title: Is There a Relation between Tension-Type Headache, Temporomandibular Disorders and Sleep?
abstract: Introduction. Tension-Type Headache (TTH) is the most prevalent headache often associated with impaired function and quality of life. Temporomandibular Disorders (TMD) and TTH frequently coexist; characterized by pericranial tenderness and impact on daily life. We aim to apply a standardized questionnaire for TMD to characterize and analyse an eventual relation between sleep and oral health in TTH in a controlled design. Material and Methods. 58 consecutive TTH patients and 58 healthy controls were included. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire, Oral Health Impact profile (OHIP) and questionnaires for sleep were applied. Results. TTH-patients had significantly higher pain scores (P < 0.001), decreased quality of life (P < 0.001), and higher total sleep scores (P < 0.001) compared to controls. Conclusion. For the first time we have identified a clear relation between TTH and TMD symptoms, depression, anxiety, poor sleep, and impairments of oral function in carefully classified patients. These findings indicate a close, but incomplete, overlap between TTH and TMD. Their underlying pathophysiological mechanisms need further research.
authors.affiliation: Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark.
authors.forename: N
authors.initials: N
authors.lastname: Caspersen
authors.affiliation: Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark.
authors.forename: J R
authors.initials: JR
authors.lastname: Hirsvang
authors.affiliation: Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark.
authors.forename: L
authors.initials: L
authors.lastname: Kroell
authors.affiliation: Section of Clinical Oral Physiology, Department of Dentistry, University of Aarhus, Vennelyst Boulevard 9, 8000 Aarhus, Denmark.
authors.forename: F
authors.initials: F
authors.lastname: Jadidi
authors.affiliation: Section of Clinical Oral Physiology, Department of Dentistry, University of Aarhus, Vennelyst Boulevard 9, 8000 Aarhus, Denmark.
authors.forename: L
authors.initials: L
authors.lastname: Baad-Hansen
authors.affiliation: Section of Clinical Oral Physiology, Department of Dentistry, University of Aarhus, Vennelyst Boulevard 9, 8000 Aarhus, Denmark.
authors.forename: P
authors.initials: P
authors.lastname: Svensson
authors.affiliation: Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark.
authors.forename: R
authors.initials: R
authors.lastname: Jensen