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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A sample of students (739) were questioned and examined for symptoms and signs associated with mandibular dysfunction. The most frequently mentioned symptoms were headache, TMJ sounds, and pain in the face or neck. No significant differences were found between men and women with symptoms other than headache. The most common dysfunctional signs were dull occlusal sounds on repeated, firm closure of the teeth, tenderness of muscles in the jaw or head, and sounds on condylar movement. Women had a higher prevalence of these signs. Subjects who were aware of bruxism (7.9%) were more likely to have tenderness of the masseter muscle and limited mouth opening. Limited mouth opening was associated with dull occlusal sounds, pain on opening the mouth, and sounds in TMJs. Headaches were associated with tenderness in muscles and joints. Subclinical signs associated with dysfunction occurred more frequently than did awareness of symptoms.
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PMID:Prevalence of mandibular dysfunction in young adults. 28 42

The female climacteric is attributed to physiological ovarian failure with the consequent decrease in the secretions of oestrogen, progestones and androgens. Numerous metabolic, psychological and physical changes have been associated with this event. Oral discomfort, including the burning mouth syndrome and the dry mouth syndrome, has been described as a menopausal symptom. However, the relationship between the hormonal changes related to climacteric and the onset of oral discomfort is still controversial. The purpose of the present study was to evaluate the prevalence of oral symptoms, with particular regard to burning sensation, xerostomia, altered taste and recurrent oral ulcerations. The relationship between oral and climacteric symptoms and psychological status of the patients was also evaluated. A questionnaire was administered to 136 women (mean age: 51.2 years, range 40-62) being consecutively referred to the University Hospital Menopause Clinic from October 1991 to March 1992. The questionnaire included informations regarding menopausal state, oral symptoms, drug assumption, wearing of partial or total dentures, parafunctions (lip and cheek biting, bruxism, tongue thrusting). Climacteric symptoms including flushes/sweats, palpitations, headache, arthralgia/myalgia, vaginal dryness, decreased concentration, tiredness, decreased libido, insomnia, vertigo were evaluated. Visual analogue scale (VAS) was used where appropriate. Information regarding the alteration of the psychological status was collected by means of the Hospital Anxiety and Depression Scale Statistical analysis was performed by chi 2 test or Fisher's Exact Probability Test and Mann-Whitney U-test. The level of significance accepted was 5%. The subjects in this study were divided into two groups on the basis of their answers to the questionnaire: group I (no. 39), premenopausal women; group II (no. 97), menopausal women.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Oral symptoms in the climacteric. A prevalence study]. 129 73

During a clinical investigation including 281 patients we analysed the association between bruxism and chronical benign headache. A correlations having practical relevance could be shown, especially for patients with headache similar in type to the classical tension headache.
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PMID:[About the correlation between bruxism and chronic headache]. 181 38

An association exists between bruxism, tension headache, and sleep disorders, particularly sleep apnea, in the craniomandibular dysfunction patient. Understanding the relationship of these three entities provides the clinician with valuable information that enhances one's ability to make a differential diagnosis. A review of sleep disorders is presented so that a clearer understanding of them can be gained, with emphasis on obstructive sleep apnea. Current theories regarding bruxism, morning headache, and sleep disorders relate closely to altered muscle activity, altered breathing and fluctuation in oxygen saturation levels, which in turn can contribute to a patient's complaints of various types of facial pain.
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PMID:Tension headache and bruxism in the sleep disordered patient. 207 98

Few studies have specifically examined the association between bruxism and symptoms of temporomandibular disorders in adults. In this study 569 freshmen dental students entering the Medical College of Georgia over a 10-year period completed an 18-item "yes/no" questionnaire relating to awareness of tooth clamping/clenching/grinding and signs and symptoms of oral, facial, and craniomandibular discomfort, pain, and disorders. A higher proportion of females than males reported that they were aware of clamping and clenching their teeth, as well as symptoms of stiff jaw, sore jaw or teeth, cracking or locking jaw joint, and headaches in the morning. Reported awareness of tooth clamping and clenching and of someone having heard tooth grinding was significantly associated with reported pain, discomfort, or other sensations in, in front of, or behind the ear in the overall subject group.
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PMID:Occurrence of temporomandibular disorder symptoms in healthy young adults with and without evidence of bruxism. 209 93

Subjective symptoms of craniomandibular disorder (CMD) were studied longitudinally in 167 children at the ages of 12 and 15 in order to investigate their importance for orthodontic diagnosis. The results showed that symptoms are quite common in adolescents (64-67 per cent). However, most of the adolescents experienced their symptoms only occasionally. Frequent occurrence of various, single symptoms of CMD varied from 0 to 7.2 per cent. Recurrent headache was reported by 24 per cent of the adolescents at the age of 12, and by 22 per cent of them at the age of 15. The number of reported symptoms did not increase between the ages of 12 and 15 years, which is in agreement with other studies. The symptoms of CMD did not appear to be consistent. Locking of the joint was found to be the most stable symptom. About 50 per cent of those reporting TMJ-clicking, unexplainable ear symptoms or bruxism at the age of 12, had lost this symptom by the age of 15. For pain on mouth-opening, the symptom group at the age of 15 consisted of entirely new individuals. Because of their inconsistent nature during the final stages of occlusal development, too much attention should not be paid to single occurrences of CMD symptoms. In individual cases, however, important information for diagnosis and treatment planning can be obtained. Symptoms of craniomandibular disorder, recurrent headache, and oral parafunctions should be elicited and recorded at annual dental check-ups of children and adolescents.
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PMID:Symptoms of craniomandibular disorder in a sample of Finnish adolescents at the ages of 12 and 15 years. 259 81

EEG-investigations before and after long-term-treatment with occlusal-splints were carried out in 36 bruxism patients suffering from unilateral headache. The results of the latter group were compared to those of 41 patients with classical migraine and to those of a healthy control-group. 20 (56%) of our patients showed pathological EEG-pattern in which focal abnormalities (39%) were dominating. After a long-term-treatment, mentioned before, there was a significant decrease of pathological EEG-pattern combined with a distinct improvement of all clinical symptoms. In patients with classical migraine a higher number of pathological EEG-recordings were seen during attack as well as during interval. Comparing the EEG-findings of bruxism after treatment to those of the healthy controls, no significant differences were found anymore.
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PMID:[EEG studies in bruxism with headache patients]. 311 56

This chapter has discussed the important aspects of nocturnal bruxism and its relation to disorders of the masticatory system and headaches. Bruxism is believed to be a stress-related sleep disorder, occurring in both men and women, in children, and in adults. In most patients, bruxism results only in minor tooth wear; however, it can become extremely severe with damage occurring in essentially every part of the masticatory apparatus. Nocturnal bruxism should not be overlooked as an etiologic factor in muscular headaches. Short-term acute therapy may involve physical therapy, nocturnal electromyographic biofeedback, and medication to relieve anxiety and improve sleep. Long-term management usually includes some form of stress reduction, change in lifestyle, and an occlusal splint or nightguard to protect the teeth and masticatory system.
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PMID:Nocturnal bruxism and temporomandibular disorders. 327 46

600 randomly selected subjects from an urban community in Hungary were examined anamnestically and clinically concerning signs and symptoms of mandibular dysfunction. The anamnestic (Ai) and clinical dysfunction (Di) indices according to Helkimo were used. The percentage distribution of the sample was the following: AiO = 79.3%, AiI = 15.3%, AiII = 5.3%; DiO = 20.1%, DiI = 72.3%, DiII = 7%, DiIII = 0.5%. Headache was reported in 23%, bruxism in 10%, joint sounds in 9%, pain in the face, neck, or around the ears in 6%. Clinical signs found at the examination were joint sounds in 46% (crepitation 29%, clicking 22%), muscle tenderness on palpation in 17%, joint tenderness in 3%, pain on movement in 2.5%, restricted mouth opening in 4%, deviation of the mandible in 20%.
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PMID:Prevalence of mandibular dysfunction in an urban population in Hungary. 345 18

This report is a long-term evaluation of 211 patients (158 women, 53 men) with TMJ clicking and/or TMJ incoordination, treated at the University Hospital of Copenhagen, Denmark, in the years 1971-77. Information on present symptoms and the effect of the initial treatment was obtained from questionnaires. Standard treatment procedures had been used in 153 patients while 58 patients had had counseling only. In the actively treated group, 59% were still doing well, 30% had unchanged symptoms and 5% experienced aggravated symptoms. In the counseled group, 40% were free of symptoms, 50% had unchanged symptoms and 7% aggravated symptoms. A highly significant association was found between the absence or presence of symptoms at the end of treatment according to patient records and the evaluation of the initial effect of treatment 8-15 yr later, which indicates that reliable results can be expected from a long-term evaluation of TMJ dysfunction patients. In the sample as a whole, the frequency of TMJ sounds was unchanged compared to the time of treatment (64% vs 66%). A significantly higher frequency was, however, found in the untreated group, indicating that treatment might have a positive effect on TMJ sounds. The frequency of recurrent headache had increased considerably over the years (6% vs 34%), 32% still experienced pain/tenderness on mandibular movement, 24% suffered from impaired mandibular mobility and 82% were aware of bruxism/clenching of teeth. Furthermore, we found a significant association between headache before treatment and headache, awareness of bruxism and clenching of teeth at the time of evaluation.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Long-term evaluation of 211 patients with internal derangement of the temporomandibular joint. 348 98


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