Are headache and temporomandibular disorders related? A blinded study.

Keywords: Migraine, chronic migraine, episodic migraine, severe migraine, neurology, headache, temporomandibular disorders (TMD), sleep bruxism, primary headache, depression, and orofacial pain.

In 2008, a study in Denmark aimed to investigate the correlation between headache and temporomandibular disorders (TMD). After examining 99 patients in this study, their findings indicate that a high portion of headache patients have significant disability because of ongoing chronic TMD pain. TMD was prevalent in over half of the headache patients and moderate to severe depression was experienced by 54.5% of the patients. Dr. Stan Farrell, whose office is located in Scottsdale, Arizona, focuses on the treatment of all types of headaches, especially migraines. Dr. Stan Farrell, who is a Diplomate with the American Board of Orofacial Pain and a licensed General Dentist in the state of Arizona, is passionate about alleviating the pain caused by TMD.  He uses the most effective methods of treatment and works diligently to erase the pain caused by TMD in the lives of his patients. Dr. Farrell’s practice is well suited for identifying and treating various causes of TMD through the latest medical equipment and distinguishes himself with a proven track record for helping those with TMD.  Call and schedule a consultation today with Dr. Farrell @ 480-945-3629. www.headpaininstitute.com

Ballegaard V, Thede-Schmidt-Hansen P, Svensson P, Jensen R.

Abstract: To investigate overlaps between headache and temporomandibular disorders (TMD) in a clinical headache population and to describe the prevalence of TMD in headache patients, 99 patients referred to a specialized headache centre were diagnosed according to Research Diagnostic Criteria for TMD (RDC/TMD) and classified in headache groups according to the International Classification of Headache Disorders, second edition for headache diagnoses in a blinded design. The prevalence of TMD in the headache population was 56.1%. Psychosocial dysfunction caused by TMD pain was observed in 40.4%. No significant differences in TMD prevalence were revealed between headache groups, although TMD prevalence tended to be higher in patients with combined migraine and tension-type headache. Moderate to severe depression was experienced by 54.5% of patients. Patients with coexistent TMD had a significantly higher prevalence of depression-most markedly in patients with combined migraine and tension-type headache. Our studies indicate that a high proportion of headache patients have significant disability because of ongoing chronic TMD pain. The trend to a higher prevalence of TMD in patients with combined migraine and tension-type headache suggests that this could be a risk factor for TMD development. A need for screening procedures and treatment strategies concerning depression in headache patients with coexistent TMD is underlined by the overrepresentation of depression in this group. Our findings emphasize the importance of examination of the masticatory system in headache sufferers and underline the necessity of a multidimensional approach in chronic headache patients.