Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients

Aim. Headache is one of the most common diseases associated with Temporomandibular Disorders (TMDs). The aim of this study was to evaluate, retrospectively, if headache influences TMD’s symptoms. Material and Methods. A total sample of 1198 consecutive TMD patients was selected. After a neurological...

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Main Authors: Carlo Di Paolo, Anna D’Urso, Piero Papi, Francesco Di Sabato, Daniele Rosella, Giorgio Pompa, Antonella Polimeni
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2017/3203027
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spelling doaj-9a37200683924a349806fb665ef6a9622020-11-24T23:19:47ZengHindawi LimitedPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/32030273203027Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 PatientsCarlo Di Paolo0Anna D’Urso1Piero Papi2Francesco Di Sabato3Daniele Rosella4Giorgio Pompa5Antonella Polimeni6Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Clinical Medicine, Headache Center, “Sapienza” University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Rome, ItalyAim. Headache is one of the most common diseases associated with Temporomandibular Disorders (TMDs). The aim of this study was to evaluate, retrospectively, if headache influences TMD’s symptoms. Material and Methods. A total sample of 1198 consecutive TMD patients was selected. After a neurological examination, a diagnosis of headache, according to the latest edition of the International Classification of Headache Disorders, was performed in 625 subjects. Patients were divided into two groups based on presence/absence of headache: Group with Headache (GwH) and Group without Headache (GwoH). Descriptive statistics and Chi-square index were performed. Results. Sociodemographic (gender, marital status, and occupation) and functional factors, occlusion (occlusal and skeletal classes, dental formula, and occlusal abnormalities), and familiar pain did not show a statistically significant correlation in either group. Intensity and frequency of neck pain, arthralgia of TMJ, and myalgia showed higher correlation values in GwH. Conclusion. This study is consistent with previous literature in showing a close relationship between headache and TMD. All data underlines that headache makes pain parameters more intense and frequent. Therefore, an early and multidisciplinary treatment of TMDs should be performed in order to avoid the overlay of painful events that could result in pain chronicity.http://dx.doi.org/10.1155/2017/3203027
collection DOAJ
language English
format Article
sources DOAJ
author Carlo Di Paolo
Anna D’Urso
Piero Papi
Francesco Di Sabato
Daniele Rosella
Giorgio Pompa
Antonella Polimeni
spellingShingle Carlo Di Paolo
Anna D’Urso
Piero Papi
Francesco Di Sabato
Daniele Rosella
Giorgio Pompa
Antonella Polimeni
Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients
Pain Research and Management
author_facet Carlo Di Paolo
Anna D’Urso
Piero Papi
Francesco Di Sabato
Daniele Rosella
Giorgio Pompa
Antonella Polimeni
author_sort Carlo Di Paolo
title Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients
title_short Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients
title_full Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients
title_fullStr Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients
title_full_unstemmed Temporomandibular Disorders and Headache: A Retrospective Analysis of 1198 Patients
title_sort temporomandibular disorders and headache: a retrospective analysis of 1198 patients
publisher Hindawi Limited
series Pain Research and Management
issn 1203-6765
1918-1523
publishDate 2017-01-01
description Aim. Headache is one of the most common diseases associated with Temporomandibular Disorders (TMDs). The aim of this study was to evaluate, retrospectively, if headache influences TMD’s symptoms. Material and Methods. A total sample of 1198 consecutive TMD patients was selected. After a neurological examination, a diagnosis of headache, according to the latest edition of the International Classification of Headache Disorders, was performed in 625 subjects. Patients were divided into two groups based on presence/absence of headache: Group with Headache (GwH) and Group without Headache (GwoH). Descriptive statistics and Chi-square index were performed. Results. Sociodemographic (gender, marital status, and occupation) and functional factors, occlusion (occlusal and skeletal classes, dental formula, and occlusal abnormalities), and familiar pain did not show a statistically significant correlation in either group. Intensity and frequency of neck pain, arthralgia of TMJ, and myalgia showed higher correlation values in GwH. Conclusion. This study is consistent with previous literature in showing a close relationship between headache and TMD. All data underlines that headache makes pain parameters more intense and frequent. Therefore, an early and multidisciplinary treatment of TMDs should be performed in order to avoid the overlay of painful events that could result in pain chronicity.
url http://dx.doi.org/10.1155/2017/3203027
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