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Association Between Temporomandibular Disorders Pain and Migraine: Results of the Health 2000 Survey
1Univ Eastern Finland, Inst Biomed, Inst Dent, Kuopio, Finland
2Univ Eastern Finland, Inst Dent, Kuopio Campus,POB 1627, Kuopio 70211, Finland
3Kuopio Univ Hosp, Dept Clin Physiol & Nucl Med, Kuopio, Finland
4Kuopio Univ Hosp, Dept Oral & Maxillofacial Dis, Kuopio, Finland
5Publ Hlth Educ & Populat Unit, Helsinki, Finland
6Univ Oulu, Res Unit Oral Hlth Sci, Oulu, Finland
7Oral & Maxillofacial Dept, Oulu, Finland
8Oulu Univ Hosp, Med Res Ctr Oulu, Oulu, Finland
9Univ Eastern Finland, Kuopio Univ Hosp, Inst Dent, Kuopio, Finland
DOI: 10.11607/ofph.2213 Vol.33,Issue 4,December 2019 pp.399-407
Submitted: 12 April 2018 Accepted: 16 April 2019
Published: 30 December 2019
*Corresponding Author(s): Javed Ashraf E-mail: javed.ashraf@uef.fi
Aims: To study the possible associations of various clinically assessed painful signs of temporomandibular disorders (TMD) with the presence of migraine using a large population-based dataset. Methods: The data were taken from the na- tionally representative Health 2000 Survey (BRIF8901). The sample consisted of 5,876 adults (age range 30 to 97 years, mean ± standard deviation 52.5 ± 14.8), 5,378 nonmigraineurs and 498 migraineurs. The study participants answered questions concerning migraine presence, migraine frequency, and migraine medication consumption during a home interview. They also underwent a clinical TMD examination. Results: Based on the multivariate regression models, painful muscular TMD, but not joint-related TMD, was associated with the presence of migraine (odds ratio [OR] = 1.58; 95% confidence interval [CI] = 1.23 to 2.04; P < .01). Migraine with TMD was associated with increased migraine frequency (daily or a few attacks within a week) (OR = 1.93; 95% CI = 1.27 to 2.93; P < .01) and higher migraine medication consumption (OR = 2.37; 95% CI = 1.43 to 3.92; P < .01). Conclusion: According to the results of this study, muscle-related TMD pain is associated with the presence of migraine. Additionally, migraine along with painful TMD signs is associated with increased migraine frequency and mi-graine medication consumption.
headache medication;migraine;pain;temporomandibular disorders
Javed Ashraf,Nina Zaproudina,Anna Liisa Suominen,Kirsi Sipilä,Matti Närhi,Tuomas Saxlin. Association Between Temporomandibular Disorders Pain and Migraine: Results of the Health 2000 Survey. Journal of Oral & Facial Pain and Headache. 2019. 33(4);399-407.
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