RESEARCH PAPER
Effectiveness of teaching undergraduate students how to
perform temporomandibular disorder examinations
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1
Department of Prosthodontics and Orthodontics, Dental Institute Faculty of Medicine, Jagiellonian University
Medical College, Polska
2
Private practice, Professor Loster's Orthodontics, Polska
Submission date: 2022-07-04
Final revision date: 2022-08-16
Acceptance date: 2022-09-06
Publication date: 2022-09-07
Corresponding author
Justyna Grochala
Department of Prosthodontics and Orthodontics, Dental Institute Faculty of Medicine, Jagiellonian University
Medical College, Montelupich 4, 31-155, Kraków, Polska
Prosthodontics 2022;72(3):211-221
KEYWORDS
TOPICS
ABSTRACT
Background:
Difficulties in examination of
the masticatory muscles and temporomandibular
joints by students of dental faculties were an
inspiration to introduce and teach the protocol
according to the standardized RDC/TMD
questionnaire.
Aim:
To assess the effectiveness
of teaching students of the fifth year of dentistry
how to perform theclinical examination of the
masticatory system in accordance with the RDC/
TMD questionnaire.
Material and methods:
Fifty-five students
of dentistry took part in the study. The study
protocol contained theoretical information on the
RDC/TMD examination axis I clinical procedures
presented during a lecture. During a seminar, the
examination rules were demonstrated. Groups of
four to six students were then presented with the
practical manual procedure. These groups were
examined using the RDC/TMD procedure by a
teaching dentist and a student. The examination results were compared with the statistics
calculated using the R program in turn by both
the dentist and the student.
Results:
Forty-seven students were included
in the analysis (34 female and 13 male). The
examination results in qualitative variables
were generally similar (from 85% to 100%
repeatability), except for the identification of
pain during maximum opening of the mouth
and the identification of the midline shift, which
had 78% and 74% concordance, respectively.
The highest concordance (very good) was
obtained when measuring the maximal mouth
opening and interincisal distance (ICC = 0.937),
while the poorest concordance was seen in
the measurements of sounds produced during
mandibular movements (ICC < 0.4).
Conclusions:
The training of fifth-year dental
students using the RDC/TMD axis I questionnaire
with the method described above proved to be
effective.