颞下颌关节紊乱、磨牙症和头痛。

Temporomandibular Disorders, Bruxism and Headaches.

机构信息

Brotman Facial Pain Clinic, University of Maryland, School of Dentistry; Department of Neural and Pain Sciences, University of Maryland, Baltimore, School of Dentistry, 650 West Baltimore Street, Room 8253, Baltimore, MD 21201, USA.

Center for Oral, Facial & Head Pain, College of Dental Medicine, Columbia University Medical Center; Division of Oral & Maxillofacial Surgery, 620 West 168th Street, P & S Box 20, New York, NY 10032, USA.

出版信息

Neurol Clin. 2024 May;42(2):573-584. doi: 10.1016/j.ncl.2023.12.010. Epub 2024 Jan 13.

DOI:10.1016/j.ncl.2023.12.010

PMID:38575267

Abstract

Temporomandibular disorders (TMDs) and headache disorders are highly prevalent in the population. TMDs can present headache symptoms as a secondary headache and, in addition, be comorbid with primary headache disorders. This overlap has significant clinical implications for which it is essential for the physician to be aware, and they should screen for the potential presence of TMDs in a headache patient. Bruxism is a parafunctional behavior also prevalent in the population which has a role in TMDs and may influence headache symptomatology, but it is still necessary to clarify this relationship.

摘要

颞下颌关节紊乱病（TMDs）和头痛障碍在人群中发病率很高。TMD 可以表现为继发性头痛，此外，还与原发性头痛障碍并存。这种重叠对临床具有重要意义，医生必须意识到这一点，他们应该在头痛患者中筛查 TMD 的潜在存在。磨牙症也是一种在人群中普遍存在的功能障碍行为，它在 TMDs 中起作用，可能影响头痛症状，但仍需要澄清这种关系。