The relationship of the temporomandibular disorders with headaches: A retrospective analysis

Amaç: Bu çalışmanın amacı, başağrısı ve temporomandibular bozuklukların (TMB) birlikte görülme sıklığını retrospektif olarak incelemekti. Gereç ve Yöntem: Çalışmada klinik olarak temporomandibular bozukluk tanısı konulan 40 hasta(36 kadın, 4 erkek, ortalama yaş 29.9±9.6) incelendi. Ağız açıklığı oranı, temporomandibular eklem (TME) sesleri, TME, çiğneme kasları, boyun ve sırt kaslarının palpasyona hassasiyeti ve TME’nin manyetik rezonans incelemesini içeren hasta kayıtları analiz edildi. Bulgular: Hastaların kayıtlarına göre, başağrısı şikayeti bulunan 60 hasta içinde TMB tanısı konulan toplam 40(%66.6) hasta vardı. Hastaların 32(%53)’sin de TME internal düzensizliği(TME İD), 8(%13)’inde myofasiyal disfonkiyon(MFD) ve 25(%41.6)’inde birlikte MFD/TME İD vardı. Hassas masseter kasların sayısı ile MPD hastaları (p=0.04) ve hassas medial pterygoid kasların sayısı ile redüksiyonlu disk deplasmanı bulunan hastalar (p=0.03) arasında istatistiksel olarak anlamlı ilişki bulundu. Sonuç: Sonuç olarak, TME ve ilişkili orofasiyal yapılar başağrıları için muhtemel tetikleyici veya kronikleştirici faktörlerdir. Temporomandibular bozukluk ve başağrısı arasında önemli bir ilişki olabilir. Bununla birlikte, çoğu tıp ve diş hekimleri bu ilişkinin farkında olmayabilir. Bu nedenle, başağrısı bulunan hastalarda baş-yüz ağrısının doğru bir şekilde değerlendirilmesi için TME ve ilişkili orofasiyal yapıların dikkatli incelenmesi gereklidir ve bu hastalar multidisipliner yaklaşımla tedavi edilmelidir.

Temporomandibular bozuklukların başağrıları ile ilişkisi: Retrospektif bir inceleme

Objectives: The objective of this study was to retrospectively analyse the incidence of the concurrent existence of TMD and headaches. Methods: Forty patients (36 female, 4 male, the mean ages were (29.9±9.6 years) clinically diagnosed with TMD were screened. It was analysed patients records including; range of mouth opening, temporomandibular joint (TMJ) noises, pain to palpation of the TMJ and masticatory muscles, neck and upper back muscles and magnetic resonance imaging of the TMJ. Results: According to patients records, there were totally 40(66.6%) patients diagnosed with TMD in 60 headache patients. 32(53%) patients had TMJ ID, 8(13%) patients had only myofascial pain dysfunction (MPD) and 25(41.6%) patients had concurrent TMJ ID/MPD. There were statistically significant relationship between the number of tender masseter muscles and MPD patients (p=0.04) and between the number of tender medial pterygoid muscles and patients with reducing disc displacement RDD (p=0.03). Conclusion: As a consequense, the TMJ and associated orofacial structures should be considered as possible triggering or perpetuating factors for especially tension-type headaches. There might be a significant connection between TMD and headache. However, most medical and dental practitioners are not aware of this relationship. Therefore, a careful evaluation of TMJ and associated orofacial structures is required for a correct interpretation of the craniofacial pain in headache patients and these patients should be managed with multidisciplinary approach.

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Ağrı-Cover
  • ISSN: 1300-0012
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: Ali Cangül
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