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Treatment outcome of short‐ and long‐term appliance therapy in patients with TMD of myogenous origin and tension‐type headache
Author(s) -
EKBERG E. C.,
NILNER M.
Publication year - 2006
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 - 10.1111/j.1365-2842.2006.01659.x
Subject(s) - medicine , myofascial pain , palpation , masticatory force , tension headache , physical therapy , tenderness , myofascial release , muscle tension , headaches , surgery , dentistry , alternative medicine , pathology
summary The aim was to compare the short‐ and long‐term effect of a stabilization appliance with a control appliance in myofascial pain patients suffering from episodic or chronic tension‐type headache. Sixty patients (mean age 29 ± 12 years) with temporomandibular disorders (TMD) of myogenous origin and headache were studied in this prospective controlled study. Seventy‐seven per cent of the patients reported episodic and 23% chronic tension‐type headache at the start of the study. The 60 patients were randomly assigned to a treatment group (stabilization appliance) or to a control group (control appliance). The patients were interviewed regarding symptoms of headache and myofascial pain and clinically examined for masticatory muscle tenderness. At the 10‐week and the 6‐ and 12‐month evaluations of appliance therapy, the treatment outcome of tension‐type headache was studied. At the 10‐week evaluation, 17 patients dropped‐out from the control group by requesting another appliance and receiving a stabilization appliance. Another patient in the control group dropped out later during the trial. In an intent‐to‐treat analysis, significant differences in improvement of headache between treatment and control groups were found at the follow‐ups. A 30% reduction of muscles tender to palpation correlated significantly to improvement of headache at all follow‐ups. The stabilization appliance seems to have a positive effect on tension‐type headache, both in a short‐ and in a long‐term perspective in patients with TMD with pain of myogenous origin.