Application of International Research Diagnostic Criteria in Clinical Setting for Diagnosis and Treatment Planning of Temporomandibular Joint Disorders

Abstract

Background
Temporomandibular joint disorders (TMD), while getting increased attention in modern periods, still challenges clinicians for proper diagnosis and treatment plan. A proper protocol for examination of TMD is yet to be established in clinical settings in countries such as ours, with challenges such as patient compliance, economic factors and lack of proper infrastructures are still making huge impact in diagnosis and treatment. A proper study for standardizing examination and determining treatment in context of our society is felt wanting. 

Case description
Here we present cases who came to OMFS opd, IOM for any perceived problem of temporomandibular joint. 
Any OPD cases who visited OMFS OPD, IOM with complaint provisionally diagnosed as originating from TMJ or referred for same from other departments were taken for study. Diagnosis was selected from algorithm and treatment was planned according to diagnosis and availability of treatment options. Results of treatment was noted in subsequent follow ups.

Conclusion
A standardized examination pattern for TMJ disorders can result in proper diagnosis with high sensitivity and specificity. A proper diagnosis will lead to greater efficiency in treatment planning, increasing confidence of patient for treatment. Exploring various treatment options in context of society leads to better outcome as well.