| Title |
Patients that have Experienced Trauma From Whiplash are More Likely to Exhibit Temporomandibular Symptoms |
| Clinical Question |
Could whiplash be a cause for TMD? |
| Clinical Bottom Line |
The development of TMD symptoms is common in whiplash patients. |
| Best Evidence |
|
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| 24630163 | Sale/2014 | 15 years/51 patients | Cohort Study | | Key results | TMD symptoms were significantly higher in patients compared to control participants at inception (44% vs 20%, P=0.005) and remained higher. There were no significant differences in disk displacement between groups either at inception (63% vs 53%) or at 15-year-follow-up (63% vs 55%). | |
| Evidence Search |
("temporomandibular joint"[MeSH Terms] OR ("temporomandibular"[All Fields] AND "joint"[All Fields]) OR "temporomandibular joint"[All Fields]) AND ("whiplash injuries"[MeSH Terms] OR ("whiplash"[All Fields] AND "injuries"[All Fields]) OR "whiplash injuries"[All Fields] OR "whiplash"[All Fields]) |
Comments on
The Evidence |
Validity: The cohort study included 1-year and 15-year follow-ups for 60 participants. The follow-ups were consistent and included interview, clinical examination, and MR imaging. Risk of bias caused by attrition was small.
Perspective: Based on this cohort studyl, the follow-up procedures demonstrate a reasonable representation on whether or not whiplash may be a cause for TMD. The 15-year follow up is useful in obtaining precise results. However, the number of participants was only 51 and may not have fully represented the relationship between whiplash and TMD. |
| Applicability |
These results should be kept in mind when a practitioner is evaluating a TMD patient with a whiplash history. They may have a significant impact on the liability and which insurance company should pay for treatment. |
| Specialty |
(General Dentistry) |
| Keywords |
temporomandibular, TMD, whiplash, disk displacement
|
| ID# |
2891 |
| Date of submission |
04/10/2015 |
| E-mail |
nguyentk@livemail.uthscsa.edu |
| Author |
Thi Kim Ly Nguyen |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor |
Edward F. Wright, DDS, MS |
| Faculty mentor e-mail |
WrightE2@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?) |
| None available | |
 |
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
| None available | |