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Headache and Symptoms of Temporomandibular Disorder: An Epidemiological Study

dc.contributor.authorGoncalves, Daniela A. G. [UNESP]
dc.contributor.authorBigal, Marcelo E.
dc.contributor.authorJales, Luciana C. F.
dc.contributor.authorCamparis, Cinara Maria [UNESP]
dc.contributor.authorSpeciali, Jose G.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionMerck Research Laboratories
dc.contributor.institutionAlbert Einstein College of Medicine
dc.contributor.institutionInstituto de Neuropsicologia e Biofeedback (INBIO)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2014-05-20T13:46:26Z
dc.date.available2014-05-20T13:46:26Z
dc.date.issued2010-02-01
dc.description.abstractObjectives.-A population-based cross-sectional study was conducted to estimate the prevalence of migraine, episodic tension-type headaches (ETTH), and chronic daily headaches (CDH), as well as the presence of symptoms of temporomandibular disorders (TMD) in the adult population.Background.-The potential comorbidity of headache syndromes and TMD has been established mostly based on clinic-based studies.Methods.-A representative sample of 1230 inhabitants (51.5% women) was interviewed by a validated phone survey. TMD symptoms were assessed through 5 questions, as recommended by the American Academy of Orofacial Pain, in an attempt to classify possible TMD. Primary headaches were diagnosed based on the International Classification of Headache Disorders.Results.-When at least 1 TMD symptom was reported, any headache happened in 56.5% vs 31.9% (P < .0001) in those with no symptoms. For 2 symptoms, figures were 65.1% vs 36.3% (P < .0001); for 3 or more symptoms, the difference was even more pronounced: 72.8% vs 37.9%. (P < .0001). Taking individuals without headache as the reference, the prevalence of at least 1 TMD symptom was increased in ETTH (prevalence ratio = 1.48, 95% confidence interval = 1.20-1.79), migraine (2.10, 1.80-2.47) and CDH (2.41, 1.84-3.17). At least 2 TMD symptoms also happened more frequently in migraine (4.4, 3.0-6.3), CDH (3.4; 1.5-7.6), and ETTH (2.1; 1.3-3.2), relative to individuals with no headaches. Finally, 3 or more TMD symptoms were also more common in migraine (6.2; 3.8-10.2) than in no headaches. Differences were significant for ETTH (2.7 1.5-4.8), and were numerically but not significant for CDH (2.3; 0.66-8.04).Conclusions.-Temporomandibular disorder symptoms are more common in migraine, ETTH, and CDH relative to individuals without headache. Magnitude of association is higher for migraine. Future studies should clarify the nature of the relationship.en
dc.description.affiliationSão Paulo State Univ, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, São Paulo, Brazil
dc.description.affiliationMerck Res Labs, Whitehouse Stn, NJ USA
dc.description.affiliationAlbert Einstein Coll Med, Dept Neurol, Bronx, NY 10467 USA
dc.description.affiliationINBIO Inst Neuropsicol & Biofeedback, Ribeirao Preto, SP, Brazil
dc.description.affiliationUniv São Paulo, Sch Med Ribeirao Preto, Dept Neurol, BR-14049 Ribeirao Preto, SP, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Araraquara Dent Sch, Dept Dent Mat & Prosthodont, São Paulo, Brazil
dc.format.extent231-241
dc.identifierhttp://dx.doi.org/10.1111/j.1526-4610.2009.01511.x
dc.identifier.citationHeadache. Malden: Wiley-blackwell Publishing, Inc, v. 50, n. 2, p. 231-241, 2010.
dc.identifier.doi10.1111/j.1526-4610.2009.01511.x
dc.identifier.issn0017-8748
dc.identifier.lattes8786391650842720
dc.identifier.urihttp://hdl.handle.net/11449/16435
dc.identifier.wosWOS:000273893300007
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing, Inc
dc.relation.ispartofHeadache
dc.relation.ispartofjcr3.091
dc.relation.ispartofsjr1,045
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectepidemiologyen
dc.subjecttemporomandibular jointen
dc.subjectprevalenceen
dc.subjectprimary headachesen
dc.subjectmigraineen
dc.titleHeadache and Symptoms of Temporomandibular Disorder: An Epidemiological Studyen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-815640.html
dcterms.rightsHolderWiley-blackwell Publishing, Inc
dspace.entity.typePublication
unesp.author.lattes8786391650842720[4]
unesp.author.orcid0000-0002-1987-1207[1]
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Odontologia, Araraquarapt
unesp.departmentMateriais Odontológicos e Prótese - FOARpt

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