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Headache and cranio-mandibular disorders during adolescence
U Capurso1, I Marini, F Vecchiet
1School of Dentistry, University of Bologna, Italy.
The Journal of Clinical Pediatric Dentistry
|January 1, 1997
Summary
Recurring headaches in adolescents are linked to temporomandibular joint dysfunction. This pilot study highlights the need for early diagnosis and interdisciplinary care for headache sufferers.
Area of Science:
- Neurology
- Dentistry
- Epidemiology
Background:
- Recurring headaches are a common complaint among adolescents.
- Temporomandibular joint (TMJ) dysfunction involves symptoms related to the jaw.
- The connection between headaches and TMJ dysfunction requires further investigation.
Purpose of the Study:
- To investigate the association between recurring headaches (cephalalgia) and signs/symptoms of mandibular dysfunction in adolescents.
- To compare clinical and epidemiological data of adolescents with headaches to a control group.
Main Methods:
- A clinical and epidemiological study was conducted on 62 adolescents with recurring headaches.
- Data were collected through anamnesis and objective examination.
- The Helkimo indices were used to assess mandibular dysfunction, and results were compared to a control group.
Main Results:
- Statistically significant signs of TMJ dysfunction included masticatory muscle pain (61%), altered or reduced mandibular movement (43%, 27%), and preauricular tenderness (19%).
- A high incidence of parafunctions (e.g., bruxism) was observed, suggesting a behavioral component.
- The study found a significant link between headache prevalence and TMJ dysfunction indicators.
Conclusions:
- A correlation exists between recurring headaches and signs of mandibular dysfunction in adolescents.
- Early diagnosis and risk identification are crucial for managing these conditions.
- Interdisciplinary cooperation between healthcare professionals is recommended for effective treatment.