Nikolaos Zokaris, Marcus Greven, Michail Tzakis, Vasileios Psarras
{"title":"Computerized Axiographic Findings in a Cohort of Migraine Patients: A Cross-Sectional Study.","authors":"Nikolaos Zokaris, Marcus Greven, Michail Tzakis, Vasileios Psarras","doi":"10.3390/dj12070204","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The objective of this work was to investigate the association between the function of the stomatognathic system and migraine presence through an instrumental functional analysis in a group of diagnosed migraine patients and a control group.</p><p><strong>Methods: </strong>This study included 50 individuals in each group. A jaw-tracking analysis was performed using Cadiax 4. Tracings of the following movements were recorded: open/close, protrusion/retrusion, mediotrusion, speech, bruxing, and mastication. The tracings were evaluated for their quantity, quality, transversal characteristics, speed, curvature pattern, and condylar stability.</p><p><strong>Results: </strong>Statistically significant differences between the groups were established for several aspects of the evaluation. Migraineurs presented with (a) higher values of mandibular lateral translation in protrusion/retrusion (<i>p</i> = 0.001), open/close (<i>p</i> = 0.031), and mastication (<i>p</i> = 0.016); (b) transient velocity losses in open/close (<i>p</i> = 0.001) and protrusive movements (<i>p</i> = 0.018); (c) a compromised condylar stability for protrusion/retrusion (<i>p</i> = 0.001) and mediotrusion (<i>p</i> = 0.003); (d) a compromised quality for protrusion/retrusion (<i>p</i> < 0.001) and mediotrusion (<i>p</i> = 0.003); and (e) a more frequent \"figure-eight\" curvature in open/close (<i>p</i> = 0.012).</p><p><strong>Conclusions: </strong>The importance of the stomatognathic function in migraine pathogenesis and treatment should be considered by using a patient-centered and interdisciplinary approach.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11275599/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dentistry Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/dj12070204","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The objective of this work was to investigate the association between the function of the stomatognathic system and migraine presence through an instrumental functional analysis in a group of diagnosed migraine patients and a control group.
Methods: This study included 50 individuals in each group. A jaw-tracking analysis was performed using Cadiax 4. Tracings of the following movements were recorded: open/close, protrusion/retrusion, mediotrusion, speech, bruxing, and mastication. The tracings were evaluated for their quantity, quality, transversal characteristics, speed, curvature pattern, and condylar stability.
Results: Statistically significant differences between the groups were established for several aspects of the evaluation. Migraineurs presented with (a) higher values of mandibular lateral translation in protrusion/retrusion (p = 0.001), open/close (p = 0.031), and mastication (p = 0.016); (b) transient velocity losses in open/close (p = 0.001) and protrusive movements (p = 0.018); (c) a compromised condylar stability for protrusion/retrusion (p = 0.001) and mediotrusion (p = 0.003); (d) a compromised quality for protrusion/retrusion (p < 0.001) and mediotrusion (p = 0.003); and (e) a more frequent "figure-eight" curvature in open/close (p = 0.012).
Conclusions: The importance of the stomatognathic function in migraine pathogenesis and treatment should be considered by using a patient-centered and interdisciplinary approach.