The Temporomandibular Joint Pain‐dysfunction Syndrome: A Frequent Cause of Headache

Reik, Louis; Hale, Mahlon S.

doi:10.1111/j.1526-4610.1981.hed2104151.x

Cited by 60 publications

(29 citation statements)

References 12 publications

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“…The variations in time and location among those with headache indicate that these symptoms have a variety of origins, of which mandibular dysfunction has been found to be one (26, [28][29][30]. The reported differences between sexes in oral parafunction habits must also be taken into consideration, since women more often were aware of tooth-clenching than men.…”

Section: Questionnaire and Interviewmentioning

confidence: 92%

Craniomandibular disorders in adult populations of West Bothnia, Sweden

Agerberg

Bergenholtz

1989

Acta Odontologica Scandinavica

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A randomly selected sample of 1992 adults (995 men and 997 women) representing four equally sized age groups of 25-, 35-, 50-, and 65-years-old inhabitants of West Bothnia were studied for prevalence of symptoms and clinical signs of mandibular dysfunction. Of the sample 79% completed a questionnaire and a clinical examination. The chewing inability increased with age. Recurrent headaches (once a week or more often) were reported to occur in 11% to 15% of the four age groups, and the duration of headaches was generally more than 2 years. Tooth-clenching, which was the most frequent oral parafunction, was reported significantly more often in women, whereas attrition was more severe in men. The commonest clinical finding was temporomandibular joint clicking, which varied between 13% and 35% in the different age groups. Crepitation was observed more often in women and increased with age. The jaw muscles were more frequently tender to palpation in women and the elderly. The mean maximal mouth opening capacity varied between 55 mm and 44 mm, decreasing with age, and was for the whole sample significantly higher among men. Since signs and symptoms of craniomandibular disorders were common findings in all age groups, routine dental examination should always include functional evaluation of the stomatognathic system.

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Section: Questionnaire and Interviewmentioning

confidence: 92%

Craniomandibular disorders in adult populations of West Bothnia, Sweden

Agerberg

Bergenholtz

1989

Acta Odontologica Scandinavica

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“…It predisposes a patient to headache and facial pain (2,3). Between 5% and 35% of adults are reported to have subjective symptoms of TMD, while clinical signs are estimated to be twice as common as symptoms.…”

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confidence: 99%

Effects of sagittal split ramus osteotomy on temporomandibular disorders in seventy‐two patients

Pahkala

Heino

2004

Acta Odontologica Scandinavica

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Preoperative and postoperative temporomandibular disorders (TMDs) were observed in 72 patients before surgical-orthodontic treatment and about 2 years after bilateral sagittal split osteotomy. Prevalence and degree of TMD were assessed using the modified clinical dysfunction index of Helkimo. A total of 49 women and 23 men (mean age 32 years) were included in the study. To find out which patients benefit most from the treatment, the sample was classified into subgroups--myogenous, arthrogenous, or both components of TMD. The prevalence of clicking and headache decreased significantly with the treatment, while the incidence of crepitation increased. In general, severity of the dysfunction was greatly reduced. Furthermore, multiple regression analysis showed that patients with excessive overjet and previous occlusal splint therapy benefit most from orthognathic treatment. In addition, patients with signs of mainly myogenous origin got more relief from their dysfunction than patients with mainly arthrogenous components of TMD. The results suggest that in patients with severe maxillomandibular discrepancy surgical-orthodontic therapy is a good choice of treatment for reducing myogenous TMD pain and discomfort.

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“…Other studies recruited facial pain patients presenting for assessment at dental, headache or oro-facial pain clinics. 17,[27][28][29][33][34][35][36][37] Sufficient detail on the sampling method was reported in all papers except two. 38,39 There was no uniformity of recruitment methods, however, as some were chosen randomly 17,32,37 and others consecutively.…”

Section: Recruitment and Samplingmentioning

confidence: 99%

Characteristics of TMD headache – a systematic review

Zito¹,

Morris²,

Selvaratnam³

2008

Physical Therapy Reviews

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Objective: This systematic review critically evaluated the literature on the subjective and physical characteristics of TMD-related headache, a symptom secondary to the syndrome temporomandibular disorders (TMD). The specific research question is: 'what are the diagnostic criteria that confirm temporomandibular involvement in headache presentations?' Method: Electronic searches were conducted for MEDLINE, PubMed, and CINAHL from 1966 to September 2007. Hand searches for retrieved articles were also conducted to collect the data for this review. After applying inclusion criteria, 15 articles on TMD-related headache were found. Results: The symptoms of TMD-related headache are frequently unilateral and often present in the pre-auricular, temple and retro-orbital regions of the head. The principal physical characteristics include tenderness of the ipsilateral masticatory muscles and reduced jaw opening, often with mandibular deviation. Conclusion: Despite methodological problems such as low subject numbers and poorly documented sampling methods and inclusion criteria, the literature showed that TMD-related headache has identifiable diagnostic characteristics. This information could be used to develop guidelines to assist the identification of headaches which emanate from the temporomandibular structures.

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The Temporomandibular Joint Pain‐dysfunction Syndrome: A Frequent Cause of Headache

Cited by 60 publications

References 12 publications

Craniomandibular disorders in adult populations of West Bothnia, Sweden

Craniomandibular disorders in adult populations of West Bothnia, Sweden

Effects of sagittal split ramus osteotomy on temporomandibular disorders in seventy‐two patients

Characteristics of TMD headache – a systematic review

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