Dentist, Private Practice, Gramado, RS, Brazil.
Post-graduate Student in Dental Sciences, Federal University of Santa Maria, RS, Brazil.
Cranio. 2023 May;41(3):199-203. doi: 10.1080/08869634.2020.1839724. Epub 2020 Oct 27.
To verify whether the Fonseca Anamnestic Index (FAI) has adequate sensitivity and specificity to be used in the diagnosis of temporomandibular disorder (TMD).
Two hundred-sixty-five participants with symptoms of TMDs were assessed through the FAI and through the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and then classified as sick or non-sick. The sensitivity, specificity, and predictive values of the FAI in relation to the RDC/TMD were calculated using the STATA 14.0 software.
Most of the patients were female, white, without a steady job, and the average age was 37.57 years. The FAI showed high sensitivity (97.21%) but obtained a low specificity (26.00%). The positive and negative predictive values were 84.96% and 68.42%, respectively.
The FAI is very sensitive in identifying patients who actually have TMD but not very specific in identifying non-TMD patients, being indicated only for initial screening of patients.
验证 Fonseca 病史指数(FAI)是否具有足够的灵敏度和特异性,可用于诊断颞下颌关节紊乱(TMD)。
通过 FAI 和研究性诊断标准颞下颌关节紊乱(RDC/TMD)评估了 265 名有 TMD 症状的参与者,然后将他们分为患病组和非患病组。使用 STATA 14.0 软件计算 FAI 与 RDC/TMD 的灵敏度、特异性和预测值。
大多数患者为女性、白人、无稳定工作,平均年龄为 37.57 岁。FAI 显示出很高的灵敏度(97.21%),但特异性较低(26.00%)。阳性和阴性预测值分别为 84.96%和 68.42%。
FAI 非常敏感,可用于识别确实患有 TMD 的患者,但特异性不高,无法用于识别非 TMD 患者,仅适用于患者的初步筛查。