engleski

Temporomandibular joint disorder and headache – one- year-follow-up

Background and purpose. Aim of this study was to compare the clinical characteristics of patients from the subgroup with osteoarthritis (G-1) and patients with disc displacement (DD) (G-2) of TMJ related types of headaches and with one-year-follow-up after treatment. Patients. G-1 included 70 patients who were treated for signs and symptoms of OA of TMJ. Pain intensity (at first examination T0) in TMJ was shown on the visual-analogue scale (0, no pain ; 10, the worst pain) as well as headaches. They were treated by an occlusal splint and/or physical therapy with a six- month (T1) and one-year (T2) follow-up. G-2 included 35 patients from a subgroup with DD. Definitive TMJ- diagnoses were confirmed by magnetic resonance imaging. Results. There was a significant age difference (p<0.001) between the two subgroups of TMJ diagnoses, however there were no differences in pain during the follow-up period. In the beginning, the pain amounted to T0: G-1 6.5 / G-2 6.1 and at T2: G-1 1.6 / G-2 1.7. The applied treatment modalities at T1/T2 achieved TMJs without pain in 27.14%/64.29% of patients from G-1 and in 28.57%/57.15% of patients from G-2. Conclusions. Pain intensity and treatment success do not vary within the observed groups. Migraine and TMJ-related headaches are more common in patients from G-2.

temporomandibular joint ; magnetic resonance imaging ; headache ; osteoarthritis

nije evidentirano