{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:32:57Z","timestamp":1786692777775,"version":"build-2736575974"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Oral Invest"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this prospective validation study was to evaluate the diagnostic performance of a newly developed TMD screening tool of the German Society for Craniomandibular Function (DGFDT) in its statistically optimized scoring version as well as in a clinically modified version, and to compare both with established screening instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      A total of 121 consecutive patients treated at Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin were examined using the DC\/TMD as reference standard. The DGFDT TMD screening tool was compared with the \u201cCMD-Kurzbefund\u201d according to Ahlers and Jakstat and the three TMD-related screening questions according to L\u00f6vgren et al. In addition to the primary analysis, a predefined sensitivity analysis excluded cases with isolated, painless temporomandibular joint noises (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009110). Diagnostic performance metrics were calculated with 95% confidence intervals using exact binomial methods.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the primary analysis, the statistically optimized version of the TMD screening tool achieved both sensitivity and specificity of 100.0%, representing the statistical optimum. The clinically modified DGFDT version achieved a sensitivity of 84.6% while maintaining a specificity of 100.0%. In the predefined sensitivity analysis, its sensitivity increased to 98.1%, while specificity remained 100.0%. Established comparator instruments showed lower sensitivities in the primary analysis (\u201cCMD-Kurzbefund\u201d: 73.8%; 3Q\/TMD: 75.4%) and in the sensitivity analysis (\u201cCMD-Kurzbefund\u201d: 85.2%; 3Q\/TMD: 90.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both DGFDT screening versions demonstrated superior diagnostic performance in this single-center cohort. The clinically modified version represents a consensus- and evidence-based alternative that reduces the impact of isolated, painless temporomandibular joint noises without relevant loss of diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The DGFDT TMD screening tool provides a standardized and practical instrument for early clinical detection of temporomandibular disorders and may contribute to the standardization of TMD diagnostics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-026-06995-5","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T07:24:53Z","timestamp":1783754693000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cProspective Clinical Validation of an Optimized TMD Screening Tool: Results of a Two-Stage Validation Process\u201d"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8449-025X","authenticated-orcid":false,"given":"Raphael Matthias","family":"Faulhaber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Peroz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Peroz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"6995_CR1","doi-asserted-by":"publisher","unstructured":"Faulhaber RM (2025) Evaluation des CMD-Screenings der DGFDT f\u00fcr die Diagnostik craniomandibul\u00e4rer Dysfunktionen \u2013 eine prospektive Analyse. https:\/\/doi.org\/10.17169\/refubium-47892. 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