TY - JOUR
T1 - Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache
AU - da Silva Júnior, Ariovaldo Alberto
AU - Brandão, Karina Viana
AU - Faleiros, Bruno Engler
AU - Tavares, Rafael Mattos
AU - Lara, Rodrigo Pinto
AU - Januzzi, Eduardo
AU - de Carvalho, Anísio Bueno
AU - de Carvalho, Eliane Maria Duarte
AU - Gomes, João Bosco Lima
AU - Leite, Frederico Mota Gonçalves
AU - Alves, Betania Mara Franco
AU - Gómez, Rodrigo Santiago
AU - Teixeira, Antônio Lúcio
PY - 2014/2
Y1 - 2014/2
N2 - 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.
AB - 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.
KW - Migraine
KW - Primary headache
KW - Temporomandibular disorders
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U2 - 10.1590/0004-282X20130221
DO - 10.1590/0004-282X20130221
M3 - Article
C2 - 24604361
AN - SCOPUS:84894531714
SN - 0004-282X
VL - 72
SP - 99
EP - 103
JO - Arquivos de neuro-psiquiatria
JF - Arquivos de neuro-psiquiatria
IS - 2
ER -