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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice
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Temporomandibular disorders and headaches.

Steven B Graff-Radford1, Jennifer P Bassiur2

  • 1The Pain Center, 444 South San Vicente #1101, Los Angeles, CA 90048, USA; Section of Oral Medicine and Orofacial Pain, UCLA School of Dentistry, 10833 Leconte Avenue, Los Angeles, CA 90024, USA.

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PubMed
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Headache and temporomandibular disorders require integrated yet distinct treatment approaches. Management includes jaw function education, physical therapies, and medications for optimal patient outcomes.

Keywords:
BruxismMigraineTemporomandibular disorderTension-type headache

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Area of Science:

  • Dental Medicine
  • Neurology
  • Pain Management

Background:

  • Headache and temporomandibular disorders (TMD) often coexist.
  • Effective management requires addressing both conditions concurrently but distinctly.

Purpose of the Study:

  • To outline a comprehensive treatment strategy for patients with coexisting headache and TMD.
  • To detail diagnostic considerations and therapeutic interventions for TMD impacting headache.

Main Methods:

  • Clinical assessment including evaluation for limited jaw opening.
  • Diagnostic imaging of the temporomandibular joint (TMJ) when indicated.
  • Multimodal treatment including patient education, appliance therapy, jaw posture correction, stretching, and pharmacotherapy.

Main Results:

  • Conservative TMD treatments can alleviate headache symptoms.
  • Physical therapies like spray and stretch and trigger point injections are beneficial for myofascial pain.
  • Pharmacological options include anti-inflammatory drugs, muscle relaxants, tricyclic antidepressants, and new-generation antiepileptic drugs.
  • Arthrocentesis or arthroscopy may restore TMJ range of motion.

Conclusions:

  • Integrated treatment of headache and TMD is crucial.
  • A stepwise approach involving conservative measures, physical therapy, and medication is effective.
  • Surgical interventions are considered for refractory cases to improve joint function.