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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) 24443899 | Haggman-Henrikson/2014 | 6 published studies on the prevalence of neck trauma in patients with TMD | Systematic review of non-randomized trials | Key results | Of 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: |
03/25/2015 |
E-mail |
robertsonl@livemail.uthscsa.edu |
Author |
Lisa Robertson |
Co-author(s) |
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Co-author(s) e-mail |
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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?) |
post a rationale |
None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
None available | |
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