Use of the modified previous deprogrammer (mpd) in patients with primary headache
DOI:
https://doi.org/10.62428/rcvp2024311796Keywords:
Tension headache, tension-type headache, migraine headache, facial pain, headache, centric relationAbstract
The objective was to determine if the modified anterior deprogrammer (AMD) reduces the painful symptoms of tension headache and migraine in patients from the Neurology outpatient clinic of the Hipólito Unanue National Hospital (HNHU) from 2018-2019. 80 patients with primary headache were evaluated under certain principles of inclusion and exclusion, divided into two groups according to the diagnosis of the Neurologist; 40 patients with tension-type headache (TTH) and 40 patients with migraine. Subsequently, in the Stomatology service, a DAM was made that was used for 3 consecutive nights. After the third day they returned to the service to be evaluated and the results were recorded. For data collection, the structured interview technique was used and the numerical rating scale (NRS) was used as an instrument to record painful symptoms of primary headache. The information was analyzed with the Wilcoxon and Mann Whitney U test with a significance level of p<0.05. The patients were more frequent for the female sex with 75% for tension headache and 67.5% for migraine. Pain levels decreased significantly for the tension headache sample (p=0.000) as well as migraine (p=0.000) after use of the DAM. Although the results indicate a significant decrease in pain in both groups, the decrease was more severe in the tension headache group. The painful symptoms of patients with primary headache decreased with the use of the modified anterior deprogrammer. The decrease being more severe in the tension headache group.
Downloads
References
Albagieh, H., Alomran, I., Binakresh, A., Alhatarisha, N., Almeteb, M., Khalaf, Y., Alqublan, A., & Alqahatany, M. (2023). Occlusal splints-types and effectiveness in temporomandibular disorder management. The Saudi dental journal, 35(1), 70–79. https://doi.org/10.1016/j.sdentj.2022.12.013
Boulad, J., Al-Sabbagh, R., Burhan, A., Kouchaji, C., & Nawaya, F. (2019). Effects of Treatment with Nociceptive Trigeminal Inhibition Splints on Electromyography in Temporomandibular Joint Disorder Patients. The journal of contemporary dental practice, 20(5), 598–602. https://doi.org/10.5005/jp-journals-10024-2565
Burch, R. (2019). Migraine and Tension-Type Headache: Diagnosis and Treatment. Medical Clinics of North America, 103(2), 215-233. https://doi.org/10.1016/j.mcna.2018.10.003
Dalewski, B., Chruściel-Nogalska, M., & Frączak, B. (2015). Occlusal splint versus modified nociceptive trigeminal inhibition splint in bruxism therapy: a randomized, controlled trial using surface electromyography. Australian dental journal, 60(4), 445–454. https://doi.org/10.1111/adj.12259
Del Llano, J., Nunes, N., Logusso L., Rodríguez M., & Roldán, C. (2022). Los costes indirectos de la cefalea tensional. Una revisión sistemática de la literatura. Atención Primaria, 54(3). https://doi.org/10.1016/j.aprim.2021.102238
GBD 2016 Headache Collaborators. (2018). Global, regional, and national burden of migraine and tension-type headache, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. Neurology, 17(11), 954–976. https://doi.org/10.1016/S1474-4422(18)30322-3
Hervik, J., Foss, E., & Stub, T. (2023). Living with chronic headaches: A qualitative study from an outpatient pain clinic in Norway. Explore, 19(5), 702-709. https://doi.org/10.1016/j.explore.2023.01.004
Huapaya, M., & Lozano, F. (2016). Asociación de cefalea de tipo tensional con disfunción temporomandibular según el índice DC/TMD. Rev Estomatol Herediana, 26(4), 229-35. https://revistas.upch.edu.pe/index.php/REH/article/view/3029/2969
Karcioglu, O., Topacoglu, H., Dikme, O., & Dikme, O. (2018). A systematic review of the pain scales in adults: Which to use?. The American journal of emergency medicine, 36(4), 707–714. https://doi.org/10.1016/j.ajem.2018.01.008
Manrriquez, S. L., Robles, K., Pareek, K., Besharati, A., & Enciso, R. (2021). Reduction of headache intensity and frequency with maxillary stabilization splint therapy in patients with temporomandibular disorders-headache comorbidity: a systematic review and meta-analysis. Journal of dental anesthesia and pain medicine, 21(3), 183–205. https://doi.org/10.17245/jdapm.2021.21.3.183
Ramachandran, A., Jose, R., Tunkiwala, A., Varma R., Shanmugham, A., Nair, P., Kumar, K. S., & Sam, L. (2021). Effect of deprogramming splint and occlusal equilibration on condylar position of TMD patients - A CBCT assessment. Cranio: the journal of craniomandibular practice, 39(4), 294–302. https://doi.org/ 10.1080/08869634.2019.1650216
Saha, F., Pulla, A., Ostermann, T., Miller, T., Dobos, G., & Cramer, H. (2019). Effects of occlusal splint therapy in patients with migraine or tension-type headache and comorbid temporomandibular disorder: A randomized controlled trial. Medicine, 98(33). https://doi.org/10.1097/MD.0000000000016805
Sahebi, M., Zeighami, S., & Hajimahmoudi, M. (2018). The Effect of Flat Dual-Cure Stabilizer Occlusal Splint in Pain Relief of Individuals Suffering from Migraine Headaches. The open dentistry journal, 12, 501–509. https://doi.org/10.2174/1874210601812010501
Shankland W. (2001). Migraine and tension-type headache reduction through pericranial muscular suppression: a preliminary report. Cranio: the journal of craniomandibular practice, 19(4), 269–278. https://doi.org/10.1080/08869634.2001.11746178
Van der Meer, H. A., Calixtre, L. B., Engelbert, R., Visscher, C. M., Nijhuis-van der Sanden, M. W., & Speksnijder, C. M. (2021). Effects of physical therapy for temporomandibular disorders on headache pain intensity: A systematic review. Musculoskeletal science & practice, 50, 102277. https://doi.org/10.1016/j.msksp.2020.102277
Vieira, K., Folchini, C., Heyde, M., Stuginski-Barbosa, J., Kowacs, P., & Piovesan, E. (2020). Wake-Up Headache Is Associated With Sleep Bruxism. Headache, 60(5), 974–980. https://doi.org/10.1111/head.13816
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Felipe Enrique Lozano Castro
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Usted es libre de:
- Compartir: copiar y redistribuir el material en cualquier medio o formato.
- Adaptar: remezclar, transformar y desarrollar el material.
- El licenciante no puede revocar estas libertades siempre y cuando usted cumpla con los términos de la licencia.
Bajo los siguientes términos:
- Atribución: Debe otorgar el crédito correspondiente , proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de forma que sugiera que el licenciante lo respalda a usted o su uso.
- No comercial: No está permitido utilizar este material con fines comerciales.
- Compartir Igual: si remezcla, transforma o crea obras derivadas del material, debe distribuir sus contribuciones bajo la misma licencia que el original.
- Sin restricciones adicionales: no podrá aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otros para que no hagan nada de lo que permite la licencia.
