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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

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Abstract

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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Acknowledgements

The study was performed at Federal University of Paraná, School of Dentistry, Restorative Dentistry Department, to which the work should be credited.

Funding

This research was supported by authors, with no grants or funding organizations.

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Authors and Affiliations

  1. Restorative Dentistry Department, Federal University of Paraná, Av. Prefeito Lothário MeissnerJardim Botânico, Curitiba (Paraná), 632 - 80210-170, Brazil

    Priscila Brenner Hilgenberg-Sydney

  2. Naperville (Illinois), USA

    Fernanda Mara de Paiva Bertoli

Authors
  1. Priscila Brenner Hilgenberg-Sydney
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  2. Luís Felipe Schenato
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  3. Helena Bussular Marques
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  4. Fernanda Mara de Paiva Bertoli
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  5. Daniel Bonotto
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Corresponding author

Correspondence to Priscila Brenner Hilgenberg-Sydney.

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Conflict of interest statement

The authors report no conflict of interest.

Ethics approval

This study was submitted to and approved by the local Committee on Ethics in Research (Cometica UFPR) under protocol of approval #3007331. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

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Informed consent was obtained from all patients for being included in the study.

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Hilgenberg-Sydney, P.B., Schenato, L.F., Marques, H.B. et al. Interexaminer reliability for tomographic findings in temporomandibular joint degenerative disease and its agreement with clinical diagnosis: a blinded controlled cross sectional study. Oral Radiol 38, 155–161 (2022). https://doi.org/10.1007/s11282-021-00539-1

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  • DOI: https://doi.org/10.1007/s11282-021-00539-1

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