Temporomandibular disorders and whiplash injury: A narrative review

Publication date: Available online 10 March 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): G. Landzberg, M. El-Rabbany, G.D. Klasser, J.B. Epstein
BackgroundThe objective of this paper was to conduct a review investigating the relationship between temporomandibular disorders (TMD) and whiplash injuries (WI).MethodsThe authors conducted a search of PubMed/Medline, Cochrane and Embase for studies discussing prevalence, incidence, severity, treatment or prognosis of TMDs following WI. English language studies published between January 2010 and March 2016 were included. Study quality was assessed using the Ottawa-Newcastle scale.ResultsEight studies investigating TMDs in patients with histories of WI were included. These studies reported associations between WI and TMD and an increase in symptom severity among TMD patients with a history of WI. Additionally, TMD patients with trauma histories display more severe subjective, objective and psychological dysfunction than do typical TMD patients. This results in poorer treatment outcomes.ConclusionsThese findings highlight the need for early evaluation of WI patients for TMDs and for a multidisciplinary approach to their management.



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