Graff-Radford Steven B
Pain Center, Cedars-Sinai Medical Center, 444 South San Vicente, #1101 Los Angeles, CA 90048, USA.
Dent Clin North Am. 2007 Jan;51(1):129-44, vi-vii. doi: 10.1016/j.cden.2006.09.005.
Headache is a common symptom, but when severe, it may be extremely disabling. It is assumed that patients who present to dentists with headache often are diagnosed with a temporomandibular disorder (TMD), although many may have migraine. TMD as a collective term may include several clinical entities, including myogenous and arthrogenous components. Because headache and TMD are so common they may be integrated or separate entities. Nevertheless, the temporomandibular joint (TMJ) and associated orofacial structures should be considered as triggering or perpetuating factors for migraine. This article discusses the relationship between the TMJ, muscles, or other orofacial structures and headache.
头痛是一种常见症状，但严重时可能会使人极度丧失能力。人们认为，因头痛就诊于牙医的患者通常被诊断为颞下颌关节紊乱病（TMD），尽管其中许多人可能患有偏头痛。TMD作为一个统称，可能包括多种临床病症，包括肌源性和关节源性成分。由于头痛和TMD都很常见，它们可能是相互关联的或独立的病症。然而，颞下颌关节（TMJ）及相关的口面部结构应被视为偏头痛的触发因素或持续因素。本文讨论了TMJ、肌肉或其他口面部结构与头痛之间的关系。
