TY - JOUR
T1 - Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders
AU - Peck, C. C.
AU - Goulet, J. P.
AU - Lobbezoo, F.
AU - Schiffman, E. L.
AU - Alstergren, P.
AU - Anderson, G. C.
AU - de Leeuw, R.
AU - Jensen, R.
AU - Michelotti, A.
AU - Ohrbach, R.
AU - Petersson, A.
AU - List, T.
PY - 2014/1
Y1 - 2014/1
N2 - There is a need to expand the current temporomandibular disorders' (TMDs) classification to include less common but clinically important disorders. The immediate aim was to develop a consensus-based classification system and associated diagnostic criteria that have clinical and research utility for less common TMDs. The long-term aim was to establish a foundation, vis-à-vis this classification system, that will stimulate data collection, validity testing and further criteria refinement. A working group [members of the International RDC/TMD Consortium Network of the International Association for Dental Research (IADR), members of the Orofacial Pain Special Interest Group (SIG) of the International Association for the Study of Pain (IASP), and members from other professional societies] reviewed disorders for inclusion based on clinical significance, the availability of plausible diagnostic criteria and the ability to operationalise and study the criteria. The disorders were derived from the literature when possible and based on expert opinion as necessary. The expanded TMDs taxonomy was presented for feedback at international meetings. Of 56 disorders considered, 37 were included in the expanded taxonomy and were placed into the following four categories: temporomandibular joint disorders, masticatory muscle disorders, headache disorders and disorders affecting associated structures. Those excluded were extremely uncommon, lacking operationalised diagnostic criteria, not clearly related to TMDs, or not sufficiently distinct from disorders already included within the taxonomy. The expanded TMDs taxonomy offers an integrated approach to clinical diagnosis and provides a framework for further research to operationalise and test the proposed taxonomy and diagnostic criteria.
AB - There is a need to expand the current temporomandibular disorders' (TMDs) classification to include less common but clinically important disorders. The immediate aim was to develop a consensus-based classification system and associated diagnostic criteria that have clinical and research utility for less common TMDs. The long-term aim was to establish a foundation, vis-à-vis this classification system, that will stimulate data collection, validity testing and further criteria refinement. A working group [members of the International RDC/TMD Consortium Network of the International Association for Dental Research (IADR), members of the Orofacial Pain Special Interest Group (SIG) of the International Association for the Study of Pain (IASP), and members from other professional societies] reviewed disorders for inclusion based on clinical significance, the availability of plausible diagnostic criteria and the ability to operationalise and study the criteria. The disorders were derived from the literature when possible and based on expert opinion as necessary. The expanded TMDs taxonomy was presented for feedback at international meetings. Of 56 disorders considered, 37 were included in the expanded taxonomy and were placed into the following four categories: temporomandibular joint disorders, masticatory muscle disorders, headache disorders and disorders affecting associated structures. Those excluded were extremely uncommon, lacking operationalised diagnostic criteria, not clearly related to TMDs, or not sufficiently distinct from disorders already included within the taxonomy. The expanded TMDs taxonomy offers an integrated approach to clinical diagnosis and provides a framework for further research to operationalise and test the proposed taxonomy and diagnostic criteria.
KW - Diagnosis
KW - Musculoskeletal pain
KW - Taxonomy
KW - Temporomandibular disorders
KW - Temporomandibular joint disorders
UR - http://www.scopus.com/inward/record.url?scp=84892696258&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84892696258&partnerID=8YFLogxK
U2 - 10.1111/joor.12132
DO - 10.1111/joor.12132
M3 - Article
C2 - 24443898
AN - SCOPUS:84892696258
SN - 0305-182X
VL - 41
SP - 2
EP - 23
JO - Journal of Oral Rehabilitation
JF - Journal of Oral Rehabilitation
IS - 1
ER -