{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:39:35Z","timestamp":1776206375894,"version":"3.50.1"},"reference-count":37,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Arthroscopy of the temporomandibular joint (TMJ) plays a long-established role in the diagnostics and therapy of patients suffering from arthrogenic temporomandibular disorders (TMDs), which do not respond adequately to conservative\/non-invasive therapy. However, the interpretation of arthroscopic findings remains challenging. This study investigates the reliability and variability of assessing arthroscopic views of pathologies in patients with TMDs by non-specialists in arthroscopy and whether a standardized assessment tool may improve correctness. Methods: Following a comprehensive one-semester lecture, dental students in the clinical stage of education were asked to rate 25 arthroscopic views (freeze images and corresponding video clips) regarding the severity of synovitis, adhesions, and degenerative changes on a scale of 0\u201310 (T1). The results were compared to ratings stated by two European-board-qualified academic OMF surgeons. In a second round (T2), the students were asked to repeat the ratings using a 10-point rating scheme. Results: With regard to all three subcategories, congruency with the surgeons\u2019 results at T1 was at a low level (p &lt; 0.05 in 19\/75 cases) and even decreased at T2 after the implementation of the TMDs-SevS (p &lt; 0.05 in 38\/75 cases). For both T1 and T2, therefore, the inter-rater agreement was at a low level, showing only a slight agreement for all three subcategories (Fleiss\u2019 Kappa (\u03ba) between 0.014 and 0.099). Conclusions: The judgement of the arthroscopic pathologies of the TMJ remains an area of temporomandibular surgery that requires wide experience and training in TMDs to achieve expertise in TMJ arthroscopic assessments, which cannot be transferred by theoretical instruction alone.<\/jats:p>","DOI":"10.3390\/jcm13143995","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T07:16:07Z","timestamp":1720509367000},"page":"3995","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Arthroscopic Assessment of Temporomandibular Joint Pathologies\u2014Is It Possible for Non-Specialists in Arthroscopy? Analysis of Variability and Reliability of Dental Students\u2019 Ratings after a Comprehensive One-Semester Introduction"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6854-7341","authenticated-orcid":false,"given":"Lennard-Luca","family":"Br\u00fcning","sequence":"first","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, UKGM GmbH, University Hospital Marburg, 35043 Marburg, Germany"},{"name":"Faculty of Medicine, Philipps University, 35043 Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yannick","family":"R\u00f6sner","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, UKGM GmbH, University Hospital Marburg, 35043 Marburg, Germany"},{"name":"Faculty of Medicine, Philipps University, 35043 Marburg, Germany"},{"name":"Faculty of Medicine, Heinrich-Heine Universit\u00e4t D\u00fcsseldorf, 40225 Duesseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-6409","authenticated-orcid":false,"given":"Axel","family":"Meisgeier","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, UKGM GmbH, University Hospital Marburg, 35043 Marburg, Germany"},{"name":"Faculty of Medicine, Philipps University, 35043 Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5865-0020","authenticated-orcid":false,"given":"Andreas","family":"Neff","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, UKGM GmbH, University Hospital Marburg, 35043 Marburg, Germany"},{"name":"Faculty of Medicine, Philipps University, 35043 Marburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/ors.12473","article-title":"Temporomandibular Disorders: A Review of Current Concepts in Aetiology, Diagnosis and Management","volume":"13","author":"Kapos","year":"2020","journal-title":"Oral Surg."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Farah, C.S., Balasubramaniam, R., and McCullough, M.J. 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