TMJ dysfunction in patients with migraine

Abstract

Introduction:Temporomandibular joint disorders, or TMD, is a constelation of the group of orofacial pain, that includs musticatory muscle, articular conditionsor both. This reference summary explains signs of temporomandibular joint disorders. It reviews the symptoms, causes and diagnosis of TMD in pacients with migraine. Purpose and Obiectives: examination of patients with migraine and recognizing the temporomandibular dysfunction of them,determine the signs of TMD and analyzing the obtained results. Materials and methods: We investigated 15 patients, aged 18-40 years with a diagnosis of migraine, previously confirmed neurologists. Patients were applied personality tests: SCL-90, Beck and Spilbergher to analyze the psycho-emotional status of these patients and for detecting temporomandibular dysfunction questionnaire was applied type "screening" proposed by McNeill. Results: Investigated in 15 patients with migraine, 6 patients(one man and five women) showing signs of TMD. By clinical examination and investigation of patients with questionnaire type "screening" proposed by McNeill, we determined following clinical signs of TMD: •joint noises (clicking, popping, grating, or crepitation); • masticatory muscle pain (palpation) • pain in the TMJ; • pain when chewing, wide opening of the mouth and during yawning. All patients who experienced these signs of DTM had migraine on the same side. Conclusion: Migraine and temporomandibular disorders (TM D) are highly prevalent conditions that frequently coexist in the same patient. The relationship between migraine and TMD is complex. Migraineurs often have pain in the TMD area; TMD sufferers, in turn, often experience headaches in addition to the pain in the jaw . Finally, migraine and TMD are comorbid, and the final phenotype of patients with the comorbidity may represent the aggregated contribution of both.