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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Abstract

SILVA JUNIOR, Ariovaldo Alberto da et al. Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache. Arq. Neuro-Psiquiatr. [online]. 2014, vol.72, n.2, pp.99-103. ISSN 0004-282X.  http://dx.doi.org/10.1590/0004-282X20130221.

Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging.

Objectives

: To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center.

Method

: Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD.

Results

: Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001).

Conclusion

: TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.

Keywords : primary headache; temporomandibular disorders; migraine.

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