ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS
Objectives: Temporomandibular 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 fo...
Published in: | Journal of Evidence-Based Dental Practice |
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Format: | Article in Journal/Newspaper |
Language: | English |
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2023
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Online Access: | https://research.vu.nl/en/publications/7155a0fa-749a-48a6-a305-663da94220fa https://doi.org/10.1016/j.jebdp.2023.101888 https://hdl.handle.net/1871.1/7155a0fa-749a-48a6-a305-663da94220fa http://www.scopus.com/inward/record.url?scp=85166922410&partnerID=8YFLogxK http://www.scopus.com/inward/citedby.url?scp=85166922410&partnerID=8YFLogxK |
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ftvuamstcris:oai:research.vu.nl:publications/7155a0fa-749a-48a6-a305-663da94220fa 2024-10-13T14:09:50+00:00 ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS LÖVGREN, A. ILGUNAS, A. HÄGGMAN-HENRIKSON, B. ELIAS, B. ROUDINi, O. AL VISSCHER, C. M. LOBBEZOO, F. WÄNMAN, A. LIV, P. 2023-09 https://research.vu.nl/en/publications/7155a0fa-749a-48a6-a305-663da94220fa https://doi.org/10.1016/j.jebdp.2023.101888 https://hdl.handle.net/1871.1/7155a0fa-749a-48a6-a305-663da94220fa http://www.scopus.com/inward/record.url?scp=85166922410&partnerID=8YFLogxK http://www.scopus.com/inward/citedby.url?scp=85166922410&partnerID=8YFLogxK eng eng info:eu-repo/semantics/closedAccess LÖVGREN , A , ILGUNAS , A , HÄGGMAN-HENRIKSON , B , ELIAS , B , ROUDINi , O AL , VISSCHER , C M , LOBBEZOO , F , WÄNMAN , A & LIV , P 2023 , ' ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS ' , Journal of Evidence-Based Dental Practice , vol. 23 , no. 3 , 101888 , pp. 1-8 . https://doi.org/10.1016/j.jebdp.2023.101888 Clinical decision-making Dental General practice Screening Temporomandibular joint disorders article 2023 ftvuamstcris https://doi.org/10.1016/j.jebdp.2023.101888 2024-10-03T00:23:18Z Objectives: Temporomandibular 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 outcome measures for functional jaw limitations and oral behaviors. Methods: This study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Västerbotten, 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). Results: The 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). Conclusions: Self-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. Article in Journal/Newspaper Northern Sweden Vrije Universiteit Amsterdam (VU): Research Portal Journal of Evidence-Based Dental Practice 23 3 101888 |
institution |
Open Polar |
collection |
Vrije Universiteit Amsterdam (VU): Research Portal |
op_collection_id |
ftvuamstcris |
language |
English |
topic |
Clinical decision-making Dental General practice Screening Temporomandibular joint disorders |
spellingShingle |
Clinical decision-making Dental General practice Screening Temporomandibular joint disorders LÖVGREN, A. ILGUNAS, A. HÄGGMAN-HENRIKSON, B. ELIAS, B. ROUDINi, O. AL VISSCHER, C. M. LOBBEZOO, F. WÄNMAN, A. LIV, P. ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS |
topic_facet |
Clinical decision-making Dental General practice Screening Temporomandibular joint disorders |
description |
Objectives: Temporomandibular 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 outcome measures for functional jaw limitations and oral behaviors. Methods: This study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Västerbotten, 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). Results: The 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). Conclusions: Self-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. |
format |
Article in Journal/Newspaper |
author |
LÖVGREN, A. ILGUNAS, A. HÄGGMAN-HENRIKSON, B. ELIAS, B. ROUDINi, O. AL VISSCHER, C. M. LOBBEZOO, F. WÄNMAN, A. LIV, P. |
author_facet |
LÖVGREN, A. ILGUNAS, A. HÄGGMAN-HENRIKSON, B. ELIAS, B. ROUDINi, O. AL VISSCHER, C. M. LOBBEZOO, F. WÄNMAN, A. LIV, P. |
author_sort |
LÖVGREN, A. |
title |
ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS |
title_short |
ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS |
title_full |
ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS |
title_fullStr |
ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS |
title_full_unstemmed |
ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS |
title_sort |
associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors |
publishDate |
2023 |
url |
https://research.vu.nl/en/publications/7155a0fa-749a-48a6-a305-663da94220fa https://doi.org/10.1016/j.jebdp.2023.101888 https://hdl.handle.net/1871.1/7155a0fa-749a-48a6-a305-663da94220fa http://www.scopus.com/inward/record.url?scp=85166922410&partnerID=8YFLogxK http://www.scopus.com/inward/citedby.url?scp=85166922410&partnerID=8YFLogxK |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
LÖVGREN , A , ILGUNAS , A , HÄGGMAN-HENRIKSON , B , ELIAS , B , ROUDINi , O AL , VISSCHER , C M , LOBBEZOO , F , WÄNMAN , A & LIV , P 2023 , ' ASSOCIATIONS BETWEEN SCREENING FOR FUNCTIONAL JAW DISTURBANCES AND PATIENT REPORTED OUTCOMES ON JAW LIMITATIONS AND ORAL BEHAVIORS ' , Journal of Evidence-Based Dental Practice , vol. 23 , no. 3 , 101888 , pp. 1-8 . https://doi.org/10.1016/j.jebdp.2023.101888 |
op_rights |
info:eu-repo/semantics/closedAccess |
op_doi |
https://doi.org/10.1016/j.jebdp.2023.101888 |
container_title |
Journal of Evidence-Based Dental Practice |
container_volume |
23 |
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3 |
container_start_page |
101888 |
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1812816891481161728 |