Headache attributed to TMD Is Associated With the Presence of Comorbid Bodily Pain: A Case‐Control Study

Vivaldi, Daniela; Giosia, Massimiliano Di; Tchivileva, Inna E.; Jay, Gary W.; Slade, Gary D.; Lim, Pei Feng

doi:10.1111/head.13404

Cited by 14 publications

(11 citation statements)

References 31 publications

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“…In the univariate analyses of many measured characteristics of facial pain, HATMD was associated only with pain-free jaw opening and familiar examination-evoked pain of masticatory muscles and TMJ. While the association with evoked pain of masticatory muscles and TMJ is consistent with our previous report [ 15 ], the lack of association with facial pain intensity is not. The discrepancy could be due to differences in criteria used to select study participants.…”

Section: Discussionsupporting

confidence: 91%

“…HATMD occurs frequently in TMD patients, with prevalence ranging from 5.4% to 29.3% in tertiary orofacial pain clinics [ 15 , 16 ]. However, little is known about the biopsychosocial characteristics that might be associated with HATMD.…”

Section: Introductionmentioning

confidence: 99%

“…However, little is known about the biopsychosocial characteristics that might be associated with HATMD. In our retrospective cohort of patients with painful TMD, patients with HATMD reported a greater number of comorbid pain conditions, exhibited a greater number of painful sites on palpation of the head and neck region, and had higher facial pain intensity compared with patients without HATMD [ 15 ]. In patients with myogenous TMD, facial pain intensity between those with and without HATMD was not different, but patients with HATMD had greater pressure pain sensitivity at the anterior temporalis muscle than patients without HATMD [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinical, psychological, and sensory characteristics associated with headache attributed to temporomandibular disorder in people with chronic myogenous temporomandibular disorder and primary headaches

et al. 2021

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Background Headache attributed to Temporomandibular Disorder (HATMD) is a secondary headache that may have features resulting in diagnostic overlap with primary headaches, namely, tension-type (TTH) or migraine. This cross-sectional study of people with both chronic myogenous TMD and primary headaches evaluated characteristics associated with HATMD. Methods From a clinical trial of adults, baseline data were used from a subset with diagnoses of both TMD myalgia according to the Diagnostic Criteria for TMD (DC/TMD) and TTH or migraine according to the International Classification of Headache Disorders, 3rd edition. HATMD was classified based on the DC/TMD. Questionnaires and examinations evaluated 42 characteristics of facial pain, headache, general health, psychological distress, and experimental pain sensitivity. Univariate regression models quantified the associations of each characteristic with HATMD (present versus absent), headache type (TTH versus migraine), and their interaction in a factorial design. Multivariable lasso regression identified the most important predictors of HATMD. Results Of 185 participants, 114 (61.6%) had HATMD, while the numbers with TTH (n = 98, 53.0%) and migraine (n = 87, 47.0%) were similar. HATMD was more likely among migraineurs (61/87 = 70.1%) than participants with TTH (53/98 = 54.1%; odds ratio = 2.0; 95%CL = 1.1, 3.7). In univariate analyses, characteristics associated with HATMD included pain-free jaw opening and examination-evoked pain in masticatory muscles and temporomandibular joints (TMJ) as well as frequency and impact of headache, but not frequency or impact of facial pain. Lowered blood pressure but not psychological or sensory characteristics was associated with HATMD. Multiple characteristics of facial pain, headache, general health, and psychological distress differed between TTH or migraine groups. Few interactions were observed, demonstrating that most characteristics’ associations with HATMD were consistent in TTH and migraine groups. The lasso model identified headache frequency and examination-evoked muscle pain as the most important predictors of HATMD. Conclusions HATMD is highly prevalent among patients with chronic myogenous TMD and headaches and often presents as migraine. In contrast to primary headaches, HATMD is associated with higher headache frequency and examination-evoked masticatory muscle pain, but with surprisingly few measures of facial pain, general health, and psychological distress. A better understanding of HATMD is necessary for developing targeted strategies for its management. Trial identification and registration SOPPRANO; NCT02437383. Registered May 7, 2015.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical, psychological, and sensory characteristics associated with headache attributed to temporomandibular disorder in people with chronic myogenous temporomandibular disorder and primary headaches

et al. 2021

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“…Headaches are common among the general population. Recent studies had reported that there is a significant positive association between temporomandibular pain and primary headaches (tension type headache and migraine) [41][42][43][44] . Epidemiological studies assessed that headache are present in 50 to 80% of individuals with TMD, compared to 13 to 23% among those without TMD and with females being more frequently affected 41,46 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of temporomandibular disorder in Turkish university students: A questionnaire study

Derviş¹

2019

Balkan J Dent Med

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Summary Background/Aim: Temporomandibular dysfunction (TMD) might influence any individual with different signs and symptoms irrespective of gender or age. The aim of this study is to assess the prevalence of TMD in Oral and Dental Health Program students of İstanbul University-Cerrahpaşa. Material and Methods: This study include a sample of 486 students with age ranging from18 to 24 years. The presence and severity of TMD was evaluated using the Fonseca’s Anamnestic Index (FAI) and its questionnaire. The data were analysed using SPSS Version 22. The chisquare test was used to compare the data from different groups and to determine whether the differences were statistically significant. Results: The results showed that a total of 47,53% of students had some degree of TMD and females were generally more affected than males. These degrees were as follows: 33,95 % were classified as mild, 11,52 % moderate and 2,05 % severe signs and symptoms. The women exhibited some degree of TMD (51,8%) at a higher frequency than men (40,33%). No significant differences were observed between gender for a same TMD severity degree (p>0.05). Conclusions: A high prevalence of mild TMD was found in this study population. In addition, tense personalities, headaches, and temporomandibular joint (TMJ) sounds were the most prevalent findings of TMD. The present study suggests that Fonseca’s Anamnestic Index (FAI) has been used in screening for TMD for prevention and management of TMD in a non-patient young population.

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“…Considerable indirect evidence seems to indicate that not only increased pain facilitation but also ineffective pain inhibition represents a predisposition for chronic pain. This view is supported by the fact that many chronic pain syndromes (e.g., FM, TMJ disorder, irritable bowel syndrome, headache, and chronic fatigue syndrome) are associated with hypersensitivity to painful stimuli and reduced endogenous pain inhibition [30].…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular Disorders and Fibromyalgia: A Narrative Review

Scarola

Montemurro

Ferrara³

et al. 2021

Open Access Maced J Med Sci

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Temporomandibular disorder (TMD) and fibromyalgia (FM) have some clinical characteristics in common, for instance the chronic evolution, the pathophysiology incompletely understood and a multifactorial genesis. The incidence and the relationship between TMD and FM patients are the aims of this review. A MEDLINE and Pubmed search was performed for the key words “temporomandibular disorder” AND “fibromyalgia” from 2000 to present. A total of 19 papers were included in our review, accounting for 5449 patients. Ten studies, reporting a total of 4945 patients with TMD, showed that only 16.5% of these patients had diagnosis of FM, whereas 12 studies, reporting a total of 504 patients with FM, demonstrated that 77.0% of these patients had diagnosis of TMD. A comorbid relationship exists between TMD and FM. The complexity of both diseases shows the importance of a multimodal and interdisciplinary.

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Headache attributed to TMD Is Associated With the Presence of Comorbid Bodily Pain: A Case‐Control Study

Abstract: In a population of patients with chronic TMD seeking pain management, TMDH was significantly associated with an increased number of self-reported bodily pain conditions, a greater number of painful sites in the head and neck regions, and higher TMD pain intensity.

Cited by 14 publications

References 31 publications

Clinical, psychological, and sensory characteristics associated with headache attributed to temporomandibular disorder in people with chronic myogenous temporomandibular disorder and primary headaches

Clinical, psychological, and sensory characteristics associated with headache attributed to temporomandibular disorder in people with chronic myogenous temporomandibular disorder and primary headaches

Prevalence of temporomandibular disorder in Turkish university students: A questionnaire study

Temporomandibular Disorders and Fibromyalgia: A Narrative Review

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