Comparação de dois testes de diagnóstico para a detecção de distúrbios temporomandibulares. Uma revisão sistemática e meta-análise
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Palavras-chave

Distúrbios Craniomandibulares
Transtornos da Articulação Temporomandibular
Triagem
Dor Orofacial

Como Citar

Comparação de dois testes de diagnóstico para a detecção de distúrbios temporomandibulares. Uma revisão sistemática e meta-análise. (2025). Odontoestomatología, 27(45). https://doi.org/10.22592/ode2025n45e338

Resumo

O objetivo desta revisão foi avaliar a validade de dois instrumentos de triagem para distúrbios temporomandibulares (o IAF e o teste 3Q-TMD) que tiveram os testes RDC e DC TMD como exames de referência.
Seis bancos de dados eletrônicos foram pesquisados de 1992, a data de publicação do RDC-TMD, até 14 de abril de 2022. Dois revisores independentes selecionaram os estudos. O risco de viés e a aplicabilidade foram avaliados usando o instrumento QUADAS 2. Dos 798 artigos, 10 foram incluídos, representando um total de 4.106 indivíduos. Cinco estudos foram considerados de alto risco de viés, quatro de baixo risco e um não claro. A meta-análise mostrou uma sensibilidade de 0.92 e uma especificidade de 0.79.
Como limitação, foi detectada uma grande heterogeneidade metodológica e características da amostra; no entanto, é possível concluir que os instrumentos IAF e 3Q-TMD são válidos para a detecção de indivíduos com DTM. 

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Referências

International Classification of Orofacial Pain, 1st edition (ICOP). Cephalalgia. 2020 Feb 1;40(2):129–221.

Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Vol. 25, Clinical Oral Investigations. Springer Science and Business Media Deutschland GmbH; 2021. p. 441–53.

List T, Jensen RH. Temporomandibular disorders: Old ideas and new concepts. Vol. 37, Cephalalgia. SAGE Publications Ltd; 2017. p. 692–704.

Dahlstrm L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010;68(2):80–5.

Wänman A, Wigren L. Need and demand for dental treatment a comparison between an evaluation based on an epidemiologic study of 35-, 50-, and 65-year-Olds and performed dental treatment of matched age groups. Acta Odontol Scand. 1995;53(5):318–24.

Ameer Al-Jundi M, John MT, Setz JM, Szentpétery A, Kuss O. Meta-analysis of treatment need for temporomandibular disorders in adult nonpatients. J Orofac Pain. 2008 Mar;22(2):97–107.

Magnusson T, Egermark I, Carlsson GE. A Longitudinal Epidemiologic Study of Signs and Symptoms of Temporomandibular Disorders from 15 to 35 Years of Age. J Orofac Pain. 2000;14(4):310–9.

Lundh H, Westesson PL, Kopp S. A three-year follow-up of patients with reciprocal temporomandibular joint clicking. Oral Surgery, Oral Medicine, Oral Pathology. 1987;63(5):530–3.

Alex White B, Williams LA, Leben JR. Health Care Utilization and Cost among Health Maintenance Organization Members with Temporomandibular Disorders. J Orofac Pain. 2001;15(2):158–69.

National Institute of Dental and Craniofacial Research. Facial Pain. http://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/ FacialPain/ [Internet]. [cited 2022 May 17]. Available from: https://www.nidcr.nih.gov/research/data-statistics/facial-pain

Stowell AW, Wildenstein L, Gatchel RJ. Cost-effectiveness of treatments for temporomandibular disorders: Biopsychosocial intervention versus treatment as usual. Journal of the American Dental Association [Internet]. 2007;138(2):202–8. Available from: http://dx.doi.org/10.14219/jada.archive.2007.0137

Durham J, Steele J, Moufti MA, Wassell R, Robinson P, Exley C. Temporomandibular disorder patients’ journey through care. Community Dent Oral Epidemiol. 2011;39(6):532–41.

Macfarlane GJ. The epidemiology of chronic pain. Pain [Internet]. 2016 Jun 30 [cited 2022 May 31];157(10):2158–9. Available from: https://pubmed.ncbi.nlm.nih.gov/27643833/

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301–55.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014;28(1):6–27.

Lövgren A. Recognition of Temporomandibular Disorders. UMEA; 2017.

Yap AU, Zhang MJ, Lei J, Fu KY. Diagnostic accuracy of the short-form Fonseca Anamnestic Index in relation to the Diagnostic Criteria for Temporomandibular Disorders. Journal of Prosthetic Dentistry. 2021;

Magnusson T, Egermark I, Carlsson GE. Treatment received, treatment demand, and treatment need for temporomandibular disorders in 35-year-old subjects. Cranio [Internet]. 2002 [cited 2022 May 31];20(1):11–7. Available from: https://pubmed.ncbi.nlm.nih.gov/11831338/

Stasiak G, Maracci LM, de Oliveira Chami V, Pereira DD, Tomazoni F, Bernardon Silva T, et al. TMD diagnosis: Sensitivity and specificity of the Fonseca Anamnestic Index. Cranio [Internet]. 2020 Oct 27 [cited 2021 Jun 1];1–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/33108257

Lovgren A, Visscher CM, Haggman-Henrikson B, Lobbezoo F, Marklund S, Wanman A. Validity of three screening questions (3Q/TMD) in relation to the DC/TMD. J Oral Rehabil. 2016;43(10):729–36.

Berni KC dos S, Dibai-Filho AV, Rodrigues-Bigaton D. Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. J Bodyw Mov Ther. 2015 Jul 1;19(3):404–9.

Pastore GP, Goulart DR, Pastore PR, Prati AJ, de Moraes M. Comparison of instruments used to select and classify patients with temporomandibular disorder. Acta Odontológica Latinoamericana [Internet]. 2018 [cited 2023 Aug 10];31(1):16–22. Available from: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-48342018000100003&lng=es&nrm=iso&tlng=en

Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (prisma-p) 2015: Elaboration and explanation. Vol. 349, BMJ (Online). BMJ Publishing Group; 2015.

Salameh JP, Bossuyt PM, McGrath TA, Thombs BD, Hyde CJ, MacAskill P, et al. Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): Explanation, elaboration, and checklist. Vol. 370, The BMJ. BMJ Publishing Group; 2020.

INFORM International Network for Orofacial Pain and Related Disorders Methodology [Internet]. 2023 [cited 2023 Mar 19]. Available from: .buffalo.edu/rdc-tmdinternational/

Health Information Research Unit - HIRU ~ Search Strategies for MEDLINE in Ovid Syntax and the PubMed translation [Internet]. 2022 [cited 2022 May 17]. Available from: https://hiru.mcmaster.ca/hiru/HIRU_Hedges_MEDLINE_Strategies.aspx

Ciapponi A. QUADAS-2: instrumento para la evaluación de la calidad de estudios de precisión diagnóstica QUADAS-2: an instrument for the evaluation of the quality of diagnostic precision studies. 2015;22–30. Available from: http://www.bris.ac.uk/quadas

Lovgren A, Parvaneh H, Lobbezoo F, Haggman-Henrikson B, Wanman A, Visscher CM. Diagnostic accuracy of three screening questions (3Q/TMD) in relation to the DC/TMD in a specialized orofacial pain clinic. Acta Odontol Scand. 2018;76(6):380–6.

Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio [Internet]. 2020 Aug 25 [cited 2021 Jun 1];1–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32840464

Zhang M juan, Yap AUJ, Lei J, Fu KY. Psychometric evaluation of the Chinese version of the Fonseca anamnestic index for temporomandibular disorders. J Oral Rehabil. 2020 Mar 1;47(3):313–8.

Berni KC dos S, Dibai-Filho AV, Rodrigues-Bigaton D. Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. J Bodyw Mov Ther. 2015 Jul 1;19(3):404–9.

Yap AU, Zhang MJ, Lei J, Fu KY. Accuracy of the Fonseca Anamnestic Index for identifying pain-related and/or intra-articular Temporomandibular Disorders. Cranio - Journal of Craniomandibular Practice. 2021;

Zagalaz-Anula N, Sanchez-Torrelo C, Acebal-Blano F. The Short Form of the Fonseca Anamnestic Index for the Screening of Temporomandibular Disorders_ Validity and Reliability in a Spanish-Speaking Population _ Enhanced Reader. J Clin Med. 2021;

Pires PF, de Castro EM, Pelai EB, de Arruda ABC, Rodrigues-Bigaton D. Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women. Braz J Phys Ther [Internet]. 2018;22(4):276–82. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L624196653&from=export

Zhang M juan, Yap AUJ, Lei J, Fu KY. Psychometric evaluation of the Chinese version of the Fonseca anamnestic index for temporomandibular disorders. J Oral Rehabil. 2020 Mar 1;47(3):313–8.

Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio - Journal of Craniomandibular Practice. 2020;

Zagalaz-Anula N, María Sánchez-Torrelo C, Acebal-Blanco F, Alonso-Royo R, Javier Ibáñez-Vera A, Obrero-Gaitán E, et al. Clinical Medicine The Short Form of the Fonseca Anamnestic Index for the Screening of Temporomandibular Disorders: Validity and Reliability in a Spanish-Speaking Population. J Clin Med. 2021;10:5858.

Giraudeau A, Jeany M, Ehrmann E, Déjou J, Ouni I, Orthlieb JD. Disc displacement without reduction: a retrospective study of a clinical diagnostic sign. Cranio - Journal of Craniomandibular Practice. 2017 Mar 4;35(2):86–93.

Schiffman E, Ohrbach R. Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications. Journal of the American Dental Association. 2016 Jun 1;147(6):438–45.

Pupo YM, Pantoja LLQ, Veiga FF, Stechman-Neto J, Zwir LF, Farago PV, et al. Diagnostic validity of clinical protocols to assess temporomandibular disk displacement disorders: a meta-analysis. Vol. 122, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. Mosby Inc.; 2016. p. 572–86.

Katzberg RW, Westesson PL, Tallents RH, Drake CM, Davis R. Orthodontics and temporomandibular joint internal derangement. Vol. 109, Am J Orthod Dentofac Orthop. 1996.

Salé H, Bryndahl F, Isberg A. Temporomandibular joints in asymptomatic and symptomatic nonpatient volunteers: A prospective 15-year follow-up clinical and MR imaging study. Radiology. 2013 Apr;267(1):183–94.

Rodrigues-Bigaton D, de Castro EM, Pires PF. Factor and Rasch analysis of the Fonseca anamnestic index for the diagnosis of myogenous temporomandibular disorder. Braz J Phys Ther. 2017 Mar 1;21(2):120–6.

Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: A systematic review of axis i epidemiologic findings. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. 2011;112(4):453–62.

Talavera JO, Wacher-Rodarte NH, Rivas-Ruiz R, Nacional CM, Xxi S. Estudios de proceso (prueba diagnóstica). Vol. 49, Rev Med Inst Mex Seguro Soc. 2011.

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