Original Article

Assessment of oral health status in chronic headache patients and its comparison with healthy control


Introduction: Headache is a common problem with intense side effects on quality of life. Dental and maxillofacial problems, including dental infections and temporomandibular disorders may trigger the onset of headache or have direct impact on the intensity of headache. The purpose of this paper is assessment of oral health indexes in chronic headache patients and compare it with a healthy control group. Materials and Methods: Thirty chronic headache patients based on diagnosis by a neurologist were enrolled in our study and thirty healthy volunteers were recruited into the control group. Dental and periodontal examination were carried out in order to evaluate of the decayed, missing and filled teeth (DMFT) index, the assessment of community periodontal index of treatment needs (CPITN) index and determination of tooth wear status and oral health status. Statistical analysis was done using SPSS statistical package (version 20, IBM). Results: Mean age, educational level, tooth brushing, using dental floss and DMFT index was not statistically different between chronic headache patients and control group. There was no statistically significant difference in CPITN index between cases and control group (p-value=0.538). Conclusion: This study suggest that chronic headache patients have an acceptable oral hygiene which may be attribute to their attempts to omit pain from head and oral region. Considering high prevalence of chronic headache, planning a protocol for oral hygiene instruction is necessary. In this regard, coordination between neurologists and oral medicine specialists can be very effective. Keywords: Oral health; Chronic headache; DMFT index; CPITN index.
1. Dach F, Éckeli ÁL, Ferreira KdS, Speciali JG. Nerve block for the treatment of headaches and cranial neuralgias–a practical approach. Headache: The Journal of Head and Face Pain. 2015;55:59-71.
2. Martelletti P, Birbeck GL, Katsarava Z, Jensen RH, Stovner LJ, Steiner TJ. The Global Burden of Disease survey 2010, Lifting The Burden and thinking outside-the-box on headache disorders. 2013.
3. Lundqvist C, Aaseth K, Grande RB, Benth JŠ, Russell MB. The severity of dependence score correlates with medication overuse in persons with secondary chronic headaches. The Akershus study of chronic headache. PAIN®. 2010;148(3):487-91.
4. Robbins MS, Lipton RB, editors. The epidemiology of primary headache disorders. Seminars in neurology; 2010: © Thieme Medical Publishers.
5. Adams AM, Serrano D, Buse DC, Reed ML, Marske V, Fanning KM, et al. The impact of chronic migraine: The Chronic Migraine Epidemiology and Outcomes (CaMEO) Study methods and baseline results. Cephalalgia. 2015;35(7):563-78.
6. Abouelhuda AM, Kim H-S, Kim S-Y, Kim Y-K. Association between headache and temporomandibular disorder. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2017;43(6):363-7.
7. Scher AI, Buse DC, Fanning KM, Kelly AM, Franznick DA, Adams AM, et al. Comorbid pain and migraine chronicity: the chronic migraine epidemiology and outcomes study. Neurology. 2017;89(5):461-8.
8. Di Paolo C, D’Urso A, Papi P, Di Sabato F, Rosella D, Pompa G, et al. Temporomandibular disorders and headache: a retrospective analysis of 1198 patients. Pain Research and Management. 2017;2017.
9. Halker R, Vargas B, Dodick DW, editors. Cluster headache: diagnosis and treatment. Seminars in neurology; 2010: © Thieme Medical Publishers.
10. Voiticovschi-Iosob C, Allena M, De Cillis I, Nappi G, Sjaastad O, Antonaci F. Diagnostic and therapeutic errors in cluster headache: a hospital-based study. The journal of headache and pain. 2014;15(1):56.
11. Jay GW, Barkin RL. Primary Headache Disorders-Part 2: Tension-type headache and medication overuse headache. Disease-a-Month. 2017;63(12):342-67.
12. Benoliel R, Eliav E, Sharav Y. Classification of chronic orofacial pain: applicability of chronic headache criteria. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2010;110(6):729-37.
13. Speciali JG, Dach F. Temporomandibular dysfunction and headache disorder. Headache: The Journal of Head and Face Pain. 2015;55:72-83.
14. Vickers ER, Zakrzewska JM. Dental causes of orofacial pain: Oxford: Oxford University Press; 2009.
15. Lavigne G, Palla S. Transient morning headache: recognizing the role of sleep bruxism and sleep-disordered breathing. The Journal of the American Dental Association. 2010;141(3):297-9.
16. Wöber C, Wöber-Bingöl Ç. Triggers of migraine and tension-type headache. Handbook of Clinical Neurology. 97: Elsevier; 2010. p. 161-72.
17. Nakao M. Work-related stress and psychosomatic medicine. BioPsychoSocial medicine. 2010;4(1):4.
18. Peşkersoy C, Peker Ş, Kaya A, Ünalp A, Gökay N. Evaluation of the relationship between migraine disorder and oral comorbidities: Multicenter randomized clinical trial. Turkish Journal of Medical Sciences. 2016;46(3):712-8.
19. Westergaard ML, Hansen EH, Glümer C, Olesen J, Jensen RH. Definitions of medication-overuse headache in population-based studies and their implications on prevalence estimates: a systematic review. Cephalalgia. 2014;34(6):409-25.
20. Sultana M. A Survey on knowledge and attitude about analgesic use, its indication and side effects: East West University; 2017.
21. Tröltzsch M, Cronin R, Brodine A, Frankenberger R, Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. The Journal of prosthetic dentistry. 2011;105(6):410-7.
22. Van Der Weijden F, Slot DE. Oral hygiene in the prevention of periodontal diseases: the evidence. Periodontology 2000. 2011;55(1):104-23.
IssueVol 8, No 1 (Winter 2021) QRcode
SectionOriginal Article(s)
Oral health; Chronic headache; DMFT index; CPITN index.​

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Manifar S, Najafi S, Koopaie M, Tafakhori A, Farmanbordar D. Assessment of oral health status in chronic headache patients and its comparison with healthy control. J Craniomaxillofac Res. 8(1):22-28.