Table 8.
Clinical and Research Applications of Selected DC/TMD Axis I and Axis II Tests
Axis I: Physical diagnosis | Axis II: Psychosocial status | |||
---|---|---|---|---|
Pain diagnoses | Joint diagnoses | Distress and pain disability | ||
Application | Clinical or research | Clinical | Clinical or research | |
Screening test | TMD pain screener | DC/TMD for disc displacements, degenerative joint disease, and sublaxation | PHQ-4 and GCPS | PHQ-9, GAD-7, PHQ-15, and GCPS |
Confirmatory test | DC/TMD for myalgia, arthralgia, and headache attributed to TMD | Imaging: MRI for disc displacements, CT for degenerative joint disease, and panoramic radiographs, MRI, or CT for sublaxation | Consultation with mental health provider | Structured psychiatric or behavioral medicine interview |
Patient Health Questionnaire-4 (PHQ-4), Graded Chronic Pain Scale (GCPS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-15 (PHQ-15).