Systemic diseases and other painful conditions in patients with temporomandibular disorders and migraine

• Published in: Brazilian oral research Vol. 32; p. e77
• Main Authors: Contreras, Edwin Fernando Ruiz, Fernandes, Giovana, Ongaro, Paula Cristina Jordani, Campi, Leticia Bueno, Gonçalves, Daniela Aparecida Godoi
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Pesquisa Odontológica - SBPqO 23-07-2018; Sociedade Brasileira de Pesquisa Odontológica
• Subjects: Adolescent; Adult; Aged; Brazil - epidemiology; Comorbidity; Cross-Sectional Studies; Dentistry; DENTISTRY, ORAL SURGERY & MEDICINE; Diabetes Complications - physiopathology; Diabetes Mellitus - epidemiology; Diabetes Mellitus - physiopathology; Facial Pain - epidemiology; Facial Pain - physiopathology; Female; Gastritis - complications; Gastritis - epidemiology; Gastritis - physiopathology; Headache; Humans; Logistic Models; Male; Middle Aged; Migraine Disorders; Migraine Disorders - epidemiology; Migraine Disorders - physiopathology; Musculoskeletal Diseases - epidemiology; Musculoskeletal Diseases - physiopathology; Neck Pain; Neck Pain - epidemiology; Neck Pain - physiopathology; Peptic Ulcer - epidemiology; Peptic Ulcer - physiopathology; Prevalence; Sex Factors; Temporomandibular Joint Disorders; Temporomandibular Joint Disorders - epidemiology; Temporomandibular Joint Disorders - physiopathology; Young Adult; Temporomandibular Joint Disorders; Headache; Migraine Disorders; Comorbidity; Neck Pain
• ISSN: 1806-8324; 1807-3107; 1807-3107
• DOI: 10.1590/1807-3107BOR-2018.vol32.0077

Temporomandibular disorders (TMD) are a highly prevalent, painful musculoskeletal condition affecting the masticatory system, and are frequently associated with migraines (M) and other diseases. This study aimed to investigate the association between painful TMD and M with other painful conditions and systemic diseases, such as cervicalgia, body pain (BP), ear-nose-throat disorders, musculoskeletal disorders, diabetes, cardiopulmonary diseases and gastritis/peptic ulcer.
This was a cross-sectional study conducted in a sample of 352 individuals. Participants were stratified into three groups according to the presence of painful TMD and M: controls [individuals free of TMD and any headache (HA)]; TMD only (presence of painful TMD, but free of any HA); and TMD+M (presence of painful TMD and M). TMD was classified according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) - Axis I. Nonspecific physical symptoms (NSPS) were assessed by RDC/TMD - Axis II. The International Classification of Headache Disorders - II criteria, second edition, were applied to identify and classify primary HA. Other painful conditions and systemic diseases were assessed by volunteers' self-report. The prevalence of all assessed conditions was higher in the TMD+M group. Multiple regression models showed that cervicalgia was associated with the TMD only group (p<0.05), whereas gender (p<0.05), cervicalgia (p<0.05), BP (p<0.05) and NSPS (p<0.05) were significantly associated with the TMD+M group. Our results suggest that individuals with a comorbidity (TMD associated with M) have a more severe condition than those presenting only painful TMD.