{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T08:30:37Z","timestamp":1765528237201,"version":"3.48.0"},"reference-count":0,"publisher":"MRE Press","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,12]]},"abstract":"<jats:p>Background: This prospective clinical study investigates whether functionally compensated but clinically inapparent temporomandibular disorder (TMD) findings can be detected in individuals without pre-existing medical conditions. Methods: A total of 200 participants (10\u201350 years) without a medical history were examined using screening methods: Craniomandibular Disorders (CMD)-Short Finding, CMD-Screening, Preventive Manual Structural Analysis (PMSA), and Preventive Structural Stress Screening (PSSS). The Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD) Axis I served as the reference standard. Five diagnoses were analyzed based on prevalence, sensitivity, specificity, predictive values, 95% confidence intervals, and p-values (McNemar, Cochran Q). Results: TMD findings were detectable. PMSA and PSSS always produced identical results (p = 1.000), differing significantly from CMD-Short Finding for arthralgia and disc displacement (p &lt; 0.001), and from CMD-Screening for myogenic pain (p &lt; 0.001). No significant differences were found between PMSA\/PSSS and CMD-Screening for arthralgia (p = 0.528) or CMD-Short Finding for myogenic pain (p = 0.490). Not all tests achieved a 70% sensitivity and a 95%specificity. The most important results are summarized here: arthralgia (0.0%\u201315.0%) by PMSA\/PSSS (sensitivity 96.00% [79.65\u201399.90], specificity 96.57% [92.69\u201398.73], p = 0.125)\u037e myogenic pain (34.5%\u201349.5%) by CMD-Screening (excluding digastric muscle: sensitivity 84.15% [74.42\u201391.28], specificity 100.00% [96.92\u2013100.00], p &lt; 0.001) and by PMSA\/PSSS (including digastric muscle: sensitivity 98.02% [93.03\u201399.76], specificity 100.00% [96.34\u2013100.00], p = 0.500)\u037e disc displacement (14.5%\u201320.5%) by CMD-Short Finding (sensitivity 100.00% [85.18\u2013100.00], specificity 96.61%[92.77\u201398.75], p = 0.031)\u037e degenerative joint disease and disc displacement without reduction with limited opening showed very low prevalence (0.0%\u20131.0%), which results in limiting reliability. Conclusions: TMD findings were detectable in asymptomatic individuals. PMSA and PSSS were the most suitable screening tools. The results support the need for regular screening, and further studies. Clinical Trial Registration: DRKS00035175, https:\/\/drks.de\/search\/en\/trial\/DRKS00035175, retrospectively registered.<\/jats:p>","DOI":"10.22514\/jofph.2025.069","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T08:26:07Z","timestamp":1765527967000},"page":"100","source":"Crossref","is-referenced-by-count":0,"title":["Sensitivity, specificity and prevalences\u2014comparison of four screening tests for temporomandibular disorders"],"prefix":"10.22514","author":[{"given":"Maria","family":"Ertl","sequence":"first","affiliation":[{"name":"CMD-Zentrum Berlin, 13187 Berlin, BE, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26027","published-online":{"date-parts":[[2025,12,12]]},"container-title":["Journal of Oral &amp; Facial Pain and Headache"],"original-title":[],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T08:26:07Z","timestamp":1765527967000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jofph.com\/articles\/10.22514\/jofph.2025.069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.22514\/jofph.2025.069","relation":{},"ISSN":["2333-0384","2333-0376"],"issn-type":[{"value":"2333-0384","type":"print"},{"value":"2333-0376","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]}}}