Kemper J T, Okeson J P
J Prosthet Dent. 1983 May;49(5):702-5. doi: 10.1016/0022-3913(83)90400-6.
Three hundred patients were questioned regarding frequency of headache pain. One hundred forty-one patients were seeking treatment at the University of Kentucky College of Dentistry TMJ Clinic for CMD. A comparison group of 159 was selected from persons being screened for routine dental needs. The following findings regarding incidence and frequency of headache pain were observed: 1. The incidence of headache pain was twice as high in the CMD group than in the comparison group (p less than .001). 2. Of the persons in each group reporting the occurrence of headaches, the frequency of headaches in the CMD group was significantly higher (44%) than in the comparison group (p less than .001). Thirty-three patients with headache pain were treated for a 4-week period with occlusal splint therapy. Patients were questioned regarding the number of headaches per week they had before and after occlusal splint therapy. The following results were observed: 1. Twenty-one (63.6%) patients showed a decrease in the frequency of their headaches. 2. Ten (30.3%) patients showed complete remission of headaches. 3. No patient showed an increase in the frequency of headaches. 4. As a group the average number of headaches per week before treatment was 5.06; after occlusal splint therapy the average number of headaches per week was 2.15 (p less than .001).
对300名患者进行了关于头痛频率的询问。其中141名患者正在肯塔基大学牙科学院颞下颌关节紊乱症诊所寻求治疗。从因常规牙科需求接受筛查的人员中选取了159人作为对照组。观察到以下关于头痛发生率和频率的结果：1. 颞下颌关节紊乱症组的头痛发生率是对照组的两倍（p值小于0.001）。2. 在每组报告有头痛发作的人员中，颞下颌关节紊乱症组的头痛频率显著高于对照组（44%）（p值小于0.001）。33名头痛患者接受了为期4周的咬合板治疗。询问患者在咬合板治疗前后每周头痛的次数。观察到以下结果：1. 21名（63.6%）患者的头痛频率有所下降。2. 10名（30.3%）患者的头痛完全缓解。3. 没有患者的头痛频率增加。4. 作为一个群体，治疗前每周头痛的平均次数为5.06次；咬合板治疗后，每周头痛的平均次数为2.15次（p值小于0.001）。
