Which two self-reported measures are commonly used in DC/TMD Axis II assessment of pain and disability?

Which two self-reported measures are commonly used in DC/TMD Axis II assessment of pain and disability?

• A. Graded Chronic Pain Scale (GCPS) and a jaw disability scale such as the Fonseca questionnaire or DC/TMD disability index; plus mood screening scales.
• B. Only radiographic findings.
• C. Pain thresholds measured by QST.
• D. Financial cost scales.

Answer: (A)

In DC/TMD Axis II, the focus is on patient-reported outcomes that reflect how pain affects function and overall well-being. The two core self-report measures for pain and disability are the Graded Chronic Pain Scale, which captures both the intensity of pain and how much it interferes with daily activities, and a jaw-specific disability scale (such as the Fonseca questionnaire or the DC/TMD disability index), which assesses functional limitations directly related to jaw movements like chewing, opening, and speaking. Mood screening scales are often added because emotional distress can intensify pain perception and limit function, giving a fuller picture of the patient’s experience. Radiographs and quantitative sensory testing are not Axis II measures; imaging relates to structure (Axis I) and QST assesses sensory thresholds rather than self-reported impact on daily life.

In DC/TMD Axis II, the focus is on patient-reported outcomes that reflect how pain affects function and overall well-being. The two core self-report measures for pain and disability are the Graded Chronic Pain Scale, which captures both the intensity of pain and how much it interferes with daily activities, and a jaw-specific disability scale (such as the Fonseca questionnaire or the DC/TMD disability index), which assesses functional limitations directly related to jaw movements like chewing, opening, and speaking. Mood screening scales are often added because emotional distress can intensify pain perception and limit function, giving a fuller picture of the patient’s experience. Radiographs and quantitative sensory testing are not Axis II measures; imaging relates to structure (Axis I) and QST assesses sensory thresholds rather than self-reported impact on daily life.