{"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":1793480942189,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"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":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The brief Diagnostic Criteria for Temporomandibular Disorders (bDC\/TMD) was developed to simplify the original DC\/TMD for wider clinical use. While its diagnostic accuracy for most painful TMDs is acceptable, the sensitivity for headache attributed to TMD (HaTMD) was reported to be poor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To improve the diagnostic sensitivity of HaTMD within the bDC\/TMD framework by reintroducing selected examination items from the original DC\/TMD protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective multicentre study used data from Finland and Israel. The cohort included 114 individuals previously diagnosed with HaTMD according to the DC\/TMD and with myalgia and\/or arthralgia diagnoses in both DC\/TMD and bDC\/TMD. Four examination items excluded from the bDC\/TMD\u2014E1b (headache location in temple), E4c (familiar headache on assisted opening), E5a\/b (lateral movements) and E5c (protrusive movements)\u2014were reintroduced individually. Four calibrated examiners reassessed each modified dataset. Inter\u2010examiner reliability (Cohen's kappa) and diagnostic sensitivity were calculated using DC\/TMD as the gold standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Inter\u2010examiner reliability for HaTMD diagnosis was almost perfect (\u03ba\u2009=\u20090.81\u20131.00) across all items. Sensitivity improved markedly from the previously reported 0.16\u20130.38 to 0.82 (E1b)\u20130.90 (E5c). Item E1b (temple headache confirmation) was present in 95% of Finnish and 86% of Israeli cases, identifying it as the most representative finding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reintroducing item E1b into the bDC\/TMD examination substantially increases the diagnostic sensitivity for HaTMD while maintaining brevity. Refinement of the painful TMD diagnostic decision tree and prospective validation of the modified bDC\/TMD are recommended to ensure reliability and clinical applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70166","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T08:30:05Z","timestamp":1771057805000},"page":"1137-1143","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Brief Diagnostic Criteria for Temporomandibular Disorders (Tmd): Enhancing Sensitivity in Diagnosing Headache Attributed to Tmd (A Multi\u2010Centre Study)"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5807-1555","authenticated-orcid":false,"given":"Nyk\u00e4nen","family":"Laura","sequence":"first","affiliation":[{"name":"Clinic of Oral and Maxillofacial Diseases, Head and Neck Center Helsinki University Central Hospital  Helsinki Finland"},{"name":"Department of Oral and Maxillofacial Diseases, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e4mppi","family":"Antti","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Diseases, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Durham","family":"Justin","sequence":"additional","affiliation":[{"name":"School of Dental Sciences, Newcastle University, Framlington Place. Newcastle. NE2 4BW. United Kingdom. Newcastle Hospitals' NHS Foundation Trust  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Ilana","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freidman\u2010Rubin","family":"Pessia","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keren","family":"Lihi","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9177-3399","authenticated-orcid":false,"given":"N\u00e4p\u00e4nkangas","family":"Ritva","sequence":"additional","affiliation":[{"name":"Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland, and Medical Research Center Oulu Oulu University Hospital and University of Oulu  Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalev Antshel","family":"Tamar","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanner","family":"Johanna","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Diseases Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teerijoki\u2010Oksa","family":"Tuija","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Institute of Dentistry University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0880-4081","authenticated-orcid":false,"given":"Winocur","family":"Ephraim","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sipil\u00e4","family":"Kirsi","sequence":"additional","affiliation":[{"name":"Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland, and Medical Research Center Oulu Oulu University Hospital and University of Oulu  Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9995-125X","authenticated-orcid":false,"given":"Emodi\u2010Perlman","family":"Alona","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine and Health Sciences Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350510019739"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001348"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051365"},{"issue":"4","key":"e_1_2_12_5_1","first-page":"301","article-title":"Research Diagnostic Criteria for Temporomandibular Disorders: Review, Criteria, Examinations and Specifications, Critique","volume":"6","author":"Dworkin S. 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