title: Accuracy study of the main screening tools for temporomandibular disorder in children and adolescents.
abstract: The aims of the present study were to assess the degree of sensitivity and specificity of the screening questionnaire recommended by the American Academy of Orofacial Pain (AAOP) and the patient-history index proposed by Helkimo (modified by Fonseca) and correlate the findings with a clinical exam. All participants answered the questionnaires and were submitted to a clinical exam by a dentist who had undergone calibration training. Both the AAOP questionnaire and Helkimo index achieved low degrees of sensitivity for the detection of temporomandibular disorder (TMD), but exhibited a high degree of specificity. With regard to concordance, the AAOP questionnaire and Helkimo index both achieved low levels of agreement with the clinical exam. The different instruments available in the literature for the assessment of TMD and examined herein exhibit low sensitivity and high specificity when administered to children and adolescents stemming from difficulties in comprehension due to the age group studied and the language used in the self-explanatory questions.
authors.affiliation: Rehabilitation Sciences Post Graduation Program, University of Nove de Julho, São Paulo, SP, Brazil.
authors.forename: Tatiana Oliveira
authors.initials: TO
authors.lastname: de Santis
authors.affiliation: Pediatric Dentistry, University of Nove de Julho-São Paulo, SP, Brazil.
authors.forename: Lara Jansiski
authors.initials: LJ
authors.lastname: Motta
authors.affiliation: Rehabilitation Sciences Post Graduation Program, University of Nove de Julho, São Paulo, SP, Brazil.
authors.forename: Daniela Aparecida
authors.initials: DA
authors.lastname: Biasotto-Gonzalez
authors.affiliation: Rehabilitation Sciences Post Graduation Program, University of Nove de Julho, São Paulo, SP, Brazil.
authors.forename: Raquel Agnelli
authors.initials: RA
authors.lastname: Mesquita-Ferrari
authors.affiliation: Rehabilitation Sciences Post Graduation Program, University of Nove de Julho, São Paulo, SP, Brazil.
authors.forename: Kristianne Porta Santos
authors.initials: KP
authors.lastname: Fernandes
authors.affiliation: Rehabilitation Sciences Post Graduation Program, University of Nove de Julho, São Paulo, SP, Brazil.
authors.forename: Camila Haddad Leal
authors.initials: CH
authors.lastname: de Godoy
authors.affiliation: Dental Clinic Post Graduation Program, University Federal Fluminense, Niterói, RJ, Brazil.
authors.forename: Thays Almeida
authors.initials: TA
authors.lastname: Alfaya
authors.affiliation: Rehabilitation Sciences Post Graduation Program, University of Nove de Julho, São Paulo, SP, Brazil. Electronic address: sandra.skb@gmail.com.
authors.forename: Sandra Kalil
authors.initials: SK
authors.lastname: Bussadori
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D003430:Cross-Sectional Studies; D005157:Facial Pain / Q000209:etiology*; D006801:Humans; D010147:Pain Measurement / Q000379:methods*; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis*
keywords: Child; Facial pain; Temporomandibular joint disorders