Temporamandibular Joint Functions and Parafunctional Habits

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Headache, Temporomandibular Disorder

Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Study group<br>Adolescent with headache, 10-18 ages | |
| Control group<br>Adolescent without headache | |

What is the study measuring?
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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) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adolescent headache, temporomandibular dysfunction