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Relationship between headaches and malocclusion

头痛与咬合不正的关系

基本信息

批准号：
11672071
负责人：
NAKAMURA Shoji
金额：
$ 2.56万
依托单位：
AICHI-GAKUIN UNIVERSITY.
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2000
项目状态：
已结题

项目摘要

OBJECTIVE : Few studies have investigated the relationship between headaches and malocclusion. Here, we examined 689 dental patients who had experienced headaches within the previous year from among 1401 outpatients who had received treatment at the Department of DentistryMethod : Patients were classified 3 malocclusion groups (normal, maxillary protrusion and mandibular protrusion) based on anterior-posterior abnormalities as well as upward and downward abnormalities (normal, deepbite, and openbite). The diagnosis of headache was performed by a neurologist, according to the criteria HIS.RESULT :I.Headaches were seen in 49.2% of the 1401 subjects surveyed. Among these subjects, those with only migraine accounted for 30.2%, those with only tension-type headaches accounted for 27.6%, and those with mixed-type or miscellaneous headaches accounted for 42.2%.II.In terms of the classification of anterior and posterior abnormalities, the incidence rate of headaches among malocclusion types were most numerous in the order of mandibular protrusion, maxillary protrusion, and normal groups. The incidence of migraine was higher than tension-type headaches in normal and mandibular protrusion subjects. The reverse was obserbed in maxillary protrusion subjects.III.In terms of the classification of upward and downward abnormalities, the incidence rate of headaches among malocclusion types were most numerous in the order of operibite, deepbite, and normal groups. The incidence of migraine was higher than tension-type headaches in normal and openbite subjects. The reverse was obserbed in deepbite subjects.CONCLUSION : Although their detailed aetiology is still unknown, the finding of this study suggest that malocclusion may play a role in the onset of migraine and tension-type headaches.

目的：很少有研究探讨头痛和错牙合畸形之间的关系。方法：从1401例门诊患者中选取689例在过去一年内有头痛症状的患者，根据患者的前后位异常和上下位异常（正常、深牙合和开牙合），将患者分为3组（正常、上颌前突和下颌前突）。头痛的诊断由神经科医生根据HIS标准进行。结果：I.头痛在1401名受试者中占49.2%。其中单纯偏头痛占30.2%，单纯紧张型头痛占27.6%，混合型或混杂型头痛占42.2%。II.按前后畸形分类，错牙合类型中头痛发生率最高，依次为下颌前突、上颌前突、正常组。在正常和下颌前突受试者中，偏头痛的发病率高于紧张型头痛。在向上和向下异常的分类方面，错牙合类型中头痛的发病率最多，依次为包合，深牙合和正常组。在正常和开牙合受试者中，偏头痛的发病率高于紧张型头痛。相反的是adverbed在deepbite subjects.CONCLUSION：虽然他们的详细病因仍然是未知的，这项研究的结果表明，错牙合可能发挥作用的偏头痛和紧张型头痛的发病。