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Temporomandibular Disorder Comorbidity

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Comorbidities in Headache Disorders

Part of the book series: Headache ((HEAD))

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Abstract

Temporomandibular disorders (TMD) are conceptualized as a group of diverse conditions related to the jaw muscles, temporomandibular joint (TMJ) and related tissues and may be associated with pain, limitations in jaw movements and noises in the TMJ. It is generally agreed that TMD just represents an umbrella term, and intensive work has been devoted to establish specific criteria for subsets of TMDs which are both reliable and valid. This has been achieved with the Diagnostic Criteria for TMD (DC/TMD) (Schiffman et al., J Oral Facial Pain Headache 28(1):6–27, 2014), and all main diagnoses now have known reliability, sensitivity and specificity values which are unique for any pain classification system. One of the new diagnoses in the DC/TMD is headache attributed to TMD (HATMD) (Schiffman et al., Cephalalgia 32(9):683–692, 2012; Schiffman et al., J Oral Facial Pain Headache 28(1):6–27, 2014) which clearly indicates that there is a close overlap between some of the many headache types and some of the painful TMDs. It may be useful from a clinical perspective to recognize some of the similarities in clinical presentation but also to try to identify potential differences in symptomatology as well as underlying pain mechanisms and management. This chapter will first provide an overview of the clinical presentations and overlaps between TMD and headache. Some of the basic mechanisms related to nociception from musculoskeletal tissues, peripheral and central sensitization and endogenous inhibitory controls will then be discussed with particular reference to TMDs.

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Authors and Affiliations

  1. Section of Orofacial Pain and Jaw Function, Institute for Odontology and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark

    Fernando Exposto & Peter Svensson

  2. Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden

    Peter Svensson

  3. Center for Sensory-Motor Interactions, Aalborg University, Aalborg, Denmark

    Lars Arendt-Nielsen

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  1. Fernando Exposto
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  2. Peter Svensson
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  3. Lars Arendt-Nielsen
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Correspondence to Peter Svensson .

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  1. University "Gabriele D'Annunzio", Chieti, Italy

    Maria Adele Giamberardino

  2. Clinical and Molecular Medicine Dept, University of Rome La Sapienza, Rome, Italy

    Paolo Martelletti

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Exposto, F., Svensson, P., Arendt-Nielsen, L. (2017). Temporomandibular Disorder Comorbidity. In: Giamberardino, M., Martelletti, P. (eds) Comorbidities in Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-319-41454-6_9

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