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Difference between revisions of "Are we sure to know everything?"
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== Abstract == | |||
[[File:Question 2.jpg|left|150x150px]] | [[File:Question 2.jpg|left|150x150px]] | ||
We are approaching the conclusion of the first section of Masticationpedia which essentially had the task of representing the status quo of diagnostics in the field of Orofacial pain and Temporomandibular Disorders. We have also presented the first obstacles that arise in the face of a correct, detailed and rapid diagnosis but perhaps it escapes the researcher and clinician a little that there are also problems and limitations outside the clinical context for example when thinking about the order effect of the information presented to the doctor to make the diagnosis. Once we know this cognitive phenomenon, how can we represent it statistically? Unfortunately, classical statistics with the famous and inflated Bayes Theorem is not suitable because the variables are not compatible. For this reason, before moving on to the presentation of the last two patients we highlighted some underlying anomalies. | We are approaching the conclusion of the first section of Masticationpedia which essentially had the task of representing the status quo of diagnostics in the field of Orofacial pain and Temporomandibular Disorders. We have also presented the first obstacles that arise in the face of a correct, detailed and rapid diagnosis but perhaps it escapes the researcher and clinician a little that there are also problems and limitations outside the clinical context for example when thinking about the order effect of the information presented to the doctor to make the diagnosis. Once we know this cognitive phenomenon, how can we represent it statistically? Unfortunately, classical statistics with the famous and inflated Bayes Theorem is not suitable because the variables are not compatible. For this reason, before moving on to the presentation of the last two patients we highlighted some underlying anomalies. | ||
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=== Introduction === | === Introduction === | ||
During the previous chapters of Masticationpedia we wanted to highlight the diagnostic complexity in the field of Orofacial Pain and Temporomandibular Disorders (TMDs) which sometimes hide much more serious neurological and/or systemic pathologies with a diagnostic course of decades. One of the most striking data that emerges from research in the literature is the high prevalence of TMD (30%-50%) throughout the world<ref>Ouanounou A, Goldberg M, Haas DA. Pharmacotherapy in '''Temporomandibular''' '''Disorders''': A '''Review'''. J Can Dent Assoc. 2017 Jul;83:h7.</ref> combined with their variability between clinical studies (3-20%)..<ref>Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. '''Review''' of '''temporomandibular''' '''joint''' pathology. Part I: classification, '''epidemiology''' and risk factors. Med Oral Patol Oral Cir Bucal. 2007 Aug 1;12(4):E292-8.</ref><ref>Türp JC, Schindler HJ.Schmerz. Chronic '''temporomandibular''' '''disorders''']. 2004 Apr;18(2):109-17. doi: 10.1007/s00482-003-0279-x.PMID: 15067530 </ref><ref>Fricton JR. The relationship of '''temporomandibular''' '''disorders''' and fibromyalgia: implications for diagnosis and treatment. Curr Pain Headache Rep. 2004 Oct;8(5):355-63. doi: 10.1007/s11916-996-0008-0.PMID: 15361319 </ref><ref>De Meyer MD, De Boever JA.The role of bruxism in the appearance of '''temporomandibular''' '''joint''' '''disorders'''].Rev Belge Med Dent (1984). 1997;52(4):124-38. PMID: 9709800 | During the previous chapters of Masticationpedia we wanted to highlight the diagnostic complexity in the field of Orofacial Pain and Temporomandibular Disorders (TMDs) which sometimes hide much more serious neurological and/or systemic pathologies with a diagnostic course of decades. One of the most striking data that emerges from research in the literature is the high prevalence of TMD (30%-50%) throughout the world<ref>Ouanounou A, Goldberg M, Haas DA. Pharmacotherapy in '''Temporomandibular''' '''Disorders''': A '''Review'''. J Can Dent Assoc. 2017 Jul;83:h7.</ref> combined with their variability between clinical studies (3-20%)..<ref>Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. '''Review''' of '''temporomandibular''' '''joint''' pathology. Part I: classification, '''epidemiology''' and risk factors. Med Oral Patol Oral Cir Bucal. 2007 Aug 1;12(4):E292-8.</ref><ref>Türp JC, Schindler HJ.Schmerz. Chronic '''temporomandibular''' '''disorders''']. 2004 Apr;18(2):109-17. doi: 10.1007/s00482-003-0279-x.PMID: 15067530 </ref><ref>Fricton JR. The relationship of '''temporomandibular''' '''disorders''' and fibromyalgia: implications for diagnosis and treatment. Curr Pain Headache Rep. 2004 Oct;8(5):355-63. doi: 10.1007/s11916-996-0008-0.PMID: 15361319 </ref><ref>De Meyer MD, De Boever JA.The role of bruxism in the appearance of '''temporomandibular''' '''joint''' '''disorders'''].Rev Belge Med Dent (1984). 1997;52(4):124-38. PMID: 9709800 | ||