ArticleJournal of oral & facial pain and headache2025
Temporomandibular disorder confounders in motor vehicle accident patients.
Article in Journal of oral & facial pain and headache, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMotor vehicle accidents (MVA) are associated with the onset of temporomandibular disorder (TMD) symptoms. However, diagnosing TMD-related pain is challenging due to various entities that can refer pain to the region. This study aims to identify prevalent radiographic confounders to pain diagnosis in MVA patients who were subsequently referred for temporomandibular joint imaging using cone-beam computed tomography (CBCT) by comparing these patients to a cohort of patients without MVA history.
methodsCBCTs of 738 temporomandibular joints were reviewed, with cases stratified by MVA history. This research explored the demographics and calculated the prevalence of radiographic confounders (RC) in each category, comparing the findings for both groups. The chi-square test was used to assess statistical significance.
resultsPatients in the MVA cohort (n = 151, mean age = 41.3 years, S.D (Standard Deviation) = 13.3 years) averaged 1.10 confounders/patient compared to a significantly lower 0.68 confounders/patient in the non-MVA cohort (n = 218, mean age = 33.6 years, S.D = 18.2 years). The most frequently identified RCs include sinus pathologies (39.1% (MVA)
conclusionsClinicians must be vigilant about confounders when managing patients suspected of TMD. We recommend patients undergo a complete dental evaluation before being referred to a specialist to avoid unnecessary medical costs and treatment delays.
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