Temporomandibular Disorders Are Differentially Associated With Headache Diagnoses A Controlled Study

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dc.contributor.authorGoncalves, Daniela A. G. [UNESP]
dc.contributor.authorCamparis, Cinara Maria [UNESP]
dc.contributor.authorSpeciali, Jose G.
dc.contributor.authorFranco, Ana L. [UNESP]
dc.contributor.authorCastanharo, Sabrina M. [UNESP]
dc.contributor.authorBigal, Marcelo E.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionAlbert Einstein College of Medicine
dc.contributor.institutionMerck Research Laboratories
dc.date.accessioned2014-05-20T13:46:34Z
dc.date.available2014-05-20T13:46:34Z
dc.date.issued2011-09-01
dc.description.abstractObjectives: Temporomandibular disorders (TMDs) are considered to be comorbid with headaches. Earlier population studies have suggested that TMD may also be a risk factor for migraine progression. If that is true, TMD should be associated with specific headache syndromes (eg, migraine and chronic migraine), but not with headaches overall. Accordingly, our aim was to explore the relationship between TMD subtypes and severity with primary headaches in a controlled clinical study.Methods: The sample consisted of 300 individuals. TMDs were assessed using the Research Diagnostic Criteria for TMD, and primary headache was classified according to International Classification for Headache Disorders-2. Univariate and multivariate models assessed headache diagnoses and frequency as a function of the parameters of TMD.Results: Relative to those without TMD, individuals with myofascial TMD were significantly more likely to have chronic daily headaches (CDHs) [ relative risk (RR) = 7.8; 95% confidence interval (CI), 3.1-19.6], migraine (RR = 4.4; 95% CI, 1.7-11.7), and episodic tension-type headache (RR = 4.4; 95% CI, 1.5-12.6). Grade of TMD pain was associated with increased odds of CDH (P < 0.0001), migraine (P < 0.0001), and episodic tension-type headache (P < 0.05). TMD severity was also associated with headache frequency. In multivariate analyses, TMD was associated with migraine and CDH (P = 0.001). Painful TMD (P = 0.0034) and grade of TMD pain (P < 0.001) were associated with headache frequency.Discussion: TMD, TMD subtypes, and TMD severity are independently associated with specific headache syndromes and with headache frequency. This differential association suggests that the presence of central facilitation of nociceptive inputs may be of importance, as positive association was observed only when muscular TMD pain was involved.en
dc.description.affiliationSão Paulo State Univ, Dept Dent Mat & Prosthodont, Araraquara Dent Sch, São Paulo, Brazil
dc.description.affiliationUniv São Paulo Ribeirao Preto, Dept Neurol, Sch Med Ribeirao Preto, São Paulo, Brazil
dc.description.affiliationAlbert Einstein Coll Med, Dept Neurol, Bronx, NY 10467 USA
dc.description.affiliationMerck Res Labs, West Point, PA USA
dc.description.affiliationUnespSão Paulo State Univ, Dept Dent Mat & Prosthodont, Araraquara Dent Sch, São Paulo, Brazil
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 06/00730-5
dc.description.sponsorshipIdFAPESP: 06/00981-8
dc.format.extent611-615
dc.identifierhttp://dx.doi.org/10.1097/AJP.0b013e31820e12f5
dc.identifier.citationClinical Journal of Pain. Philadelphia: Lippincott Williams & Wilkins, v. 27, n. 7, p. 611-615, 2011.
dc.identifier.doi10.1097/AJP.0b013e31820e12f5
dc.identifier.issn0749-8047
dc.identifier.lattes8786391650842720
dc.identifier.urihttp://hdl.handle.net/11449/16497
dc.identifier.wosWOS:000293730800007
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofClinical Journal of Pain
dc.relation.ispartofjcr3.209
dc.relation.ispartofsjr1,406
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjecttemporomandibular disordersen
dc.subjectprimary headache disordersen
dc.subjectrelative risken
dc.subjectanalytical studiesen
dc.subjectmeasures of associationen
dc.titleTemporomandibular Disorders Are Differentially Associated With Headache Diagnoses A Controlled Studyen
dc.typeArtigo
dcterms.licensehttp://edmgr.ovid.com/spine/accounts/copyrightTransfer.pdf
dcterms.rightsHolderLippincott Williams & Wilkins
unesp.author.lattes8786391650842720[2]
unesp.author.orcid0000-0002-1987-1207[1]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt

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