顎関節症スクリーニング用質問1項目の選定とその妥当性検討

  • 杉崎 正志
    東京慈恵会医科大学歯科学教室
  • 来間 恵里
    東京慈恵会医科大学歯科学教室
  • 木野 孔司
    東京医科歯科大学大学院医歯学総合研究科全人的医療開発学系包括診療歯科学講座顎関節咬合学分野
  • 澁谷 智明
    日立戸塚総合病院横浜診療所歯科
  • 塚原 宏泰
    医療法人社団宏礼会塚原デンタルクリニック
  • 島田 淳
    医療法人社団グリーンデンタルクリニック
  • 玉井 和樹
    東京慈恵会医科大学歯科学教室
  • 齋藤 高
    東京慈恵会医科大学歯科学教室

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  • Selection and Validity Test of One Question Item for Screening of Temporomandibular Disorders

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There is no question which tests the validity for screening temporomandibular disorders (TMD) targeting the population.<BR>Purpose: To select one from four fixed questions, which validated screening TMD for dental patients, and to test the crossvalidation and diagnostic accuracy.<BR>Methods and Subjects: A total of 1, 245 dental patients (TMD prevalence rate: 12.4%) who visited either of four dental offices during one year were asked to answer the four screening questions on a five-point numeric rating scale and binary scale (yes/no). The patients were classified into two groups using the random selection method in SPSS (SPSS, Tokyo, ver. 14). We used ROC curves and the non-parametric dichotomous item scalability test for item selection, and calculations of diagnostic accuracy and Bayesian statistics for reliability.<BR>Results: The question ‘When you open your mouth widely and/or close it, do you feel pain in your jaw?’ was selected, and the crossvalidation was proved. The diagnostic accuracy was 0.701 (sensitivity), 0.871 (specificity), and 0.130 (false positive rate). In the false positive group of the question, pericoronitis, dental caries, and periodontal disease were included; these need to be diagnosed by close inspection.

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