Diagnostic Accuracy of a Temporomandibular Disorder Pain Screener in Patients Seeking Endodontic Treatment for Tooth Pain

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CE Hours: 1.0

Description: This study assessed the accuracy of a TMD Pain Screener questionnaire in identifying patients with temporomandibular disorder (TMD) pain among those seeking endodontic treatment for tooth pain. It also investigated whether the screener accuracy could be improved by adding questions regarding putative predictors of TMD status.

At the conclusion of this article, the reader will be able to: 

  • Utilize the brief temporomandibular disorder (TMD) pain screening tool in endodontic patients with history of tooth pain to identify those who may need a more thorough TMD examination.
  • List the components of the TMD pain screening questionnaire and describe scoring and interpretation of the screening results using a proposed interpretation grid. 
  • Discuss the diagnostic accuracy of the TMD Pain Screener alone and in combination with the endodontic patient’s rating of the current pain intensity of the chief complaint. 

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Diagnostic Accuracy of a Temporomandibular Disorder Pain Screener in Patients Seeking Endodontic Treatment for Tooth Pain
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Evaluation
9 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Certificate
1.00 CE credit  |  Certificate available
1.00 CE credit  |  Certificate available

Iryna H. Daline, D.M.D., M.S.

Dr. Iryna Daline is a board-certified Orofacial Pain specialist and a board-eligible Endodontist. She completed her orofacial pain residency at the University of Minnesota and endodontic residency at the University of North Carolina at Chapel Hill. Her clinical and research interests include differential diagnosis, comorbidity, and treatment of endodontic pain and other orofacial pain conditions. She has received grants from the American Association of Endodontists, American Board of Orofacial Pain, International Association for Dental Research, and Dental Foundation of North Carolina to support her research bridging endodontics and orofacial pain. She has published articles in the Journal of Endodontics, Journal of Oral Rehabilitation, and Cephalalgia. Dr. Daline is a co-author of chapters on non-odontogenic pain in the 3rd edition of Seltzer and Bender's Dental Pulp and the 7th edition of Principles and Practice of Endodontics. She has been repeatedly invited to speak and share her expertise with both dental and endodontic professionals.

Speaker Disclosure 

I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.

Gary D. Slade, BDSc, DDPH, PhD

Dr. Slade undertook dental training at the University of Melbourne, Australia (BDSc, 1982) and completed the Diploma in Dental Public Health at the University of Toronto, Canada (DDPH, 1988). He obtained his PhD in dentistry at the University of Adelaide (1994). Dr. Slade is currently the John W. Stamm Distinguished Professor of Dentistry at the University of North Carolina at Chapel Hill. His principal research interests are in population assessment of oral health related quality of life, epidemiological studies of oral disease and orofacial pain, public health interventions to prevent oral disease, and clinical interventions to treat orofacial pain. Dr. Slade published over 288 articles and 8 book chapters. In 2004, he was awarded the distinguished scientist award for Geriatric Oral Research from the International Association for Dental Research (IADR), and in 2008 he was awarded the IADR’s H. Trendley Dean Award for research in epidemiology and public health.

Ashraf F. Fouad, D.D.S., M.S.

Dr. Fouad obtained his DDS, Certificate of Endodontics and MS at the University of Iowa. 

He served on the faculty and in various administrative roles at University of Connecticut, the University of Maryland, and the University of North Carolina at Chapel Hill. He is currently Professor and Chair, Department of Endodontics, Director, Advanced Endodontics Program, and Interim Director, Health Information and Business Systems (HIBS) at the University of Alabama at Birmingham.

Dr. Fouad has published over 110 peer-reviewed manuscripts, 25 textbook chapters, and 145 abstracts. He edited and co-authored the textbooks: Endodontic Microbiology (now in its second edition), as well as the fifth and sixth editions of Endodontics: Principles and Practice. He is a Diplomate and Past President of the American Board of Endodontics, and an Associate Editor of the Journal of Endodontics, Dental Traumatology and Frontiers of Dental Medicine – Endodontics. He received the Distinguished Scientist Award from the Pulp Biology and Regeneration Group of the International Association of Dental Research in 2017, and the AAE President’s Award in 2022.

Speaker Disclosure

I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation

Donald R. Nixdorf, DDS, MS

After graduating from the University of Alberta Faculty of Dentistry, Dr. Nixdorf completed hospital dentistry residency at The Ohio State University, Anesthesia fellowship at Johns Hopkins University, Orofacial Pain fellowship at the University of Alberta, and a Master of Science in Clinical Research at the University of Minnesota. As a Diplomate of the National Dental Board of Anesthesiology (NDBA) and the American Board of Orofacial Pain (ABOP), he maintains a specialty Orofacial Pain practice on the diagnoses and management of chronic TMD pain, headaches, and neuropathic pain within multi-disciplinary settings. Dr. Nixdorf’s research has focused on the topics of non-odontogenic “tooth” pain from a classification, diagnosis, epidemiology, and treatment perspectives, as well as TMD and, most recently, dental MRI, with over 85 published articles. Dr. Nixdorf is Professor, Division Director, and past Graduate Program Director at the University of Minnesota in the Division of TMD & Orofacial Pain.

Inna E. Tchivileva, MD, MS

Dr. Tchivileva is Assistant Professor in the Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina at Chapel Hill. She obtained her MD and MS in Biochemistry from the Russian State Medical University, Moscow, Russia. She then completed her post-doctoral training in pain neurobiology, molecular biology, and genetics at the Center for Pain Research and Innovation, Adams School of Dentistry, University of North Carolina at Chapel Hill. Dr. Tchivileva’s research interests comprise such topics as association between TMD and headache, molecular biomarkers for TMD and migraine, the role of genetic variations in nociception, and personalized pain management. She has been a recipient of several NIH awards including the K12 award for the Biomedical Researcher Development in TMD and Orofacial Pain and served as a co-Principal Investigator for a large multisite clinical trial in TMD. Dr. Tchivileva has published 21 peer-reviewed manuscripts, 2 textbook chapters, and 22 refereed abstracts.