Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지

Interrelationship of Tension-type Headache and Oral Parafunction

긴장성 두통과 이갈이 습관의 상호관계

  • Huh, Ki-Hwei (Dept. of Oral Medicine, School of Dentistry, Kyung-Hee University) ;
  • Kim, Jin-Suk (Dept. of Oral Medicine, School of Dentistry, Kyung-Hee University) ;
  • Hong, Jung-Pyo (Dept. of Oral Medicine, School of Dentistry, Kyung-Hee University) ;
  • Chun, Yang-Hyun (Dept. of Oral Medicine, School of Dentistry, Kyung-Hee University)
  • 허기회 (경희대학교 치과대학 구강내과학교실) ;
  • 김진석 (경희대학교 치과대학 구강내과학교실) ;
  • 홍정표 (경희대학교 치과대학 구강내과학교실) ;
  • 전양현 (경희대학교 치과대학 구강내과학교실)
  • Published : 2005.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was designed to confirm the association between the pain of Tension-Type Headache(TTH) patients and their Oral Parafunction(OPF). Patients with TTH(n=58) visited the Department of Oral Medicine, Kyung Hee University Dental Hospital during two months were recruited to this study. 20 patients with OPF(bruxism, clenching, bruxism & clenching) are the experimental group and 38 patients without OPF are the control group. Both groups were asked to answer the questionnaire based on the diagnostic criteria of TTH(IHS). Then it was analyzed statistically. This study was designed to confirm the association between the pain of Tension-Type Headache(TTH) patients and their Oral Parafunction(OPF). Patients with TTH(n=58) visited the Department of Oral Medicine, Kyung Hee University Dental Hospital during two months were recruited to this study. 20 patients with OPF(bruxism, clenching, bruxism & clenching) are the experimental group and 38 patients without OPF are the control group. Both groups were asked to answer the questionnaire based on the diagnostic criteria of TTH(IHS). Then it was analyzed statistically. 1. There was no difference in sex(p=0.91) and age(p=0.73) between two groups. 2. In the experimental group, dull pain was presented more frequently than in the control group. But, there was no difference between two groups(p=0.69). 3. In the experimental group, severe pain was presented more frequently than in the control group. But, there was no difference between two groups(p=0.40). 4. In the experimental group, pain shown bilaterally was presented more frequently than in the control group. But, there was no difference between two groups(p=0.52). 5. In the experimental group, pain was more increased by physical activities than in the control group. But, there was no difference between both groups(p=0.74). The pain of TTH patients with OPF was presented to be non-dull pain frequently and more bilaterally and severely, also increased more by physical activities than the pain of TTH patients without OPF. But, there was no significant difference between two groups. Therefore, it is considered that the pain of TTH is not influenced by OPF.

긴장성두통환자의 통증이 구강악습관과 관련이 있는지를 확인하고자 연구하였다. 일정기간 내원한 긴장성두통환자 58명 중 구강악습관(이갈이, 이악물기, 이갈이와 이악물기) 환자 20명을 실험군으로 하고, 나머지 38명을 대조군으로 하여 국제두통학회의 긴장성두통 진단기준안에 근거하여 설문조사 후 통계처리하였다. 결과는 다음과 같다. 1. 실험군과 대조군간의 성별(p=0.91) 및 나이(p=0.73)는 유의성이 없었다. 2. 통증의 종류에서 두 군 공히 둔통이 많았으며, 유의성은 없었고(p=0.69), 비둔통은 실험군이 대조군에 비해서 많았다. 3. 통증의 강도에서 두 군 공히 비심도가 많았으며, 유의성은 없었고(p=0.40), 심도는 실험군이 대조군에 비해서 많았다. 4. 통증의 양측성 유무에서 두 군 공히 편측성이 많았으며, 유의성은 없었고(p=0.52), 양측성은 실험군이 대조군에 비해서 많았다. 5. 통증의 일상생활시 악화유무에서 두 군 공히 악화가 많았으며, 유의성은 없었고(p=0.74), 악화는 실험군이 대조군에 비해서 많았다. 구강악습관이 있는 긴장성 두통환자의 통증은 구강악습관이 없는 환자에 비해서 양측성이며 심도의 비둔통이 많았고 일상생활에 의해서 더 쉽게 증가되었으나 통계적인 유의성은 없었다. 따라서, 구강악습관은 국제 두통학회에서 제시한 기준으로는 긴장성두통환자의 통증변화에 영향을 미치지 않지만, 일상생활에 의해서 더 쉽게 악화되므로 향후 저작이나 대화 등 구체적인 일상생활의 조건에 따른 변화를 확인하는 것이 필요하리라고 사료된다.

Keywords

References

  1. Ad hoc Committee on Classification of Headache : Classification of headache. JAMA, 1962;179;717-723 https://doi.org/10.1001/jama.1962.03050010000017c
  2. Headache Classification Committee of the International Headache Society : Classification and diagnostic criteria for headache disorders, cranial neuralgia and facial pain. Cephalalgia, 1988;8(suppl 7);1-96 https://doi.org/10.1046/j.1468-2982.1988.0801001.x
  3. Rassmussen B.K. : Migraine and tension-type headache in a general population : psychosocial factors. Int J Epidemiol, 1992;21;1138-1143 https://doi.org/10.1093/ije/21.6.1138
  4. Rassmussen B.K., Jensen R., Olesen J. : A populationbased analysis of the diagnostic criteria of the International Headache Society. Cephalagia, 1991;11 ;129-134. https://doi.org/10.1046/j.1468-2982.1991.1103129.x
  5. Philips C. : Headache and personality. J Psychosom Res, 1976;20;535-542 https://doi.org/10.1016/0022-3999(76)90054-4
  6. Olesen J., Tfelt-Hansen P., Welch K.M.A. : The headache. 1st ed. New York, 1993, Raven Press Ltd., 479-482
  7. Forssell H., Kangasniemi P. : Mandibular dysfunction in patients with muscle contraction headache. Proc Finnish Dent Soc, 1984;80;211-216
  8. Ehrlich J, Hochman N, Yaffe A. : Contribution of oral habits to dental disorders. J craniomandib pract 1992;10;144
  9. Attanasio R. : An overview of bruxism and its management. Dent Clin North Am 1997;41;229-41
  10. Molina O. F., dos Santos J Jr, Nelson S. J., Grossman E. : Prevalence of modalities of headaches and bruxism among patients with craniomandibular disorders. Cranio 1997;15;314-25 https://doi.org/10.1080/08869634.1997.11746026
  11. Mcneill C (ed). Temporomandibular Disorders: Guidelines for Classification, Assessment, and Management. The American Academy of Orofacial Pain. Chicago: Quintessence, .1993
  12. Lous I., Olesen J. : Evaluation of pericranial tenderness and oral function in patients with common migraine, muscle contraction headache and 'combination headache'. Pain 1982;12;385-93 https://doi.org/10.1016/0304-3959(82)90183-X
  13. Wanman A., Agerberg G. : Headache and dysfunction of the masticatory system in adolescents. Cephalalgia 1986;6;247-55 https://doi.org/10.1046/j.1468-2982.1986.0604247.x
  14. Biondi D.M. : Headaches and their relationship to sleep. Dent Clin North Am 2001;45;685-700
  15. Pergamalian A., Rudy T.E., Zaki H.S., Greco C.M. : The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent, 2003;90;194-200 https://doi.org/10.1016/S0022-3913(03)00332-9
  16. Kampe T., Tagdae T., Bader G., Edman G., Karlsson S. : Reported symptoms and clinical findings in a group of subjects with longstanding bruxing behaviour. J Oral Rehabil, 1997;24;581-587 https://doi.org/10.1046/j.1365-2842.1997.00540.x
  17. Nilner M. : Epidemiology of functional disturbances and diseases in the stomatognathic system. Swedish Dent J, 1983;17(Suppl); 1-44
  18. Molin C., Carlsson G.E., Friling B., Hedegard B. : Frequency of symptoms of mandibular dysfunction in young Swedish men. J Oral Rehabil, 1976;3;9-18 https://doi.org/10.1111/j.1365-2842.1976.tb00925.x
  19. Magnusson T., Carlsson G.E. : Comparison between two groups of patients in respect of headache and mandibular dysfunction. Swedish Dent J, 1978;2; 85-92
  20. Moss R.A., Lombardo T.W., Hodgson J.M., O'Carroll K. : Oral habits in common between tension headache and non-headache populations. J Oral Rehabil, 1989;16 ; 71-4 https://doi.org/10.1111/j.1365-2842.1989.tb01319.x
  21. Schwartz B.S., Stewart W.F., Simon D., Lipton R.B. : Epidemiology of tension-type headache. JAMA, 1998;279;381-383. https://doi.org/10.1001/jama.279.1.79
  22. Lavados P., Tenhamm E. : Epidemiology of tensiontype headache in Santiago, Chile. Cephalagia, 1998;18; 552-558 https://doi.org/10.1046/j.1468-2982.1998.1808552.x
  23. Roh J.K., Kim J.S., Ahn Y.O. : Epidemiology and clinical characteristics of migraine and tension-type headache in Korea, Headache, 1998;38;356-365 https://doi.org/10.1046/j.1526-4610.1998.3805356.x
  24. Okeson J.P. : Orofacial pain : Guidelines for assessment, diagnosis, and management. 3rd ed., Chicago, 1996, Quintessence
  25. Gallai V., Sarchielli P., Carboni F. et al. : Applicability of the 1988 IHS criteria to headache patients under the age of 18 years attending 21 Italian headache clinics. Headache, 1995;35;146-153 https://doi.org/10.1111/j.1526-4610.1995.hed3503146.x
  26. Inan L.E., Tulunay F.C., Guvener A., Tokgoz G., Inan N. : Characteristics of headache in migraine without aura and episodic tension-type headache in the Turkish population according to the IHS classification. Cephalalgia, 1994;14 ; 171-173 https://doi.org/10.1046/j.1468-2982.1994.1402171.x
  27. Auh KS, Hong JP, Chun YH. : Clinical Symptom of Tension-type Headache and Temporomandibular Disorders in Pain. Korean Journal of Oral Medicine, 2004;29(4);353-365