Ariovaldo Alberto da Silva1, Karina Viana Brandão2, Bruno Engler Faleiros3, Rafael Mattos Tavares3, Rodrigo Pinto Lara3, Eduardo Januzzi4, Anísio Bueno de Carvalho4, Eliane Maria Duarte de Carvalho4, João Bosco Lima Gomes5, Frederico Mota Gonçalves Leite5, Betania Mara Franco Alves6, Rodrigo Santiago Gómez7, Antônio Lúcio Teixeira8. 1. Hospital das Clínicas, Universidade Federal de Minas Gerais, Faculdade de Medicina, Unifenas-BH, Belo HorizonteMG, Brazil, Attending Neurologist, Serviço de Neurologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, and Professor of Neurology, Faculdade de Medicina, Unifenas-BH, Belo Horizonte MG, Brazil; 2. Faculdade de Medicina, Unifenas-BH, Belo HorizonteMG, Brazil, Medical student, Faculdade de Medicina, Unifenas-BH, Belo Horizonte MG, Brazil; 3. Faculdade de Medicina, Universidade Federal de Minas Gerai, Belo HorizonteMG, Brazil, Medical student, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte MG, Brazil; 4. Orofacial Pain Clinic, Unifenas-BH, Belo HorizonteMG, Brazil, Attending Dentist, Orofacial Pain Clinic-Unifenas-BH, Belo Horizonte MG, Brazil; 5. Serviço de Neurologia, Hospital das Clínicas, Universidade Federal de Minas Gerai, Belo HorizonteMG, Brazil, Attending Dentist, Serviço de Neurologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte MG, Brazil; 6. Serviço de Neurologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo HorizonteMG, Brazil, Attending Physiotherapist, Serviço de Neurologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte MG, Brazil; 7. Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerai, Belo HorizonteMG, Brazil, Attending Neurologist, Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte MG, Brazil; 8. Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo HorizonteMG, Brazil, Professor of Neurology, Departamento de Clínica Médica, Faculdade de Medicina Universidade Federal de Minas Gerais, Belo Horizonte MG, Brazil.
Abstract
UNLABELLED: Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging. OBJECTIVES: To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center. METHOD: Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD. RESULTS: Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001). CONCLUSION: TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.
UNLABELLED: Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging. OBJECTIVES: To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center. METHOD: Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD. RESULTS:Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001). CONCLUSION:TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.
Authors: Alfonso Gil-Martínez; Mónica Grande-Alonso; Roy La Touche; Manuel Lara-Lara; Almudena López-López; Josué Fernández-Carnero Journal: Pain Res Manag Date: 2016-10-13 Impact factor: 3.037
Authors: Vanessa Marcelino; Maria Paço; Andreia Dias; Vera Almeida; José Carlos Rocha; Rui Azevedo; Miguel Alves-Ferreira; Carolina Lemos; Teresa Pinho Journal: Int J Environ Res Public Health Date: 2022-06-29 Impact factor: 4.614