Publication: Comorbilidad de la migraña episódica y crónica y los trastornos temporomandibulares
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2020-04-15
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Universidad Complutense de Madrid
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Abstract
La migraña y los trastornos temporomandibulares (TTM) son dos síndrome de dolor crónico que comparten características clínicas comunes, como la cefalea intermitente y el dolor facial. Ambas presentan un pico de prevalencia en adultos jóvenes, que afecta preferentemente a mujeres. Comparten, además, factores biopsicosociales, psicológicos y ambientales que implican un procesamiento anormal de los estímulos nociceptivos, favoreciendo la presencia de mecanismos de sensibilización periférica y central. recientemente se ha considerado a la migraña como factor de riesgo para la aparición de TTM. Por otro lado, la presencia de TTM en pacientes con migraña predice la persistencia y cronicidad de la misma. Esta comorbilidad causa discapacidad física y psicológica en los pacientes, empeorando su calidad de vida.
Migraine and tempormandibular disorders (DTM) are two chronic pain syndromes that share common clinical characteristics, such asintermittent headache and facial pain. Both present a peak of prevalence in young adults, preferentially affecting women. They also share biopsychosocial, psychological and environmental factors implying an abnormal processing of nociceptive stimuli, promoting the presence of peripheral and central sensitization mechanisms. Recently, migraine has beeen considered as a risk factor for the appearance of DTM. On the other hand, presence of DTM in patients with migraine predicts the persistence and chronicity of it. The comorbidity causes physical and psychological disability in patients, worsening their quality of life.
Migraine and tempormandibular disorders (DTM) are two chronic pain syndromes that share common clinical characteristics, such asintermittent headache and facial pain. Both present a peak of prevalence in young adults, preferentially affecting women. They also share biopsychosocial, psychological and environmental factors implying an abnormal processing of nociceptive stimuli, promoting the presence of peripheral and central sensitization mechanisms. Recently, migraine has beeen considered as a risk factor for the appearance of DTM. On the other hand, presence of DTM in patients with migraine predicts the persistence and chronicity of it. The comorbidity causes physical and psychological disability in patients, worsening their quality of life.
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Odontología, Departamento de Odontología Conservadora y Prótesis Bucofacial, leída el 14-11-2019