Current Pain and Headache Reports

, Volume 13, Issue 4, pp 314–318 | Cite as

Temporomandibular disorders and migraine chronification

  • Debora Bevilaqua Grossi
  • Richard B. Lipton
  • Marcelo E. Bigal
Article

Abstract

Among the established and potential comorbidities of migraine, the temporomandibular disorders (TMD) are rarely discussed, although they are of importance for several reasons. TMD may cause headaches per se, worsen existent primary headaches, and add to the burden of headache disorders. This article explores the potential comorbidity between migraine and TMD and the role of TMD as a potential factor to induce chronic migraine. We discuss the similarities between both conditions, review evidence to support the idea that both disorders are comorbid, and highlight the limited evidence suggesting that TMD influence migraine progression. Finally, we discuss the importance of cutaneous allodynia mediating the TMD/frequent headache relationship.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References and Recommended Reading

  1. 1.
    Ballegaard V, Thede-Schmidt-Hansen P, Svensson P, et al.: Are headache and temporomandibular disorders related? A blinded study. Cephalalgia 2008, 28:832–841.PubMedCrossRefGoogle Scholar
  2. 2.
    Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders, 2nd edn. Cephalalgia 2004, 24(Suppl 1):1–15.Google Scholar
  3. 3.
    Dworkin SF, LeResche L: Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992, 6:301–355.PubMedGoogle Scholar
  4. 4.
    LeResche L, Mancl LA, Drangsholt MT, et al.: Predictors of onset of facial pain and temporomandibular disorders in early adolescence. Pain 2007, 129:269–278.PubMedCrossRefGoogle Scholar
  5. 5.
    Rantal MAI, Suvinen TI, Nissinen M, et al.: Temporomandibular joint related painless symptoms, orofacial pain, neck pain, headache, and psychosocial factors among non-patients. Acta Odontol Scand 2003, 61:217–222.CrossRefGoogle Scholar
  6. 6.
    Bevilaqua Grossi D, Chaves TC, de Oliveira AS, et al.: Anamnestic index severity and signal and symptoms of TMD. J Craniomandibular Pract 2006, 24:112–118.Google Scholar
  7. 7.
    Scrivani SJ, Keith DA, Kaban LB: Temporomandibular disorders. N Engl J Med 2008, 359:2693–707.PubMedCrossRefGoogle Scholar
  8. 8.
    Laskin DM: Temporomandibular joint disorders. In Cummings Otolaryngology: Head and Neck Surgery, edn 4. Edited by Cummings CW, Flint PW, Harker LA, et al. Philadelphia: Elsevier Science; 2005:1560–1568.Google Scholar
  9. 9.
    De Rossi SS, Stoopler ET, Sollecito TP: Temporomandibular disorders and migraine headache: comorbid conditions? Internet J Dent Sci 2005, 2:1.Google Scholar
  10. 10.
    Schwartz BS, Stewart WF, Simon D, et al.: The epidemiology of tension type headache. JAMA 1998, 279:381–383.PubMedCrossRefGoogle Scholar
  11. 11.
    Lipton RB, Bigal ME, Diamond M, et al.: Migraine prevalence, disease burden, and the need for preventive therapy. Neurology 2007, 68:343–349.PubMedCrossRefGoogle Scholar
  12. 12.
    Scher AI, Stewart WF, Liberman J, et al.: Prevalence of frequent headache in a population sample. Headache 1998, 38:497–506.PubMedCrossRefGoogle Scholar
  13. 13.
    Castillo J, Muñoz P, Guitera V, et al.: Epidemiology of chronic daily headache in the general population. Headache 1999, 39:190–196.PubMedCrossRefGoogle Scholar
  14. 14.
    Storm C, Wänman A: A two-year follow-up study of temporomandibular disorders in a female Sami population: validation of cases and controls as predicted by questionnaire. Acta Odontol Scand 2007, 65:341–347.PubMedCrossRefGoogle Scholar
  15. 15.
    Nilsson IM, List T, Drangholt M: Incidence and temporal patterns of temporomandibular disorders pain among Swedish adolescents. J Orofac Pain 2007, 21:127–132.PubMedGoogle Scholar
  16. 16.
    Marklund S, Wanman A: Incidence and prevalence of temporomandibular joint pain dysfunction. A one-year prospective study of university students. Acta Odontol Scand 2007, 65:119–127.PubMedCrossRefGoogle Scholar
  17. 17.
    LeResche L: Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997, 8:291–305.PubMedCrossRefGoogle Scholar
  18. 18.
    LeResche L, Mancl L, Sherman JF, et al.: Changes in temporomandibular pain and other symptoms across the menstrual cycle. Pain 2003, 106:253–261.PubMedCrossRefGoogle Scholar
  19. 19.
    Gonçalves DAG, Speciali JG, Bigal ME, et al.: Headache and symptoms of temporomandibular joint dysfunction: an epidemiological study. Headache 2009 (in press).Google Scholar
  20. 20.
    Ciancaglini R, Radaelli G: The relationship between headache and symptoms of temporomandibular disorders in the general population. J Dent 2001, 29:93–98.PubMedCrossRefGoogle Scholar
  21. 21.
    Mitrirattanakul S, Merrill RL: Headache impact in patients with orofacial pain. J Am Dent Assoc 2006, 137:1267–1274.PubMedGoogle Scholar
  22. 22.
    Bigal ME, Lipton RB: Concepts and mechanisms of migraine chronification. Headache 2008, 48:7–15.PubMedGoogle Scholar
  23. 23.
    Magnusson T, Egermarki I, Carlsson GE: A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables. A final summary. Acta Odontol Scand 2005, 63:99–109.PubMedGoogle Scholar
  24. 24.
    Garofalo JP, Gatche RJ, Wesley AL, et al.: Predicting chronicity in acute temporomandibular joint disorders using the research diagnostic criteria. J Am Dent Assoc 1998, 129:438–447.PubMedGoogle Scholar
  25. 25.
    Storm C, Wänman A: Temporomandibular disorders, headaches, and cervical pain among females in a Sami population. Acta Odontol Scand 2006, 64:319–325.PubMedCrossRefGoogle Scholar
  26. 26.
    Liljeström MR, Jämsä T.: Signs and symptoms of temporomandibular disorders in children with different types of headache. Acta Odontol Scand 2001, 59:413–417.PubMedCrossRefGoogle Scholar
  27. 27.
    Liljeström MR, Le Bell Y, Anttila P, et al.: Headache children with temporomandibular disorders have several types of pain and other symptoms. Cephalalgia 2005, 25:1054–1060.PubMedCrossRefGoogle Scholar
  28. 28.
    Kemper JT Jr, Okeson JP: Craniomandibular disorders and headaches. J Prosthet Dent 1983, 49:702–705.PubMedCrossRefGoogle Scholar
  29. 29.
    Molina OF, Santos J, Nelson SJ, et al.: Prevalence of modalities of headache and ruxism among patients with craniomandibular disorders. J Craniomandibular Pract 1997, 314–325.Google Scholar
  30. 30.
    Pettengill C: A comparison of headache symptoms between two groups: a TMD group and a general dental practice group. J Craniomandibular Pract 1999, 17:64–69.Google Scholar
  31. 31.
    Dando WE, Branch MA, Maye JP: Headache disability in orofacial pain patients. Headache 2006, 46:322–326.PubMedCrossRefGoogle Scholar
  32. 32.
    Haley D, Schiffman E, Baker C, et al.: The comparison of patients suffering from temporo-mandibular disorders and a general headache population. Headache 1993, 33:210–213.PubMedCrossRefGoogle Scholar
  33. 33.
    Glaros AG, Urban D, Locke J: Headache and temporomandibular disorders: evidence for diagnostic and behavioural overlap. Cephalalgia 2007, 27:542–549.PubMedCrossRefGoogle Scholar
  34. 34.
    Bertoli FMP, Antoniuk SA, Bruck I, et al.: Evaluation of the signs and symptoms of temporomandibular disorders in children with headaches. Arquives Neuropsiquiatria 2007, 65:251–255.Google Scholar
  35. 35.
    Sarlani E, Greenspan JD: Why look in the brain for answers to temporomandibular disorders pain? Cells Tissues Organs 2005, 180:69–75.PubMedCrossRefGoogle Scholar
  36. 36.
    Maixner W, Fillingim R, Sigurdsson A, et al.: Sensitivity of patients with painful temporomandibular disorders to experimentally evoked pain: evidence for altered temporal summation of pain. Pain 1998, 76:71–81.PubMedCrossRefGoogle Scholar
  37. 37.
    Svensson P: Muscle pain in the head: overlap between temporomandibular disorders and tension-type headaches. Curr Opin Neurol 2007, 20:320–325.PubMedCrossRefGoogle Scholar
  38. 38.
    Ayesh EE, Jensen TS, Svensson P: Hypersensitivity to mechanical and intra-articular electrical stimuli in persons with painful temporomandibular joints. J Dent Res 2007, 86:1187–1192.PubMedCrossRefGoogle Scholar
  39. 39.
    Lipton RB, Bigal ME, Ashina S, et al.: Cutaneous allodynia in the migraine population. Ann Neurol 2008, 63:148–158.PubMedCrossRefGoogle Scholar
  40. 40.
    Ashkenazi A, Silberstein S, Jakubowski M et al.: Improved identification of allodynic migraine patients using a questionnaire. Cephalalgia 2007, 27:325–329.PubMedCrossRefGoogle Scholar
  41. 41.
    Jakubowski M, Silberstein S, Ashkenazi A, et al.: Can allodynic migraine patients be identified interictally using a questionnaire? Neurology 2005, 8:1419–1422.CrossRefGoogle Scholar
  42. 42.
    Bevilaqua-Grossi D, Lipton RB, Napchan U, et al.: Temporomandibular disorders and cutaneous allodynia are associated in individuals with migraine. Cephalgia 2009 (in press).Google Scholar
  43. 43.
    Olesen J: Clinical and pathophysiological observations in migraine and tension-type headache explained by integration of vascular, supraspinal and myofascial inputs. Pain 1991, 46:125–132.PubMedCrossRefGoogle Scholar
  44. 44.
    Takahashi T, Kondoh T, Fukuda M, et al.: Proinflammatory cytokines detectable in synovial fluids from patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998, 85:135–141.PubMedCrossRefGoogle Scholar
  45. 45.
    Alstergren P, Ernberg M, Kopp S, et al.: TMJ pain in relation to circulating neuropeptide Y, serotonin, and interleukin-1 beta in rheumatoid arthritis. J Orofac Pain 1999, 13:49–55.PubMedGoogle Scholar
  46. 46.
    Kopp S: The influence of neuropeptides, serotonin, and interleukin 1beta on temporomandibular joint pain and inflammation. J Oral Maxillofac Surg 1998, 56:189–191.PubMedCrossRefGoogle Scholar
  47. 47.
    Merrill RL: Central mechanisms of orofacial pain. Dent Clin North Am 2007, 51:45–59.PubMedCrossRefGoogle Scholar

Copyright information

© Current Medicine Group, LLC 2009

Authors and Affiliations

  • Debora Bevilaqua Grossi
    • 1
  • Richard B. Lipton
  • Marcelo E. Bigal
  1. 1.Department of Biomechanics Medicine and Rehabilitation of the Locomotor ApparatusUniversity of Sao PauloSao PauloBrazil

Personalised recommendations