Seq#7 - Workshop to Revise the DC/TMD for Non-specialist Care (invitation only)
There are data suggesting that there is a negative perception of Temporomandibular disorders (TMD) in non-specialist care. This perception is underpinned by a number of factors including the belief that the diagnostic process is difficult. This perception is, however, at odds with the fact that validated research-based Diagnostic Criteria for TMD (DC/TMD) have been available for over 20 years and have also been recently revised in line with robust data from the RDC Validation study and re-publicized.
Anecdotally INfORM has heard from different sources around the world that non-specialistsâ difficulties with using the DC/TMD seem to relate to the length of time (estimated 15-20 mins) it takes to complete it in order to produce strictly defined TMD sub-group physical diagnoses. This is a fundamental problem, but may have a solution. The solution may lie in the fact that the strictly defined TMD sub-group physical diagnoses are unlikely to influence initial management of a painful TMD in non-specialist primary care. It should be possible, therefore, to simplify the current DC/TMD in order to produce a brief version of the DC/TMD (bDC/TMD) to generate broad group physical diagnoses for painful TMD e.g. myalgia, disc disorder, arthralgia/degenerative disease etc. This type of bDC/TMD would then service the need of non-specialists to ascertain a clinically-confirmed physical diagnosis of a painful TMD in around ten minutes or less. In terms of the psychosocial axis/assessment there are possibly simple solutions to shortening the assessment (if required).
This invitation-only workshop seeks to begin a Delphi process with relevant stakeholders in order to shorten the DC/TMD into a brief DC/TMD (bDC/TMD) that is applicable to non-specialist care settings.
- To discuss and begin to come to consensus on a new brief version of the diagnostic criteria for TMD that non-specialists can use.