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Treatment outcome of short- and long-term appliance therapy in patients with TMD of myogenous origin and tension-type headache
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0001-5635-1887
Malmö högskola, Faculty of Odontology (OD).
2006 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 33, no 10, p. 713-721Article in journal (Refereed)
Abstract [en]

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.

Place, publisher, year, edition, pages
2006. Vol. 33, no 10, p. 713-721
Keywords [en]
TMD, myogenous
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-15406DOI: 10.1111/j.1365-2842.2006.01659.xISI: 000240028200001PubMedID: 16938099Scopus ID: 2-s2.0-33747878779Local ID: 3752OAI: oai:DiVA.org:mau-15406DiVA, id: diva2:1418927
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved

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Ekberg, EwaCarinNilner, Maria

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