Prevalence of painful temporomandibular disorders in individuals with post-traumatic headache attributed to mild traumatic brain injury.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Investigations Pub Date : 2024-12-02 DOI:10.1007/s00784-024-06086-3

Mohit Kothari, Lene Odgaard, Jørgen Feldbæk Nielsen, Simple Futarmal Kothari

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Abstract

Objectives: Studies assessing the presence of painful temporomandibular disorders (TMD) in post-traumatic headache (PTH) attributed to mild traumatic brain injury are lacking. We aimed to (1) measure the prevalence of painful TMD and assess its association with demographic and trauma-related factors in patients with PTH and (2) compare the headache characteristics and post-concussion burden between the PTH patients with and without painful TMD.

Methods: This study embedded in a population-based epidemiologic cohort study (N = 2,832) assessed mild traumatic brain injury patients (18-60 years) 2-4 months after their trauma. PTH patients (n = 382) were identified and invited to fill out questionnaires assessing post-concussion symptoms and burden, headache characteristics, presence of painful TMD and demographics.

Results: The prevalence of painful TMD was 22.5%. Living with a partner/spouse (OR = 0.31, 95% CI: 0.13-0.75, P = 0.010) and having a secondary education (OR = 0.28, 95% CI: 0.08-0.99, P = 0.048) was significantly associated with decreased risk of having painful TMD. PTH patients with painful TMD reported significantly higher headache intensity (P < 0.042), increased symptom burden (P = 0.007), reduced workability after trauma (P = 0.019) and were frequently on full-time sick leave compared to those without painful TMD.

Conclusions: PTH patients had a high prevalence of painful TMD. Living with a partner/spouse and having a secondary education decreased the risk of having painful TMD. Patients with painful TMD were significantly heavily burdened compared to those without painful TMD.

Clinical relevance: Presence of painful TMD in PTH patients may compromise the rehabilitation plan and complicate the management of these patients.

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轻度外伤性脑损伤引起的创伤后头痛患者中疼痛性颞下颌紊乱的患病率。

目的：目前缺乏评估轻度外伤性脑损伤所致创伤后头痛（PTH）患者是否存在疼痛性颞下颌紊乱（TMD）的研究。我们的目的是(1)测量疼痛性TMD的患病率，并评估其与PTH患者人口统计学和创伤相关因素的关系；(2)比较伴有和不伴有疼痛性TMD的PTH患者的头痛特征和脑震荡后负担。方法：本研究纳入了一项基于人群的流行病学队列研究（N = 2,832），评估了创伤后2-4个月的轻度创伤性脑损伤患者（18-60岁）。选取382名甲状旁腺癌患者，并请他们填写脑震荡后症状和负担、头痛特征、疼痛性TMD的存在和人口统计学调查问卷。结果：疼痛性TMD患病率为22.5%。与伴侣/配偶一起生活（OR = 0.31, 95% CI: 0.13-0.75, P = 0.010）和受过中等教育（OR = 0.28, 95% CI: 0.08-0.99, P = 0.048）与疼痛性TMD的风险降低显著相关。PTH患者伴疼痛性TMD报告的头痛强度显著增高(P)。结论：PTH患者疼痛性TMD患病率较高。与伴侣/配偶住在一起并接受中等教育可以降低患疼痛的TMD的风险。疼痛性TMD患者与非疼痛性TMD患者相比，负担明显加重。临床相关性：PTH患者出现疼痛性TMD可能会影响康复计划并使这些患者的治疗复杂化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Oral Investigations 医学-牙科与口腔外科

CiteScore

6.30

自引率

5.90%

发文量

484

审稿时长

3 months

期刊介绍： The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.