Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents

OBJECTIVE:To verify whether headaches (HAs) are associated with temporomandibular disorders (TMD) in young Brazilian adolescents. METHODS:From a population sample, 3117 public school children (12 to 14 y) were randomly invited to participate in this study. TMD was assessed according to the Research...

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Veröffentlicht in:The Clinical journal of pain 2014-04, Vol.30 (4), p.340-345
Hauptverfasser: Franco, Ana L, Fernandes, Giovana, Gonçalves, Daniela A G, Bonafé, Fernanda S S, Camparis, Cinara M
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container_end_page 345
container_issue 4
container_start_page 340
container_title The Clinical journal of pain
container_volume 30
creator Franco, Ana L
Fernandes, Giovana
Gonçalves, Daniela A G
Bonafé, Fernanda S S
Camparis, Cinara M
description OBJECTIVE:To verify whether headaches (HAs) are associated with temporomandibular disorders (TMD) in young Brazilian adolescents. METHODS:From a population sample, 3117 public school children (12 to 14 y) were randomly invited to participate in this study. TMD was assessed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I, in addition to questions #3, #4, and #14 of Axis II history questionnaire. HAs were investigated with question #18 of RDC/TMD Axis II. Chronic TMD pain was considered as pain that has persisted for 6 months or more, as proposed by the International Association for the Study of Pain. The statistical analysis consisted of χ tests, odds ratio (OR), and logistic regression models, adopting a significance level of 5%. RESULTS:The sample included 1307 individuals (a response rate of 41.93%), and 56.8% (n=742) were girls. Overall, 330 adolescents (25.2%) were diagnosed with painful TMD and 595 (45.5%) presented with HAs. Individuals presenting with HAs were more likely to present painful TMD (OR=4.94; 95% confidence interval [CI], 3.73-6.54, P
doi_str_mv 10.1097/AJP.0b013e31829ca62f
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METHODS:From a population sample, 3117 public school children (12 to 14 y) were randomly invited to participate in this study. TMD was assessed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I, in addition to questions #3, #4, and #14 of Axis II history questionnaire. HAs were investigated with question #18 of RDC/TMD Axis II. Chronic TMD pain was considered as pain that has persisted for 6 months or more, as proposed by the International Association for the Study of Pain. The statistical analysis consisted of χ tests, odds ratio (OR), and logistic regression models, adopting a significance level of 5%. RESULTS:The sample included 1307 individuals (a response rate of 41.93%), and 56.8% (n=742) were girls. Overall, 330 adolescents (25.2%) were diagnosed with painful TMD and 595 (45.5%) presented with HAs. Individuals presenting with HAs were more likely to present painful TMD (OR=4.94; 95% confidence interval [CI], 3.73-6.54, P&lt;0.001), especially combined muscle and joint painful TMD (OR=7.58; 95% CI, 4.77-12.05, P&lt;0.001). HAs also increased the risk to a higher magnitude for chronic TMD pain (OR=6.12; 95% CI, 4.27-8.78, P&lt;0.0001). All estimated ORs remained essentially unchanged after adjusting for sex. DISCUSSION:HAs were a potential risk factor for TMD in adolescents, and the risk was particularly higher for painful and chronic TMD. When HAs are present in young adolescents, a complete examination is strongly recommended with regard to the presence of painful TMD, and vice versa.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/AJP.0b013e31829ca62f</identifier><identifier>PMID: 23792345</identifier><language>eng</language><publisher>United States: by Lippincott Williams &amp; Wilkins</publisher><subject>Adolescent ; Brazil ; Chi-Square Distribution ; Child ; Female ; Headache - complications ; Humans ; Male ; Surveys and Questionnaires ; Temporomandibular Joint Disorders - complications</subject><ispartof>The Clinical journal of pain, 2014-04, Vol.30 (4), p.340-345</ispartof><rights>2014 by Lippincott Williams &amp; Wilkins</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356f-28cb5583c5180d388e84107148154754eb7ecd3933246cdfbccec1bcf4ce0f23</citedby><cites>FETCH-LOGICAL-c356f-28cb5583c5180d388e84107148154754eb7ecd3933246cdfbccec1bcf4ce0f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23792345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franco, Ana L</creatorcontrib><creatorcontrib>Fernandes, Giovana</creatorcontrib><creatorcontrib>Gonçalves, Daniela A G</creatorcontrib><creatorcontrib>Bonafé, Fernanda S S</creatorcontrib><creatorcontrib>Camparis, Cinara M</creatorcontrib><title>Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents</title><title>The Clinical journal of pain</title><addtitle>Clin J Pain</addtitle><description>OBJECTIVE:To verify whether headaches (HAs) are associated with temporomandibular disorders (TMD) in young Brazilian adolescents. METHODS:From a population sample, 3117 public school children (12 to 14 y) were randomly invited to participate in this study. TMD was assessed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I, in addition to questions #3, #4, and #14 of Axis II history questionnaire. HAs were investigated with question #18 of RDC/TMD Axis II. Chronic TMD pain was considered as pain that has persisted for 6 months or more, as proposed by the International Association for the Study of Pain. The statistical analysis consisted of χ tests, odds ratio (OR), and logistic regression models, adopting a significance level of 5%. RESULTS:The sample included 1307 individuals (a response rate of 41.93%), and 56.8% (n=742) were girls. Overall, 330 adolescents (25.2%) were diagnosed with painful TMD and 595 (45.5%) presented with HAs. Individuals presenting with HAs were more likely to present painful TMD (OR=4.94; 95% confidence interval [CI], 3.73-6.54, P&lt;0.001), especially combined muscle and joint painful TMD (OR=7.58; 95% CI, 4.77-12.05, P&lt;0.001). HAs also increased the risk to a higher magnitude for chronic TMD pain (OR=6.12; 95% CI, 4.27-8.78, P&lt;0.0001). All estimated ORs remained essentially unchanged after adjusting for sex. DISCUSSION:HAs were a potential risk factor for TMD in adolescents, and the risk was particularly higher for painful and chronic TMD. When HAs are present in young adolescents, a complete examination is strongly recommended with regard to the presence of painful TMD, and vice versa.</description><subject>Adolescent</subject><subject>Brazil</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Female</subject><subject>Headache - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Surveys and Questionnaires</subject><subject>Temporomandibular Joint Disorders - complications</subject><issn>0749-8047</issn><issn>1536-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwDxDKyJLiz8QZQ_koCAmGCsQUOfaFBpy42Ikq-PUEtTAwsNwtz_ve6UHomOApwVl6lt8-THGJCQNGJM20Smi1g8ZEsCQWHGe7aIxTnsUS83SEDkJ4xZgIKvE-GlGWZpRxMUaPc1BG6SVEeQhO16oDEz3V3TJaQLNy3jWqNXXZW-Wjizo4b8CHKG9c-xI9u36Y51591rZWbZQbZyFoaLtwiPYqZQMcbfcELa4uF7N5fHd_fTPL72LNRFLFVOpSCMm0IBIbJiVITnBKuCSCp4JDmYI2LGOM8kSbqtQaNCl1xTXgirIJOt3Urrx77yF0RVMPD1irWnB9KIjAgoqUZMmA8g2qvQvBQ1WsfN0o_1EQXHwLLQahxV-hQ-xke6EvGzC_oR-DAyA3wNrZbnDzZvs1-GIJynbL_7u_AJoohYY</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Franco, Ana L</creator><creator>Fernandes, Giovana</creator><creator>Gonçalves, Daniela A G</creator><creator>Bonafé, Fernanda S S</creator><creator>Camparis, Cinara M</creator><general>by Lippincott Williams &amp; Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents</title><author>Franco, Ana L ; Fernandes, Giovana ; Gonçalves, Daniela A G ; Bonafé, Fernanda S S ; Camparis, Cinara M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356f-28cb5583c5180d388e84107148154754eb7ecd3933246cdfbccec1bcf4ce0f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Brazil</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Female</topic><topic>Headache - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Surveys and Questionnaires</topic><topic>Temporomandibular Joint Disorders - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Franco, Ana L</creatorcontrib><creatorcontrib>Fernandes, Giovana</creatorcontrib><creatorcontrib>Gonçalves, Daniela A G</creatorcontrib><creatorcontrib>Bonafé, Fernanda S S</creatorcontrib><creatorcontrib>Camparis, Cinara M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Franco, Ana L</au><au>Fernandes, Giovana</au><au>Gonçalves, Daniela A G</au><au>Bonafé, Fernanda S S</au><au>Camparis, Cinara M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2014-04</date><risdate>2014</risdate><volume>30</volume><issue>4</issue><spage>340</spage><epage>345</epage><pages>340-345</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><abstract>OBJECTIVE:To verify whether headaches (HAs) are associated with temporomandibular disorders (TMD) in young Brazilian adolescents. METHODS:From a population sample, 3117 public school children (12 to 14 y) were randomly invited to participate in this study. TMD was assessed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I, in addition to questions #3, #4, and #14 of Axis II history questionnaire. HAs were investigated with question #18 of RDC/TMD Axis II. Chronic TMD pain was considered as pain that has persisted for 6 months or more, as proposed by the International Association for the Study of Pain. The statistical analysis consisted of χ tests, odds ratio (OR), and logistic regression models, adopting a significance level of 5%. RESULTS:The sample included 1307 individuals (a response rate of 41.93%), and 56.8% (n=742) were girls. Overall, 330 adolescents (25.2%) were diagnosed with painful TMD and 595 (45.5%) presented with HAs. Individuals presenting with HAs were more likely to present painful TMD (OR=4.94; 95% confidence interval [CI], 3.73-6.54, P&lt;0.001), especially combined muscle and joint painful TMD (OR=7.58; 95% CI, 4.77-12.05, P&lt;0.001). HAs also increased the risk to a higher magnitude for chronic TMD pain (OR=6.12; 95% CI, 4.27-8.78, P&lt;0.0001). All estimated ORs remained essentially unchanged after adjusting for sex. DISCUSSION:HAs were a potential risk factor for TMD in adolescents, and the risk was particularly higher for painful and chronic TMD. When HAs are present in young adolescents, a complete examination is strongly recommended with regard to the presence of painful TMD, and vice versa.</abstract><cop>United States</cop><pub>by Lippincott Williams &amp; Wilkins</pub><pmid>23792345</pmid><doi>10.1097/AJP.0b013e31829ca62f</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Brazil
Chi-Square Distribution
Child
Female
Headache - complications
Humans
Male
Surveys and Questionnaires
Temporomandibular Joint Disorders - complications
title Headache Associated With Temporomandibular Disorders Among Young Brazilian Adolescents
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