A retrospective analysis of the headache associated with temporomandibular joint disorder

Eur Rev Med Pharmacol Sci. 2012 Nov;16(13):1878-81.

Abstract

Background: Headache is a common symptom, that can be extremely disabling, affecting 26 million of patients only in Italy. ICHD-II has reported two categories: "primary headaches" and "secondary headaches". Temporomandibular joint disorders can lead to a secondary headaches.

Aim: We want to evaluate the prevalence and clinical features of headache among a series of patients having temporomandibular joint disorders and we illustrate the evolution of headache following medical treatament of temporomandibular joint (TMJ) disorders.

Materials and methods: This is a retrospective study carried out on chart review of 426 consecutive patients with various degrees of temporomandibular disorders and treated with medical devices from 2007 to 2011.

Results: Headache was reported by 73 patients (17.14%). Headache was observed in 36 of 51 patients with lock and in 32 out of 130 patients with mandibular deflections (Table I). The remaining 5 patients with headache had articular noise.

Conclusions: Headache is not a rare finding in a population with temporomandibular dysfunctions and is more often a tension-type rather than trigeminal headache.

MeSH terms

  • Adult
  • Female
  • Headache / etiology*
  • Humans
  • Male
  • Retrospective Studies
  • Temporomandibular Joint Disorders / complications*