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Cefaleia primária versus cefaleia atribuída à disfunção temporomandibular no âmbito da medicina dentária: revisão narrativa
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Abstract(s)
As cefaleias e a dor facial são comuns na população em geral. Em muitos casos, a dor facial pode ser manifestação de disfunções temporomandibulares (DTM). O objetivo desta revisão bibliográfica narrativa foi analisar a relação entre as cefaleias primárias e a cefaleia atribuída à DTM, avaliando os critérios mais recentes de diagnóstico, a fisiopatologia e suas relações, bem como, a sua importância no âmbito da consulta de medicina dentária.
A pesquisa bibliográfica foi limitada aos últimos 10 anos, no total 41 referências foram consultadas. A literatura tende a mostrar uma relação bidirecional entre cefaleia primária e cefaleia atribuída a DTM e da fisiopatologia e relações neuroanatómicas comuns, no entanto, os critérios para classificação das cefaleias atribuídas à DTM ainda não são claros, pelo que mais estudos devem ser realizados. O médico dentista deve fazer parte da equipa de diagnóstico das cefaleias quando estas são afetadas/agravadas pela função do sistema estomatognático.
Headache and facial pain are common in the general population. In many cases, facial pain can be a manifestation of temporomandibular disorders (TMD). The aim of this narrative literature review was to analyze the relationship between primary headaches and headache attributed to TMD, evaluating the most recent diagnostic criteria, pathophysiology and their relationships, as well as their importance in the context of dental consultation. The bibliographic search was limited to the last 10 years, a total of 41 references were consulted. Literature tends to show a bidirectional relationship between primary headache and headache attributed to TMD and pathophysiology and common neuroanatomical relationships, however, the criteria for classification of headaches attributed to TMD are not yet clear, so further studies should be carried out. The dentist should be part of the diagnostic team for headaches when they are affected/aggravated by the function of the stomatognathic system.
Headache and facial pain are common in the general population. In many cases, facial pain can be a manifestation of temporomandibular disorders (TMD). The aim of this narrative literature review was to analyze the relationship between primary headaches and headache attributed to TMD, evaluating the most recent diagnostic criteria, pathophysiology and their relationships, as well as their importance in the context of dental consultation. The bibliographic search was limited to the last 10 years, a total of 41 references were consulted. Literature tends to show a bidirectional relationship between primary headache and headache attributed to TMD and pathophysiology and common neuroanatomical relationships, however, the criteria for classification of headaches attributed to TMD are not yet clear, so further studies should be carried out. The dentist should be part of the diagnostic team for headaches when they are affected/aggravated by the function of the stomatognathic system.
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Keywords
Cefaleias Cefaleia de tipo tensional Enxaqueca Disfunção temporomandibular Cefaleia atribuída a disfunção temporomandibular Headache Tension headache Migraine Temporomandibular disorder Headache attributed to TMD