engleski

Headache in the patients with temporomandibular joint disorders

Aim. 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. Methods. 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. There were equal shares of patients without headache (G-1 54.3% ; G-2 48 %). The share of tension headaches was G-1 10%, G-2 11.4%, migraines G-1 15.2%, G-2 22.9%, TMJ-related headache G-1 4.3%, G-2 11.4% and cervicogenic headache G-1 15.7%, G-2 5.7%. 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. References: Türp JC. J Craniomandib Funct 2014 ; 6:213 ; Rocha CP et al. J Oral Rehabil 2013 ; 40:875 ; Schiffman et al. J Oral Facial Pain Headache 2014:28:6.

tenmporomandibular joint ; headache

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