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KMID : 0355620170430060401
Journal of Korean Association of Oral and Maxillofacial Surgeons
2017 Volume.43 No. 6 p.401 ~ p.406
The efficacy of oral habit modification on headache
Agha Hosseini Farzaneh

Sheykhbahaei Nafiseh
Mirzaii Dizgah Iraj
Fatehi Farzad
Abstract
Objectives: Headache is the most common complaint of patients suffering from temporomandibular joint disorders (TMDs). Thus, temporomandibular joint (TMJ) examinations maybe necessary in patients with headache. Considering the high prevalence of bruxism and TMDs in patients with headache the effects of conservative TMD treatment on headache should be assessed.

Materials and Methods: Patients were questioned about headaches in the past three months. Those responding affirmatively to this question were examined for TMD and bruxism. After the examinations, 219 patients remained in the study and received self-management instructions. Patients were requested to modify oral habits except when eating or sleeping. The degree of pain (visual analogue scale), headache disability index (HDI), frequency of headaches (FH) per month and TMD intensity were evaluated.

Results: The median levels of pain, HDI, FH, and TMD intensity were 8, 44, 8, and 7, respectively, before modifying oral habits and decreased to 4, 24, 2, and 3, respectively, after intervention. These decreases were statistically significant.

Conclusion: Having patients maintain free space between the teeth and relax muscles can be an efficient method to treat headache and TMD, especially when repeated frequently.
KEYWORD
Headache, Temporomandibular joint disorders, Para-functional habits, Self-care
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