{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:04:38Z","timestamp":1791911078190,"version":"4.3.4"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>With the recognition of orofacial pain as dental specialty, the Commission on Dental Accreditation (CODA) mandated temporomandibular disorders (TMD) education in all US predoctoral dental programs. Yet, no study has evaluated whether current curricula adequately enhances students' knowledge of TMD pathology and management. This study assessed TMD knowledge among US predoctoral dental students and examined the impact of specific educational modalities on knowledge scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An anonymous 61\u2010item REDCap survey was distributed in Fall 2024 via the American Student Dental Association to students enrolled in CODA\u2010accredited programs, assessing TMD knowledge (38\u2010item, on pathophysiology, chronic pain, psychophysiology, and psychiatric disorders); exposure to different teaching modalities (5\u2010item); confidence levels (13\u2010item); and demographics (5\u2010item). Scores were compared against TMD experts from published literature and across academic years, prior clinical exposure, and educational modalities (multimodal vs. single\u2010modality) using ANOVA and\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests. Logistic regression tested whether specific educational approaches (didactic\u2010only vs. didactic + patient clinical exposure vs. didactic + hands\u2010on on peers\/small\u2010group discussion) predicted sufficient knowledge scores (&gt; 50% correct answers).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 283 respondents (26.2 \u00b1 3.7 years old, 68.9% women; 17.2% first\u2010year, 30.7% second\u2010year, 28.7% third\u2010year, 23.1% fourth\u2010year), students demonstrated low TMD knowledge compared to TMD experts (38.6% correct answers, range 0.0%\u201377.8%), which significantly improved with academic years (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Multimodal instruction (17.5 \u00b1 5.9\u00a0vs. 11.2 \u00b1 7.1,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), prior patient exposure (18.4 \u00b1 6.6\u00a0vs. 16.0 \u00b1 6.3,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.028), and combining didactic teaching with clinical exposure (18.1 \u00b1 6.3\u00a0vs. 7.5 \u00b1 6.3,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) significantly enhanced knowledge. Academic year (third\u2010year:\n                      <jats:italic>p<\/jats:italic>\n                      = 0.041, odds ratio [OR] = 5.33; fourth\u2010year:\n                      <jats:italic>p<\/jats:italic>\n                      = 0.008, OR = 9.34) and combining didactic teaching with clinical exposure (patient exposure:\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005, OR = 3.22; hands\u2010on on peers\/small\u2010group discussion:\n                      <jats:italic>p<\/jats:italic>\n                      = 0.030, OR = 2.44) predicted sufficient knowledge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While knowledge of TMD pathology and management among students was generally low, academic progression, multimodal instruction, and patient exposure significantly improved performance. Integrating clinical exposure along with traditional instruction may enhance TMD knowledge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jdd.70000","type":"journal-article","created":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T06:13:48Z","timestamp":1754720028000},"page":"551-564","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Comparison of Different Predoctoral Educational Modalities on Knowledge Levels in Temporomandibular Disorders: A National\u2010Based Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"90","author":[{"given":"Danica","family":"Tuason","sequence":"first","affiliation":[{"name":"College of Dental Medicine \u2013 Illinois Midwestern University  Downers Grove Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9295-9849","authenticated-orcid":false,"given":"Caroline","family":"Sawicki","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Public Health Adams School of Dentistry University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Fricton","sequence":"additional","affiliation":[{"name":"Minnesota Head and Neck Pain Clinic  Plymouth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janey","family":"Prodoehl","sequence":"additional","affiliation":[{"name":"College of Dental Medicine \u2013 Illinois Midwestern University  Downers Grove Illinois USA"},{"name":"Physical Therapy Program Midwestern University  Downers Grove Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Palatinus","sequence":"additional","affiliation":[{"name":"College of Dental Medicine \u2013 Illinois Midwestern University  Downers Grove Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1386-5594","authenticated-orcid":false,"given":"Linda","family":"Sangalli","sequence":"additional","affiliation":[{"name":"College of Dental Medicine \u2013 Illinois Midwestern University  Downers Grove Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management","author":"Klasser G. 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