{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T21:09:02Z","timestamp":1793480942599,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,5,6]],"date-time":"2017-05-06T00:00:00Z","timestamp":1494028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Recently, updated diagnostic criteria for temporomandibular disorders (<jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>) were published to assess <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> in a standardised way in clinical and research settings. The <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> protocol has been translated into Finnish using specific cultural equivalency procedures. To assess the interexaminer reliability using the Finnish translations of the <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FIN<\/jats:styled-content> Axis I clinical diagnostic assessment instruments. Reliability assessment data were collected during a 1\u2010day <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> Examiner Training Course at the University of Turku, Finland, in collaboration with the International <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> Training and Calibration Center in Malm\u00f6 University. Clinical <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> examinations according to the Finnish pre\u2010final version of the <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> Axis I assessment protocol were performed by four experienced <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> specialists on altogether 16 models. Kappa coefficient, overall percentage agreement (%A) as well as positive (<jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>) and negative (<jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content>) agreements were used to define the reliability. Myofascial pain with referral, headache attributed to <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> and disc displacement (<jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content>) without reduction without limited opening showed excellent kappa values (range 0\u00b787\u20131\u00b700). Fair\u2010to\u2010good reliability was observed for diagnoses of myalgia (k = 0\u00b767), arthralgia (k = 0\u00b771) and <jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content> with reduction (k = 0\u00b764). The <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> was high for all pain\u2010related diagnoses and <jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content> without reduction without limited opening (medians \u226583%), and acceptable for <jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content> with reduction (median 67%). The <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> was high (medians \u226587%) for all <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> diagnoses, except for myalgia which showed acceptable <jats:styled-content style=\"fixed-case\">NA<\/jats:styled-content> (median 75%). The %A was high for all assessed diagnoses (medians &gt;85%). The findings of this study showed <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FIN<\/jats:styled-content> Axis I to demonstrate sufficiently high reliability for pain\u2010related <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> diagnoses.<\/jats:p>","DOI":"10.1111\/joor.12516","type":"journal-article","created":{"date-parts":[[2017,4,13]],"date-time":"2017-04-13T18:06:51Z","timestamp":1492106811000},"page":"493-499","source":"Crossref","is-referenced-by-count":24,"title":["Diagnostic criteria for temporomandibular disorders (<scp>DC<\/scp>\/<scp>TMD<\/scp>): interexaminer reliability of the Finnish version of Axis I clinical diagnoses"],"prefix":"10.1111","volume":"44","author":[{"given":"J.","family":"Leskinen","sequence":"first","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Suvinen","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Teerijoki\u2010Oksa","sequence":"additional","affiliation":[{"name":"Department of Oral Diseases Turku University Central Hospital Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Kemppainen","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Helsinki Helsinki Finland"},{"name":"Helsinki University Central Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"N\u00e4p\u00e4nkangas","sequence":"additional","affiliation":[{"name":"Research Unit of Oral Health Sciences University of Oulu Finland"},{"name":"Oral and Maxillofacial Department Medical Research Center Oulu Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Alstergren","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Jaw Function Malm\u00f6 University Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Le Bell","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Turku Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Forssell","sequence":"additional","affiliation":[{"name":"Department of Oral Diseases Turku University Central Hospital Turku Finland"},{"name":"Institute of Dentistry University of Turku Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Myllykangas","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"},{"name":"Oral and Maxillofacial Department Kuopio University Hospital Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tolvanen","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Turku Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Doepel","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Turku Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2456-5036","authenticated-orcid":false,"given":"K.","family":"Sipil\u00e4","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"},{"name":"Research Unit of Oral Health Sciences University of Oulu Finland"},{"name":"Oral and Maxillofacial Department Medical Research Center Oulu Oulu University Hospital Oulu Finland"},{"name":"Oral and Maxillofacial Department Kuopio University Hospital Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_7_3_1","first-page":"301","article-title":"Research diagnostic criteria for temporomandibular disorders: review criteria, examinations and specifications, critique","volume":"6","author":"Dworkin SF","year":"1992","journal-title":"J Craniomandib Disord"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.2014.1.e"},{"key":"e_1_2_7_5_1","unstructured":"OhrbachR BjornerJ MetricQ JezewskiM JohnM LobbezooF.Guidelines for Establishing Cultural equivalency of Instruments: Updated May 11 2013.www.rdc-tmdinternational.org Accessed on January 2 2016."},{"key":"e_1_2_7_6_1","unstructured":"Sipil\u00e4K SuvinenT.DC\/TMD Symptom Questionnaire (DC\/TMD\u2010FIN Oirekysely) and Pain\u2010related interview and Examiner Commands (DC\/TMD\u2010FIN Kliininen protokolla osa 5). 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