Most individuals presented mild TMD for both FAI and HCI indexes. A moderate correlation for TMD severity was obtained (kw=0.53) between FAI and HCI, and a high sensitivity and low specificity were observed for both diagnosis when compared to RDC/TMD. Conclusion: The prevalence of TMD may vary significantly depending on the index used for its diagnosis, which may lead to a large number of false positives and overtreatments. Keywords: Epidemiology; Prevalence; Temporomandibular joint; Temporomandibular joint disorders; Young adult.Institute of Science and Technology of São José dos Campos2018-10-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/mswordapplication/mswordimage/tiffimage/tiffimage/tiffapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/161410.14295/bds.2018.v21i4.1614Brazilian Dental Science; Vol. 21 No. 4 (2018): Oct. - Dec. / 2018 - Published October 2018; 403-410Brazilian Dental Science; v. 21 n. 4 (2018): Oct. - Dec. / 2018 - Published October 2018; 403-4102178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/1614/1283https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3403https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3404https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3405https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3406https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3407https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3408Copyright (c) 2018 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessDantas, Isabelle SousaCordeiro, Jairo MatozinhoCâmara-Souza, Mariana Barbosade Resende, Camila Maria Bastos MachadoOliveira, Angelo Giuseppe Roncalli da CostaBarbosa, Gustavo Augusto Seabra2020-01-28T12:07:09Zoai:ojs.pkp.sfu.ca:article/1614Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:17.910594Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true
dc.title.none.fl_str_mv Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
title Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
spellingShingle Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
Dantas, Isabelle Sousa
title_short Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
title_full Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
title_fullStr Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
title_full_unstemmed Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
title_sort Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders
author Dantas, Isabelle Sousa
author_facet Dantas, Isabelle Sousa
Cordeiro, Jairo Matozinho
Câmara-Souza, Mariana Barbosa
de Resende, Camila Maria Bastos Machado
Oliveira, Angelo Giuseppe Roncalli da Costa
Barbosa, Gustavo Augusto Seabra
author_role author
author2 Cordeiro, Jairo Matozinho
Câmara-Souza, Mariana Barbosa
de Resende, Camila Maria Bastos Machado
Oliveira, Angelo Giuseppe Roncalli da Costa
Barbosa, Gustavo Augusto Seabra
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Dantas, Isabelle Sousa
Cordeiro, Jairo Matozinho
Câmara-Souza, Mariana Barbosa
de Resende, Camila Maria Bastos Machado
Oliveira, Angelo Giuseppe Roncalli da Costa
Barbosa, Gustavo Augusto Seabra
description Objective: To verify the level of agreement among different indexes used to achieve the prevalence of Temporomandibular Disorders (TMD). Material and Methods: One hundred one dental students were selected by a randomized process. TMD were evaluated by the Fonseca’s Anamnestic Index (FAI), Helkimo’s Clinical Index (HCI), and the Research Diagnostic Criteria for TMD (RDC/TMD). Data was analyzed using Chi-square and Kappa tests, considering a significance level of 5%. Results: HCI showed the highest prevalence of TMD, and the comparison between RDC/TMD, FAI, and HCI showed low agreement (k=0.17 and k=0.35 respectively). Most individuals presented mild TMD for both FAI and HCI indexes. A moderate correlation for TMD severity was obtained (kw=0.53) between FAI and HCI, and a high sensitivity and low specificity were observed for both diagnosis when compared to RDC/TMD. Conclusion: The prevalence of TMD may vary significantly depending on the index used for its diagnosis, which may lead to a large number of false positives and overtreatments. Keywords: Epidemiology; Prevalence; Temporomandibular joint; Temporomandibular joint disorders; Young adult.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-24
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url https://ojs.ict.unesp.br/index.php/cob/article/view/1614
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dc.language.iso.fl_str_mv eng
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https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3405
https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3406
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https://ojs.ict.unesp.br/index.php/cob/article/view/1614/3408
dc.rights.driver.fl_str_mv Copyright (c) 2018 Brazilian Dental Science
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Brazilian Dental Science
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/msword
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dc.publisher.none.fl_str_mv Institute of Science and Technology of São José dos Campos
publisher.none.fl_str_mv Institute of Science and Technology of São José dos Campos
dc.source.none.fl_str_mv Brazilian Dental Science; Vol. 21 No. 4 (2018): Oct. - Dec. / 2018 - Published October 2018; 403-410
Brazilian Dental Science; v. 21 n. 4 (2018): Oct. - Dec. / 2018 - Published October 2018; 403-410
2178-6011
reponame:Brazilian Dental Science
instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)
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reponame_str Brazilian Dental Science
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repository.name.fl_str_mv Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)
repository.mail.fl_str_mv sergio@fosjc.unesp.br||sergio@fosjc.unesp.br
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