Headache Medicine, v.2, n.4, p.217, Oct./Nov./Dec. 2011 217

Introduction:Introduction:

Introduction: Craniomandibular dysfunction (CMD) is

a collective term for the clinical problems involving the muscles

of mastication, the temporomandibular joint (TMJ) and

associated structures. Headache is a symptom that appears

frequently associated with CMD due to the damage that

headache and (CMD) can cause the quality of life, this research

aims to determine the prevalence and correlation of these

nosologic entities for which in turn can contribute to the

prevention and treatment for possible improvement of the

individual.

Objective:Objective:

Objective: We examine the prevalence of CMD and

primary headaches (migraine and tension-type headache),

as well as, to quantify the influence on quality of life of military

and civilian employees of the Naval Hospital in Recife.

Methods:Methods:

Methods: Cross-sectional study analysis was made of

a population of 128 civilian and military personnel on active

duty in both genders. The age ranged from 19 to 72 years,

with an average of 33 years old. The officials were from the

Naval Hospital in Recife, Pernambuco, crowded in 2009, who

voluntarily answered the questionnaire divided into three

phases: the first on the anamnestic index of Fonseca to DCM,

the second according to the criteria of the International

Headache Society and the third assessment of quality of life

with the WHOQOL-brief. Participants were informed about

the nature of research and acceptance for the purpose of

ethics, informed consent was signed with the approval of the

Ethics in Human Research of the Center for Health Sciences,

Federal University of Pernambuco record No. 383/08.

Results:Results:

Results: Of 128 patients, 53 (41.4%) were aged under

29. The males accounted for 74 (57.8%) subjects and 54

(42.2%) were females. DCM was diagnosed in 38% of the

individuals (mild 31%, moderate 6%, severe 2%) and

headache in 20%. 16% of the subjects had the combination

of headache and DCM. Individuals with headache had more

DCM than the ones without headache [14/19 (74%) vs. 21/

79 (27%), p=0.0003 in the Fisher's exact test. For the areas

of quality of life (WHOQOL-brief) according to the presence

of DTM, individuals without DTM showed better results in the

four major domains are assessed: physical [72±13(SD) vs.

Correspondence

Michelly Cauás de Queiroz GatisMichelly Cauás de Queiroz Gatis

Michelly Cauás de Queiroz Gatis

michellycauas@yahoo.com.br

Craniomandibular dysfunction, migraine and tensio-type

headache: influence on quality of life (Abstract)

Disfunção craniomandibular, migrânea e cefaleia do tipo tensional: influência na

qualidade de vida (Resumo)

Michelly Cauás de Queiroz Gatis

Universidade Federal de Pernambuco. Pós-graduação em Neuropsiquiatria e Ciências do Comportamento

(área de concentração: Neurociências. PhD Thesis. 2010. Orientador: Marcelo Moraes Valença

Cauás M. Craniomandibular dysfunction, migraine and tensio-type headache: influence on quality of life

(Abstract). Headache Medicine. 2011;2(4): 217

78±10, p<0.05], psychological (71±13 vs. 79±10,

p<0.05), social relationships (75±15 vs. 82±15, p<0.05)

and environment (62±13 vs. 68±13, p<0.05. Presence of

headache in this study has no impact on the quality of life of

the individual.

Conclusion:Conclusion:

Conclusion: Association of headache and CMD are

common and constitute a public health problem of enormous

proportions, with an impact on quality of life of the sufferer.

Thus, required a multidisciplinary approach involving

professionals in medicine, dentistry and health support.

THESIS