ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Patients with Temporomandibular Joint Disorders are More Likely to Have Previously Suffered Cervical Hyperextension-Flexion Trauma
Clinical Question Is a positive history of whiplash trauma more common in adult patients with TMD than in the non-TMD population?
Clinical Bottom Line Patients with temporomandibular joint disorders (TMD) are more likely to have suffered cervical hyperextension-flexion trauma (whiplash) when compared to the non-TMD population. This statement is substantiated by a systematic review of six research articles, which found that a positive history of whiplash trauma is more common in a given TMD patient population than in a given non-TMD population.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 24443899Haggman-Henrikson/20146 published studies on the prevalence of neck trauma in patients with TMDSystematic review of non-randomized trials
Key resultsOf 129 total studies, 32 articles were selected following initial screening and reviewed in full. 26 were subsequently excluded for failing to meet selection criteria. The remaining 6 articles reported a positive history of whiplash trauma in 8.4%- 70% of cases in TMD populations, compared with 1.7% -13% in the non-TMD control groups. In addition, patients with a history of whiplash trauma reported more TMD pain, more severe jaw dysfunction, more headaches, stress, dizziness and sleeping problems.
Evidence Search "temporomandibular joint disorders"[MeSH Terms] AND "whiplash injuries"[MeSH Terms]
Comments on
The Evidence
Study designs included case series, case-control studies, retrospective, and treatment-outcome analysis. Groups involved in the studies were subject to similar circumstance, adequately followed-up, and yielded adequate completion rates. Research was conducted in the absence of any conflicting interests. Studies relied of patients self-reporting their symptoms and severity.
Applicability Research indicates that as well as being a comorbid condition, cervical hyperextension-flexion trauma may play a role in initiating and/or exacerbating temporomandibular joint disorder.
Specialty/Discipline (General Dentistry)
Keywords TMD, temporomandibular joint disorder, whiplash, cervical trauma, jaw pain, pain, trauma, Temporomandibular disorders
ID# 2873
Date of submission: 03/25/2015spacer
E-mail robertsonl@livemail.uthscsa.edu
Author Lisa Robertson
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Edward F. Wright, DDS, MS
Faculty mentor/Co-author e-mail WrightE2@livemail.uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
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Comments on the CAT
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