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DOES A JAW JOINT PROBLEM (TMD) CAUSE TINNITUS?
The Temporo-Mandibular Joint (TMJ), that is, our jaw joint, is a joint structure that allows both lateral and forward movement during chewing.
The muscles that move the jaw are located in muscle, and are in the strongest muscle group in the body. This means that quite large forces have to move through the TMJ. As a result, the joint is at as much risk as any other weight-bearing joint in the body. TMJ problems are characterized by disorders of the muscles of this region, jaw joint abrasions Novae traumas and inflammations (arthritis).
According to the American Academy of Orofacial Pain, TMJ diseases are defined as a group of disorders involving the chewing muscles, temporomandib joints and associated structures.Its findings are characterized by pain in the jaw and surrounding tissues during jaw movements, restriction in jaw movements, and clicking, crepitation-like sounds.
Anatomically, the middle ear is connected to some muscle groups around it, especially with the neck, and when we think that there is movement biomechanics, it is connected to the muscle groups associated with the neck, c0 c1 c2 vertebrae and nerves. For these reasons, it is thought that it may be related to tinnitus due to TMJ problems.
In studies conducted with 950 consecutive patients at the Department of Prosthetic Dentistry of the Regensburg University Medical Center, Germany. 25 patients with TMD and simultaneous tinnitus were included in the study. The initial examination consisted of a detailed functional analysis, a diagnosis of temporomandibular joint and masticatory disorder, and an tinnitus questionnaire. After the treatment procedures were completed, the patients were examined 3 to 5 months later. The prevalence of tinnitus was found to be 8 times higher in participants with TMD (30 out of 82 (36%) compared to participants without TMD (38 out of 869 (4%). All participants with unilateral TMD and unilateral tinnitus showed these conditions on the same side. After treatment, it improved tinnitus symptoms in 11 of the 25 participants (44%).
Another study was conducted to confirm the relationship between tinnitus and temporomandibular joint deconfunction. between the ages of 18 and 60, 55 patients affected by subjective tinnitus were enrolled without hearing deciency. Temporo-mandibular joint examination was performed in all patients. The same splint treatment was applied to all people. The comparison between the pre- and post-treatment stage scores showed a statistically significant deceleration in patients with a predisposition to TMD and those with TMD. The characteristics of tinnitus and the degree of response to treatment have confirmed the relationship between tinnitus and TMD.
In the light of this information, when the most common causes of tinnitus, such as otological disorders and neurological diseases, are excluded, it is believed that it is correct to evaluate the functionality of the temporo-mandibular joint for the healing and even resolution of tinnitus, and ultimately to treat its pathology.
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WHAT ARE THE TREATMENT OPTIONS ?
- Patient education and preventive treatment
- Splint treatment
- Exercises
- Physical therapy
- Chiropractic
- Psychological support
- Regulation of nutrition
- Surgical methods for advanced dysfunctions
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