Temporamandibular Joint Functions and Parafunctional Habits

Investigation of Temporamandibular Joint Functions and Parafunctional Habits in Adolescents With Headache

Headache is the most common type of pain in children and adolescents with effects on health-related quality of life (HrQoL), school attendance, and social functioning. The International Headache Society recognizes that secondary headaches can be attributed to temporamandibular joint (TMJ) problems. The primary aim of the study is to evaluate temporamandibular joint functions and parafunctional habits in adolescents with headache. The second aim is to examine the relationship between temporamandibular joint functions and parafunctional habits and headache.

Study Overview

• Status: Completed
• Conditions: Headache; Temporomandibular Disorder

Detailed Description

24 individuals under the age of 18 diagnosed with headache and 24 healthy controls will be included in the study. Age, height, weight characteristics and parafunctional habits of individuals will be recorded. The severity of headache and its effect on daily life, temporamandibular joint pain severity will be evaluated. Temporamandibular joint dysfunction severity will be determined and mouth openings will be measured.

Participants who meet the inclusion criteria will be included in the study group. Healthy volunteers without headache complaints will also be included in the study as a control group.In this study, which is planned to include those who meet the inclusion criteria and agree to participate in the study, written informed consent form will be obtained from all individuals and from their parents for those under the age of 18. The study will be carried out in accordance with the ethical principles of the Declaration of Helsinki. The study will be done through a questionnaire form and with anthropetric measurements. No invasive procedure will be applied. A p value of ≤0.05 will be considered significant in all statistics.

• Study Type: Observational
• Enrollment (Actual): 48

Contacts and Locations

Study Locations

• Turkey
  • Trabzon, Turkey, 61000
    • Karadeniz Technical University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 10 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: N/A

• Sampling Method: Non-Probability Sample

Study Population

Adolescents 10-18 years old with headache and without headache

Description

Inclusion Criteria:

• Being diagnosed with headache according to the ICDH-II (International Classification of Headache Disorders 2nd edition) criteria published by IHS (International Headache Society) in 2004
• Having a headache complaint in the last 3 months
• Having a HIT-6 score of 50 or higher

Exclusion Criteria:

• Being on any analgesic, anti-sedative, myorelaxant medication
• Those with mental and psychiatric problems

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Study group; Adolescent with headache, 10-18 ages
Control group; Adolescent without headache

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Headache Impact Test (HIT-6)		1 day (one assessment)
Temporomandibular dysfunction	Fonseca Anamnestic Index. No dysfunction, mild, moderate, severe	1 day (one assessment)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wong Baker Pain Scale	Severity of Headache	1 day (one assessment)
Mouth opening measurement	Maximum painless mouth opening width and lateral deviations from the distance between the two anterior incisors in the lower and upper palate	1 day (one assessment)
Pressure pain threshold	Pressure pain thresholds of temporomandibular joint, masseter, temporalis, SCM and upper trapezius muscles	1 day (one assessment)
Parafunctional habits questionnaire	Teeth clenching, teeth grinding, lip biting, excessive gum chewing, pencil biting, nail biting, hands on chin, chewing on one side only, sleeping on one side only	1 day (one assessment)

Collaborators and Investigators

• Sponsor: Karadeniz Technical University
• Investigators: Study Director: Elif Acar Arslan, Assoc. Prof, Karadeniz Technical University

Study record dates

Study Major Dates

• Study Start (Actual): March 10, 2022
• Primary Completion (Actual): January 30, 2023
• Study Completion (Actual): March 13, 2023

Study Registration Dates

• First Submitted: September 28, 2022
• First Submitted That Met QC Criteria: October 13, 2022
• First Posted (Actual): October 14, 2022

Study Record Updates

• Last Update Posted (Actual): October 4, 2023
• Last Update Submitted That Met QC Criteria: October 2, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Keywords: temporomandibular dysfunction; adolescent headache
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Joint Diseases; Musculoskeletal Diseases; Muscular Diseases; Stomatognathic Diseases; Jaw Diseases; Craniomandibular Disorders; Mandibular Diseases; Myofascial Pain Syndromes; Headache; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome
• Other Study ID Numbers: KTU-FTR-02

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No