Received 07/11/2023
DOI: 10.35556/idr-2024-1(106)62-65
Headache in patients with occlusion disorders
Didenko N.M.1, ORCID ID: 0000-0003-1440-2484, SPIN-code: 6254-5322, Author ID: 234119,
Ushakov R.V.2, ORCID ID: 0000-0003-4821-1758, SPIN-code: 3053-3900, Author ID: 701309,
Mokrenko E.V.1, ORCID ID: 0000-0002-4286-3993, SPIN-code: 7315-5961, Author ID: 387086
1Federal State Budgetary Educational Institution of Higher Education “Irkutsk State Medical University” of the Ministry of Health of the Russian Federation
664003, Russia, Irkutsk, Krasnogo Vosstaniya St., 1
2Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Health of the Russian Federation
125993, Russia, Moscow, Barrikadnaya St., 2/1, Bld.1
E-mail address: ortodont.irk@gmail.com
Summary
The most common form of headache is tension headache. Painful indurations are found in the masticatory muscles of such patients, in the thickness of which there are areas of hypersensitivity – muscle-fascial trigger points. When examining adult patients with occlusion pathology at an orthodontist’s consultation appointment, complaints of headaches were revealed. These headaches are very common and make up the most numerous outpatient visits of patients with headache complaints.
The purpose. To study the manifestations of headache in patients with occlusion disorders.
Material and methods. The study covered 171 adult patients with occlusion anomalies and deformities of the dentition aged 18 to 63 years. All the patients were asked to answer the questionnaire. The data obtained were processed by standard parametric methods using the Student’s paired criterion. The Microsoft Excel application software package was used to calculate the correlation coefficient.
Results. The study showed regular dependence of headache localization on the type of occlusion pathology. Headache in the region of the longitudinal suture very little depends on the type of occlusion pathology. The connection between pain in the frontal region and the pathology of occlusion is also weak. Pain in the temporal, occipital and parietal regions of the head shows a fairly high correlation with the corresponding pathologies of occlusion.
Conclusions. It was found that the manifestation of headache in patients with occlusion pathology has a linear statistically significant correlation in the temporal and parietal lobes of the head. Pain in the occipital lobe has a rather high correlation with the types of occlusion pathology. Manifestations of headache in patients with occlusion pathology are poorly expressed in the frontal lobe of the head and very poorly expressed in the area of the longitudinal suture.
Keywords: tension headache, occlusion pathology, statistical research methods.
Conflict of interest. The authors declare that they have no conflicts of interest.
For citation: Didenko N.M., Ushakov R.V., Mokrenko E.V. Headache in patients with occlusion disorders. Stomatology for All / Int. Dental Review. 2024; no.1(106): 62—65 (in Russian). doi: 10.35556/idr-2024-1(106)62-65
References
1. Mirzaeva L.M., Lobzina A.S., Akhmedova K.N., et al. Therapeutic approaches to comorbid pathology in episodic migraine and tension-type headache. S.S. Korsakov Journal of Neurology and Psychiatry. 2023; 123(9): 52—57 (in Russian). doi: 10.17116/jnevro202312309152
2. Kotova O.V., Belyaev А.А., Akarachkova E.S. Tension headache: clinic, diagnosis, treatment. Consilium Medicum. 2020; 22(9): 68—70 (in Russian). doi: 10.26442/20751753.2020.9.200458
3. Ashina S., Mitsikostas D.D., Lee M.J., et al. Nat Rev Dis Primers. 2021 Mar 25; 7(1): 24. PMID: 33767185. doi: 10.1038/s41572-021-00257-2
4. Do T.P., Heldarskard G.F., Kolding L.T., et al. Myofascial trigger points in migraine and tension-type headache. J Headache Pain. 2018 Sep 10; 19(1): 84. PMID: 30203398. doi: 10.1186/s10194-018-0913-8
5. Alborov R.G., Lukyanova E.G., Stepanova Yu.A. et al. Pathobiochemical justification of therapy tension headache. Issues of expertise and quality of medical care. 2023; No.5: 12—15 (in Russian).
6. Ertsey C., Magyar M., Gyure T., et al. Tension type headache and its treatment possibilities. Ideggyogy Sz. 2019 Jan 30; 72(1-2): 13—21. PMID: 30785242.
7. Ashina S., Mitsikostas D.D., Lee M.J., et al. Tension-type headache. Nat Rev Dis Primers. 2021 Mar 25; 7(1): 24. PMID: 33767185. doi: 10.1038/s41572-021-00257-2
8. Riddle E.J. Acupuncture Treatment for Chronic Tension-Type Headache. Neurology. 2022 Oct 4; 99(14): e1570—e1572. PMID: 36192186.
9. Perez-Llanes R., Ruiz-Cardenas J.D., Merono-Gallut A.J., et al. Effectiveness of suboccipital muscle inhibition combined with interferential current in patients with chronic tension-type headache: a randomised controlled clinical trial. Neurologia (Engl Ed). 2022 Nov-Dec; 37(9): 717—725. PMID: 34583886. doi: 10.1016/j.nrleng.2019.12.004
10. Elizagaray-Garcia I., Carvalho G.F., Szikszay T.M., Adamczyk W.M., et al. Psychophysical testing in chronic migraine and chronic tension type headache: An observational study. Cephalalgia. 2022 Jun; 42(7): 618—630. PMID: 34875903. doi: 10.1177/03331024211060315
11. Vyazmin A.Ya., Didenko N.M., Mamonova N.V. Frequency of pain syndromes in patients with malocclusion. Cathedra. 2013; no.43: 36—39 (in Russian).
12. Belova A.N. Scales, tests and questionnaires in neurology and neurosurgery: a guide for doctors and researchers (Protsenko D.D. ed.). M: Practical Medicine; 2018; 695 p. (in Russian).