Epstein Joel B, Klasser Gary D
Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, University of Illinois at Chicago, Illinois, USA.
Quintessence Int. 2011 Jan;42(1):e1-e14.
Recent research has shown that temporomandibular symptoms may be associated with or occur independently of whiplash-associated disorders related to motor-vehicle collisions. A PubMed/Medline search was conducted using the terms "temporomandibular disorders," "orofacial pain," "temporomandibular joint," "whiplash," and "whiplash-associated disorders and motor-vehicle accidents and motor-vehicle collisions" for the years 1995 to 2009. Systematic reviews, meta-analyses, and clinical studies were included if they addressed temporomandibular disorders, whiplash epidemiology, diagnosis, and prognosis. References in the selected articles were also reviewed (including those prior to 1995) if the articles specifically addressed the topic. An evidence base was established for general outcomes using the Oxford Centre for Evidence-Based Medicine Levels of Evidence. Temporomandibular symptoms may develop following motor-vehicle collisions and be more complex, representing a component of a symptom cluster of potentially regional and widespread pain impacted by psychosocial factors. Oral health care providers must be aware of the relationship between temporomandibular symptoms, whiplash-associated disorders, and trauma and the more complex nature of the symptoms for appropriate diagnosis and management.
最近的研究表明，颞下颌症状可能与机动车碰撞相关的挥鞭样损伤相关疾病有关，也可能独立出现。在1995年至2009年期间，使用“颞下颌关节紊乱病”“口面部疼痛”“颞下颌关节”“挥鞭样损伤”以及“挥鞭样损伤相关疾病与机动车事故和机动车碰撞”等检索词在PubMed/Medline数据库进行了检索。如果系统评价、荟萃分析和临床研究涉及颞下颌关节紊乱病、挥鞭样损伤的流行病学、诊断和预后，则将其纳入。如果所选文章专门论述该主题，还会对所选文章中的参考文献（包括1995年之前的文献）进行审查。使用牛津循证医学中心的证据水平为一般结果建立了证据基础。颞下颌症状可能在机动车碰撞后出现，且更为复杂，代表了受心理社会因素影响的潜在局部和广泛疼痛症状群的一个组成部分。口腔保健提供者必须了解颞下颌症状、挥鞭样损伤相关疾病和创伤之间的关系，以及这些症状更为复杂的性质，以便进行适当的诊断和管理。
