Birgitta Häggman-Henrikson, Johan Grönqvist, Per-Olof Eriksson
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Frequent jaw-face pain in chronic Whiplash-Associated Disorders.
Chronic Whiplash-Associated Disorders (WAD) present with frequent pain in the neck, head and shoulder regions but the presence of frequent jaw-face pain is unclear. The aim of the study was to investigate the frequency of jaw-face pain, pain in other regions, and general symptoms in chronic WAD patients. Fifty whiplash-patients and 50 healthy age- and sex-matched controls were examined by questionnaire for pain in the jaw-face, pain in other regions and other symptoms. In contrast to healthy, a majority of the WAD patients (88%) reported frequent pain in the jaw-face, in addition to frequent pain in the neck (100%), shoulders (94%), head (90%) and back (72%). The WAD patients also reported stiffness and numbness in the jaw-face region, and frequent general symptoms such as balance problems, stress and sleep disturbances. The result suggests that frequent pain in the jaw-face can be part of the spectrum of symptoms in chronic WAD.The finding of self-reported numbness in the jaw-face indicates disturbed trigeminal nerve function and merits further investigation. We conclude that assessment of WAD should include pain in the jaw-face region. A multidisciplinary rehabilitation program including dentists, preferably specialized in the area of orofacial pain, should be advocated after whiplash injury.
期刊介绍:
Swedish Dental Journal is the scientific journal of the Swedish Dental Association and the Swedish Dental Society. It is published 4 times a year to promote practice, education and research within odontology. Manuscripts containing original research are accepted for consideraion if neither the article nor any part of its essential substance has been or will be published elsewhere. Reviews, Case Reports and Short Communications will also be considered for publication.