Agha-Hosseini Farzaneh, Sheykhbahaei Nafiseh, Mirzaii-Dizgah Iraj, Fatehi Farzad
Dental Research Center, Dental Research Institute, Tehran University of Medical Sciences and Department of Oral and Maxillofacial Medicine, School of Dentistry, Tehran University of Medical Sciences & The Academy of Medical Sciences, Tehran, Iran.
Department of Physiology, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
J Korean Assoc Oral Maxillofac Surg. 2017 Dec;43(6):401-406. doi: 10.5125/jkaoms.2017.43.6.401. Epub 2017 Dec 26.
Headache is the most common complaint of patients suffering from temporomandibular joint disorders (TMDs). Thus, temporomandibular joint (TMJ) examinations maybe necessary in patients with headache. Considering the high prevalence of bruxism and TMDs in patients with headache the effects of conservative TMD treatment on headache should be assessed.
Patients were questioned about headaches in the past three months. Those responding affirmatively to this question were examined for TMD and bruxism. After the examinations, 219 patients remained in the study and received self-management instructions. Patients were requested to modify oral habits except when eating or sleeping. The degree of pain (visual analogue scale), headache disability index (HDI), frequency of headaches (FH) per month and TMD intensity were evaluated.
The median levels of pain, HDI, FH, and TMD intensity were 8, 44, 8, and 7, respectively, before modifying oral habits and decreased to 4, 24, 2, and 3, respectively, after intervention. These decreases were statistically significant.
Having patients maintain free space between the teeth and relax muscles can be an efficient method to treat headache and TMD, especially when repeated frequently.
头痛是颞下颌关节紊乱病（TMDs）患者最常见的主诉。因此，头痛患者可能需要进行颞下颌关节（TMJ）检查。鉴于头痛患者中磨牙症和TMDs的高患病率，应评估TMD保守治疗对头痛的影响。
询问患者过去三个月内是否有头痛。对该问题回答肯定的患者接受TMD和磨牙症检查。检查后，219名患者留在研究中并接受自我管理指导。要求患者除进食或睡眠外改变口腔习惯。评估疼痛程度（视觉模拟量表）、头痛残疾指数（HDI）、每月头痛频率（FH）和TMD强度。
改变口腔习惯前，疼痛、HDI、FH和TMD强度的中位数水平分别为8、44、8和7，干预后分别降至4、24、2和3。这些下降具有统计学意义。
让患者保持牙齿间的自由空间并放松肌肉可能是治疗头痛和TMD的有效方法，尤其是频繁重复时。
