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Craniomaxillofacial trauma increases the risk of temporomandibular joint disorders and days of work disability: a SWEREG-TMD registry-based study
Department of Oral and Maxillofacial Surgery, Eastmaninstitutet, Folktandvården Stockholm AB, Stockholm, Sweden; Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Oral and Maxillofacial Surgery, Gävle County Hospital, Folktandvården Gävleborg, Gävle, Sweden.
Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Medical Unit for Reconstructive Plastic and Craniofacial Surgery, Karolinska University Hospital, Stockholm, Sweden.
Malmö University, Faculty of Odontology (OD). Department of Oral and Maxillofacial Surgery, Eastmaninstitutet, Folktandvården Stockholm AB, Stockholm, Sweden; Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-5248-9202
2025 (English)In: International Journal of Oral and Maxillofacial Surgery, ISSN 0901-5027, E-ISSN 1399-0020, Vol. 54, no 6, p. 549-560Article in journal (Refereed) Published
Abstract [en]

Although craniomaxillofacial (CMF) trauma is a factor recognized as contributing to the development of temporomandibular joint disorders (TMJD), large population-based research on CMF trauma and subsequent TMJD is lacking. Additionally, it is unknown how previous CMF trauma affects work disability reimbursements for patients with TMJD (pwTMJD). This Swedish registry-based study included 33,315 pwTMJD matched to 333,122 individuals from the general population. Both a case-control design and a cohort design were used in this study to evaluate the association between CMF trauma and TMJD, and to investigate how CMF trauma impacts the number of days on work disability among pwTMJD. The main study finding was that many types of previous CMF trauma were strongly associated with TMJD, with mandibular fractures having the strongest association (adjusted odds ratio 11.4). Furthermore, the strongest association for an increased number of annual days on work disability was found for pwTMJD with a history of CMF trauma. These results suggest that CMF trauma influences the developmental path of TMJD, even in a population-based sample.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 54, no 6, p. 549-560
Keywords [en]
Arthrocentesis, Epidemiology, Maxillofacial injuries, Registries, Return to work, Risk factors, Sick leave, Temporomandibular joint, Temporomandibular joint disorders
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:mau:diva-72773DOI: 10.1016/j.ijom.2024.11.011ISI: 001509706300001PubMedID: 39658432Scopus ID: 2-s2.0-85211461024OAI: oai:DiVA.org:mau-72773DiVA, id: diva2:1921608
Available from: 2024-12-16 Created: 2024-12-16 Last updated: 2025-08-14Bibliographically approved

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