Headache and Co-morbid Pains Associated with TMD Pain in Adolescents

Keywords: Headache, migraine, severe headache, temporomandibular disorder, TMD, TMJ, face pain, neck pain, somatic complaints and adolescents.

In this case-controlled study, researchers aimed to evaluate the relationship between headache and temporomandibular disorder (TMD) pain in adolescents. Questionnaires were completed by 700 patients with an age range of 12-19 years old (350 patients with TMD pain and 350 healthy patients). They found that headache was related to TMD pain and severe headache showed a stronger relation to TMD pain. Moderate and mild headache along with back pain was also related to TMD pain. In conclusion, adolescent headaches are strongly related to TMD pain as well as neck pain and somatic complaints. Dr. Stan Farrell, a Diplomate with the American Board of Orofacial Pain, uses the most effective methods of treatment and works diligently to erase the pain caused by TMD in patients of all ages including adolescents. If you or someone you know is experiencing headaches, face and or neck pain, please contact Dr. Stan Farrell at 480-945-3629 or at www.aztmj.com to schedule a consultation.

Published online before print June 27, 2013, doi: 10.1177/0022034513496255

JDR June 27, 2013   0022034513496255


This case-control study evaluated the association of headache and other co-morbid pain with temporomandibular disorder (TMD) pain in adolescents and explored the temporal co-variance of headache and TMD pain. In a population-based sample of 12- to 19-year-olds, 350 patients with self-reported TMD pain and 350 healthy age- and sex-matched individuals were mailed questionnaires. Descriptive statistics, 95% CI, and OR analyses—logistic regression models with TMD pain as the outcome variable and adjusted for age and gender—were used for the analysis of individuals’ responses. Headache, whether defined as once a week or more (OR = 6.6) or as moderate or severe (categorical), was significantly related to TMD pain. Severe headache (vs. mild) showed stronger associations with TMD (OR = 10.1) than between moderate and mild headache (OR = 5.5). Neck (OR = 4.0) and back (OR = 2.6) pain was also significantly related to TMD pain. When participants were grouped according to headache onset and TMD pain, the highest association between headache and TMD pain was found in the subgroup “Headache onset before TMD pain” (OR 9.4). In conclusion, headache appears to be independently and highly associated with TMD pain in adolescents. Neck pain and somatic complaints were also significantly associated with TMD pain. Headache seems to precede TMD pain in many adolescents with pain.