{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T15:41:23Z","timestamp":1793893283424,"version":"4.8.0"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T00:00:00Z","timestamp":1538956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005301","name":"Swedish Dental Society","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005301","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European J Oral Sciences"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>Temporomandibular disorders (<jats:styled-content style=\"fixed-case\">TMDs<\/jats:styled-content>) are common, but many patients with such disorders go undetected and under\u2010treated. Our aim was to evaluate the outcome of using a screening tool (5\u00a0yr after it was first implemented), on the clinical decision\u2010making for patients with TMDs. Adults who attended for a dental check\u2010up at the Public Dental Health Services in V\u00e4sterbotten, Sweden, answered three screening questions (3Q\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>) on frequent jaw pain, pain on jaw function, and catching\/locking of the jaw. The dental records of a random sample of 200 individuals with at least one positive response to 3Q\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> (3Q screen\u2010positive patients) and 200 individuals with all negative responses (3Q screen\u2010negative patients) were reviewed for <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>\u2010related treatment decisions. A clinical decision related to <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> was absent in 45.5% of 3Q screen\u2010positive patients. Treatment of TMDs was associated with a positive response to the screening question on jaw pain (<jats:styled-content style=\"fixed-case\">OR =<\/jats:styled-content> 6.7, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 3.2\u201314.0) and was more frequent among 3Q screen\u2010positive patients (24%) than among 3Q screen\u2010negative patients (2%; <jats:styled-content style=\"fixed-case\">OR =<\/jats:styled-content> 15.5, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 5.5\u201343.9), just as a female examiner was associated with more frequent treatment of TMDs (<jats:styled-content style=\"fixed-case\">OR\u00a0=\u00a0<\/jats:styled-content>3.1, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.2\u20138.4). The results indicate under\u2010treatment of <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> within general dental practice and that male clinicians are less likely to initiate <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> treatment.<\/jats:p>","DOI":"10.1111\/eos.12572","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T05:14:52Z","timestamp":1539062092000},"page":"493-499","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Decision\u2010making in dentistry related to temporomandibular disorders: a 5\u2010yr follow\u2010up study"],"prefix":"10.1111","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2920-6654","authenticated-orcid":false,"given":"Anna","family":"L\u00f6vgren","sequence":"first","affiliation":[{"name":"Department of Odontology Faculty of Medicine University of Ume\u00e5 Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9201-8560","authenticated-orcid":false,"given":"Linnea","family":"Karlsson Wirebring","sequence":"additional","affiliation":[{"name":"Department of Psychology Faculty of Social Sciences University of Ume\u00e5 Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6088-3739","authenticated-orcid":false,"given":"Birgitta","family":"H\u00e4ggman\u2010Henrikson","sequence":"additional","affiliation":[{"name":"Department of Odontology Faculty of Medicine University of Ume\u00e5 Ume\u00e5 Sweden"},{"name":"Department of Orofacial Pain and Jaw function Faculty of Odontology Malm\u00f6 University Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8346-5289","authenticated-orcid":false,"given":"Anders","family":"W\u00e4nman","sequence":"additional","affiliation":[{"name":"Department of Odontology Faculty of Medicine University of Ume\u00e5 Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,8]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"265","article-title":"The concept of need in dental care","volume":"32","author":"Sheiham A","year":"1982","journal-title":"Int Dent J"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/10454411970080030401"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1993.0200"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.755"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016350903431118"},{"key":"e_1_2_7_7_1","volume-title":"Orofacial Pain: from basic science to clinical management","author":"Barry JS","year":"2009"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.08.002"},{"key":"e_1_2_7_9_1","volume-title":"Management of temporomandibular disorders and occlusion","author":"Okeson JP","year":"2012"},{"key":"e_1_2_7_10_1","first-page":"138","article-title":"The reliability and validity of self\u2010reported temporomandibular disorder pain in adolescents","volume":"20","author":"Nilsson IM","year":"2006","journal-title":"J Orofac Pain"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12428"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12518"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.185.4157.1124"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-120709-145346"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/bdj.2007.369"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2015.1063159"},{"key":"e_1_2_7_17_1","first-page":"116","article-title":"Don't trust your gut","volume":"81","author":"Bonabeau E","year":"2003","journal-title":"Harv Bus Rev"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2016.1196295"},{"key":"e_1_2_7_19_1","unstructured":"F\u00f6rs\u00e4kringskassan.When you need dental care. 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