Migraine is the most prevalent primary headache in individuals with temporomandibular disorders

dc.contributor.authorFranco, Ana L. [UNESP]
dc.contributor.authorGonçalves, Daniela A.G. [UNESP]
dc.contributor.authorCastanharo, Sabrina M. [UNESP]
dc.contributor.authorSpeciali, José G.
dc.contributor.authorBigal, Marcelo E.
dc.contributor.authorCamparis, Cinara M. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionMerck Research Laboratories
dc.contributor.institutionAlbert Einstein College of Medicine
dc.description.abstractAims: To assess the prevalence of primary headaches (HA) in adults with temporomandibular disorders (TMD) who were assessed in a specialty orofacial pain clinic, as well as in controls without TMD. Methods: The sample consisted of 158 individuals with TMD seen at a university-based specialty clinic, as well as 68 controls. The Research Diagnostic Criteria for TMD were used to diagnose the TMD patients. HAs were assessed using a structured interview and classified according to the Second Edition of the International Classification for Headache Disorders. Data were analyzed by chi-square tests with a significance level of 5% and odds ratio (OR) tests with a 95% confidence interval (CI). Results: HAs occurred in 45.6% of the control group (30.9% had migraine and 14.7% had tension-type headache [TTH]) and in 85.5% of individuals with TMD. Among individuals with TMD, migraine was the most prevalent primary HA (55.3%), followed by TTH (30.2%); 14.5% had no HA. In contrast to controls, the odds ratio (OR) for HA in those with TMD was 7.05 (95% confidence interval [CI] = 3.65-13.61; P = .000), for migraine, the OR was 2.76 (95% CI = 1.50-5.06; P = .001), and for TTH, the OR was 2.51 (95% CI = 1.18-5.35; P = .014). Myofascial pain/arthralgia was the most common TMD diagnosis (53.2%). The presence of HA or specific HAs was not associated with the time since the onset of TMD (P = .714). However, migraine frequency was positively associated with TMD pain severity (P = .000). Conclusion: TMD was associated with increased primary HA prevalence rates. Migraine was the most common primary HA diagnosis in individuals with TMD.en
dc.description.affiliationDepartment of Dental Materials and Prosthodontics UNESP-Univ Estadual Paulista Campus Araraquara
dc.description.affiliationDepartment of Neurology USP-Univ São Paulo Campus Ribeirão Preto
dc.description.affiliationProgram and Scientific Education Group at the CMO Merck Research Laboratories
dc.description.affiliationDepartment of Neurology Albert Einstein College of Medicine
dc.description.affiliationUnespDepartment of Dental Materials and Prosthodontics UNESP-Univ Estadual Paulista Campus Araraquara
dc.identifier.citationJournal of Oral and Facial Pain and Headache, v. 24, n. 3, p. 287-292, 2010.
dc.relation.ispartofJournal of Oral and Facial Pain and Headache
dc.subjectFacial pain
dc.subjectTemporomandibular joint
dc.subjectTension-type headache
dc.titleMigraine is the most prevalent primary headache in individuals with temporomandibular disordersen