Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey

OBJECTIVES: The aim of this study was to investigate the knowledge and attitudes of orthodontists in the diagnosis and management of migraine without aura. MATERIAL AND METHODS: Participants were dentists, recruited among members of the Brazilian Association of Orthodontics and Facial Orthopedics (A...

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Main Authors: Reynaldo Leite Martins Junior, Florence de Carvalho Kerber, Juliana Stuginski-Barbosa
Format: Article
Language:English
Published: University of São Paulo 2011-12-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572011000600022
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author Reynaldo Leite Martins Junior
Florence de Carvalho Kerber
Juliana Stuginski-Barbosa
author_facet Reynaldo Leite Martins Junior
Florence de Carvalho Kerber
Juliana Stuginski-Barbosa
author_sort Reynaldo Leite Martins Junior
collection DOAJ
description OBJECTIVES: The aim of this study was to investigate the knowledge and attitudes of orthodontists in the diagnosis and management of migraine without aura. MATERIAL AND METHODS: Participants were dentists, recruited among members of the Brazilian Association of Orthodontics and Facial Orthopedics (ABOR). An e-mail was sent to all ABOR members, with a link to a website, especially prepared for this research. Dentists were presented to a report of a fictional patient fulfilling diagnostic criteria for a primary headache disorder, known as migraine without aura. Participants were asked to describe how they would relieve the patient's pain. Professional procedures were classified as "adequate" or "inadequate" according to the answers given. RESULTS: 161 valid answers were received (18.8% response rate). Of them, 36% of the actions were considered to be "adequate" procedures, while 64% were "inadequate". The results yielded 12 main procedures, based on common characteristics. Eighty-two orthodontists suggested orthodontic treatment with or without orthognathic surgery, and some suggested using stabilization appliances prior to the orthodontic treatment. CONCLUSIONS: The majority of participants proposed inadequate therapies, and 51% suggested orthodontic correction of occlusion, including orthognathic surgery. Educational activities on migraine should also target orthodontists.
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spelling doaj.art-059b28a3509f40ea94f9385d51eea5f32022-12-22T01:22:17ZengUniversity of São PauloJournal of Applied Oral Science1678-77571678-77652011-12-0119667467810.1590/S1678-77572011000600022Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based surveyReynaldo Leite Martins JuniorFlorence de Carvalho KerberJuliana Stuginski-BarbosaOBJECTIVES: The aim of this study was to investigate the knowledge and attitudes of orthodontists in the diagnosis and management of migraine without aura. MATERIAL AND METHODS: Participants were dentists, recruited among members of the Brazilian Association of Orthodontics and Facial Orthopedics (ABOR). An e-mail was sent to all ABOR members, with a link to a website, especially prepared for this research. Dentists were presented to a report of a fictional patient fulfilling diagnostic criteria for a primary headache disorder, known as migraine without aura. Participants were asked to describe how they would relieve the patient's pain. Professional procedures were classified as "adequate" or "inadequate" according to the answers given. RESULTS: 161 valid answers were received (18.8% response rate). Of them, 36% of the actions were considered to be "adequate" procedures, while 64% were "inadequate". The results yielded 12 main procedures, based on common characteristics. Eighty-two orthodontists suggested orthodontic treatment with or without orthognathic surgery, and some suggested using stabilization appliances prior to the orthodontic treatment. CONCLUSIONS: The majority of participants proposed inadequate therapies, and 51% suggested orthodontic correction of occlusion, including orthognathic surgery. Educational activities on migraine should also target orthodontists.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572011000600022OrthodonticsDental occlusionMigraine disordersFacial painTemporomandibular joint disordersDiagnostic errors
spellingShingle Reynaldo Leite Martins Junior
Florence de Carvalho Kerber
Juliana Stuginski-Barbosa
Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey
Journal of Applied Oral Science
Orthodontics
Dental occlusion
Migraine disorders
Facial pain
Temporomandibular joint disorders
Diagnostic errors
title Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey
title_full Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey
title_fullStr Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey
title_full_unstemmed Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey
title_short Attitudes of a group of Brazilian orthodontists towards the diagnosis and management of primary headache (migraine): an electronic-based survey
title_sort attitudes of a group of brazilian orthodontists towards the diagnosis and management of primary headache migraine an electronic based survey
topic Orthodontics
Dental occlusion
Migraine disorders
Facial pain
Temporomandibular joint disorders
Diagnostic errors
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572011000600022
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