Helmer Loreine M L, Koutris Michail, Chattrattrai Thiprawee, Su Naichuan, Dubois Leander, de Lange Jan, Lobbezoo Frank
Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Oral and Maxillofacial Surgery, Academic Medical Centre of Amsterdam (AUMC), Academic Centre for Dentistry (ACTA), University of Amsterdam, Amsterdam, The Netherlands.
Cranio. 2025 Mar 5:1-9. doi: 10.1080/08869634.2025.2472086.
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.
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.
Neither analysis yielded a statistically significant association between orofacial trauma and TMD. Results showed associations between psychosocial variables and TMD diagnoses.
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.
In conclusion, in this tertiary referral clinic, no association between orofacial trauma and TMD was found.
5%至12%的人口患有颞下颌关节紊乱病（TMD）。TMD病因多因素，其中一个提出的相关因素是口面部创伤。本研究在一家三级转诊诊所调查口面部创伤与TMD之间可能的关联。
患者被诊断患有一种或多种TMD诊断；肌痛、关节痛、与TMD相关的头痛和/或TMD功能诊断。纳入659名同意参与的患者。大多数为女性。年龄在18至86岁之间。所有患者均纳入逻辑回归分析，236名患者纳入网络分析。
两项分析均未得出口面部创伤与TMD之间具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。
这些结果与最近一项综述相反，该综述发现口面部创伤与TMD之间存在关联。关于心理社会变量与TMD诊断的结果得到了文献的证实。
总之，在这家三级转诊诊所，未发现口面部创伤与TMD之间存在关联。
