Primary headaches interfere with the efficacy of temporomandibular disorders management.

Autor:	Porporatti AL; Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil., Costa YM; Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil., Conti PC; Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil., Bonjardim LR; Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil., Calderon Pdos S; Department of Dentistry, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of applied oral science : revista FOB [J Appl Oral Sci] 2015 Mar-Apr; Vol. 23 (2), pp. 129-34. Date of Electronic Publication: 2014 Jul 04.
DOI:	10.1590/1678-775720130557
Abstrakt:	Objectives: This cross-sectional study aimed to evaluate the influence of Primary Headache (PH) on efficacy of a Temporomandibular Disorders (TMD) conservative therapy and its association with the presence of self-reported parafunctional habits. Sample and Methods: Sample was composed of 400 medical records, divided into four groups: I) Muscular TMD (n = 64); II) Muscular TMD+PH (n = 48); III) Muscular TMD+Articular TMD (n = 173); IV) Muscular TMD+Articular TMD+PH (n = 115). All groups had undergone a TMD therapy for three months with a stabilization appliance and counseling for habits and behavioral changes, with no specific headache management. Current pain intensity and existence or not of self-reported bruxism were assessed. Repeated measures ANOVA and Chi-Square test followed by Odds were used for statistical analysis, with a significance level of 5%. Results: results of this study showed that: (1) A conservative therapy with stabilization appliance and counseling for habits and behavioral changes was effective in the TMD pain relief; (2) Groups with an additional diagnosis of PH had worsened the pain improvement significantly; and (3) no association between the presence of self-reported bruxism and PH was found. Conclusions: this study could elucidate the important effect that headache may have on the TMD management.
Databáze:	MEDLINE
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