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Interexaminer reliability for tomographic findings in temporomandibular joint degenerative disease and its agreement with clinical diagnosis: a blinded controlled cross sectional study.
Hilgenberg-Sydney, Priscila Brenner; Schenato, Luís Felipe; Marques, Helena Bussular; de Paiva Bertoli, Fernanda Mara; Bonotto, Daniel.
Afiliação
  • Hilgenberg-Sydney PB; Restorative Dentistry Department, Federal University of Paraná, Av. Prefeito Lothário MeissnerJardim Botânico, Curitiba (Paraná), 632 - 80210-170, Brazil. priscila.sydney@ufpr.br.
  • de Paiva Bertoli FM; , Naperville (Illinois), USA.
Oral Radiol ; 38(1): 155-161, 2022 01.
Article em En | MEDLINE | ID: mdl-34028658
OBJECTIVES: The aim of this study was to evaluate the interexaminer reliability for tomographic findings in degenerative temporomandibular joint disease and its agreement with clinical diagnosis. METHODS: Women aged 18 and 60 years were invited to participate in this research. All participants were evaluated by a single experienced examiner according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Group 1 was comprised of TMJs with Degenerative Joint Disease (DJD). Group 2 was comprised of healthy TMJs, without any signs and/or symptoms of TMD. All CBCT images were evaluated by 2 calibrated examiners for the image evaluation criteria but blinded for the clinical diagnosis. RESULTS: From the 194 women evaluated, 41 were included, with a mean age of 35.23 (± 14.06) years. Group 1 was comprised of 26 TMJs with DJD and group 2 of 36 asymptomatic TMJs. The interexaminer reliability was κ = 0.706 (p < 0.000), while agreement between clinical and tomographic findings were κ = 0.301 (p = 0.01) and κ = 0.273 (p = 0.02) for each examiner. The use of CBCT as a diagnostic test had shown sensitivity and specificity values of 61.5% and 75%, respectively. CONCLUSIONS: The interexaminer reliability for tomographic findings was strong. However, the agreement between clinical and tomographic findings was reasonable, for both examiners.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos da Articulação Temporomandibular Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Oral Radiol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Japão

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos da Articulação Temporomandibular Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Oral Radiol Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Japão