Symptoms and signs of temporomandibular disorders in individuals with chronic whiplash-associated disorders

Swed Dent J. 2004;28(1):29-36.

Abstract

The purpose of this study was to compare the prevalence of temporomandibular disorders (TMD) between individuals with chronic whiplash-associated disorders (WAD) and a group of age- and sex-stratified patients attending a Public Dental Service (PDS) clinic. Fifty-four individuals diagnosed with chronic WAD that were referred to a rehabilitation centre constituted the WAD group. The control group consisted of 66 patients at a PDS clinic (C group). Both groups underwent a standardised examination of the masticatory system comprising a questionnaire and a clinical examination. Eighty-nine per cent of the individuals in the WAD group had severe symptoms of TMD according to Helkimo's anamnestic index of dysfunction (A1) compared with 18% in the C group (p < 0.001). The individuals in the WAD group had also more signs of TMD. The maximum mouth opening capacity was 48 mm in the WAD group and 54 mm in the C group (p < 0.001). In the WAD group 17% had a mouth opening capacity < 40 mm compared with 2% in the C group (p < 0.05). Pain on palpation of the jaw muscles and on lateral palpation of the temporomandibular joints was more common in the WAD group (p < 0.001). Pain on mandibular mobility was reported by 30% in the WAD group and by 3% in the C group (p < 0.001). In conclusion, the prevalence of TMD was higher among individuals with chronic WAD compared with an age- and sex-stratified cohort of patients in a general dental practice. The results indicate that trauma to the neck also affects temporomandibular function.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Chi-Square Distribution
  • Chronic Disease
  • Facial Pain / physiopathology
  • Female
  • Humans
  • Male
  • Mandible / physiopathology
  • Masticatory Muscles / physiopathology
  • Middle Aged
  • Movement
  • Palpation
  • Range of Motion, Articular / physiology
  • Sound
  • Temporomandibular Joint / physiopathology
  • Temporomandibular Joint Disorders / etiology*
  • Whiplash Injuries / complications*