Are Headache and Temporomandibular Disorders Related? A Blinded Study
Open Access
- 1 August 2008
- journal article
- Published by SAGE Publications in Cephalalgia
- Vol. 28 (8), 832-841
- https://doi.org/10.1111/j.1468-2982.2008.01597.x
Abstract
To investigate overlaps between headache and temporomandibular disorders (TMD) in a clinical headache population and to describe the prevalence of TMD in headache patients, 99 patients referred to a specialized headache centre were diagnosed according to Research Diagnostic Criteria for TMD (RDC/TMD) and classified in headache groups according to the International Classification of Headache Disorders, second edition for headache diagnoses in a blinded design. The prevalence of TMD in the headache population was 56.1%. Psychosocial dysfunction caused by TMD pain was observed in 40.4%. No significant differences in TMD prevalence were revealed between headache groups, although TMD prevalence tended to be higher in patients with combined migraine and tension-type headache. Moderate to severe depression was experienced by 54.5% of patients. Patients with coexistent TMD had a significantly higher prevalence of depression—most markedly in patients with combined migraine and tension-type headache. Our studies indicate that a high proportion of headache patients have significant disability because of ongoing chronic TMD pain. The trend to a higher prevalence of TMD in patients with combined migraine and tension-type headache suggests that this could be a risk factor for TMD development. A need for screening procedures and treatment strategies concerning depression in headache patients with coexistent TMD is underlined by the overrepresentation of depression in this group. Our findings emphasize the importance of examination of the masticatory system in headache sufferers and underline the necessity of a multidimensional approach in chronic headache patients.Keywords
This publication has 55 references indexed in Scilit:
- Tension–type headache in 40–year-olds: a Danish population–based sample of 4000The Journal of Headache and Pain, 2005
- Chronic myofascial pain, disk displacement with reduction and psychosocial factors in Finnish non‐patientsActa Odontologica Scandinavica, 2004
- Signs and symptoms of temporomandibular disorders in children with different types of headacheActa Odontologica Scandinavica, 2001
- Comorbidity of Depressive and Anxiety Disorders in Chronic Daily Headache and Its SubtypesHeadache: The Journal of Head and Face Pain, 2000
- Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic FactorsCritical Reviews in Oral Biology & Medicine, 1997
- COMORBIDITY OF MIGRAINE AND PSYCHIATRIC DISORDERSNeurologic Clinics, 1997
- Diagnostic Criteria for Screening Headache Patients for Temporomandibular DisordersHeadache: The Journal of Head and Face Pain, 1995
- Prevalence in the Dutch Adult Population and a Meta-analysis of Signs and Symptoms of Temporomandibular DisorderJournal of Dental Research, 1993
- Facial Pain, Headache, and Temporomandibular Joint InflammationHeadache: The Journal of Head and Face Pain, 1989
- The Temporomandibular Joint Pain‐dysfunction Syndrome: A Frequent Cause of HeadacheHeadache: The Journal of Head and Face Pain, 1981