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Otologic symptom improvement through TMD therapy.

Edward F Wright1

  • 1University of Texas Health Science Center at San Antonio, Department of Restorative Dentistry, 78229-3900, USA. wrighte2@uthscsa.edu

Quintessence International (Berlin, Germany : 1985)
|September 18, 2007
PubMed
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Temporomandibular disorder (TMD) therapy significantly improves otologic symptoms like tinnitus, otalgia, dizziness, and vertigo in many patients. Specific patient-reported symptom characteristics can predict which otologic issues will benefit most from TMD treatment.

Area of Science:

  • Otolaryngology
  • Dentistry
  • Neurology

Background:

  • Temporomandibular disorders (TMD) can present with coexisting otologic symptoms.
  • Patients with TMD and otologic symptoms seek to understand the likelihood of symptom improvement with TMD therapy.

Purpose of the Study:

  • To establish a clinically valid method for predicting which otologic symptoms are likely to improve following successful TMD therapy.
  • To identify specific patient-reported factors that correlate with positive otologic symptom response to TMD treatment.

Main Methods:

  • Two hundred patients with TMD and otologic symptoms (tinnitus, otalgia, dizziness, vertigo) underwent assessment of symptom characteristics and clinical tests.
  • Patients received conservative TMD therapy, and the predictive ability of assessment instruments for otologic symptom improvement was evaluated.

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Main Results:

  • Significant improvement or resolution was reported for tinnitus (83%), otalgia (94%), dizziness (91%), and vertigo (100%) after TMD therapy.
  • Younger age, symptom onset coinciding with TMD onset, symptom exacerbation with TMD worsening, and stress association correlated with tinnitus, otalgia, and dizziness improvement.
  • More severe TMD symptoms were associated with dizziness improvement.

Conclusions:

  • Asking targeted questions about symptom history and associations can help clinicians identify TMD patients with otologic symptoms likely to benefit from TMD therapy.
  • This approach aids in patient counseling and treatment planning for coexisting TMD and otologic conditions.