@article{57af3c76d01b4ba7989f7549ad36d590,
title = "Benefits of implementing pain-related disability and psychological assessment in dental practice for patients with temporomandibular pain and other oral health conditions",
abstract = "Background: Evidence in the field of dentistry has demonstrated the importance of pain-related disability and psychological assessment in the development of chronic symptoms. The Diagnostic Criteria for Temporomandibular Disorders offer a brief assessment for the diagnostic process in patients with orofacial pain (Axis II). The authors describe relevant outcomes that may guide general oral health care practitioners toward tailored treatment decisions and improved treatment outcomes and provide recommendations for the primary care setting. Methods: The authors conducted a review of the literature to provide an overview of knowledge about Axis II assessment relevant for the general oral health care practitioner. Results: The authors propose 3 domains of the Axis II assessment to be used in general oral health care: pain location (pain drawing), pain intensity and related disability (Graded Chronic Pain Scale [GCPS]), and psychological distress (Patient Health Questionnaire-4 [PHQ-4]). In the case of localized pain, low GCPS scores (0-II), and low PHQ-4 scores (0-5), patients preferably receive treatment in primary care. In the case of widespread pain, high GCPS scores (III-IV), and high PHQ-4 scores (6-12), the authors recommend referral to a multidisciplinary team, especially for patients with temporomandibular disorder (TMD) pain. Conclusions: The authors recommend psychological assessment at first intake of a new adult patient or for patients with persistent TMD pain. The authors recommend the pain-related disability screening tools for all TMD pain symptoms and for dental pain symptoms that persist beyond the normal healing period. Practical Implications: A brief psychological and pain-related disability assessment for patients in primary care may help the general oral health care practitioner make tailored treatment decisions.",
keywords = "Orofacial pain, general practice, primary health care",
author = "Visscher, {Corine M.} and Lene Baad-Hansen and Justin Durham and Goulet, {Jean Paul} and Ambra Michelotti and {Rold{\'a}n Barraza}, Carolina and Birgitta H{\"a}ggman-Henrikson and Ekberg, {Ewa Carin} and Raphael, {Karen G.}",
note = "Funding Information: Ultimately, the proposed patient-tailored treatment decisions are expected to increase patient satisfaction with the care provided by the general oral health care practitioner. Patient satisfaction is an important outcome measure for treatment evaluation. Knowledge of factors that influence patient satisfaction, including information that may guide the practitioner possibly to avoid treatment in certain situations, may improve treatment outcomes further in patients with TMD. 49 On the basis of the evidence reviewed in this article, Box 1 summarizes the recommendations given in this article. Dr. Baad-Hansen is an associate professor, Section of Orofacial Pain and Jaw Function, and deputy head, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark, and an associate professor, Scandinavian Center of Orofacial Neurosciences (SCON), http://www.sconresearch.eu . Dr. Durham is a professor, Orofacial Pain, Centre for Oral Health Research, Institute of Health and Society, and School of Dental Sciences, Newcastle University, and an honorary consultant oral surgeon, Newcastle-Upon-Tyne Hospitals' NHS Foundation Trust, Newcastle, Tyne & Wear, UK. Dr. Goulet is an emeritus professor, Faculty of Dental Medicine, Section of Somatology, University Laval, Quebec, Canada. Dr. Michelotti is a dentist, orthodontist, and associate professor, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Naples, Italy. Dr. Rold{\'a}n Barraza is an assistant professor, J.W. Goethe Universit{\"a}t, Frankfurt am Main, Germany. Dr. H{\"a}ggman-Henrikson is an associate professor, Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malm{\"o} University, Malm{\"o}, Sweden. Dr. Ekberg is a professor and specialist, Stomatognathic Physiology, Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malm{\"o} University, Malm{\"o}, Sweden. Dr. Raphael is a professor, Department of Oral Pathology, Radiology & Medicine, New York University College of Dentistry, and a professor, Department of Psychiatry, New York University School of Medicine, New York, NY. Publisher Copyright: {\textcopyright} 2018 American Dental Association",
year = "2018",
month = jun,
doi = "10.1016/j.adaj.2017.12.031",
language = "English (US)",
volume = "149",
pages = "422--431",
journal = "Journal of the American Dental Association",
issn = "0002-8177",
publisher = "American Dental Association",
number = "6",
}