Temporomandibular Dysfunction and Headache Disorder

被引:72
作者
Speciali, Jose G. [1 ]
Dach, Fabiola [1 ]
机构
[1] Univ Sao Paulo, Sch Med Ribeirao Preto, Univ Hosp, Headache Clin, BR-14049900 Ribeirao Preto, SP, Brazil
来源
HEADACHE | 2015年 / 55卷
关键词
headache; temporomandibular dysfunction; comorbidity; pain; MIGRAINE; SYMPTOMS; PREVALENCE; PAIN; POPULATION; ADOLESCENTS; APPLIANCE; CHILDREN; WOMEN; SIGNS;
D O I
10.1111/head.12515
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
It has been well established that primary headaches (especially migraine, chronic migraine, and tension-type headache) and temporomandibular dysfunction (TMD) are comorbid diseases, with the presence of one of them in a patient increasing the prevalence of the others. The relationship between the 2 diseases may involve the sharing of common physiopathological aspects. Studies about the treatment of this disease association have shown that a simultaneous therapeutic approach to the 2 diseases is more effective than the separate treatment of each. As a consequence, specialists in orofacial pain are now required to know the criteria for the diagnosis of headaches, and headache physicians are required to know the semiologic aspects of orofacial pain. Nevertheless, a headache may be attributed to TMD, instead be an association of 2 problems - TMD and primary headaches - in these cases a secondary headache, described in item 11.7 of the International Classification of Headache Disorders, is still a controversial topic. Attempts to determine the existence of this secondary headache with a specific or suggestive phenotype have been frustrated. The conclusion that can be reached based on the few studies published thus far is that this headache has a preferential unilateral or bilateral temporal location and migraine-like or tension-type headache-like clinical characteristics. In the present review, we will consider the main aspects of the TMD-headache relationship, that is, comorbidity of primary headaches and TMD and clinical aspects of the headaches attributed to TMD from the viewpoint of the International Headache Society and of a group of specialists in orofacial pain. This paper aims to explore our understanding of the association between TMD and headaches in general and migraine in particular.
引用
收藏
页码:72 / 83
页数:12
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