Table 5.
From RDC/TMD to DC/TMD: Comparison of Diagnostic Procedures for Pain-Related TMD
| RDC/TMD | DC/TMD | |
|---|---|---|
| HISTORY (applicable to all pain-related TMD) | ||
| Presence of masticatory system pain | ✓ | ✓ |
| Headache of any type in temporal region | ✓ | |
| Pain or headache modification with jaw movement, function, or parafunction | ✓ | |
| EXAMINATION | ||
| Arthralgia | ||
| Confirmation of location of pain in the joint | ✓ | |
| Pain with joint palpation | ||
| • Lateral pole | ✓ | ✓ |
| • Around lateral pole | ✓ | |
| • Posterior site | ✓ | |
| Pain with range of motion | ✓ | ✓ |
| Familiar pain with palpation or range of motion | ✓ | |
| Myalgia (“Myofascial pain” in RDC/TMD) | ||
| Confirmation of location of pain in a masticatory muscle | ✓ | |
| Pain with muscle palpation (required sites) | ||
| • Temporalis | ✓ | ✓ |
| • Masseter | ✓ | ✓ |
| • Posterior mandibular region | ✓ | |
| • Submandibular region | ✓ | |
| • Lateral pterygoid area | ✓ | |
| • Temporalis tendon | ✓ | |
| Pain with maximum unassisted or assisted opening | ✓ | |
| Familiar pain with palpation or opening | ✓ | |
| Local myalgia (new diagnosis) | ||
| Sustained palpation with no identification of spreading pain or referral patterns | ✓ | |
| Myofascial pain (new diagnosis) | ||
| Sustained palpation with identification of spreading pain but no referral patterns | ✓ | |
| Myofascial pain with referral (new diagnosis) | ||
| Sustained palpation with identification of referral patterns (spreading pain may also be present) | ✓ | |
| Headache attributed to TMD (new diagnosis) | ||
| Confirmation of location of headache in temple area | ✓ | |
| Familiar headache with palpation or range of motion | ✓ | |