Pain, headache, and oromandibular structures

Introduction
Article section 1 of 14.  Next

By Michael J Marmura MD

TMJ and other oromandibular causes of pain and headache is also known as or subsumes Craniomandibular disorders, Head pain relating to oromandibular structures, Oromandibular disorders, and Temporomandibular joint dysfunction syndrome. -ed.

The relationship of headache and oromandibular disorders, such as temporomandibular joint dysfunction, is confusing to many physicians. In this article, the author explores this complex relationship and specifically describes overlapping disorders, such as atypical odontalgia, contact point headache, and “lower-half migraine,” that create diagnostic difficulties. This article also includes guidance for the diagnosis and management of oromandibular disorders and associated headache.

Key Points

  • Temporomandibular joint disorders are common and are comorbid with headache disorders, such as migraine.
  • Evidence for central sensitization appears to be a very common problem in temporomandibular joint disorders, atypical odontalgia, and chronic headaches.
  • It is unclear whether successful treatment of temporomandibular joint disorders will improve headache severity or frequency.
  • In many common headache disorders, such as migraine, cluster headache, and trigeminal neuralgia, pain is referred to dental structures.

In This Article

Introduction
Historical note and nomenclature
Clinical manifestations
Etiology
Pathogenesis and pathophysiology
Epidemiology
Prevention
Differential diagnosis
Diagnostic workup
Prognosis and complications
Management
Anesthesia
References cited
Contributors