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Journal of Oral & Facial Pain and Headache (OFPH) is published by MRE Press from Volume 38 lssue 1 (2024). Previous articles were published by another publisher on a subscription basis, and they are hosted by MRE Press on www.jofph.com as a courtesy and upon agreement with Journal of Oral & Facial Pain and Headache.
A Mandibular Advancement Appliance Reduces Pain and Rhythmic Masticatory Muscle Activity in Patients with Morning Headache
1Univ Montreal, Fac Med Dent, Montreal, PQ H3T 1J4, Canada
2Tokushima Univ Hosp, Dept Oral Care & Clin Educ, Tokushima, Japan
3Hop Sacre Coeur, Ctr Etud Sommeil, Montreal, PQ H4J 1C5, Canada
*Corresponding Author(s): Pierre H. Rompré E-mail: pierre.rompre@umontreal.ca
Aims: To evaluate the influence of an oral appliance on morning headache and orofacial pain in subjects without reported sleepdisordered breathing (SDB). Methods: Twelve subjects aged 27.6 ± 2.1 (mean ± SE) years and suffering from frequent morning headache participated in this study. Each subject was individually fitted with a mandibular advancement appliance (MAA). The first two sleep laboratory polygraphic recording (SLPR) nights were for habituation (N1) and baseline (N2). Subjects then slept five nights without the MAA (period 1: P1), followed by eight nights with the MAA in neutral position (P2), ending with SLPR night 3 (N3). Subjects then slept five nights without the MAA (P3), followed by eight nights with the MAA in 50% advanced position (P4), ending with SLPR night 4 (N4). Finally, subjects slept 5 nights without the MAA (P5). Morning headache and orofacial pain intensity were assessed each morning with a 100-mm visual analog scale. Repeated measures ANOVAs and Friedman tests were used to evaluate treatment effects. Results: Compared to the baseline period (P1), the use of an MAA in both neutral and advanced position was associated with a ≥ 70% reduction in morning headache and ≥ 42% reduction in orofacial pain intensity (P ≤ .001). During the washout periods (P3 and P5), morning headache and orofacial pain intensity returned to close to baseline levels. Compared to N2, both MAA positions significantly reduced (P < .05) rhythmic masticatory muscle activity (RMMA). Conclusion: Short-term use of an MAA is associated with a significant reduction in morning headache and orofacial pain intensity. Part of this reduction may be linked to the concomitant reduction in RMMA.
mandibular advancement appliance;morning headache;oral appliance;orofacial pain;rhythmic masticatory muscle activity
Laurent Franco, Pierre H. Rompré, Pierre De Grandmont, Susumu Abe, Gilles J. Lavigne. A Mandibular Advancement Appliance Reduces Pain and Rhythmic Masticatory Muscle Activity in Patients with Morning Headache. Journal of Oral & Facial Pain and Headache. 2011. 25(3);240-249.
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