Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents

Franco, Antonio Carlos; Fernandes, Giovana; Gonçalves, Daniela; Bonafé, Fernanda Salloume Sampaio; Camparis, Cinara Maria

doi:10.1097/ajp.0b013e31829ca62f

Cited by 31 publications

(38 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For the TMD diagnosis, the data were collected through the self‐reported questionnaire by the American Academy of Orofacial Pain (AAOP), validated for Portuguese language by Franco et al After the questionnaire, the adolescents were examined by TMD according to RDC/TMD criteria by one calibrated examiner, as described by Bertoli et al The examinations were performed at the scholarly settings in the morning or afternoon before adolescents recreation time according to the World Health Organization…”

Section: Methodsmentioning

confidence: 99%

The association of genetic polymorphisms in serotonin transporter and catechol‐O‐methyltransferase on temporomandibular disorders and anxiety in adolescents

Brancher

Spada

Meger

et al. 2019

J of Oral Rehabilitation

View full text Add to dashboard Cite

Summary Background Temporomandibular disorder (TMD) is a multifactorial condition involving environmental, psychological and genetic factors. Objective The aim of this case‐control study was to evaluate the influence of genetic polymorphisms in 5HTT and COMT on TMD and anxiety in adolescents. Methods TMD was diagnosed and classified according to the RDC/TMD criteria. For case group, the following TMD categories were used: myofascial pain, disc displacement, arthralgia and painful TMD (myofascial and arthralgia). Anxiety levels were assessed according to the State‐Trait Anxiety Inventory. Genomic DNA was extracted, and genetic polymorphisms were genotyped by TaqMan chemistry and endpoint analysis. Logistic multivariate regression was used to analyse the associations between TMD types and genotypes, anxiety level and genotypes, using an adjusted odds ratio (ORa; CI 95%) that considered the gender. Results In 5HTT, the rs1042173 was associated with painful TMD (arthralgia and myofascial pain) (ORc = 1.97; CI 95%: 1.02‐3.77; P = 0.04). Polymorphisms in COMT rs4818 were significantly associated with myofascial pain (ORc = 2.15; CI 95%: 1.08‐4.29; P = 0.02) and were borderline for painful TMD (ORc = 1.85; CI 95%: 0.97‐3.51; P = 0.06) and disc displacement (ORc = 2.42; CI 95%: 1.00‐5.87; P = 0.05). The rs6269 was borderline for myofascial pain (ORc = 1.82; CI 95%: 0.92‐3.59; P = 0.08) and disc displacement (ORc = 2.38; CI 95% 0.95‐5.97; P = 0.06) and also was associated with anxiety (ORa = 2.34; CI 95% 1.04‐5.25; P = 0.03). Conclusion Polymorphisms in 5HTT and COMT are associated with TMD in adolescents. Moreover, polymorphism in COMT is associated with anxiety in adolescents.

show abstract

Section: Methodsmentioning

confidence: 99%

The association of genetic polymorphisms in serotonin transporter and catechol‐O‐methyltransferase on temporomandibular disorders and anxiety in adolescents

Brancher

Spada

Meger

et al. 2019

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…This can be also attributed to, at least, two more reasons. As previously commented in our recent publication 9 , the prevalence of TMD might be higher in developing countries, since low social status has comprised a risk factor for TMD pain in adults according to a recent study conducted in Brazil 18 . Moreover, the sample invitation procedure consisted of a brief explanation about TMD and its associated symptoms (e.g., headaches, joint sounds, facial pain, limitation of movements) as a requirement of the Research Ethics Committee, and it is possible that adolescents were interested in participating because they had previously noticed some of the symptoms cited by the researchers during the invitation procedure.…”

Section: Discussionmentioning

confidence: 73%

“…Question #6 is part of question #3 of the RDC/TMD 7 Axis II used as the reference standard for a positive painful TMD diagnosis, which also overlaps with other recently-developed screeners 12,21,30 . Question #7 is also presented in other screeners 29,30 and this is justified because of the strong associations reported especially between headaches 9,15,19 and neck aches 28 with TMD. Finally, question #9, about occlusal changes, probably evolved from an older proposed screener 10 and makes sense given that a recent study has demonstrated that perceived dental changes were among the most common perceived symptoms in adolescents with TMD 19 .…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular disorders among Brazilian adolescents: reliability and validity of a screening questionnaire

et al. 2014

Self Cite

View full text Add to dashboard Cite

Temporomandibular disorders (TMD) screeners assume significant item overlap with the screening questionnaire proposed by the American Academy of Orofacial Pain (AAOP).ObjectiveTo test the reliability and validity of the Portuguese version of AAOP questions for TMD screening among adolescents.Material and MethodsDiagnoses from Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I were used as reference standard. Reliability was evaluated by internal consistency (KR-20) and inter-item correlation. Validity was tested by sensitivity, specificity, predictive values, accuracy and receiver operating characteristic (ROC) curves, the relationship between the true-positive rate (sensitivity) and the false-positive rate (specificity). Test-retest reliability of AAOP questions and intra-examiner reproducibility of RDC/TMD Axis I were tested with kappa statistics.ResultsThe sample consisted of 1307 Brazilian adolescents (56.8% girls; n=742), with mean age of 12.72 years (12.69 F/12.75 M). According to RDC/TMD, 397 [30.4% (32.7% F/27.3% M)] of adolescents presented TMD, of which 330 [25.2% (27.6% F/22.2% M)] were painful TMD. Because of low consistency, items #8 and #10 of the AAOP questionnaire were excluded. Remaining items (of the long questionnaire version) showed good consistency and validity for three positive responses or more. After logistic regression, items #4, #6, #7 and #9 also showed satisfactory consistency and validity for two or more positive responses (short questionnaire version). Both versions demonstrated excellent specificity (about 90%), but higher sensitivity for detecting painful TMD (78.2%). Better reproducibility was obtained for the short version (k=0.840).ConclusionsThe Portuguese version of AAOP questions showed both good reliability and validity for the screening of TMD among adolescents, especially painful TMD, according to RDC/TMD.

show abstract

“…In relation to this gender in particular, it was revealed that women with migraine seem to be more likely to present pain in TMD than women without headache (independent of the TMD type, whether myogenous or arthogenous) 24 . Headaches are a potential risk factor for diagnosis of chronic pain or TMD 25 . Increased headache frequency indicates higher severity of TMD 18,26 .…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular disorder is more prevalent among patients with primary headaches in a tertiary outpatient clinic

Tomaz-Morais

Lucena

Mota

et al. 2015

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Objective The aim of this study was to estimate the prevalence of signs and symptoms of temporomandibular disorders (TMD) in patients with primary headaches attended in a tertiary neurology ambulatory.Method Authorized by the Ethics Committee, the present cross-sectional study was conducted with a random sample of patients screened for orofacial pain and primary headaches at a tertiary hospital in Northeast of Brazil.Results The sample consisted in 42 patients with primary headache, 59.5% male. The prevalence of > 6 TMD signs and symptoms was 54.8%. In those patients with migraine TMD was present in 71.4% and in tension-type headache in 38.1% (p = 0.030; OR = 4.1). TMD was related to the clinical status of headache associated or attributed to medication overuse (p = 0.001).Conclusion TMD has a high prevalence in patients with primary headaches (54.8%). Special attention must be given to patients with migraine and headache associated or attributed to medication overuse.

show abstract

Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents

Abstract: HAs were a potential risk factor for TMD in adolescents, and the risk was particularly higher for painful and chronic TMD. When HAs are present in young adolescents, a complete examination is strongly recommended with regard to the presence of painful TMD, and vice versa.

Cited by 31 publications

References 32 publications

The association of genetic polymorphisms in serotonin transporter and catechol‐O‐methyltransferase on temporomandibular disorders and anxiety in adolescents

The association of genetic polymorphisms in serotonin transporter and catechol‐O‐methyltransferase on temporomandibular disorders and anxiety in adolescents

Temporomandibular disorders among Brazilian adolescents: reliability and validity of a screening questionnaire

Temporomandibular disorder is more prevalent among patients with primary headaches in a tertiary outpatient clinic

Contact Info

Product

Resources

About