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Temporomandibular Disorders, Bruxism and Headaches
Marcela Romero-Reyes1, Jennifer P Bassiur2
1Brotman Facial Pain Clinic, University of Maryland, School of Dentistry; Department of Neural and Pain Sciences, University of Maryland, Baltimore, School of Dentistry, 650 West Baltimore Street, Room 8253, Baltimore, MD 21201, USA.
Neurologic Clinics
|April 4, 2024
Summary
Temporomandibular disorders (TMDs) can cause secondary headaches and coexist with primary headache disorders. Physicians should screen headache patients for TMDs due to this significant clinical overlap.
Area of Science:
- Neurology
- Dentistry
- Pain Medicine
Background:
- Temporomandibular disorders (TMDs) and headache disorders are common conditions.
- TMDs can manifest as secondary headaches or co-occur with primary headache disorders.
- Bruxism, a related parafunctional behavior, is prevalent and linked to TMDs.
Purpose of the Study:
- To highlight the clinical implications of the overlap between TMDs and headache disorders.
- To emphasize the importance of screening headache patients for TMDs.
- To explore the relationship between bruxism, TMDs, and headache symptomatology.
Main Methods:
- Literature review and clinical observation synthesis.
- Analysis of the diagnostic and therapeutic challenges posed by comorbid TMDs and headaches.
- Discussion of the potential role of bruxism in headache presentation.
Main Results:
- A significant overlap exists between TMDs and headache disorders, impacting diagnosis and treatment.
- TMDs can present as secondary headaches or be comorbid with primary headaches.
- The precise role of bruxism in headache symptomatology requires further clarification.
Conclusions:
- Physicians must be aware of the TMD-headache connection and screen headache patients for TMDs.
- Understanding this comorbidity is crucial for effective patient management.
- Further research is needed to elucidate the bruxism-headache relationship.
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