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Temporomandibular Disorder Pain After Whiplash Trauma: A Systematic Review

In English

Författare

Summary, in English

Aims: To assess, by systematic review of the literature, (1) the prevalence and incidence of temporomandibular disorder (TMD) pain after whiplash trauma, and (2) whether treatment modalities commonly used for TMD are equally effective in patients with solely TMD pain and those with TMD/whiplash-associated disorders (WAD) pain. Methods: A systematic literature search of the PubMed, Cochrane Library, and Bandolier databases was conducted from January 1966 through October 2012. The systematic search identified 125 articles. After an initial screening of abstracts, 45 articles were reviewed in full text. Two investigators evaluated the methodological quality of each identified study. Results: Eight studies on prevalence/incidence of TMD pain in WAD and four studies on interventions in TMD pain and WAD met the inclusion criteria. The reported median prevalence of TMD pain after whiplash trauma was 23% (range 2.4% to 52%) and the incidence ranged from 4% to 34%. For healthy controls, the reported median prevalence was 3% (range 2.5% to 8%) and the incidence ranged from 4.7% to 7%. For patients with a combination of TMD pain and WAD, treatment modalities conventionally used for TMD, such as jaw exercises and occlusal splints, had less of an effect (median improvement rate of 48%, range 13% to 68%) compared to TMD patients without a whiplash injury (75%, range 51% to 91%). Conclusion: There is some evidence that prevalence and incidence of TMD pain is increased after whiplash trauma. The poorer treatment outcome suggests that TMD pain after whiplash trauma has a different pathophysiology compared to TMD pain localized to the facial region.

Publiceringsår

2013

Språk

Engelska

Sidor

217-226

Publikation/Tidskrift/Serie

Journal of Orofacial Pain

Volym

27

Issue

3

Dokumenttyp

Artikel i tidskrift

Förlag

Quintessence Publishing

Ämne

  • Other Medical Sciences not elsewhere specified
  • Occupational Therapy

Nyckelord

  • jaw
  • neck
  • systematic review
  • temporomandibular disorders
  • whiplash
  • injuries

Status

Published

Forskningsgrupp

  • Sustainable occupations and health in a life course perspective
  • Rehabilitation medicine

ISBN/ISSN/Övrigt

  • ISSN: 1064-6655