MULTIDIMENSIONAL EVALUATION OF CRANIOMANDIBULAR DYSFUNCTION .1. SYMPTOMS AND CORRELATES

To standardize clinical history taking, a comprehensive anamnestic que stionnaire was developed (Screen). Screen includes questions about (i) pain, (ii) other symptoms of CMD, (iii) correlates of CMD, (iv) psych osocial factors, and (v) general health. Variables discriminating betw een subgroups of clinical cases and controls were described successive ly. This study was performed to assess whether subgroups of patients w ith signs and symptoms of craniomandibular dysfunction (CMD), and a co ntrol group of dental patients with and without signs and symptoms of CMD, can be characterized by differential report of signs and symptoms of CMD, as reported in Screen. Results indicate that Screen can be us ed to discriminate between (i) subgroups of subjects with signs or sym ptoms of CMD (both clinical cases and controls) and controls without s igns or symptoms of CMD; (ii) subgroups of clinical cases and controls with signs and/or symptoms of CMD; and (iii) patients with CMD with m ainly a myogenous component and patients with CMD with mainly an arthr ogenous component. Differences between patients and controls are inter preted with regard to the correct classification of patients with CMD with mainly a myogenous component and patients with CMD with mainly an arthrogenous component, and with regard to the subjective treatment n eed for CMD. The results of logistic regression analyses indicate that subsets of items of Screen correctly classified up to 80% of patients with myogenous or arthrogenous CMD. Implications for further research were discussed.