Schokker R P, Hansson T L, Ansink B J
Department of Masticatory Function, Academic Centre for Dentistry ACTA, Amsterdam.
J Craniomandib Disord. 1990 Spring;4(2):126-30.
Fifty-five of 100 chronic headache patients, referred consecutively to a neurologist, exhibited craniomandibular pain during examination of the stomatognathic system. This suggests a possible relationship between the headaches and the condition of the masticatory muscles. The patients were randomly divided into two groups. One group was treated by a neurologist and the other by a dentist. More of the patients treated by the dentist reported a decreased intensity of the headache (P less than 0.025) or a reduction in medication (P less than 0.05). Changes in headache frequency were also reported more often in the craniomandibular disorder treatment group (P less than 0.025).
100名连续被转诊至神经科医生处的慢性头痛患者中,有55名在口颌系统检查时表现出颅下颌疼痛。这表明头痛与咀嚼肌状况之间可能存在关联。患者被随机分为两组。一组由神经科医生治疗,另一组由牙医治疗。由牙医治疗的患者中,更多人报告头痛强度降低(P<0.025)或药物用量减少(P<0.05)。颅下颌紊乱治疗组中,头痛频率变化的报告也更多(P<0.025)。