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Recurrent headache in patients with temporomandibular disorders of mainly arthrogenous origin. A short‐ and long‐term evaluation of the treatment effect of occlusal appliance therapy. A randomized controlled trial
Author(s) -
NILNER M.,
EKBERG E.,
VALLON D.
Publication year - 2002
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1046/j.1365-2842.2002.01026_8.x
Subject(s) - medicine , randomized controlled trial , treatment and control groups , clinical trial , physical therapy , surgery
In patient material recurrent headache has been presented in about 40–70%. Aim: The aim of this study was to evaluate recurrent headache before and after treatment with a stabilization or control appliance. The effect of treatment should be evaluated both in a short and long time perspective. Materials and methods: Sixty patients with TMD of mainly arthrogenous origin were selected from patients referred for treatment of TMD. The patients were randomly assigned to a treatment group (T), stabilization appliance, and a control group (C), control appliance. The study was performed as a randomized controlled trial evaluating the treatment effect after 10 weeks, 6 and 12 months. Patients who reported a negative treatment outcome and/or any discomfort associated with the appliances either had their appliances adjusted or received a stabilization appliance creating a new mixed group (M). Results: In the T and C groups, 77 and 83% respectively, reported headache at least once a week before treatment. At the 10 week follow‐up a statistically significant difference was found regarding less frequent headache within the T‐group but not within the C‐group. Frequent headache was also found statistically significantly less often in the T‐group compared with the C‐group. At the 6 and 12 month follow‐ups the frequency of headache seemed to have diminished within groups. Conclusion: Treatment with a stabilization appliance seems to have a positive effect on recurrent headache in a short‐ and long‐term perspective in patients with TMD of mainly arthrogenous origin.