The relationship between headache and symptoms of temporomandibular disorder in the general population

Ciancaglini, R; Radaelli, Giovanni

doi:10.1016/s0300-5712(00)00042-7

Cited by 141 publications

(142 citation statements)

References 28 publications

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“…In a population-based study, subjects with TMD pain were 1.8 times more likely to report headache than subjects without TMD pain (95% CI, 1.1-3.2) [70]. Furthermore, the presence of headaches was shown to increase the risk of developing TMD over a 3-years time period within a population study of 1,996 11-year-olds (Odds Ratio (OR) =2.65: 95% CI, 1.6-4.4) [71].…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Neurovascular Pains: Implications of Migraine for the Oral and Maxillofacial Surgeon

Nixdorf

Velly

Alonso

2008

Oral and Maxillofacial Surgery Clinics of North America

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SynopsisEpidemiological studies have shown that migraine headaches are a common finding in the general population, often associated with a high degree of disability. Additionally, migraine has a reported co-morbidity with other medical conditions, most notably with chronic pains such as temporomandibular disorders (TMD). The pathophysiological mechanisms involved with migraine are suggestive of an increased and prolonged hyperexcitability to stimuli, especially within the trigeminal distribution. Since migraine is mediated via branches of the trigeminal nerve it has the potential to mimic other types of pains, such as toothache or sinusitis. Therefore, it is recommended that oral and maxillofacial surgeons be familiar with the diagnostic criteria for migraine headaches in order to identify and appropriately treat such individuals who present to their clinics. KeywordsMigraine Headache; Diagnosis; Epidemiology; Pathophysiology; Oral Surgery; Pain IntroductionNeurovascular pains, otherwise known as headaches, are a group of pain disorders that are felt as cephalalgias, or pains in the head. Likely they are a heterogeneous group of disorders that share a common anatomic region of presentation, the head, but have somewhat separate pathophysiological mechanisms. For the most part, neurovascular pains are currently viewed Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. as arising from neuronal firing of nociceptors associated with intracranial blood vessels and dura. For this reason these pain disorders were historically referred to as 'vascular pains' [1], but further research has identified both peripheral and central aspects of the nervous system are playing crucial roles in the initiation and perpetuation of these pains [2,3]. This brought about a change in nomenclature regarding headache, which are now referred to as 'neurovascular pains disorders', stressing the neuropathic aspect of migraine. (Table 1) Research has continued to more closely associate headache disorders with neuropathic mechanisms, which is starting to result in a shift in how headaches are viewed -from both clinical and research perspectives. In the midst of this paradigm shift this article seeks to provide an overview of the epidemiologic data and pathophysiologic mechanisms of one type of neurovascular pain, that being migraine headaches. The reason for focusing on migraine headache is because they are known to be common in the population [4,5] and have been reported to have the most disability associated with them [6,7], making migraine headache the prototypic neurovascular pain disorder. Migraine hea...

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Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Neurovascular Pains: Implications of Migraine for the Oral and Maxillofacial Surgeon

Nixdorf

Velly

Alonso

2008

Oral and Maxillofacial Surgery Clinics of North America

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“…Studies with epidemiological designs have shown similar findings about the relationship between individuals with headache and TDM signs and symptoms 5,8 . The association between both conditions in clinical setting is still very little investigated; therefore, this may contribute to misdiagnosis and difficulties in the treatment of TMD or headaches considering that one can cause or worsen the other.…”

Section: Discussionmentioning

confidence: 66%

“…In general, headache is presented as a prevalent condition in TMD patients when compared to those without TMD 5 .…”

Section: Discussionmentioning

confidence: 99%

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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.

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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.

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“…Los factores neurológicos como la migraña y los dolores de cabeza han sido asociados con ttm [38,39], debido a que comparten factores predisponentes. De igual manera, se consideran otras afecciones con carácter más generalizado en el cuerpo, como la fibromialgia.…”

Section: Factores Neurológicosunclassified

Trastornos temporomandibulares: algunas consideraciones de su etiología y diagnóstico

Amador

2015

Rev. nac. odontol.

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Cómo citar este artículo: Tirado-Amador LR. Trastornos temporomandibulares: algunas consideraciones de su etiología y diagnóstico. Rev Nac Odontol. 2015;11(20):83-93. doi: http://dx.doi.org/10.16925/od.v11i20.748 Resumen. Los trastornos temporomandibulares (ttm) constituyen una afección que provoca síntomas como dolor, lo cual es uno de los principales motivos de consulta odontológica. Sin embargo, con frecuencia los pacientes en los estadios iniciales ignoran la sintomatología, o es quizá en una etapa más avanzada que deciden acudir a consulta, ya sea por presentar dolor incapacitante en regiones del sistema gnático o como consecuencia del escaso conocimiento en la comunidad sobre estos trastornos. Estas dos situaciones promueven muchas veces la evolución desfavorable y la complicación del cuadro clínico, que es sin duda competencia del área de odontología. Aunado a lo anterior, los ttm suelen compartir con otras enfermedades algunos signos, síntomas y factores asociados a su etiología. Por esto, el odontólogo general sin especialidad se enfrenta al reto de atender en su consulta diaria a pacientes que pueden mostrar alguna de las manifestaciones de ttm durante una evaluación odontológica de rutina o por otro motivo. Debido a lo anterior, los odontólogos generales deben tener conocimiento y acceso a información que posibilite el desarrollo de habilidades y competencias básicas, para identificar factores etiológicos asociados con ttm y registrar información pertinente que contribuya con el diagnóstico temprano, con el fin de evitar la pérdida de tiempo y orientar al paciente hacia la atención especializada de manera más oportuna.Palabras clave: articulación temporomandibular, diagnóstico, etiología, oclusión dental, trastornos de la articulación temporomandibular.

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The relationship between headache and symptoms of temporomandibular disorder in the general population

Cited by 141 publications

References 28 publications

Neurovascular Pains: Implications of Migraine for the Oral and Maxillofacial Surgeon

Neurovascular Pains: Implications of Migraine for the Oral and Maxillofacial Surgeon

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

Trastornos temporomandibulares: algunas consideraciones de su etiología y diagnóstico

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