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Temporomandibular disorders and headache.

Steven B Graff-Radford1

  • 1Pain Center, Cedars-Sinai Medical Center, 444 South San Vicente, #1101 Los Angeles, CA 90048, USA. graffs@cshs.org

Dental Clinics of North America
|December 23, 2006
PubMed
Summary

Headache may be linked to temporomandibular disorders (TMD) or migraine. The temporomandibular joint (TMJ) and orofacial structures can trigger or worsen migraine headaches, impacting patients seeking dental care.

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Area of Science:

  • Neurology
  • Dentistry
  • Orofacial Pain

Background:

  • Headache is a prevalent and potentially disabling symptom.
  • Patients with headache presenting to dentists are often diagnosed with temporomandibular disorders (TMD).
  • Migraine is a common cause of severe headache that may be misdiagnosed as TMD.

Purpose of the Study:

  • To explore the relationship between temporomandibular joint (TMJ) dysfunction and headache.
  • To investigate the role of orofacial structures in headache etiology.
  • To differentiate between TMD and migraine in patients with headache.

Main Methods:

  • Review of clinical presentations of headache in dental patients.
  • Discussion of the diagnostic criteria for TMD and migraine.
  • Analysis of the potential contribution of TMJ and associated structures to headache.

Main Results:

  • TMD encompasses various clinical conditions affecting the jaw and facial muscles.
  • Headache and TMD are common and can be interrelated or distinct conditions.
  • The TMJ and orofacial structures may act as triggers or perpetuating factors for migraine.

Conclusions:

  • The temporomandibular joint (TMJ) and surrounding orofacial structures are important considerations in headache evaluation.
  • Migraine should be considered in the differential diagnosis of patients presenting with headache to dentists.
  • Understanding the interplay between TMJ, orofacial structures, and headache is crucial for effective patient management.

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