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Whiplash trauma did not predict jaw pain after 2 years: an explorative study
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0002-1932-9610
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0003-2920-6654
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.ORCID iD: 0000-0002-2916-0628
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0002-7431-9618
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2024 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 28, article id 165Article in journal (Refereed) Published
Abstract [en]

Objectives: To explore predictive factors for the development and maintenance of jaw pain over a 2-year period.

Methods: One hundred nineteen cases (73 women) and 104 controls (59 women), mean age 34.9 years (SD 13.9), attended baseline and 2-year follow-up examinations. The whiplash cases visited the emergency department at Umeå University Hospital, Sweden, with neck pain within 72 h following a car accident, and baseline questionnaires were answered within a month after trauma. Controls were recruited via advertising. Inclusion criteria were age 18–70 years, living in Umeå municipality and Swedish speaking. The exclusion criterion was neck fracture for cases and a previous neck trauma for controls. Validated questionnaires recommended in the standardized Research Diagnostic Criteria for temporomandibular disorders were used. Jaw pain was assessed by two validated screening questions answered with “yes” or “no.” A logistic regression analysis was used to predict the outcome variable jaw pain (yes/no) after 2 years.

Results: Whiplash trauma did not increase the odds of development of jaw pain over a 2-year period (OR 1.97, 95% CI 0.53–7.38). However, non-specific physical symptoms (OR 8.56, 95% CI 1.08–67.67) and female gender (OR 4.89, 95% CI 1.09–22.02) did increase the odds for jaw pain after 2 years.

Conclusion: The development and maintenance of jaw pain after whiplash trauma are primarily not related to the trauma itself, but more associated with physical symptoms.

Clinical relevance: The development of jaw pain in connection with a whiplash trauma needs to be seen in a biopsychosocial perspective, and early assessment is recommended.

Place, publisher, year, edition, pages
Springer Nature, 2024. Vol. 28, article id 165
Keywords [en]
Temporomandibular disorders, Whiplash injuries, Facial pain, Jaw pain, Neck pain
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-221419DOI: 10.1007/s00784-024-05555-zPubMedID: 38383824Scopus ID: 2-s2.0-85185695499OAI: oai:DiVA.org:umu-221419DiVA, id: diva2:1840040
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Region Västerbotten, RV-909851Region Västerbotten, VLL-324631Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2024-03-06Bibliographically approved

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Böthun, AliciaLövgren, AnnaStålnacke, Britt-MarieLampa, EwaÖsterlund, CatharinaHäggman-Henrikson, BirgittaHellström, Fredrik

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Böthun, AliciaLövgren, AnnaStålnacke, Britt-MarieLampa, EwaÖsterlund, CatharinaHäggman-Henrikson, BirgittaHellström, Fredrik
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Clinical Oral Investigations
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