RDC/TMD axis II criteria in defining temporomandibular disorders. a cross-sectional study


Ardıç M., Ardıç M. Y., KAHRAMAN B., Bozkurt P., ÜÇOK C.

BMC Oral Health, cilt.25, sa.1, 2025 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1186/s12903-025-06814-5
  • Dergi Adı: BMC Oral Health
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
  • Anahtar Kelimeler: Okeson classification, Research diagnostic criteria, Temporomandibular joint disorders
  • Ankara Üniversitesi Adresli: Evet

Özet

Background: This cross-sectional study analyzed patients with temporomandibular joint disorders (TMD) through the Research Diagnostic Criteria Axis II and compared the outcomes in patient groups separated according to the Okeson Classification. Materials and methods: The study included 270 TMD patients (212 female, 58 male) admitted to the Oral and Maxillofacial Surgery clinic at Ankara University. Following the Okeson classification, patients separated into four groups of osteoarthritis, internal derangement, myofascial pain, and local myalgia were evaluated with RDC/TMD Axis II form and also questioned about the usage of antidepressants and smoking habits. SPSS version 20 (IBM, Chicago, IL, USA) was employed for statistical analyses. Results: While patients with myofascial pain had the highest rates of depression, somatization, usage of antidepressants, graded chronic pain, patients with internal derangement had the lowest rates of depression, somatization, and graded pain. Rates of smoking did not differ between the patient groups. Conclusions: Delineating the features of TMD patients by RDC/TMD Axis II in subgroups according to Okeson classification would improve understanding of the divergent pathogenesis of TMD and lead to optimizing future treatments.