Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta‐analysis

Mottaghi, Ariyan; Menéndez‐Díaz, Iván; Cobo, Juan; González‐Serrano, José; Cobo, Teresa

doi:10.1111/joor.12706

Cited by 28 publications

(25 citation statements)

References 34 publications

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“…A meta-analysis reviewed five studies which used RDC/TMD for TMJ evaluation; they found that the prevalence of tinnitus was higher in patients with TMDs (35.8%-60.7%) than in patients without TMDs (9.7%-26.0%). The odds ratio of suffering from tinnitus among patients with TMDs was 4.45 [20]. Similar findings were observed by Stephan et al, who further concluded that ENT symptoms were found to be more common in patients who presented myofascial pain and less in those with intra-articular disc disorder [21].…”

Section: Prevalence Of Cross Symptomssupporting

confidence: 80%

Overlaid temporomandibular joint disorders and otology symptoms – A diagnostic approach and management considerations for otolaryngologists and dentists

Santosh¹,

Hinduja²,

Manoj³

et al. 2020

Eastern J Med Sci

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Section: Prevalence Of Cross Symptomssupporting

confidence: 80%

Overlaid temporomandibular joint disorders and otology symptoms – A diagnostic approach and management considerations for otolaryngologists and dentists

Santosh¹,

Hinduja²,

Manoj³

et al. 2020

Eastern J Med Sci

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“…Interestingly, prevalence of tinnitus in patients with TMJ disorders reaches 60% in comparison to 15–30% in patients with no TMJ disorder (Chole and Parker, 1992; Tuz et al, 2003). The association between tinnitus and TMJ disorders was confirmed by two recent systematic reviews that reported a significant association between the two conditions in the majority of the identified studies (Bousema et al, 2018; Mottaghi et al, 2019). Both reviews assessed the quality of the included studies.…”

Section: Introductionmentioning

confidence: 62%

“…Bousema et al (2018) evaluated 22 studies which investigated the presence of cervical spine disorders (CSDs) or TMJ disorders in patients with and without tinnitus, or the presence of tinnitus in patients with and without TMJ disorders. In contrast, Mottaghi et al (2019) evaluated findings from just five studies comparing patients with and without TMJ disorders.…”

Section: Introductionmentioning

confidence: 99%

Impact of Temporomandibular Joint Complaints on Tinnitus-Related Distress

et al. 2019

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There is increasing evidence of associations between the presence of temporomandibular joint (TMJ) disorders and tinnitus. It has been recently proposed that tinnitus patients with TMJ complaints could constitute a subtype, meaning a subgroup of tinnitus patients responsive to specific treatments. Tinnitus patients with TMJ complaints are often young women with somatosensory features of their tinnitus. Here, we investigate the socioeconomic factors, phenotypic characteristics and psychological variables of tinnitus subjects from the Swedish Tinnitus Outreach Project, with (n = 486) or without (n = 1,996) TMJ complaints. The prevalence of TMJ complaints was greater in tinnitus subjects with severe tinnitus (36%) when compared to those with any tinnitus (19%), strongly indicating the contribution of TMJ problems to the severity of tinnitus. Comparing subgroups with or without TMJ complaints in the whole sample, differences were found regarding a large number of socioeconomic, phenotypic, and psychological characteristics. Subjects with TMJ complaints were more often women, more often reported stress as the cause of tinnitus, were more severely affected by tinnitus, scored worse in measures of psychological well-being and life quality, and were more often affected by problems tolerating sounds, headache, vertigo/dizziness, and neck pain. In addition, they more often reported pulsating and tonal tinnitus, somatic modulation of tinnitus, and aggravation of tinnitus by loud sounds and stress. When focusing the analysis in subjects with tinnitus as a big problem using the Tinnitus Functional Index cutoff ≥ 48, or with severe tinnitus according to the Tinnitus Handicap Inventory cutoff ≥ 58, the impact of somatosensory modulations and stress on tinnitus were greater in subjects with TMJ complaints in comparison to those without. In light of these results, we hypothesize that stress could contribute to the co-occurrence of TMJ problems and tinnitus and also to the development of severe tinnitus. Our study supports the need of involving dental care and stress management in the holistic treatment of patients with severe tinnitus.

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“…© 2019 Polish Dental Association than two symptoms of TMD (compared to 35% of patients in a tinnitus-free control group) and that among TMD patients from 7% to 60% had tinnitus, according to different studies [24]. Higher prevalence of tinnitus in TMD patients was also observed in other studies, supporting the hypothesis that TMD may play a causal role in the development of tinnitus [2,16]. However, it seems that there are no significant patterns of correlation with specific TMD [13].…”

Section: R E V I E W Pa P E Rmentioning

confidence: 55%

“…During examination of the patient the doctor should take into consideration any possible sources of deep pain and symptoms of TMD. If there is coexistent TMD and tinnitus, successful treatment of the former is likely to resolve or at least alleviate the patient's perception of tinnitus [3,16,21,23,24]. Selection of proper therapy should mainly depend on the coexistent TMD, maintaining the rule: "conservative therapy first".…”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

The role of the dentist in the treatment of patients with tinnitus

Wójcicki¹,

Szkutnik²,

Różyło‐Kalinowska³

2019

jos

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Tinnitus is a sensation of noise (such as ringing, roaring, buzzing, or whistling) without any external physical source of that sound. It affects about 15% of the adult population, of whom 2.5% report severely disturbing tinnitus. It is believed that temporomandibular disorders (TMD) are correlated with tinnitus. According to different studies, from 7% to 60% of patients with TMD also report tinnitus. The aim of this study was to point out the role of the dentist in managing patients with tinnitus. Untreated tinnitus can lead to serious debilitation and provoke suicidal tendencies. It is crucial to notice acute pulsating tinnitus, tinnitus with sudden, acute hearing loss, and acute post-traumatic tinnitus because these conditions are potentially life-threatening and require immediate referral to otolaryngologist. Worth noting is that similar psychological factors involved in the development of TMD (stress, depression, somatisation) also affect the generation of tinnitus. It is important to properly diagnose tinnitus and address it. Because of frequent coexistence of tinnitus and TMD, patients reporting to the dentist with TMD should be also asked about tinnitus. Different possible aetiologies and many factors involved in the onset and progression of tinnitus can impede the diagnosing process, which leads to the requirement of a multidisciplinary approach as well as discipline and cooperation on the part of the patient and the doctor.

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Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta‐analysis

Cited by 28 publications

References 34 publications

Overlaid temporomandibular joint disorders and otology symptoms – A diagnostic approach and management considerations for otolaryngologists and dentists

Overlaid temporomandibular joint disorders and otology symptoms – A diagnostic approach and management considerations for otolaryngologists and dentists

Impact of Temporomandibular Joint Complaints on Tinnitus-Related Distress

The role of the dentist in the treatment of patients with tinnitus

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