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. 2010 Oct;37(10):744-59.
doi: 10.1111/j.1365-2842.2010.02121.x. Epub 2010 Jul 20.

Reliability and validity of Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) with proposed revisions

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Reliability and validity of Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) with proposed revisions

J O Look et al. J Oral Rehabil. 2010 Oct.

Abstract

The research diagnostic criteria for temporomandibular disorders (RDC/TMD) have been employed internationally since 1992 for the study of temporomandibular muscle and joint disorders (TMD). This diagnostic protocol incorporates a dual system for assessment of TMD for Axis I physical diagnoses as well as Axis II psychological status and pain-related disability. Because the reliability and criterion validity of RDC/TMD had not yet been comprehensively characterised, the National Institute of Dental and Craniofacial Research funded in 2001 the most definitive research to date on the RDC/TMD as a U01 project entitled, 'Research Diagnostic Criteria: Reliability and Validity'. The results of this multi-site collaboration involving the University of Minnesota, the University of Washington, and the University at Buffalo were first reported at a pre-session workshop of the Toronto general session of the International Association of Dental Research on 2 July 2008. Summaries of five reports from this meeting are presented in this paper including: (i) reliability of RDC/TMD Axis I diagnoses based on clinical signs and symptoms; (ii) reliability of radiographic interpretations used for RDC/TMD Axis I diagnoses; (iii) reliability of self-report data used for RDC/TMD Axis I diagnoses; (iv) validity of RDC/TMD Axis I diagnoses based on clinical signs and symptoms; and (v) proposed revisions of the RDC/TMD Axis I diagnostic algorithms.

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Figures

Figure 1
Figure 1
Revised Group I Muscle Disorders diagnostic algorithm. Reprinted by permission from the Journal of Orofacial Pain 2010, 24(1): p. 69.
Figure 2
Figure 2
Revised Group II Disc Displacements diagnostic algorithm. Reprinted by permission from the Journal of Orofacial Pain 2010, 24(1): p. 70.
Figure 3
Figure 3
Revised Group III Arthralgia, Arthritis, and Arthrosis diagnostic algorithm. Reprinted by permission from the Journal of Orofacial Pain 2010, 24(1): p. 71. One change has been made to the original Figure 3 published in Journal of Orofacial Pain. For clarity and consistency with the manuscript text, the conjunction “or” follows the diagnostic test, Palpation of the lateral pole with 1 pound pressure.

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