Estudo comparativo da frequência e da gravidade da disfunção temporomandibular em pacientes com e sem cefaléia

• Autor(a) principal: Mello, Christiane Espinola Bandeira de
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/handle/riufs/3909
• topic: Síndrome da disfunção da articulação temporomandibular; Cefaleia; Cefaléia crônica diária; Cefaléia episódica; Temporomandibular joint dysfunction syndrome; Headache; Chronic daily headache; Episodic headache; CNPQ::CIENCIAS DA SAUDE

Headache is one of the most recurrent complaints in orofacial pain clinics, in the same way that is also very frequent signs and symptoms of temporomandibular disorder (TMD) in patients with headache. However, the literature is controversial regarding the association of these two diseases. ObjeTo identify frequency of TMD and its severity in individuals with headache. 60 adults of both genders were assessed, with age averaging 36.84 years, and divided into three groups of 20 individuals: chronic daily headadche (CDH), episodic headache (EH) and a control group without headache (WH). Headache diagnosis was conducted by a neurologist, according to the criteria of International Society of Headache, and the TMD diagnosis was achieved using the Research Diagnostic Criteria (RDC-TMD), and its severity was defined by the Temporomandibular Index (TMI). The TMD symptoms were always more frequent in individuals with headache, specially the cervical pain (CDH, n=17; EH, n=19; WH, n=12), pain in TMJ area (CM, n=16; EM, n=12; WM, n=6) and teeth grinding (CDH, n=8; EH, n=10; WH, n=4). Similarly, TMD clinical signs have always prevailed on individuals with headache diagnosis, notably pain to palpation on the lateral pterygoid (CCD, n=19; EH, n=16; WH, n=11) and posterior digastric muscles (CDH, n=19; EH, n=15; WH, n=10) and pain to palpation on the TMJ area (CDH, n=18; EH, n=16; WH, n=11). The episodes of TMD were high in all assessed groups: it did not show any statistically significant difference between the groups, but was numerically higher in patients with headache. However, the mean values of TMD severity in headache patients evaluated according to TMI criteria were statistically higher than in patients of the control group, notably the articular (CDH=0,38; EH=0,25; WH=0,19) and muscular (CDH=0,46; EH=0,51; WH=0,26) indices. The findings presented in this study allow us to state that thereis a higher risk of the presence of TMD signs and symptoms, especially TMJ and masticatory muscles pain as well as bruxism in patients suffering from headache. Accordingly, the TMD and its severity appears to be higher in patients suffering from headache, which indicates the need for a multidisciplinary diagnosis and treatment of such patients, given that the associated treatment of headache and TMD brings more benefits regarding the symptoms relief of such individuals.