Temporomandibular disorders dysfunction in headache patients

Ceb Melo,Lso Andrade,Jss Quintans,Pcr Conti,Mlm Maia,Acf Jesus,Lr Bonjardim,Lj Quintans-Junior,Jcv Santana,Jlg Oliveira

doi:10.4317/medoral.18007

Abstract

Objective: To identify the frequency of signs and symptoms of temporomandibular disorder (TMD) and its seve-rity in individuals with headache. Study Design: 60 adults divided into three groups of 20 individuals: chronic daily headache (CDH), episodic headache (EH) and a control group without headache (WH). Headache diagnosis was performed according to the criteria of International Headache Society and the signs and symptoms of TMD were achieved by using a clinical exam and an anamnestic questionnaire. The severity of TMD was defined by the temporomandibular index (TMI). Results: The TMD signs and symptoms were always more frequent in individuals with headache, especially report of pain in TMJ area (CDH, n=16; EH, n=12; WH, n=6), pain to palpation on masseter (CDH, n=19; EH, n=16; WH, n=11) which are significantly more frequent in episodic and chronic daily headache. The mean values of temporomandibular and articular index (CDH patients) and muscular index (CDH and EH patients) were statistically higher than in patients of the control group, notably the articular (CDH=0.38; EH=0.25;WH=0.19) and muscular (CDH=0.46; EH=0.51; WH=0.26) indices. Conclusions: These findings allow us to speculate that masticatory and TMJ pain are more common in headache subjects. Besides, it seems that the TMD is more severe in headache patients. Key words:Temporomandibular dysfunction, headache disorders.

Highlights

Among the most common pain in general population, stand out temporomandibular disorder (TMD) which is the most common cause of pain in the orofacial region of non-dental origin [1,2] and headache, that is a common pain symptom and an important public health problem [3,4,5]
The Functional Index (FI) includes 12 items related to the range of motion (ROM) of the mandible, which characterize pain or limitation related to mandibular ROM and deviation of the mandible during opening movement
The Joint Index (JI) measures pain evoked by digital palpation of two sites for each temporomandibular Joint (TMJ) and the occurrence of noise in each TMJ. -Statistical Analysis GraphPad Prism version 3.0 was used for statistical analysis

Summary

Introduction

Among the most common pain in general population, stand out temporomandibular disorder (TMD) which is the most common cause of pain in the orofacial region of non-dental origin [1,2] and headache, that is a common pain symptom and an important public health problem [3,4,5]. The specific location of painful areas is essential for treatment planning It is of importance whether pain is localized to joint or muscle area only or if patients frequently have pain in other areas as well [6]. It is common associations among pain in craniocervical region. To the best our knowledge, there are still few studies investigating the relationship between chronic daily headache and TMD [5]. To the best our knowledge the present study is the first to investigate the severity of TMD, using specific tools (TMI), in headache patients

Material and Methods

Results

Discussion