Relationship between the Types of Malocclusion and the Localization of Headaches in Adults

ORIGINAL ARTICLE
Natalya M. Didenko, Arcady Ya. Vyazmin, Evgeniy V. Mokrenko, Vladimir V. Gazinskiy, Maria I. Suslikova, Marina A. Darenskaya, Victoria B. Andreeva, Daniil Aksnes, Marina I. Gubina

 
International Journal of Biomedicine. 2021;11(2):197-200.
DOI: 10.21103/Article11(2)_OA12
Originally published June 5, 2021

Abstract: 

The aim of this study was to investigate the manifestations of headaches in adult patients with types of malocclusion and occlusion deformities.
Methods and Results: The study was conducted in 171 adult patients (43 men and 128 women) with malocclusion and occlusion deformities at the age of 18 to 62 years old, who were examined in the orthopedic dentistry clinic.
The nature of the dentition closing was studied directly in the patient's oral cavity, and with the help of the "Gnatomat" universal articulator on diagnostic plaster models of the jaws. The occlusal relationships of the teeth were analyzed in the position of the central, anterior, lateral and dynamic occlusions. The biomechanics of the lower jaw movements were studied in 3 mutually perpendicular directions. The detected anomalies and deformities of the occlusion were grouped as sagittal, transversal and vertical. Each group was diagnosed as independent forms of malocclusion, and combined with other anomalies and deformities of the dentoalveolar system. All the subjects were asked to answer the questions of a questionnaire specially developed for our study. The unified questionnaire was developed based on a modified rating questionnaire and the determination of the life disorders index in neck pain. The questionnaire includes blocks of questions aimed at identifying the localization of the headache in the temporal, parietal (in one or both) regions, occipital, frontal regions and in the longitudinal seam region.
We identified complaints of patients with pain in adjacent regions of the head. Of the 171 examined adult patients with malocclusion and occlusion deformities, 99 (57.9%) complained of headaches.
The presence of a headache in the parietal region of the head was associated most often with sagittal and transversal malocclusions. The presence of a headache in the temporal part of the head was associated often with vertical malocclusion.
The results of correlation analysis showed that pain in 2 regions of the head was associated with malocclusion: the temporal region (rb=0.9892, P=0.0013) and parietal region (rb=0.9712, P=0.0058). Other regions were not statistically significantly associated with malocclusion. 
Conclusion: There is a certain relationship between the types of malocclusion, occlusion deformities and localization of headaches in adults. Headaches in the parietal and temporal regions of the head are associated with malocclusion and occlusion deformities more often. The obtained data can serve as a basis for the development of recommendations for appropriate corrective measures in orthodontic practice.

Keywords: 
malocclusion • occlusion deformities • headache
References: 
  1. Stephanidi AV. [The value of temporomandibular joint muscle dysfunction in the development of cranioalgia syndrome]. Bulletin of the East Siberian Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences. 2003;5:89-94. [Article in Russian].
  2. Bugrovetskaya EA, Gvozdeva SV, Didenko A, Solovykh OG, Bugrovetskaya OG. [Postural balance and occlusion of teeth. The role of occlusion disorders in the occurrence of postural imbalance in neurosomatic diseases]. Manual therapy. 2008;2(30):40-48. [Article in Russian].
  3. Darenskaya MA, Grebenkina LA, Mokrenko EV, Shabanov PD, Suslikova MI, Mokrenko ME, Sinyova YuO, Goncharov IS, Gubina MI, Kostritsky IYu, Bulnaeva AF, Proskurnina EV, Kolesnikova LI, Kolesnikov SI. Lipid Peroxidation Activity and Immune Response in Modeling Inflammatory and Degenerative Damage to the Periodontium of Rats. International Journal of Biomedicine. 2019;9(2):159-162. doi: 10.21103/Article9(2)_OA16
  4. Darenskaya MA, Kolesnikova LR, Rychkova LV, Pogodina AV, Grebenkina LA, Kolesnikova LI, Kolesnikov SI. Lipid peroxidation-antioxidant defense system functional state in adolescents with arterial hypertension and dental caries comorbidity. Free Radical Biology & Medicine. 2020;159(S1):S88-S89. DOI: 10.1016/j.freeradbiomed.2020.10.229
  5. Kolesnikova LR, Darenskaya MA, Kolesnikova LI, Grebenkina LA, Korytov LI, Batoroev YK, Belinskaya EI, Mikhalevich IM, Kolesnikov SI. Morphofunctional State of the Periodontal Tissues in Humans and Rats with Arterial Hypertension. Bull Exp Biol Med. 2020 Oct;169(6):831-835. doi: 10.1007/s10517-020-04990-8. 
  6. Darenskaya MA, Kolesnikova LR, Rychkova LV, Grebenkina LA, Semenova NV, Kolesnikov SI, Kolesnikova LI. Indicators of Lipid Peroxidation Reactions and State of Structural Tissues of the Dentition System in Wistar Rats under Various Stress Regimes. International Journal of Biomedicine. 2020;10(2):142-147. doi: 10.21103/Article10(2)_OA11
  7. Travell JG, Simons DG. Myofascial pain and dysfunction: a guide to trigger points. Moscow: Medicine. 2005. (Book in Russian)
  8. Vein AM, Voznesenskaya TG. [Headache]. Clinical Medicine. 1998;11:63-65. [Article in Russian].
  9. Fergusson LU, Gervin R. Treatment of myofascial pain: Clinical guidelines. Moscow: MEDpress-inform. 2008. 544. [Book in Russian].
  10. Belova AN. Neurorehabilitation: A Guide for Doctors. 2nd ed., Rev. and add.  Moscow: Antidor, 2002. 736. [Book in Russian].
  11. Shroff B. Malocclusion as a Cause for Temporomandibular Disorders and Orthodontics as a Treatment. Oral Maxillofac Surg Clin North Am. 2018 Aug;30(3):299-302. doi: 10.1016/j.coms.2018.04.006.
  12. Kolesnikova LR, Darenskaya MA, Kolesnikova LI, Grebenkina LA, Korytov LI, Batoroev YK, Belinskaya EI, Mikhalevich IM, Kolesnikov SI. Changes in the Periodontium and Pulp in ISIAH Rats Caused by Stress Exposures in Different Modes. Bull Exp Biol Med. 2019 Apr;166(6):722-725. doi: 10.1007/s10517-019-04426-y. 
  13. Zenkevich AS, Filatova EG, Latysheva NV. [Migraine and temporomandibular joint dysfunction: mechanisms of comorbidity]. Zh Nevrol Psikhiatr Im S S Korsakova. 2015;115(10):33-38. Russian. doi: 10.17116/jnevro201511510133-38. 
  14. Sonnesen L, Bakke M, Solow B. Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion. Eur J Orthod. 1998 Oct;20(5):543-59. doi: 10.1093/ejo/20.5.543.
  15. Al-Moraissi EA, Perez D, Ellis E 3rd. Do patients with malocclusion have a higher prevalence of temporomandibular disorders than controls both before and after orthognathic surgery? A systematic review and meta-analysis. J Craniomaxillofac Surg. 2017 Oct;45(10):1716-1723. doi: 10.1016/j.jcms.2017.07.015. 
  16. Poștaru C, Postnikov M, Uncuța, D. Evaluation of masticatory muscles function in children with malocclusions associated with tension-type headache. 2020. Available from:  http://repository.usmf.md/bitstream/20.500.12710/14895/1/723_ABSTRACT_BO...
  17. Bairova TA, Kolesnikov SI, Kolesnikova LI, Pervushina OA, Darenskaya MA, Grebenkina LA. Lipid peroxidation and mitochondrial superoxide dismutase-2 gene in adolescents with essential hypertension. Bull Exp Biol Med. 2014 Dec;158(2):181-4. doi: 10.1007/s10517-014-2717-4.  
  18. Kolesnikova LR, Darenskaya MA, Kolesnikova LI, Grebenkina LA, Korytov LI, Batoroev YK, Belinskaya EI, Mikhalevich IM, Kolesnikov SI. Comparative Analysis of the Morphology of Dentition in Normotensive and Hypertensive Rats Exposed to Chronic Stress. Bull Exp Biol Med. 2019 May;167(1):7-10. doi: 10.1007/s10517-019-04449-5.
  19. Gonçalves DA, Camparis CM, Speciali JG, Franco AL, Castanharo SM, Bigal ME. Temporomandibular disorders are differentially associated with headache diagnoses: a controlled study. Clin J Pain. 2011 Sep;27(7):611-5. doi: 10.1097/AJP.0b013e31820e12f5. 
  20. Fernández-de-las-Peñas C, Galán-del-Río F, Fernández-Carnero J, Pesquera J, Arendt-Nielsen L, Svensson P. Bilateral widespread mechanical pain sensitivity in women with myofascial temporomandibular disorder: evidence of impairment in central nociceptive processing. J Pain. 2009 Nov;10(11):1170-8. doi: 10.1016/j.jpain.2009.04.017. 
  21. Maixner W, Fillingim R, Sigurdsson A, Kincaid S, Silva S. Sensitivity of patients with painful temporomandibular disorders to experimentally evoked pain: evidence for altered temporal summation of pain. Pain. 1998 May;76(1-2):71-81. doi: 10.1016/s0304-3959(98)00028-1. 
  22. Bianchi J, Pinto ADS, Ignácio J, Obelenis Ryan DP, Gonçalves JR. Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach. Am J Orthod Dentofacial Orthop. 2017 Dec;152(6):848-858. doi: 10.1016/j.ajodo.2016.09.032. 

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