Zokaris Nikolaos, Greven Marcus, Tzakis Michail, Psarras Vasileios
Department of Prosthodontics, 251 Hellenic Air Force and VA Hospital, 15561 Athens, Greece.
Department of Prosthodontics, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Dent J (Basel). 2024 Jun 30;12(7):204. doi: 10.3390/dj12070204.
The objective of this work was to investigate the association between the function of the stomatognathic system and migraine presence through an instrumental functional analysis in a group of diagnosed migraine patients and a control group.
This study included 50 individuals in each group. A jaw-tracking analysis was performed using Cadiax 4. Tracings of the following movements were recorded: open/close, protrusion/retrusion, mediotrusion, speech, bruxing, and mastication. The tracings were evaluated for their quantity, quality, transversal characteristics, speed, curvature pattern, and condylar stability.
Statistically significant differences between the groups were established for several aspects of the evaluation. Migraineurs presented with (a) higher values of mandibular lateral translation in protrusion/retrusion ( = 0.001), open/close ( = 0.031), and mastication ( = 0.016); (b) transient velocity losses in open/close ( = 0.001) and protrusive movements ( = 0.018); (c) a compromised condylar stability for protrusion/retrusion ( = 0.001) and mediotrusion ( = 0.003); (d) a compromised quality for protrusion/retrusion ( < 0.001) and mediotrusion ( = 0.003); and (e) a more frequent "figure-eight" curvature in open/close ( = 0.012).
The importance of the stomatognathic function in migraine pathogenesis and treatment should be considered by using a patient-centered and interdisciplinary approach.
本研究的目的是通过对一组已确诊的偏头痛患者和一个对照组进行仪器功能分析，来探究口颌系统功能与偏头痛存在之间的关联。
本研究每组纳入50名个体。使用Cadiax 4进行下颌运动轨迹分析。记录以下运动的轨迹：开合、前伸/后缩、侧方运动、言语、磨牙和咀嚼。对轨迹的数量、质量、横向特征、速度、曲率模式和髁突稳定性进行评估。
在评估的几个方面，两组之间存在统计学上的显著差异。偏头痛患者表现为：（a）前伸/后缩（P = 0.001）、开合（P = 0.031）和咀嚼（P = 0.016）时下颌侧方平移值更高；（b）开合（P = 0.001）和前伸运动（P = 0.018）时存在瞬时速度损失；（c）前伸/后缩（P = 0.001）和侧方运动（P = 0.003）时髁突稳定性受损；（d）前伸/后缩（P < 0.001）和侧方运动（P = 0.003）时质量受损；（e）开合时更频繁出现“8”字形曲率（P = 0.012）。
应采用以患者为中心的跨学科方法来考虑口颌系统功能在偏头痛发病机制和治疗中的重要性。
