Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging. Objectives : To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center. Method : Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD. Results : Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001). Conclusion : TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.
Objective:The purpose was to obtain information about the relation between agenesis and shape anomaly of maxillary lateral incisors and canine impaction. Methods: Seventy-three patients with canine impaction and 73 control patients, without canine impaction, were evaluated. The mesiodistal distances of the maxillary lateral incisors adjacent to the impacted canines and the correspondent mandibular lateral incisors were measured. The adjacent lateral incisors were classified in: 1 -absent, 2 -small, 3 -peg-shaped, 4 -standard. Results: The results showed that among the patients with impacted canines, there were 21 anomalous teeth (small and pegshaped) and among the control patients there were only three small and peg-shaped teeth, with a statistically significant difference (p = 0.001). No patients were found with impacted canines and absent lateral incisors. Conclusion: It was concluded that in patients with anomalous lateral incisors (small and peg-shaped) there is a probability to present impacted canines and this must be considered. Keywords:Incisors. Canine. Agenesis. Objetivo: o objetivo foi obter informação sobre a relação existente entre a agenesia e/ou anomalia de forma de incisivos laterais superiores e impacção de caninos. Métodos: foram avaliados 73 pacientes com impacção de caninos e 73 pacientes controle, sem impacção de caninos. Foram medidas as distâncias mesiodistais dos incisivos laterais superiores adjacentes aos caninos impactados e os incisivos laterais correspondentes inferiores. Os incisivos laterais adjacentes foram classificados em: 1 -ausentes; 2 -pequenos; 3 -conoides; 4 -normais. Resultados: os resultados mostraram que no grupo de pacientes com caninos impactados foram encontrados 22 dentes anômalos (pequenos e conoides), e no grupo controle apenas três dentes pequenos e conoides, sendo uma diferença estatisticamente significativa (p=0,001). Não foram encontrados pacientes com canino impactado e incisivo lateral ausente. Conclusão: concluiu-se que nos pacientes com incisivos laterais anômalos (pequenos e conoides), a probabilidade de apresentarem caninos impactados existe e deve ser considerada.. Palavras-chave:Incisivo. Dente canino. Anodontia.
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