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<p>The diagnosis “craniomandibular disorder” (CMD) is nothing more than an undirected, rough localization of a&#xa0;heterogeneous and multifactorial complex of painful and non-painful clinical symptoms that require treatment and also those that do not. In no way does this describe the (dys)functional state of the craniomandibular system (CMS) with sufficient accuracy. In order to be able to derive specific treatment strategies, clinical and/or pathological conditions must be precisely described with reproducible and standardized diagnoses. In the diagnostic classification of the craniomandibular system (DC-CMS), “CMD diagnoses” relevant to (dental) medicine were organized and described in a&#xa0;hierarchically structured and coded multilevel model according to the current state of knowledge. On this basis, the (dys)functional state of the CMS can be correctly documented in a&#xa0;treatment-oriented manner following problem-oriented diagnostics. Following a&#xa0;consistent basic anatomical order, it is possible to derive the corresponding leading structure(s) based on certain leading symptoms and thus categorize them as myogenic (myopathy), arthrogenic (arthropathy), and/or occlusogenic (occlusopathy) CMD. Respective specialist diagnoses primarily belonging to other medical fields are listed as comorbidities in the DC-CMS.</p>

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Die interdisziplinäre Diagnoseklassifikation des craniomandibulären Systems (DC-CMS)

  • 期刊论文

  • 发表日期：

    2025年9月10日

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  • Daniel Weber,
  • Andreas Neff

摘要

The diagnosis “craniomandibular disorder” (CMD) is nothing more than an undirected, rough localization of a heterogeneous and multifactorial complex of painful and non-painful clinical symptoms that require treatment and also those that do not. In no way does this describe the (dys)functional state of the craniomandibular system (CMS) with sufficient accuracy. In order to be able to derive specific treatment strategies, clinical and/or pathological conditions must be precisely described with reproducible and standardized diagnoses. In the diagnostic classification of the craniomandibular system (DC-CMS), “CMD diagnoses” relevant to (dental) medicine were organized and described in a hierarchically structured and coded multilevel model according to the current state of knowledge. On this basis, the (dys)functional state of the CMS can be correctly documented in a treatment-oriented manner following problem-oriented diagnostics. Following a consistent basic anatomical order, it is possible to derive the corresponding leading structure(s) based on certain leading symptoms and thus categorize them as myogenic (myopathy), arthrogenic (arthropathy), and/or occlusogenic (occlusopathy) CMD. Respective specialist diagnoses primarily belonging to other medical fields are listed as comorbidities in the DC-CMS.