Review article

Temporomandibular joint disorder and headache – one-year-follow-up

IVA KLARIĆ ; Private Dental Practice, Ilica 174, Zagreb, Croatia
TOMISLAV BADEL ; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000 Zagreb, Croatia
VANJA BAŠIĆ KES ; Department of Neurology, Clinical Hospital Centre “Sisters of Charity”, University of Zagreb, Vinogradska cesta 29, 10000 Zagreb, Croatia
SAMIR ĆIMIĆ ; Private Dental Practice, Ilica 174, Zagreb, Croatia
DIJANA ZADRAVEC ; Department of Diagnostic and Interventional Radiology, Clinical Hospital Centre “Sisters of Charity”, University of Zagreb, Vinogradska cesta 29, 10000 Zagreb, Croatia

Abstract

Background and purpose: Aim of this study was to compare the clinical
characteristics of patients from the subgroup with osteoarthritis (G-1)
and patients with disc displacement (DD) (G-2) of TMJ related types of
headaches and with one-year-follow-up after treatment.
Patients: G-1 included 70 patients who were treated for signs and
symptoms of OA of TMJ. Pain intensity (at first examination T0) in TMJ
was shown on the visual-analogue scale (0, no pain; 10, the worst pain) as well as headaches. They were treated by an occlusal splint and/or physical therapy with a six-month(T1) and one-year (T2) follow-up. G-2 included 35 patients from a subgroup with DD. Definitive TMJ-diagnoses were confirmed by magnetic resonance imaging.

Results: There was a significant age difference (p<0.001) between the
two subgroups of TMJ diagnoses, however there were no differences in pain during the follow-up period. In the beginning, the pain amounted to T0: G-1 6.5 / G-2 6.1 and at T2: G-1 1.6 / G-2 1.7. The applied treatment
modalities at T1/T2 achieved TMJs without pain in 27.14%/64.29% of
patients from G-1 and in 28.57%/57.15% of patients from G-2. There were equal shares of patients without headache (G-1 54.3%; G-2 48 %). The share of tension headaches was G-1 10%, G-2 11.4%, migraines G-1
15.2%, G-2 22.9%, TMJ-related headache G-1 4.3%, G-2 11.4% and
cervicogenic headache G-1 15.7%, G-2 5.7%.

Conclusions: Pain intensity and treatment success do not vary within
the observed groups. Migraine and TMJ-related headaches are more common in patients from G-2.

Keywords

temporomandibular joint; magnetic resonance imaging; headache; osteoarthritis

Hrčak ID:

142922

URI

https://hrcak.srce.hr/142922

Publication date:

10.6.2015.

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