Magnusson T, Carlsson G E
Acta Odontol Scand. 1978;36(6):333-8. doi: 10.3109/00016357809029084.
Two groups of 80 patients, one referred because of mandibular dysfunction and one seeking dental treatment, completed questionnaires concerning recurrent headaches. The function of the masticatory system of all patients was afterwards examined clinically. The investigation showed that clenching of teeth was correlated to the severity of headache. The frequency and severity of headache varied also with the severity of mandibular dysfunction. Of the variables included in the dysfunction index, only masticatory musculature painful to palpation was found to have a distinct relationship to headaches. This implies that functional treatment is indicated in patients with headaches and tendernes of the masticatory musculature. Functional examination of the masticatory system should therefore be included in investigations of recurrent headaches.
两组各80名患者，一组因下颌功能障碍前来就诊，另一组寻求牙科治疗，他们完成了关于复发性头痛的问卷调查。之后对所有患者的咀嚼系统功能进行了临床检查。调查显示，紧咬牙与头痛的严重程度相关。头痛的频率和严重程度也随下颌功能障碍的严重程度而变化。在功能障碍指数所包含的变量中，仅发现触诊时咀嚼肌疼痛与头痛有明显关系。这意味着对于有头痛和咀嚼肌压痛的患者应进行功能治疗。因此，咀嚼系统的功能检查应纳入复发性头痛的调查中。
