Evidence map›Paper›PMID 39921489›Full record

SynthesisEuropean journal of pain (London, England)2025

Prevalence of Temporomandibular Disorder Symptoms After Whiplash Trauma-A Systematic Review and Meta-Analysis.

Birgitta Häggman-Henrikson, Anna Lövgren, Wendy Yi-Ying Wu, Christopher Peck, Hans Westergren, Thomas List

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of pain (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Birgitta Häggman-HenriksonDepartment of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0001-6088-3739
Anna LövgrenDepartment of Odontology, Section for Orofacial Pain and Jaw Function, Faculty of Medicine, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0003-2920-6654
Wendy Yi-Ying WuDepartment of Diagnostics and Intervention, Oncology, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-6169-5155
Christopher PeckFaculty of Dentistry, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0001-5809-8037
Hans WestergrenDepartment of Health Sciences, Lunds Universitet, Lund, Sweden.ORCID https://orcid.org/0000-0002-4052-9692
Thomas ListDepartment of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-9638-4648

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesTemporomandibular disorders (TMDs) is an umbrella term for pain and dysfunction involving jaw muscles and/or the temporomandibular joint, with whiplash trauma suggested to be one risk factor. The aim was to evaluate prevalence and relative risk of TMDs in the acute and chronic stages after whiplash trauma. DATABASES AND DATA TREATMENT: This review was registered in Prospero (CRD42023407091) and followed the PRISMA guidelines. A literature search in PubMed, Scopus and Web of Science on 10 March 2023 and updated 29 April 2024 identified studies reporting prevalence of TMD after whiplash trauma. Risk of bias was assessed with Joanna Briggs Institute Prevalence Critical Appraisal Tool. A random effect meta-analysis was performed for prevalence of TMD pain.

resultsAfter screening of 671 identified studies, 96 articles were assessed in full text. Fourteen studies, with 840 cases in the acute and 8293 cases in the chronic stage (i.e., > 3 months post-trauma) were included in a qualitative analysis together with 1591 controls. Nine studies, including 449 cases in the acute and 7912 individuals in the chronic stage after trauma, together with 515 controls, were included in the meta-analysis. Mean prevalence for TMD pain was 18.9% (95% CI 9.71-29.98) in the acute case group, 26.8% (95% CI 15.07-38.79) in the chronic case group, and 5.7% (95% CI 3.08-8.96) in the control group.

conclusionsThe higher prevalence of TMD pain already in the early stage after whiplash trauma, emphasises the need for early comprehensive clinical assessment as well as targeted research to understand underlying mechanisms. SIGNIFICANCE: The prevalence of Temporomandibular disorder pain was high already in the acute stage after whiplash trauma, and there was no evidence of any decrease from the acute to the chronic stage. This finding suggests that early assessment and management rather than a 'wait-and see' approach should be recommended when patients present with orofacial pain related to whiplash trauma.

Indexed as

Temporomandibular Joint DisordersWhiplash InjuriesHumansPrevalencefacial painneck injuryprevalencetemporomandibular joint disorderswhiplash associated disorders

Identifiers

PMID39921489
PMCPMC11806439

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.