title: Headache children with temporomandibular disorders have several types of pain and other symptoms.
abstract: The aim was to investigate the association between temporomandibular disorders (TMD) and overall muscle tenderness, depressive symptoms, sleep difficulties, headache frequency and related symptoms in children with primary headache in comparison with controls. Based on an unselected population sample of 1135 Finnish schoolchildren classified according to the type of headache at age 12, altogether 297 children aged 13-14 from different headache groups and healthy controls were randomly selected for an interview and clinical examinations. Children with migraine had more TMD signs than children with nonmigrainous headaches or healthy controls. High TMD total scores were associated with palpation tenderness in other parts of the body and with frequent headache attacks. We conclude that children with overall headache, migraine in particular, and high total TMD scores showed an increased overall tenderness to muscle palpation and multiply manifested hypersensitivity pain.
authors.affiliation: Institute of Dentistry, University of Turku, Turku, Finland. riitta.liljestrom@kolumbus.fi
authors.forename: M-R
authors.initials: MR
authors.lastname: Liljeström
authors.forename: Y
authors.initials: Y
authors.lastname: Le Bell
authors.forename: P
authors.initials: P
authors.lastname: Anttila
authors.forename: M
authors.initials: M
authors.lastname: Aromaa
authors.forename: T
authors.initials: T
authors.lastname: Jämsä
authors.forename: L
authors.initials: L
authors.lastname: Metsähonkala
authors.forename: H
authors.initials: H
authors.lastname: Helenius
authors.forename: S
authors.initials: S
authors.lastname: Viander
authors.forename: E
authors.initials: E
authors.lastname: Jäppilä
authors.forename: P
authors.initials: P
authors.lastname: Alanen
authors.forename: M
authors.initials: M
authors.lastname: Sillanpää
mesh_terms: D000293:Adolescent; D002648:Child; D003863:Depression / Q000150:complications; D005260:Female; D006261:Headache / Q000150:complications*; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D012893:Sleep Wake Disorders / Q000150:complications; D013705:Temporomandibular Joint Disorders / Q000150:complications*