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Craniomandibular disorders and headaches.

J T Kemper, J P Okeson

    The Journal of Prosthetic Dentistry
    |May 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Patients with temporomandibular dysfunction (TMD) experience headaches twice as often as those without. Occlusal splint therapy significantly reduced headache frequency in TMD patients.

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    Area of Science:

    • Dentistry
    • Neurology
    • Pain Management

    Background:

    • Headache is a common complaint.
    • Craniomandibular dysfunction (CMD) is associated with headache.
    • The relationship between CMD and headache frequency requires further investigation.

    Purpose of the Study:

    • To compare headache incidence and frequency in patients with CMD versus a control group.
    • To evaluate the efficacy of occlusal splint therapy in reducing headache frequency in CMD patients.

    Main Methods:

    • A study involving 300 patients, with 141 diagnosed with CMD and 159 in a comparison group.
    • Headache incidence and frequency were assessed.
    • A subset of 33 CMD patients with headaches received 4-week occlusal splint therapy.

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  • Headache frequency was recorded before and after treatment.

    • Main Results:

    • Headache incidence was double in the CMD group compared to the control group (p < .001).
    • Among those experiencing headaches, CMD patients reported significantly higher frequency (44%) than controls (p < .001).
    • Occlusal splint therapy resulted in decreased headache frequency for 63.6% of patients and complete remission for 30.3%.
    • The average weekly headache frequency decreased from 5.06 to 2.15 after therapy (p < .001).

    Conclusions:

    • CMD is significantly associated with a higher incidence and frequency of headaches.
    • Occlusal splint therapy is an effective treatment for reducing headache frequency in patients with CMD.
    • Further research into CMD-related headaches and treatment modalities is warranted.