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This investigation focused on those patients who did not receive a diagnosis according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC\/TMD).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>From 2004 to 2017, patients seeking care during a TMD-specialized consultation hour were consecutively recruited. Each patient completed a TMD-related questionnaire, psychosocial questionnaires (Graded Chronic Pain Scale, Hospital Anxiety and Depression Scale, Beschwerden-Liste), and the Oral Health Impact Profile-49. The clinical examination was performed according to the RDC\/TMD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean age of the 1020 patients was 43.3 years (75.3% female). According to the RDC\/TMD decision trees, 351 patients were categorized without a TMD diagnosis (<jats:italic>NoTMDdx<\/jats:italic>). The most frequent reasons for seeking care were orofacial pain\/TMJ pain or headaches revealing an OR of 1.89 (for <jats:italic>TMDdx<\/jats:italic> group). A relevant proportion of patients was categorized as positive for anxiety (<jats:italic>NoTMDdx\/TMDdx<\/jats:italic> 30.8\/41.2%; <jats:italic>p<\/jats:italic> = 0.072), depression (20.8\/23.9%; <jats:italic>p<\/jats:italic> = 0.433), non-specific physical symptoms (31.4\/44.1%; <jats:italic>p<\/jats:italic> &lt; 0.001), or dysfunctional chronic pain (11.5\/18.2%; <jats:italic>p<\/jats:italic> &lt; 0.001). In both patient groups, the oral health-related quality of life was impaired (42.9\/52.7 points; <jats:italic>p<\/jats:italic> &lt; 0.001), and the frequency of therapy measures prior to the consultation hour was high.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients seeking care from TMD specialists were usually referred with TMD-associated symptoms. Of those, a relevant proportion did not receive a diagnosis according to RDC\/TMD decision trees.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical relevance<\/jats:title>\n                <jats:p>Psychosocial screening and the avoidance of overtreatment are recommended for patients with TMD-related symptoms.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00784-021-03866-z","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T04:53:17Z","timestamp":1615870397000},"page":"5641-5647","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Patients referred to a German TMD-specialized consultation hour\u2014a retrospective on patients without a diagnosis according to RDC\/TMD decision trees"],"prefix":"10.1007","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3881-0549","authenticated-orcid":false,"given":"Angelika","family":"Rauch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Hahnel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Kloss-Brandst\u00e4tter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Schierz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,16]]},"reference":[{"key":"3866_CR1","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1002\/ejp.1283","volume":"23","author":"C Ziegeler","year":"2019","unstructured":"Ziegeler C, Wasiljeff K, May A (2019) Nondental orofacial pain in dental practices - diagnosis, therapy and self-assessment of German dentists and dental students. 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