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Diagnostic criteria for temporomandibular disorders in children and adolescents: An international Delphi study-Part 2-Development of Axis II.
Rongo, Roberto; Ekberg, EwaCarin; Nilsson, Ing-Marie; Al-Khotani, Amal; Alstergren, Per; Rodrigues Conti, Paulo Cesar; Durham, Justin; Goulet, Jean-Paul; Hirsch, Christian; Kalaykova, Stanimira I; Kapos, Flavia P; King, Christopher D; Komiyama, Osamu; Koutris, Michail; List, Thomas; Lobbezoo, Frank; Ohrbach, Richard; Palermo, Tonya M; Peck, Christopher C; Penlington, Chris; Restrepo, Claudia; Rodrigues, Maria Joao; Sharma, Sonia; Svensson, Peter; Visscher, Corine M; Wahlund, Kerstin; Michelotti, Ambrosina.
Affiliation
  • Rongo R; Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics, University of Naples Federico II, Naples, Italy.
  • Ekberg E; Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Nilsson IM; Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Al-Khotani A; Center for Oral Rehabilitation, FTV Östergötland, Norrköping, Sweden.
  • Alstergren P; Scandinavian Center for Orofacial Neurosciences, Jeddah, Sweden.
  • Rodrigues Conti PC; East Jeddah Hospital, Ministry of Health, Jeddah, Saudi Arabia.
  • Durham J; Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Goulet JP; Scandinavian Center for Orofacial Neurosciences, Jeddah, Sweden.
  • Hirsch C; Department of Dental Medicine, Karolinska Institute, Huddinge, Sweden.
  • Kalaykova SI; Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
  • Kapos FP; Bauru Orofacial Pain Group, University of São Paulo, Bauru, Brazil.
  • King CD; School of Dental Sciences, Newcastle University, Newcastle-Upon-Tyne, UK.
  • Komiyama O; Faculty of Dental Medicine, Laval University, Quebec City, Quebec, Canada.
  • Koutris M; Clinic of Pediatric Dentistry, University of Leipzig, Leipzig, Germany.
  • List T; Department of Oral Function and Prosthetic Dentistry, College of Dental Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
  • Lobbezoo F; Department of Epidemiology, University of Washington, Seattle, Washington, USA.
  • Ohrbach R; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Palermo TM; Center for Understanding Pediatric Pain (CUPP), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Peck CC; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
  • Penlington C; Division of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Japan.
  • Restrepo C; Department of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Rodrigues MJ; Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Sharma S; Scandinavian Center for Orofacial Neurosciences, Jeddah, Sweden.
  • Svensson P; Department of Orofacial pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Visscher CM; Department of Oral Diagnostic Sciences, University at Buffalo, Buffalo, New York, USA.
  • Wahlund K; Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
  • Michelotti A; Seattle Children's Research Institute, Seattle, Washington, USA.
J Oral Rehabil ; 49(5): 541-552, 2022 May.
Article in En | MEDLINE | ID: mdl-34951729
ABSTRACT

BACKGROUND:

Unlike the psychosocial assessment established for adults in the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), a standardised psychosocial assessment for children and adolescents with TMD complaints has not yet been established.

OBJECTIVES:

To develop a new standardised instrument set to assess the psychosocial functioning in children and adolescents by adapting the psychosocial status and pain-related disability (Axis II) of the adult DC/TMD and by including new instruments.

METHODS:

A modified Delphi method was used to survey 23 international TMD experts and four international experts in pain-related psychological factors for consensus regarding assessment tools for psychosocial functioning and pain-related disability in children and adolescents. The TMD experts reviewed 29 Axis II statements at round 1, 13 at round 2 and 2 at round 3. Agreement was set at 80% for first-round consensus level and 70% for each of the second and third rounds. The psychological experts completed a complementary Delphi survey to reach a consensus on tools to use to assess more complex psychological domains in children and adolescents. For the psychological experts, the first round included 10 open-ended questions on preferred screening tools for depression, anxiety, catastrophising, sleep problems and stress in children (ages 6-9 years old) and adolescents (ages 10-19 years old) as well as on other domains suggested for investigation. In the second round, the psychological experts received a 9-item questionnaire to prioritise the suggested instruments from most to least recommended.

RESULTS:

The TMD experts, after three Delphi rounds, reached consensus on the changes of DC/TMD to create a form to evaluate Axis II in children and adolescents with TMD complaints. The psychological experts added tools to assess depression and anxiety, sleep disorders, catastrophising, stress and resilience.

CONCLUSION:

Through international expert consensus, this study adapted Axis II of the adult DC/TMD to assess psychosocial functioning and pain-related disability in children and adolescents. The adapted Axis II protocols will be validated in the target populations.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Sleep Wake Disorders / Temporomandibular Joint Disorders Type of study: Diagnostic_studies / Guideline Limits: Adolescent / Adult / Child / Humans Language: En Journal: J Oral Rehabil Year: 2022 Document type: Article Affiliation country:
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Sleep Wake Disorders / Temporomandibular Joint Disorders Type of study: Diagnostic_studies / Guideline Limits: Adolescent / Adult / Child / Humans Language: En Journal: J Oral Rehabil Year: 2022 Document type: Article Affiliation country: