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The Role of Trauma and Whiplash Injury in TMD

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Contemporary Management of Temporomandibular Disorders

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Abstract

The effects of direct or indirect trauma to the jaw and temporomandibular joint (TMJ) can have both short- and long-term consequences. This chapter will explore direct and indirect trauma in relation to temporomandibular disorders (TMDs).

  • Definition of trauma and role of injury

  • Micro- vs. macrotrauma

  • Epidemiology of trauma

  • Direct trauma and TMDs

  • TMD and whiplash injury

  • Consequences of trauma: pain and functional disturbances

  • Considerations for treatment in relation to TMD and trauma

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References

  1. Langley J, Brenner R. What is an injury? Inj Prev. 2004;10(2):69–71.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Cummings P, Koepsell TD, Mueller BA. Methodological challenges in injury epidemiology and injury prevention research. Annu Rev Public Health. 1995;16:381–400.

    CAS  PubMed  Google Scholar 

  3. MacKenzie EJ. Epidemiology of injuries: current trends and future challenges. Epidemiol Rev. 2000;22(1):112–9.

    CAS  PubMed  Google Scholar 

  4. Knowles SB, Marshall SW, Guskiewicz KM. Issues in estimating risks and rates in sports injury research. J Athl Train. 2006;41(2):207–15.

    PubMed  PubMed Central  Google Scholar 

  5. Fernandez J, Fredericks T, Marley R. The psychophysical approach in upper extremities work. In: Contemporary ergonomics. Boca Raton, FL: CRC Press; 1995. p. 456–8.

    Google Scholar 

  6. Hauret KG, Jones BH, Bullock SH, Canham-Chervak M, Canada S. Musculoskeletal injuries: description of an under-recognized injury problem among military personnel. Am J Prev Med. 2010;38(1):S61–70.

    PubMed  Google Scholar 

  7. Gerwin RD, Shannon S, Hong C-Z, Hubbard D, Gevirtz R. Interrater reliability in myofascial trigger point examination. Pain. 1997;69:65–73.

    CAS  PubMed  Google Scholar 

  8. Cohen M, Quintner J. The horse is dead: let myofascial pain syndrome rest in peace. Pain Med. 2008;9(4):464–5.

    PubMed  Google Scholar 

  9. Quintner JL, Bove GM, Cohen ML. A critical evaluation of the trigger point phenomenon. Rheumatology. 2014;54:392–9.

    PubMed  Google Scholar 

  10. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual, vol. 1983. Baltimore: Williams and Wilkins; 1983.

    Google Scholar 

  11. Glaros AG, Marszalek JM, Williams KB. Longitudinal multilevel modeling of facial pain, muscle tension, and stress. J Dent Res. 2016;95:416.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Ohrbach R, Bair E, Fillingim RB, Gonzalez Y, Gordon SM, Lim PF, et al. Clinical orofacial characteristics associated with risk of first-onset TMD: the OPPERA prospective cohort study. J Pain. 2013;14(12 Suppl 2):T33–50.

    PubMed  Google Scholar 

  13. Ohrbach R, Fillingim RB, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, et al. Clinical findings and pain symptoms as potential risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. J Pain. 2011;12(11 Suppl):T27–45.

    PubMed  PubMed Central  Google Scholar 

  14. Glaros AG, Burton E. Parafunctional clenching, pain, and effort in temporomandibular disorders. J Behav Med. 2004;27(1):91–100.

    PubMed  Google Scholar 

  15. Ohrbach R, Dworkin SF. The evolution of TMD diagnosis: past, present, future. J Dent Res. 2016;95(10):1093–101.

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res. 2016;95(10):1084–92.

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Iwasaki L, Gonzalez Y, Liu Y, Liu H, Markova M, Gallo L, et al. Mechanobehavioral scores in women with and without TMJ disc displacement. J Dent Res. 2017;96(8):895–901. https://doi.org/10.1177/0022034517704375.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Iwasaki L, Gonzalez Y, Liu Y, Liu H, Markova M, Gallo L, et al. TMJ energy densities in healthy men and women. Osteoarthr Cartil. 2017;25:846.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Wei F, Van Horn MH, Coombs MC, She X, Gonzales TS, Gonzalez YM, et al. A pilot study of nocturnal temporalis muscle activity in TMD diagnostic groups of women. J Oral Rehabil. 2017;44:517.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. NHIS. Summary health statistics: National Health Interview Survey, 2014 (injury table P-6); 2014.

    Google Scholar 

  21. Age patterns in the causes and nature of non-fatal injury and subsequent care seeking behavior [Internet]. Integrated Health Interview. 2016 [cited 08/03/2016]. https://ihis.ipums.org/ihis/resources/IHIS_Data_Brief_No_3.pdf.

  22. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743–800.

    Google Scholar 

  23. Styrke J, Stalnacke BM, Bylund PO, Sojka P, Bjornstig U. A 10-year incidence of acute whiplash injuries after road traffic crashes in a defined population in northern Sweden. PM R. 2012;4(10):739–47.

    PubMed  Google Scholar 

  24. NHIS. Summary health statistics: National Health Interview Survey, 2014 (injury table P-7); 2014.

    Google Scholar 

  25. Sethi RK, Kozin ED, Fagenholz PJ, Lee DJ, Shrime MG, Gray ST. Epidemiological survey of head and neck injuries and trauma in the United States. Otolaryngol Head Neck Surg. 2014;151(5):776–84.

    PubMed  PubMed Central  Google Scholar 

  26. Allareddy V, Allareddy V, Nalliah RP. Epidemiology of facial fracture injuries. J Oral Maxillofac Surg. 2011;69(10):2613–8.

    PubMed  Google Scholar 

  27. Cassidy JD, Boyle E, Carroll LJ. Population-based, inception cohort study of the incidence, course, and prognosis of mild traumatic brain injury after motor vehicle collisions. Arch Phys Med Rehabil. 2014;95(3 Suppl):S278–85.

    PubMed  Google Scholar 

  28. Mourao J, Neto J, Viana JS, Carvalho J, Azevedo L, Tavares J. A prospective non-randomised study to compare oral trauma from laryngoscope versus laryngeal mask insertion. Dent Traumatol. 2011;27(2):127–30.

    PubMed  Google Scholar 

  29. Akhter R, Hassan NM, Ohkubo R, Tsukazaki T, Aida J, Morita M. The relationship between jaw injury, third molar removal, and orthodontic treatment and TMD symptoms in university students in Japan. J Orofac Pain. 2008;22(1):50–6.

    PubMed  Google Scholar 

  30. Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002;81(4):284–8.

    CAS  PubMed  Google Scholar 

  31. Huang GJ, Rue TC. Third-molar extraction as a risk factor for temporomandibular disorder. J Am Dent Assoc. 2006;137(11):1547–54.

    PubMed  Google Scholar 

  32. Huang GJ, Drangsholt MT, Rue TC, Cruikshank DC, Hobson KA. Age and third molar extraction as risk factors for temporomandibular disorder. J Dent Res. 2008;87(3):283–7.

    CAS  PubMed  Google Scholar 

  33. Huang GJ, Cunha-Cruz J, Rothen M, Spiekerman C, Drangsholt M, Anderson L, et al. A prospective study of clinical outcomes related to third molar removal or retention. Am J Public Health. 2014;104(4):728–34.

    PubMed  PubMed Central  Google Scholar 

  34. Burgess J. Symptom characteristics in TMD patients reporting blunt trauma and/or whiplash injury. J Craniomandib Disord. 1991;5(4):251–7.

    CAS  PubMed  Google Scholar 

  35. Burgess JA, Kolbinson DA, Lee PT, Epstein JB. Motor vehicle accidents and TMDS: assessing the relationship. J Am Dent Assoc. 1996;127:1767–72.

    CAS  PubMed  Google Scholar 

  36. DeAngelis AF, Chambers IG, Hall GM. Temporomandibular joint disorders in patients referred for third molar extraction. Aust Dent J. 2009;54(4):323–5.

    CAS  PubMed  Google Scholar 

  37. Friedman MH, Weisberg J. The craniocervical connection: a retrospective analysis of 300 whiplash patients with cervical and temporomandibular disorders. Cranio. 2000;18(3):163–7.

    CAS  PubMed  Google Scholar 

  38. Heise AP, Laskin DM, Gervin AS. Incidence of temporomandibular joint symptoms following whiplash injury. J Oral Maxillofac Surg. 1992;50:825–8.

    CAS  PubMed  Google Scholar 

  39. Martin MD, Wilson KJ, Ross BK, Souter K. Intubation risk factors for temporomandibular joint/facial pain. Anesth Prog. 2007;54(3):109–14.

    PubMed  PubMed Central  Google Scholar 

  40. Sahebi S, Moazami F, Afsa M, Nabavi Zade MR. Effect of lengthy root canal therapy sessions on temporomandibular joint and masticatory muscles. J Dent Res Dent Clin Dent Prospects. 2010;4(3):95–7.

    PubMed  PubMed Central  Google Scholar 

  41. Klobas L, Tegelberg A, Axelsson S. Symptoms and signs of temporomandibular disorders in individuals with chronic whiplash-associated disorders. Swed Dent J. 2004;28(1):29–36.

    PubMed  Google Scholar 

  42. Kronn E. The incidence of TMJ dysfunction in patients who have suffered a cervical whiplash injury following a traffic accident. J Orofac Pain. 1993;7(2):209–13.

    CAS  PubMed  Google Scholar 

  43. Bergman H, Andersson F, Isberg A. Incidence of temporomandibular joint changes after whiplash trauma: a prospective study using MR imaging. AJR Am J Roentgenol. 1998;171(5):1237–43.

    CAS  PubMed  Google Scholar 

  44. Kolbinson DA, Epstein JB, Senthilselvan A, Burgess JA. A comparison of TMD patients with or without prior motor vehicle accident involvement: initial signs, symptoms, and diagnostic characteristics. J Orofac Pain. 1997;11:206–14.

    CAS  PubMed  Google Scholar 

  45. Miller VJ, Bodner L. The long-term effect of oromaxillofacial trauma on the function of the temporomandibular joint. J Oral Rehabil. 1999;26(9):749–51.

    CAS  PubMed  Google Scholar 

  46. Sale H, Hedman L, Isberg A. Salè—accuracy of patients’ recall of temporomandibular joint pain and dysfunction after experiencing whiplash traum: a prospective study. J Am Dent Assoc. 2010;141:879–86.

    PubMed  Google Scholar 

  47. Crowe HE. Whiplash injuries of the cervical spine. In: Proceedings of American Bar Association, Section of insurance, negligence and compensation law. Chicago: American Bar Association; 1958. p. 176–271.

    Google Scholar 

  48. Freeman MD, Croft AC, Rossignol AM, Weaver DS, Reiser M. A review and methodological critique of the literature refuting whiplash syndrome. Spine. 1999;24:86–96.

    CAS  PubMed  Google Scholar 

  49. Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, et al. Scientific monograph of the Quebec task force on whiplash-associated disorders: redefining ‘whiplash’ and its management. Spine. 1995;20:1–73.

    Google Scholar 

  50. Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population: results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Spine (Phila Pa 1976). 2008;33(4 Suppl):S39–51.

    Google Scholar 

  51. Garcia RJ, Arrington J. The relationship between cervical whiplash and temporomandibular joint injuries: an MRI study. J Craniomand Pract. 1996;14:233–9.

    Google Scholar 

  52. Sale H, Isberg A. Delayed temporomandibular joint pain and dysfunction induced by whiplash trauma a controlled prospective study. JADA. 2007;138(8):1084–91.

    PubMed  Google Scholar 

  53. Sale H, Bryndahl F, Isberg A. A 15-year follow-up of temporomandibular joint symptoms and magnetic resonance imaging findings in whiplash patients: a prospective, controlled study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(4):522–32.

    PubMed  Google Scholar 

  54. Kasch H, Hjorth T, Svensson P, Nyhuus L, Jensen TS. Temporomandibular disorders after whiplash injury: a controlled prospective study. J Orofac Pain. 2002;16:118–28.

    PubMed  Google Scholar 

  55. Magnusson T. Extracervical symptoms after whiplash trauma. Cephalalgia. 1994;14:223–7.

    CAS  PubMed  Google Scholar 

  56. De Boever JA, Keersmaekers K. Trauma in patients with temporomandibular disorders: frequency and treatment outcome. J Oral Rehabil. 1996;23(2):91–6.

    PubMed  Google Scholar 

  57. Harkins SJ, Marteney JL. Extrinsic trauma: a significant precipitating factor in temporomandibular dysfunction. J Prosthet Dent. 1985;54(2):271–2.

    CAS  PubMed  Google Scholar 

  58. Visscher C, Hofman N, Mes C, Lousberg R, Naeije MI. Temporomandibular pain in chronic whiplash-associated disorders part of a more widespread pain syndrome? Clin J Pain. 2005;21(4):353–7.

    PubMed  Google Scholar 

  59. Häggman-Henrikson B, Lampa E, Marklund S, Wänman A. Pain and disability in the jaw and neck region following whiplash trauma. J Dent Res. 2016;95(10):1155–60.

    PubMed  Google Scholar 

  60. Lampa E, Wänman A, Nordh E, Häggman-Henrikson B. Effects on jaw function shortly after whiplash trauma. J Oral Rehabil. 2017;44(12):941–7.

    CAS  PubMed  Google Scholar 

  61. Caroll LJ, Ferrari R, CJ D. Reduced or painful jaw movement after collision-related injuries: a population based study. J Am Dent Assoc. 2007;138:86–93.

    Google Scholar 

  62. Melzack R. From the gate to the neuromatrix. Pain. 1999;82(Suppl 6):S121–6.

    Google Scholar 

  63. IASP. IASP Taxonomy: International Association for the Study of Pain. 2015. http://www.iasp-pain.org/Taxonomy.

  64. Doleys DM. Pain mechanisms and types. Pain: dynamics and complexities. Oxford: Oxford University Press; 2014. p. 27–42.

    Google Scholar 

  65. Woolf CJ. Pain: moving from symptom control toward mechanism—specific pharamcological management. Ann Intern Med. 2004;104(6):441–51.

    Google Scholar 

  66. Woolf CJ, Mannion RJ. Neuropathic pain: aetiology, symptoms, mechanisms, and management. Lancet. 1999;353(9168):1959–64.

    CAS  PubMed  Google Scholar 

  67. Wessely S, Nimnuan C, Sharpe M. Functional somatic syndromes: one or many? Lancet. 1999;354(9182):936–9.

    CAS  PubMed  Google Scholar 

  68. Mayer EA, Bushnell MC. Functional pain disorders: time for a paradigm shift. In: Mayer EA, Bushnell MC, editors. Functional pain syndromes: presentation and pathophysiology. Seattle: IASP Press; 2009. p. 531–65.

    Google Scholar 

  69. Lund JP, Donga R, Widmer CG, Stohler CS. The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol. 1991;69(5):683–94.

    CAS  PubMed  Google Scholar 

  70. Slade GD, Diatchenko L, Bhalang K, Sigurdsson A, Fillingim RB, Belfer I, et al. Influence of psychological factors on risk of temporomandibular disorders. J Dent Res. 2007;86(11):1120–5.

    CAS  PubMed  Google Scholar 

  71. Hirsh AT, George SZ, Bialosky JE, Robinson ME. Fear of pain, pain catastrophizing, and acute pain perception: relative prediction and timing of assessment. J Pain. 2008;9(9):806–12.

    PubMed  PubMed Central  Google Scholar 

  72. Sullivan MJ, Thorn B, Rodgers W, Ward LC. Path model of psychological antecedents to pain experience: experimental and clinical findings. Clin J Pain. 2004;20(3):164–73.

    PubMed  Google Scholar 

  73. Wall PD. On the relation of injury to pain. The John J. Bonica lecture. Pain. 1979;6(3):253–64.

    CAS  PubMed  Google Scholar 

  74. Craig AD. A new view of pain as a homeostatic emotion. Trends Neurosci. 2003;26(6):303–7.

    CAS  PubMed  Google Scholar 

  75. Melzack R. Pain and the neuromatrix in the brain. J Dent Educ. 2001;65(12):1378–82.

    CAS  PubMed  Google Scholar 

  76. Vlaeyen J, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317–32.

    CAS  PubMed  Google Scholar 

  77. Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30(1):77–94.

    PubMed  Google Scholar 

  78. Sullivan M, Katon W. Somatization: the path between distress and somatic symptoms. APS J. 1993;2(3):141–9.

    Google Scholar 

  79. Rauhala K, Oikarinen KS, Jarvelin MR, Raustia AM. Facial pain and temporomandibular disorders: an epidemiological study of the northern Finland 1966 birth cohort. Cranio. 2000;18(1):40–6.

    CAS  PubMed  Google Scholar 

  80. Häggman-Henrikson B, Rezvani M, List T. Prevalence of whiplash trauma in TMD patients: a systematic review. J Oral Rehabil. 2014;41(1):59–68.

    PubMed  Google Scholar 

  81. Goldberg MB, Mock D, Ichise M, Proulx G, Gordon A, Shandling M, et al. Neuropsychologic deficits and clinical features of posttraumatic temporomandibular disorders. J Orofac Pain. 1996;10(2):126–40.

    PubMed  Google Scholar 

  82. Romanelli GG, Mock D, Tenenbaum HC. Characteristics and response to treatment of posttraumatic temporomandibular disorder: a retrospective study. Clin J Pain. 1992;8(1):6–17.

    CAS  PubMed  Google Scholar 

  83. Merskey H, Woodforde J. Psychiatric sequelae of minor head injury. Brain. 1972;95(3):521–8.

    CAS  PubMed  Google Scholar 

  84. Brooke RI, Stenn PG. Postinjury myofascial pain dysfunction syndrome: its etiology and prognosis. Oral Surg Oral Med Oral Pathol. 1978;45(6):846–50.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Oral Diagnostic Sciences, University at Buffalo School of Dental Medicine, Buffalo, NY, USA

    Sonia Sharma & Richard Ohrbach

  2. Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden

    Birgitta Häggman-Henrikson

Authors
  1. Sonia Sharma
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  2. Richard Ohrbach
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  3. Birgitta Häggman-Henrikson
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Corresponding author

Correspondence to Birgitta Häggman-Henrikson .

Editor information

Editors and Affiliations

  1. Oral and Maxillofacial Surgery, San Francisco VA Health Care System, University of California San Francisco, San Francisco, CA, USA

    S. Thaddeus Connelly  & Rebeka G. Silva  & 

  2. Private Practice, Dental Implant and Oral Surgery of San Francisco, San Francisco, CA, USA

    S. Thaddeus Connelly  & Rebeka G. Silva  & 

  3. Department of Biomedical Sciences for Health, Functional Anatomy Research Center (FARC), Universita degli Studi di Milano Functional Anatomy Research Center, Milano, Italy

    Gianluca Martino Tartaglia

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Sharma, S., Ohrbach, R., Häggman-Henrikson, B. (2019). The Role of Trauma and Whiplash Injury in TMD. In: Connelly, S.T., Tartaglia, G.M., Silva, R.G. (eds) Contemporary Management of Temporomandibular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-99912-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-99912-8_2

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