RETROSPECTIVE EVALUATION OF THE RELATIONSHIP BETWEEN TEMPOROMANDIBULAR JOINT PAIN WITH MIGRAINE, OTOLOGICAL SYMPTOMS, DIZZINESS AND NECK/SHOULDER PAIN

Yıl 2020, Cilt: 30 Sayı: 1, 83 - 87, 15.01.2020

Zeynep Gümrükçü Emre Balaban Mert Karabağ Emine Demir

https://doi.org/10.17567/ataunidfd.632067

Cited By: 1

Öz

Aim: The aim of this study was to evaluate the relationship between temporomandibular joint (TMJ) pain visual analog scale
scores (VAS) with migraine, tinnitus, hear loss, dizziness and shoulder/neck pain in patients with temporomandibular joint pain.
Materials and Methods: The study included 61 patient’s records who were presented to the Department of Oral and
Maxillofacial Surgery, Faculty of Dentistry, Recep Tayyip Erdoğan University between July 2018 and May 2019 with the
complaint of TMJ pain. The relationship between visual analog scale (VAS) scores (0-10) with tinnitus, dizziness, migraine,
neck/shoulder pain and hear loss (absent/present) were evaluated.
Results: Sixty one patient, aged from 14 to 87 (Mean: 33.0±15.5), were evaluated in this study. Significantly higher TMJ-VAS
scores were found in patients with migraine relative to without migraine (P=0.017). Significantly higher TMJ-VAS scores were
found in patients with neck pain (p=0.036). Any statistically significant difference was not found between tinnitus, dizziness,
shoulder pain, hear loss and VAS score (p>0.05).
Conclusion: TMJ pain is associated with migraine because it has adjacent and similar nerve conduction pathways, so the VAS
score may be higher in patients diagnosed with migraine. TMJ-VAS score is higher in patients with neck pain.

Anahtar Kelimeler

Temporomandibular joint, pain, tinnitus, migraine, shoulder pain, neck pain

TEMPOROMANDİBULAR EKLEM AĞRISININ MİGREN, OTOLOJİK SEMPTOMLAR, BAŞ DÖNMESİ VE BOYUN/OMUZ AĞRISI İLE İLİŞKİSİNİN RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ

Öz

Amaç: Amaç:
Bu çalışmanın amacı Temporomandibuler Eklem ağrısı vizüel analog skala (VAS) değerleri
ile migren, kulak çınlaması, duyma kaybı, baş dönmesi, boyun/omuz ağrısı
arasındaki ilişkiyi değerlendirmektir.

Gereç ve Yöntem: Çalışmaya,
Temmuz 2018 ve Mayıs 2019 tarihleri ​​arasında TME ağrısı şikayeti ile Recep
Tayyip Erdoğan Üniversitesi Ağız Diş Çene Hastalıkları ve Cerrahisi Anabilim
Dalı'na başvuran 61 hasta dahil edilmiştir. Kayıtlar arasından TME-VAS skorları
(0-10) ile kulak çınlaması, baş dönmesi, migren, boyun ve omuz ağrısı ve işitme
kaybı (var/yok) aralarındaki ilişki değerlendirildi.

Bulgular: Çalışmaya yaşları 14
ile 87 arası sırada değişen 61 hasta (ortalama: 33.0 ± 15.5) dahil edildi.
Migren hastalarında anlamlı derecede yüksek TME-VAS skorları bulundu (P =
0.017). Boyun ağrısı olan hastalarda VAS skoru istatistiksel olarak anlamlı
düzeyde yüksek bulundu (p = 0,036). Tinnitus, baş dönmesi, omuz ağrısı, işitme
kaybı ve TME-VAS skoru arasında anlamlı fark bulunmadı (p> 0.05).

Sonuç: TME ağrısı komşu ve
benzer sinir iletim yollarına sahip olduğundan migrenle ilişkilidir bu sebeple
migren tanılı hastalarda VAS skoru daha yüksek olabilir. Boyun ağrısı olan
hastalarda TME-VAS skoru daha yüksektir.

Anahtar Kelimeler

Temporomandibular eklem, ağrı, kulak çınlaması

Kaynakça

• 1. Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, et al. Anatomy of the temporomandibular joint. Semin Ultrasound CT MR. 2007;28(3):170-83.
• 2. Mohl. Functional anatomy of the TM joint, in the President`s Conference on the examination, diagnosis and management of TMJ. 1986.
• 3. Fernandes G, Franco AL, Siqueira JT, Goncalves DA, Camparis CM. Sleep bruxism increases the risk for painful temporomandibular disorder, depression and non-specific physical symptoms. Journal of oral rehabilitation. 2012;39(7):538-44.
• 4. Mehta NM. The role of interprofessional education in the management of temporomandibular and sleep disorders. Cranio : the journal of craniomandibular practice. 2013;31(3):159-60.
• 5. Onder ME, Tuz HH, Kocyigit D, Kisnisci RS. Long-term results of arthrocentesis in degenerative temporomandibular disorders. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2009;107(1):e1-5.
• 6. Winocur E, Littner D, Adams I, Gavish A. Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescents: a gender comparison. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2006;102(4):482-7.
• 7. Dym H, Israel H. Diagnosis and treatment of temporomandibular disorders. Dental clinics of North America. 2012;56(1):149-61, ix.
• 8. Tuz HH, Onder EM, Kisnisci RS. Prevalence of otologic complaints in patients with temporomandibular disorder. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2003;123(6):620-3.
• 9. Racich MJ. Occlusion, temporomandibular disorders, and orofacial pain: An evidence-based overview and update with recommendations. The Journal of prosthetic dentistry. 2018;120(5):678-85.
• 10. Keersmaekers K, De Boever JA, Van Den Berghe L. Otalgia in patients with temporomandibular joint disorders. The Journal of prosthetic dentistry. 1996;75(1):72-6.
• 11. Morais AA, Gil D. Tinnitus in individuals without hearing loss and its relationship with temporomandibular dysfunction. Brazilian journal of otorhinolaryngology. 2012;78(2):59-65.
• 12. Hilgenberg PB, Saldanha AD, Cunha CO, Rubo JH, Conti PC. Temporomandibular disorders, otologic symptoms and depression levels in tinnitus patients. Journal of oral rehabilitation. 2012;39(4):239-44.
• 13. Graff-Radford SB. Temporomandibular disorders and headache. Dental clinics of North America. 2007;51(1):129-44, vi-vii.
• 14. Israel HA, Davila LJ. The essential role of the otolaryngologist in the diagnosis and management of temporomandibular joint and chronic oral, head, and facial pain disorders. Otolaryngol Clin North Am. 2014;47(2):301-31.
• 15. Wright EF, Syms CA, 3rd, Bifano SL. Tinnitus, dizziness, and nonotologic otalgia improvement through temporomandibular disorder therapy. Military medicine. 2000;165(10):733-6.
• 16. Parker WS, Chole RA. Tinnitus, vertigo, and temporomandibular disorders. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 1995;107(2):153-8.
• 17. Florencio LL, de Oliveira AS, Carvalho GF, Dach F, Bigal ME, Fernandez-de-Las-Penas C, et al. Association Between Severity of Temporomandibular Disorders and the Frequency of Headache Attacks in Women With Migraine: A Cross-Sectional Study. Journal of manipulative and physiological therapeutics. 2017;40(4):250-4.
• 18. Fernandes G, Arruda MA, Bigal ME, Camparis CM, Goncalves DAG. Painful Temporomandibular Disorder is Associated with Migraine in Adolescents: a case-control study. The journal of pain : official journal of the American Pain Society. 2019.
• 19. Magalhaes BG, Freitas JLM, Barbosa A, Gueiros M, Gomes SGF, Rosenblatt A, et al. Temporomandibular disorder: otologic implications and its relationship to sleep bruxism. Brazilian journal of otorhinolaryngology. 2018;84(5):614-9.
• 20. Melchior MdeO MM, de Felício CM. Temporomandibu-lar disorders and parafunctional oral habits: an anamnesticstudy. Dental Press J Orthod. 2012;17:83-9.
• 21. Thalakoti S, Patil VV, Damodaram S, Vause CV, Langford LE, Freeman SE, et al. Neuron-glia signaling in trigeminal ganglion: implications for migraine pathology. Headache. 2007;47(7):1008-23; discussion 24-5.
• 22. Sessle BJ. Acute and chronic craniofacial pain: brainstem mechanisms of nociceptive transmission and neuroplasticity, and their clinical correlates. Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists. 2000;11(1):57-91.
• 23. de Felicio CM, Melchior Mde O, Ferreira CL, Da Silva MA. Otologic symptoms of temporomandibular disorder and effect of orofacial myofunctional therapy. Cranio : the journal of craniomandibular practice. 2008;26(2):118-25.
• 24. De Laat A MH, Stevens A, et al. Correlation between cervical spine and temporomandibular disorders. Journal of oral rehabilitation. 1998;2:54-7.
• 25. Tunçdemir AR BE, Çelebi H, Akın C. Bruksizmi olan hastalarda stiloid proces uzunluğunun belirlenmesi. Atatürk Üniv. Diş Hek. Fak. Derg. 2017;27:39-42. Hek Fak Derg. 2017;27(1):39-42.