Temporomandibular disorder tied to migraine in adolescents

  • J Pain

  • de Kelli Whitlock Burton
  • Clinical Essentials
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Takeaway

  • Adolescents with painful temporomandibular disorder (TMD) were 3 times more likely to have migraines and had more frequent headaches than those without the disorder.
  • There was no association between TMD and tension-type headache (TTH).

Why this matters

  • Prior studies have shown a link between TMD and migraine in adults, but there are few data on the association in adolescents or children.

Study design

  • Case control study of 149 adolescents (age, 13-15 years) recruited from a previous epidemiological study.
  • Funding: None disclosed.

Key results

  • 55.7% of adolescents presented with painful TMD, 86.8% of whom presented with chronic painful TMD.
  • Overall prevalence of primary headache was 78.5%, with 36.2%, 26.2%, 16.1% adolescents presenting with migraine, probable TTH, TTH, respectively.
  • Adolescents with vs without painful TMD were more likely to have migraine (OR, 3.0; P=.033).
  • Headache frequency increased linearly in the presence of painful TMD (P=.005).
  • TMD increased odds of low-frequency headaches (OR, 2.8; P=.005) and intermediate, high, and daily headaches (OR, 6.6; P=.0002).
  • TMD was not associated with TTH (OR, 0.9; P=.834) and probable TTH (OR, 0.7; P=.307). 

Limitations

  • Small study population.
  • Study underpowered to study association between painful TMD, probable TTH, and TTH.

Coauthored with Antara Ghosh, PhD