Aural Symptoms and Signs of Temporomandibular Disorder in Association With Treatment Need and Visits to a Physician

Kuttila, Seppo; Kuttila, M; Bell, Yrsa Le; Alanen, Pentti; Jouko, S

doi:10.1097/00005537-199910000-00022

Cited by 51 publications

(56 citation statements)

References 9 publications

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“…Other symptoms that presented significant frequency in our study were neck pain 3,4 and teeth sensitivity 28,30 . The high incidence of otological symptoms in the present sample was in agreement with the literature 4,5,6,8,9,27,28 , in which ear fullness prevailed over the symptom of otalgia 2,12,30 . Tinnitus was as frequent as ear fullness.…”

Section: Discussionsupporting

confidence: 93%

“…Subjects with more severe/ intense pain in the muscles and TMJ were more prone to otalgia 12 and tinnitus 3 , which normally require active treatment of TMJ 6 . Neck pain was also positively correlated with otological symptoms 28 .…”

Section: Discussionmentioning

confidence: 99%

“…Otological symptoms are frequent in patients with temporomandibular joint disorders (TMJD) [1][2][3][4][5][6][7][8][9] , and dental treatment contributes to their remission [10][11][12][13][14][15] . However, the origin and possible correlations between otological symptoms and other manifestations of the problem are not completely explained.…”

Section: Introductionmentioning

confidence: 99%

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Desordem Temporomandibular: relações entre sintomas otológicos e orofaciais

Felício

Faria

Silva

et al. 2004

Rev. Bras. Otorrinolaringol.

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The otologic symptoms are frequents in temporomandibular disorder patients, and studies are needed to elucidate the involved mechanisms. Aim: The objective of the present study was to investigate the association of otology symptoms (otalgia, tinnitus, ear fullness) with otologic findings, the other temporomandibular disorder signs and symptoms, and parafunctional habits. Study Design: Clinical prospective. Material and Methods: 27 temporomandibular patients from Occlusion Clinic of the Dental School of Ribeirão Preto -University of Sao Paulo, answered a questionnaire which included questions about signs and symptoms of temporomandibular disorder and parafunctional habits; they were submitted to otorhinolaryngological and audiologic examination. The data obtained were analyzed through Binomial Test, Exact Test of Fisher and Pearson Correlation, with p value < 0.05. Results: Otologic symptoms were presented in 88.88% of the patients (59.26% presented otalgia, 74.07 tinnitus and 74.07% ear fullness). There was no significance between the otologic symptoms and audiologic findings. There was significant association between otologic symptoms and jaw movements or functions (speaking, opening, closing the mouth). There was significant correlation between grade of otologic symptoms and grade of other temporomandibular disorder signs/symptoms, and between the symptom ear fullness and number of the parafunctional habits. Conclusion: The results provide additional support for the notion that a relationship between temporomandibular disorder and otologic symptoms does exist. In temporomandibular disorder patients, the stomatognathic system alterations, such as orofacial pain and functional difficulties, were statically associated with otologic symptoms.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Desordem Temporomandibular: relações entre sintomas otológicos e orofaciais

Felício

Faria

Silva

et al. 2004

Rev. Bras. Otorrinolaringol.

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“…It is important to know that symptoms of the ear are not present in over 50% of the patients who express otic complaints such as retroauricular and/or preauricular pain, tinnitus, vertigo, hearing impairment, otic fullness, and ear popping sensations. (Gelb et al, 1959;Gelb & Tarte, 1975;Kuttila et al, 1999;Kuttila et al, 2001). Bernhardt et al, (2004) found a significant correlation between tinnitus and TMD, affirming that TMD might cause otologic symptoms.…”

Section: Introductionmentioning

confidence: 98%

Theories on Otic Symptoms in Temporomandibular Disorders: Past and Present

2005

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SUMMARY:For many years otic symptoms have been closely observed in TMD clinical practice. This review includes trials that meet eligibility criteria in the field of otic symptoms diagnosed and treated by a stomatognathic focal point. The aim is centered on the implications of the debated cause-effect connection between otic symptoms and TMD offering a probable bond between the TMJ, ear and adjacent structures. The rationalization is based on an embryological and anatomical approach that offers explanations on the otic pathogenic mechanisms symptoms interconnected with TMD. The accompanying reciprocity among disciplines of odontology and otolaryngology is brought together by TMD and otic referred mutual symptomatology as is showed in multiple trials. This research is an attempt that targets the integration of these two health specialties in the diagnosis and treatment of this type of population.

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“…[6][7][8][9][10] In the temporomandibular joint -disordered population tinnitus prevalence is between 12-68%. [11][12][13][14] Although this is a common problem, it has not been studied in detail. The mechanism of tinnitus and factors influencing it have not yet been revealed.…”

mentioning

confidence: 99%

Effects of sleep bruxism related tinnitus on quality of life

Saltürk

Özçelik²,

Kumral³

et al. 2015

Kulak Burun Bogaz Ihtis Derg

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Objectives:This study aims to analyze the subjective and objective characteristics of tinnitus in sleep bruxism patients. Patients and Methods:The study included 57 patients (12 males; 45 females; mean age 33.89±12.50 years; range 19 to 55 years) with sleep bruxism and tinnitus (sleep bruxism group) and 24 patients (6 males, 18 females; mean age 43.75±16.19 years; range 21 to 58 years) only with tinnitus (control group). Sleep bruxism was diagnosed by the diagnostic criteria of American Academy of Sleep Medicine. Patients were performed pure tone audiometry to detect hearing thresholds at standard and high frequencies. Tinnitus frequency and loudness were assessed. Subjective aspects of tinnitus were identified by tinnitus handicap inventory. Results:The statistical analysis revealed that the sleep bruxism group had significantly lower hearing thresholds except 1000 Hz and 2000 Hz. Tinnitus frequency was between 3000 Hz and 18000 Hz in sleep bruxism group while it was between 6000 and 16000 Hz in control group with no statistically significant difference (p=0.362). Sleep bruxism group had significantly lower tinnitus loudness and tinnitus handicap inventory scores in comparison to control group (p=0.024 and p=0.000, respectively). Conclusion:Tinnitus caused by sleep bruxism and temporomandibular joint issues has higher frequency and lower loudness compared to patients with only tinnitus.Keywords: Bruxism; frequency; hearing; tinnitus handicap inventory; tinnitus. ÖZ Amaç:Bu yazıda uyku bruksizmi olan hastalarda tinnitusun öznel ve nesnel özellikleri incelendi. Hastalar ve Yöntemler:Çalışmaya uyku bruksizmi ve tinnitusu olan 57 hasta (12 erkek; 45 kadın; ort. yaş 33.89±12.50 yıl; dağılım 19-55 yıl) (uyku bruksizmi grubu) ile sadece tinnitusu olan 24 hasta (6 erkek, 18 kadın; ort. yaş 43.75±16.19 yıl; dağılım 21-58 yıl) (kontrol grubu) dahil edildi. Uyku bruksizmi tanısı Amerikan Uyku Tıbbı Akademisi diyagnostik kriterlerine göre konuldu. Hastalara saf ses odyometri uygulanarak standart ve yüksek frekanslardaki işitme eşikleri belirlendi. Tinnitus frekansı ve şiddeti değerlendirildi. Tinnitusun öznel yönleri tinnitus engel dökümü ile belirlendi. Bulgular: İstatistiksel değerlendirme uyku bruksizmi grubunda işitme eşiklerinin 1000 Hz ve 2000 Hz dışında anlamlı olarak daha düşük olduğunu gösterdi. Tinnitus frekansı uyku bruksizmi grubunda 3000 Hz ile 18000 Hz arasında iken kontrol grubunda 6000 Hz ile 16000 Hz arasındaydı ve farklılık istatistiksel olarak anlamlı değildi (p=0.362). Uyku bruksizmi grubunda tinnitus şiddeti ve tinnitus engel dökümü puanları kontrol grubuna göre anlamlı olarak daha düşüktü (sırasıyla p=0.024 ve p=0.000).Sonuç: Uyku bruksizmi ve temporomandibüler eklem sorunlarına bağlı tinnitus yüksek frekanslıdır ve sadece tinnitusu olan hastalara göre daha az şiddetlidir.

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Aural Symptoms and Signs of Temporomandibular Disorder in Association With Treatment Need and Visits to a Physician

Cited by 51 publications

References 9 publications

Desordem Temporomandibular: relações entre sintomas otológicos e orofaciais

Desordem Temporomandibular: relações entre sintomas otológicos e orofaciais

Theories on Otic Symptoms in Temporomandibular Disorders: Past and Present

Effects of sleep bruxism related tinnitus on quality of life

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