Banca de DEFESA: RAUL ELTON ARAUJO BORGES

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : RAUL ELTON ARAUJO BORGES
DATE: 15/08/2022
TIME: 14:00
LOCAL: Online - plataforma GoogleMeet
TITLE:

VALIDITY AND RELIABILITY OF THE EPIDEMIOLOGICAL DIAGNOSTIC INSTRUMENT FOR TEMPOROMANDIBULAR DISORDERS- EDI/TMD

KEY WORDS:

Temporomandibular Joint Disorders, Diagnosis, Epidemiology, Validation Study, Methods

PAGES: 102
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUBÁREA: Clínica Odontológica
SUMMARY:

Introduction: Temporomandibular disorders (TMD) is a highly underreported oral health problem. In addition, its diagnosis is complex and requires the use of valid and reliable instruments for use in epidemiological studies. Objective: To validate the Epidemiological Diagnostic Instrument for TMD (EDI/TMD), with applicability for national epidemiological studies. Methodology: This is a validation study, internal structure validity through Exploratory Factor Analysis (EFA), reliability (internal consistency; interobserver and intraobserver), and convergent validity of the EDI/TMD were assessed using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) as the gold standards. Results:  Bartlett’s test (X2 = 734.645; p< 0,001) and the Kaiser–Meyer–Olkin (KMO=0,746) measure of sampling adequacy was obtained. AFE showed tree factors (Muscle TMD, Joint TMD, and Differential Diagnosis) with all items having factor loadings > 0.4, which explained 73.3% of the total variance. Good internal consistency with Cronbach's alpha= 0.775. Reliability ranged from substantial to excellent, reproducibility interobserver (Kappa=0.79-1.00, ICC=0.91-0.97, p< 0.001) and intraobserver (Kappa= 0.75-1.00, ICC=0.80-0.95; p< 0.001). The EDI/TMD total score showed valid and satisfactory diagnostic criteria according to the DC/TMD (Kappa= 0.906; p<0.001), with the ability to differentiate between individuals without and with TMD with a cut-off point of 4.9 (Sensitivity=1.0; Specificity=1.0; AUR=1.0); Mixed TMD with a cut-off point of 14 or more (Sensitivity=0.8; Specificity=1.0; AUR=0.987); and either Muscles TMD (Sensitivity=1.0; Specificity= 0.88; PPV= 0.89; NPV=1.0) or Joint TMD (Sensitivity=0.95; Specificity= 0.87; PPV= 0.83; NPV=0.96), with a cut-off point between 5-13.9, with the diagnosis obtained from the highest score in each factor (Muscles or Joint). Conclusion: The EDI/TMD is a valid and reliable assessment tool, with adequate and satisfactory psychometric properties, capable of diagnosing people with TMD and classifying the subtype of the condition (Muscle, Joint, and Mixed). Finally, the EDI/TMD is an important Brazilian questionnaire that should be used for TMD epidemiological surveys and in oral health services as a faster and simpler screening tool than the DC/TMD.

COMMITTEE MEMBERS:
Presidente - 1678126 - PATRICIA DOS SANTOS CALDERON
Interno - 1466265 - GUSTAVO AUGUSTO SEABRA BARBOSA
Externa à Instituição - MARGARETE RIBEIRO DA SILVA - UF
Externa à Instituição - EVELYN MIKAELA KOGAWA - UnB
Externo à Instituição - PAULO CESAR RODRIGUES CONTI - USP