Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Quality in Sport

The impact of whiplash injury on temporomandibular joint function: a literature review
  • Home
  • /
  • The impact of whiplash injury on temporomandibular joint function: a literature review
  1. Home /
  2. Archives /
  3. Vol. 49 (2026) /
  4. Medical Sciences

The impact of whiplash injury on temporomandibular joint function: a literature review

Authors

  • Kinga Ciecierska Mazovian Dental Center Ltd., 1 Nowy Zjazd Street, 00-301 Warsaw, Poland. https://orcid.org/0009-0004-6888-8672
  • Michał Napierała Medical University of Silesia in Katowice, 15 Poniatowskiego Street, 40-055 Katowice, Poland. https://orcid.org/0009-0005-9543-3881
  • Maciej Łapiński Medical University of Bialystok, 1 Jana Kilińskiego Street, 15-089 Białystok, Poland https://orcid.org/0009-0008-4509-8618
  • Oksana Zinko Gajda-Med District Hospital, 19 Teofila Kwiatkowskiego Street, 06-102 Pułtusk, Poland. https://orcid.org/0009-0009-7581-0896
  • Krystyna Wasilkowska St. Luke’s Hospital in Bolesławiec, 4 Jeleniogórska Street, 59-700 Bolesławiec, Poland. https://orcid.org/0009-0007-6890-3459
  • Aleksandra Zimnoch-Włodarczyk Beskid Oncology Center, City Hospital of John Paul II in Bielsko-Biała Department of Gynecology and Obstetrics and Gynecologic Oncology, 21 Stanisława Wyspiańskiego Street, 43-300 Bielsko-Biała, Poland. https://orcid.org/0009-0009-3851-2726
  • Sylwia Łatkowska Zdrowie Plus Non-Public Health Care Center (NZOZ), 58 Wojciechowskiego Street, Warsaw, Poland. https://orcid.org/0009-0004-1251-6554
  • Aleksandra Rzeczycka Medical University of Lodz, 251 Pomorska Street, 92-213 Lodz, Poland https://orcid.org/0009-0005-9343-7205
  • Wiktoria Socha Medical University of Lodz, 251 Pomorska Street, 92-213 Lodz, Poland https://orcid.org/0009-0003-1847-7501

DOI:

https://doi.org/10.12775/QS.2026.49.67996

Keywords

whiplash injuries, temporomandibular disorders, temporomandibular joint, cervical vertebrae

Abstract

Introduction: Whiplash injuries are one of the most prevalent consequences of traffic collisions and are associated with a wide range of conditions referred to as whiplash-associated disorders (WAD). These manifestations are most commonly associated with pain and limited mobility of the cervical spine. A growing number of research indicates that these injuries may also impair the function of the temporomandibular joints (TMJs), thereby contributing to the development of their subsequent disorders.

The aim of the study: The objective of the study was to discuss the correlations and dependency between whiplash injury and temporomandibular joint function. Acquiring this knowledge enables specialists to make precise diagnoses and implement appropriate therapeutic procedures, thereby reducing the risk of misdiagnosis or misdiagnosis omissions.

Materials and methods: The following literature review provides a comprehensive discussion of the association between whiplash injuries and temporomandibular joint function. In December 2025, an extensive search of prominent electronic databases (PubMed, Google Scholar) was undertaken in order to identify relevant published studies on this subject.

Conclusions: Studies indicate that whiplash injury may impair TMJ function and contribute to the development of TMJ disorders. The mechanisms underlying this relationship may be functional or neurophysiological in nature, but remain under investigation.
Symptoms may be transient or persist long-term for several years, underscoring the necessity for a holistic diagnosis and an interdisciplinary therapeutic approach in patients after whiplash injury.

References

[1] Côté P, Cassidy JD, Carroll L, Frank JW, Bombardier C. A systematic review of the prognosis of acute whiplash and a new conceptual framework to synthesize the literature. Spine (Phila Pa 1976). 2001 Oct 1;26(19):E445-58. doi: 10.1097/00007632-200110010-00020. PMID: 11698904.

[2] Cassidy JD, Carroll LJ, Côté P, Lemstra M, Berglund A, Nygren A. Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury. N Engl J Med. 2000 Apr 20;342(16):1179-86. doi: 10.1056/NEJM200004203421606. PMID: 10770984.

[3] Grauer JN, Panjabi MM, Cholewicki J, Nibu K, Dvorak J. Whiplash produces an S-shaped curvature of the neck with hyperextension at lower levels. Spine (Phila Pa 1976). 1997 Nov 1;22(21):2489-94. doi: 10.1097/00007632-199711010-00005. PMID: 9383854.

[4] Zafar H. Integrated jaw and neck function in man. Studies of mandibular and head-neck movements during jaw opening-closing tasks. Swed Dent J Suppl. 2000;(143):1-41. PMID: 11234611.

[5] Epstein JB, Klasser GD, Kolbinson DA, Mehta SA. Orofacial injuries due to trauma following motor vehicle collisions: part 2. Temporomandibular disorders. J Can Dent Assoc. 2010;76:a172. PMID: 21167088.

[6] Gray R, Al-Ani Z. Risk management in clinical practice. Part 8. Temporomandibular disorders. Br Dent J. 2010 Nov;209(9):433-49. doi: 10.1038/sj.bdj.2010.981. PMID: 21072093.

[7] Maini K, Dua A. Temporomandibular Syndrome. 2023 Jan 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 31869076.

[8] Häggman-Henrikson B, Rezvani M, List T. Prevalence of whiplash trauma in TMD patients: a systematic review. J Oral Rehabil. 2014 Jan;41(1):59-68. doi: 10.1111/joor.12123. Epub 2013 Dec 30. PMID: 24443899.

[9] Häggman-Henrikson B, Lövgren A, Wu WY, Peck C, Westergren H, List T. Prevalence of Temporomandibular Disorder Symptoms After Whiplash Trauma-A Systematic Review and Meta-Analysis. Eur J Pain. 2025 Mar;29(3):e4792. doi: 10.1002/ejp.4792. PMID: 39921489; PMCID: PMC11806439.

[10] Landzberg G, El-Rabbany M, Klasser GD, Epstein JB. Temporomandibular disorders and whiplash injury: a narrative review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Aug;124(2):e37-e46. doi: 10.1016/j.oooo.2017.03.001. Epub 2017 Mar 10. PMID: 28483470.

[11] Friedman MH, Weisberg J. The craniocervical connection: a retrospective analysis of 300 whiplash patients with cervical and temporomandibular disorders. Cranio. 2000 Jul;18(3):163-7. doi: 10.1080/08869634.2000.11746128. PMID: 11202833.

[12] Pressman BD, Shellock FG, Schames J, Schames M. MR imaging of temporomandibular joint abnormalities associated with cervical hyperextension/hyperflexion (whiplash) injuries. J Magn Reson Imaging. 1992 Sep-Oct;2(5):569-74. doi: 10.1002/jmri.1880020515. PMID: 1392250.

[13] Lee YH, Lee KM, Auh QS. MRI-Based Assessment of Masticatory Muscle Changes in TMD Patients after Whiplash Injury. J Clin Med. 2021 Apr 1;10(7):1404. doi: 10.3390/jcm10071404. PMID: 33915742; PMCID: PMC8036470.

[14] Lee YH, Lee KM, Auh QS, Hong JP. Sex-related differences in symptoms of temporomandibular disorders and structural changes in the lateral pterygoid muscle after whiplash injury. J Oral Rehabil. 2019 Dec;46(12):1107-1120. doi: 10.1111/joor.12845. Epub 2019 Jul 15. PMID: 31228222.

[15] Klineberg I. The lateral pterygoid muscle: some anatomical, physiological and clinical considerations. Ann R Australas Coll Dent Surg. 1991 Oct;11:96-108. PMID: 1844052.

[16] Lee YH, Lee KM, Auh QS, Hong JP. Magnetic Resonance Imaging-Based Prediction of the Relationship between Whiplash Injury and Temporomandibular Disorders. Front Neurol. 2018 Jan 9;8:725. doi: 10.3389/fneur.2017.00725. PMID: 29375466; PMCID: PMC5767220.

[17] Hellström F, Thunberg J, Bergenheim M, Sjölander P, Pedersen J, Johansson H. Elevated intramuscular concentration of bradykinin in jaw muscle increases the fusimotor drive to neck muscles in the cat. J Dent Res. 2000 Oct;79(10):1815-22. doi: 10.1177/00220345000790101401. PMID: 11078000.

[18] Svensson P, Wang K, Sessle BJ, Arendt-Nielsen L. Associations between pain and neuromuscular activity in the human jaw and neck muscles. Pain. 2004 Jun;109(3):225-232. doi: 10.1016/j.pain.2003.12.031. PMID: 15157682.

[19] Schmidt-Hansen PT, Svensson P, Jensen TS, Graven-Nielsen T, Bach FW. Patterns of experimentally induced pain in pericranial muscles. Cephalalgia. 2006 May;26(5):568-77. doi: 10.1111/j.1468-2982.2006.01078.x. PMID: 16674766.

[20] Van Oosterwijck J, Nijs J, Meeus M, Paul L. Evidence for central sensitization in chronic whiplash: a systematic literature review. Eur J Pain. 2013 Mar;17(3):299-312. doi: 10.1002/j.1532-2149.2012.00193.x. Epub 2012 Sep 25. PMID: 23008191.

[21] Corsalini M, Capodiferro S, dell'Olio F, Albanese G, Quaranta N, Solarino B, Catapano S, Di Venere D. Cranio-Mandibular Disorders after Whiplash Injury: A Mono-Institutional Clinical Study on 31 Patients. Int J Environ Res Public Health. 2022 Jan 14;19(2):901. doi: 10.3390/ijerph19020901. PMID: 35055722; PMCID: PMC8776128.

[22] Walton DM, Macdermid JC, Giorgianni AA, Mascarenhas JC, West SC, Zammit CA. Risk factors for persistent problems following acute whiplash injury: update of a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013 Feb;43(2):31-43. doi: 10.2519/jospt.2013.4507. Epub 2013 Jan 14. PMID: 23322093.

[23] Häggman-Henrikson B, Lampa E, Marklund S, Wänman A. Pain and Disability in the Jaw and Neck Region following Whiplash Trauma. J Dent Res. 2016 Sep;95(10):1155-60. doi: 10.1177/0022034516653598. Epub 2016 Jun 15. PMID: 27307051.

[24] Sharma S, Ohrbach R, Fillingim RB, Greenspan JD, Slade G. Pain Sensitivity Modifies Risk of Injury-Related Temporomandibular Disorder. J Dent Res. 2020 May;99(5):530-536. doi: 10.1177/0022034520913247. Epub 2020 Mar 20. PMID: 32197057; PMCID: PMC7174801.

[25] Salé H, Isberg A. Delayed temporomandibular joint pain and dysfunction induced by whiplash trauma: a controlled prospective study. J Am Dent Assoc. 2007 Aug;138(8):1084-91. doi: 10.14219/jada.archive.2007.0320. Erratum in: J Am Dent Assoc. 2007 Nov;138(11):1426. PMID: 17670875.

[26] Salé H, Bryndahl F, Isberg A. A 15-year follow-up of temporomandibular joint symptoms and magnetic resonance imaging findings in whiplash patients: a prospective, controlled study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Apr;117(4):522-32. doi: 10.1016/j.oooo.2014.01.020. Epub 2014 Jan 20. PMID: 24630163.

Quality in Sport

Downloads

  • PDF

Published

2026-01-18

How to Cite

1.
CIECIERSKA, Kinga, NAPIERAŁA, Michał, ŁAPIŃSKI, Maciej, ZINKO, Oksana, WASILKOWSKA, Krystyna, ZIMNOCH-WŁODARCZYK, Aleksandra, ŁATKOWSKA, Sylwia, RZECZYCKA, Aleksandra and SOCHA, Wiktoria. The impact of whiplash injury on temporomandibular joint function: a literature review. Quality in Sport. Online. 18 January 2026. Vol. 49, p. 67996. [Accessed 21 January 2026]. DOI 10.12775/QS.2026.49.67996.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 49 (2026)

Section

Medical Sciences

License

Copyright (c) 2026 Kinga Ciecierska, Michał Napierała, Maciej Łapiński, Oksana Zinko, Krystyna Wasilkowska, Aleksandra Zimnoch-Włodarczyk, Sylwia Łatkowska, Aleksandra Rzeczycka, Wiktoria Socha

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Stats

Number of views and downloads: 30
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

whiplash injuries, temporomandibular disorders, temporomandibular joint, cervical vertebrae
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop