Forssell H, Kirveskari P, Kangasniemi P
Cephalalgia. 1985 Dec;5(4):229-36. doi: 10.1046/j.1468-2982.1985.0504229.x.
To analyse the effect of treatment of mandibular dysfunction on headache, 35 patients with migraine, 20 patients with combination headache and 36 patients with muscle contraction headache were studied in a clinical double-blind trial. Patients in the treatment group received occlusal adjustment and those in the placebo group mock occlusal adjustment. After eight months and four months, respectively, the neurologist evaluated the treatment outcome. The frequency of headache was reduced in 79% and the intensity in 53% of patients suffering from muscle contraction headache or combination headache in whom the adjustment of the dental occlusion had been successfully accomplished. The difference from the placebo group was statistically significant. The decrease in headache frequency as calculated from the headache diaries correlated with the decrease in the index of clinical signs of mandibular dysfunction.
为分析下颌功能障碍治疗对头痛的影响，在一项临床双盲试验中对35例偏头痛患者、20例混合性头痛患者和36例肌肉收缩性头痛患者进行了研究。治疗组患者接受咬合调整，安慰剂组患者接受模拟咬合调整。分别在八个月和四个月后，神经科医生评估治疗结果。在成功完成牙合调整的肌肉收缩性头痛或混合性头痛患者中，79%的患者头痛频率降低，53%的患者头痛强度降低。与安慰剂组的差异具有统计学意义。根据头痛日记计算的头痛频率降低与下颌功能障碍临床体征指数的降低相关。
