An Update on Temporomandibular Disorders (TMDs) and Headache.

Curr Neurol Neurosci Rep

Department of Pain and Neural Sciences, School of Dentistry, University of Maryland, 650 W. Baltimore St, 8th floor, Baltimore, MD, 21201, USA.

Published: October 2023

AI Article Synopsis

  • This review discusses recent advancements in understanding temporomandibular disorders (TMDs) and their connection to headache disorders, particularly focusing on the underlying mechanisms and management strategies.
  • There are significant findings indicating that treatment options for TMDs and headaches should include a mix of both medication and non-medication approaches, with a special emphasis on new therapies like CGRP-targeted options.
  • Collaboration between neurology and dentistry is emphasized as essential for effective management, highlighting the need for more research to establish solid treatment protocols for these comorbid conditions.

Article Abstract

Purpose Of Review: To provide an overview and highlight recent updates in temporomandibular disorders (TMDs) and their comorbidity with headache disorders regarding pathophysiology and management.

Recent Findings: In the last decade, there have been great advancements in the understanding of TMDs and their relationship with neurovascular pains such as headaches. Understanding of TMDs is necessary for the context of its comorbidity with primary headache disorders. The literature regarding management of these comorbidities is scarce but points to combination therapy including pharmacological and non-pharmacological approaches to optimize management. The use of CGRP receptor-targeted monoclonal antibodies or CGRP receptor antagonists should be explored for the management of chronic TMDs. It could also be used as a novel monotherapy or in combination with non-pharmacological approaches for TMDs' comorbidity with headache, particularly migraine. Research is needed to support evidence-based management protocols. A team involving neurology (headache medicine) and dentistry (orofacial pain) is critical for optimal management.

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Source
http://dx.doi.org/10.1007/s11910-023-01291-1DOI Listing

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