Instrumental Occlusal Analysis in Migraine Patients: A Quantitative Cross Sectional Study.

Autor: Nikolaos Z; 251 Hellenic Air Force and VA Hospital, Department of Prosthodontics, Athens, Greece., Marcus G; Medical University of Vienna, University Clinic of Dentistry, Vienna, Austria., Dimitrios N; Private Practice, Neurologist, Athens, Greece., Michail T; School of Dentistry, Department of Orofacial Pain, National and Kapodistrian University of Athens, Athens, Greece., Dimitrios MD; School of Medicine, First Department of Neurology, Aeginition Hospital, National and Kapodistrian University of Athens, Athens, Greece., Vasileios P; School of Dentistry, Department of Orofacial Pain, National and Kapodistrian University of Athens, Athens, Greece.
Jazyk: angličtina
Zdroj: Clinical and experimental dental research [Clin Exp Dent Res] 2024 Aug; Vol. 10 (4), pp. e938.
DOI: 10.1002/cre2.938
Abstrakt: Objectives: This study aimed to investigate possible differences of functional occlusal variables between a group of migraine patients (MG) and a control group (CG).
Materials and Methods: Each group included 50 individuals. Instrumental functional analysis and digital occlusal analysis were performed. Variables examined were condylar displacement from a reference position to maximum intercuspation; angular difference between the steepness of the articular eminence and the contra-lateral canine guidance; and angular difference between the steepness of the articular eminence and the ipsilateral central incisor guidance and occlusal plane inclination. Self-reported grinding and occlusal index were also investigated.
Results: There were statistically significant differences in the extent of retral condylar displacement assessed both clinically [MG: 0.49 mm (SD 0.67 mm), CG: 0.29 mm (SD 0.27 mm), p = 0.012] and digital-mechanically [MG: 1.53 mm (SD 0.95 mm), CG: 0.9 mm (SD 0.66 mm), p = 0.001], the angular difference between the steepness of the articular eminence and the contra-lateral canine guidance [MG: 13.11° (SD 8.33°), CG: 9.47° (SD 7.08°), p = 0.021 and MG: 12.94° (SD 8.71°), CG: 9.44° (SD 8.70°), p = 0.017], and the occlusal plane inclination [MG: 11.16° (SD 4.66°), CG: 9.09° (SD 4.37°), p = 0.024]. Self-reported grinding (MG: 39/50, CG: 12/50, p < 0.001) and occlusal index [MG: 1.92 (SD 0.46), CG: 0.21 (SD 0.66), p < 0.001] were also significantly higher in migraineurs.
Conclusions: Articular and occlusal structures could play a role in migraine and thus should be considered in an interdisciplinary approach.
(© 2024 The Author(s). Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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