Trauma and TMD: The association between orofacial trauma and temporomandibular disorders in a tertiary referral clinic.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2026-01-01 Epub Date: 2025-03-05 DOI:10.1080/08869634.2025.2472086

Loreine M L Helmer, Michail Koutris, Thiprawee Chattrattrai, Naichuan Su, Leander Dubois, Jan de Lange, Frank Lobbezoo

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Abstract

Objective: Between 5-12% of the population suffers from Temporomandibular disorders (TMDs). TMDs are known for their multifactorial aetiology and one of the proposed associated factors is orofacial trauma. This study investigated the possible association between orofacial trauma and TMD in a tertiary referral clinic.

Methods: Patients were diagnosed with one or more TMD diagnoses; myalgia, arthralgia, headache associated with TMD and/or a TMD function diagnosis. 659 consenting patients were included. The majority were female. Ages ranged between 18 and 86 years. All patients were included in a logistic regression analysis, and 236 were included in a network analysis.

Results: Neither analysis yielded a statistically significant association between orofacial trauma and TMD. Results showed associations between psychosocial variables and TMD diagnoses.

Discussion: These results are contradictory to a recent review, where an association between orofacial trauma and TMD was found. The results on psychosocial variables and TMD diagnoses are corroborated by literature.

Conclusion: In conclusion, in this tertiary referral clinic, no association between orofacial trauma and TMD was found.

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创伤和颞下颌疾病：在三级转诊诊所口面部创伤和颞下颌疾病之间的关系。

目的：约有5-12%的人口患有颞下颌疾病（TMDs）。众所周知，tmd的病因是多因素的，其中一个被提出的相关因素是口面部创伤。本研究调查了在三级转诊诊所口面部创伤和TMD之间可能的联系。方法：诊断为一种或多种TMD的患者；与TMD相关的肌痛、关节痛、头痛和/或TMD功能诊断。纳入659名同意的患者。其中大多数是女性。年龄在18岁到86岁之间。所有患者纳入logistic回归分析，236例纳入网络分析。结果：两项分析均未发现口面部创伤与TMD之间有统计学意义的关联。结果显示心理社会变量与TMD诊断之间存在关联。讨论：这些结果与最近的一项综述相矛盾，该综述发现口面部创伤与TMD之间存在关联。心理社会变量和TMD诊断结果均有文献证实。结论：本三级转诊门诊未发现口面部外伤与TMD有关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.