journal article·2023-08-05Open access

Correlation between Temporomandibular Disorders and Tinnitus and Possible Treatment Strategies: Comprehensive Review

Angelo Michele Inchingolo, Alessio Danilo Inchingolo, Vito Settanni, Nicole De Leonardis, Merigrazia Campanelli, Grazia Garofoli, Stefania Benagiano, Giuseppina Malcangi, Elio Minetti, Andrea Palermo, Francesco Inchingolo, Gianna Dipalma, Assunta Patano

Applied Sciences· Volume 13· Issue 15

Abstract

This study intends to investigate the relationship between otologic symptoms, in particular, tinnitus, and temporomandibular disorders (TMD). The literature studies during the previous 20 years had focused on the treatment and alleviation of the otologic symptoms and were limited to randomized clinical trials, case reports, and prospective studies. The following Boolean keywords, (tinnitus) AND (temporomandibular disorders OR temporomandibular therapy), were used in the databases of PubMed, Scopus, and Web of Science between 2003 and 9 May 2023 with an English language restriction. Results: The computerized search turned up 693 articles in total, and after eliminating duplicates, reviewing them, and determining their eligibility, 20 papers were included. Conclusion: The connections between temporomandibular TMD and tinnitus are numerous and intricate. It is unclear whether TMD could be the source of tinnitus or only its symptoms. Tinnitus may not always occur in persons with TMD, indicating that additional causes may potentially be involved in its occurrence. The precise mechanisms behind the link between TMD and tinnitus need to be clarified by additional study.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Vestibular and auditory disorders · Hearing, Cochlea, Tinnitus, Genetics · Ear Surgery and Otitis Media

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy

Department of Biomedical, Surgical, Dental Science, University of Milan, 20161 Milan, Italy

College of Medicine and Dentistry, Birmingham B4 6BN, UK

References (68)

Show source-provided references
1. Relationship between Otological Symptoms and TMD10.5935/0946-5448.20180005 ↗
3. Reduction of Somatic Tinnitus Severity Is Mediated by Improvement of Temporomandibular Disorders10.1097/MAO.0000000000003446 ↗
4. Aural Symptoms and Signs of Temporomandibular Disorder in Association with Treatment Need and Visits to a Physician10.1097/00005537-199910000-00022 ↗
5. Prevalence of Patients Harboring Temporomandibular Disorders in an Otorhinolaryngology Departament10.1016/S1808-8694(15)30105-1 ↗
6. The 3D Tele Motion Tracking for the Orthodontic Facial Analysis10.1155/2016/4932136 ↗
7. Tinnitus: Maladaptive Auditory-Somatosensory Plasticity10.1016/j.heares.2015.06.005 ↗
8. Interrelationship of Internal Derangements of the Temporomandibular Joint, Headache, Vertigo, and Tinnitus: A Survey of 25 Patients10.1080/08869634.1990.11678328 ↗
9. Tinnitus, Vertigo, and Temporomandibular Disorders10.1016/S0889-5406(95)70130-3 ↗
10. Attributes of Tinnitus That May Predict Temporomandibular Joint Dysfunction10.1080/08869634.1992.11677924 ↗
11. Pasini, M., Giuca, M.R., Ligori, S., Mummolo, S., Fiasca, F., Marzo, G., and Quinzi, V. (2020). Association between Anatomical Variations and Maxillary Canine Impaction: A Retrospective Study in Orthodontics. Appl. Sci., 10.10.3390/app10165638 ↗
12. Somatosensory Tinnitus: Current Evidence and Future Perspectives10.1177/0300060517707673 ↗
13. Neural Mechanisms Underlying Somatic Tinnitus10.1016/S0079-6123(07)66010-5 ↗
14. Vielsmeier, V., Strutz, J., Kleinjung, T., Schecklmann, M., Kreuzer, P.M., Landgrebe, M., and Langguth, B. (2012). Temporomandibular Joint Disorder Complaints in Tinnitus: Further Hints for a Putative Tinnitus Subtype. PLoS ONE, 7.10.1371/journal.pone.0038887 ↗
15. Ward, J., Vella, C., Hoare, D.J., and Hall, D.A. (2015). Subtyping Somatic Tinnitus: A Cross-Sectional UK Cohort Study of Demographic, Clinical and Audiological Characteristics. PLoS ONE, 10.10.1371/journal.pone.0126254 ↗
16. Cervical Spine Dysfunctions in Patients with Chronic Subjective Tinnitus10.1097/MAO.0000000000000827 ↗
17. Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation10.1159/000452472 ↗
18. CNS Somatosensory-Auditory Interactions Elicit or Modulate Tinnitus10.1007/s00221-003-1747-3 ↗
19. Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus10.1177/2331216518796403 ↗
20. Neural Correlates of Human Somatosensory Integration in Tinnitus10.1016/j.heares.2010.04.006 ↗
21. Plasticity of Somatosensory Inputs to the Cochlear Nucleus--Implications for Tinnitus10.1016/j.heares.2011.05.001 ↗
22. Projections of the Second Cervical Dorsal Root Ganglion to the Cochlear Nucleus in Rats10.1002/cne.20917 ↗
23. Diagnosis and Management of Somatosensory Tinnitus: Review Article10.1590/S1807-59322011000600028 ↗
24. Simons, D.G., Travell, J.G., Simons, L.S., and Travell, J.G. (1999). Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual, Williams & Wilkins. [2nd ed.].
25. Somatosensoric tinnitus10.1007/s00106-014-2971-9 ↗
26. Ear, Nose, and Throat Symptoms in Patients with TMD: The Association of Symptoms According to Severity of Arthropathy
27. Bell’s Orofacial Pains: The Clinical Management of Orofacial Pain, 6th Edition (2005): Author: Jeffrey, P. Okeson Publisher: Quintessence Publishing Co. Ltd., New Malden, Surrey, UK Price: £47.00 ISBN: 0-86715-439-X10.1093/ejo/cji087 ↗
28. A Systematic Review on Persistent Trigeminal Artery, in Searching for a Therapeutic Solution to Idiopathic and Unresponsive Trigeminal Nerve Inflammations and Migraines
29. Analyze My Face
30. The Role of TMJ Dysfunction in the Etiology of Middle Ear Disease
31. Sicher, H., and Du Brul, E.L. (1991). Anatomia Oral de Sicher e DuBrul, Artes Medicas. [8th ed.].
32. ’Costen’s Syndrome’—Correlation or Coincidence: A Review of 45 Patients with Temporomandibular Joint Dysfunction, Otalgia and Other Aural Symptoms10.1111/j.1365-2273.1980.tb01624.x ↗
33. Temporomandibular Disorder and New Aural Symptoms10.1001/archotol.134.4.389 ↗
34. Tensor Tympani Muscle: Strange Chewing Muscle
35. The Function of Tensor Veli Palatini Muscles in Patients with Aural Symptoms and Temporomandibular Disorder. An EMG Study10.1046/j.1365-2842.2000.00530.x ↗
36. The Potential Role of Joint Injury and Eustachian Tube Dysfunction in the Genesis of Secondary Ménière’s Disease
37. Tinnitus in Patients with Temporomandibular Joint Internal Derangement10.1080/08869634.1995.11678048 ↗
38. Comparative Audiometric Evaluation of Temporomandibular Disorder Patients with Otological Symptoms10.1016/j.jcms.2009.07.001 ↗
39. Combined Occlusal and Pharmacological Therapy in the Treatment of Temporo-Mandibular Disorders
40. Tinnitus and Otalgia in Temporomandibular Disorders10.1016/0022-3913(87)90282-4 ↗
41. Case Reports Involving the Treatment of Children with Chronic Otitis Media with Effusion via Craniomandibular Methods10.1080/08869634.1988.11678247 ↗
42. Tinnitus Improvement through TMD Therapy10.14219/jada.archive.1997.0062 ↗
43. Tinnitus, Dizziness, and Nonotologic Otalgia Improvement through Temporomandibular Disorder Therapy10.1093/milmed/165.10.733 ↗
44. The Relationship of Tinnitus to Craniocervical Mandibular Disorders10.1080/08869634.1997.11746004 ↗
45. A Retrospective Evaluation of the Impact of Temporomandibular Joint Arthroscopy on the Symptoms of Headache, Neck Pain, Shoulder Pain, Dizziness, and Tinnitus10.1080/08869634.1996.11745949 ↗
46. Assessment of Temporomandibular and Cervical Spine Disorders in Tinnitus Patients10.1016/S0079-6123(07)66019-1 ↗
47. Discomalleolar and Anterior Malleolar Ligaments: Possible Causes of Middle Ear Damage during Temporomandibular Joint Surgery10.1016/0030-4220(89)90108-4 ↗
48. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation10.7326/M18-0850 ↗
49. Tinnitus with Temporomandibular Joint Disorders: A Specific Entity of Tinnitus Patients?10.1177/0194599811413376 ↗
50. Akhter, R., Morita, M., Ekuni, D., Hassan, N.M.M., Furuta, M., Yamanaka, R., Matsuka, Y., and Wilson, D. (2013). Self-Reported Aural Symptoms, Headache and Temporomandibular Disorders in Japanese Young Adults. BMC Musculoskelet Disord., 14.10.1186/1471-2474-14-58 ↗
51. Temporomandibular Disorders, Otologic Symptoms and Depression Levels in Tinnitus Patients10.1111/j.1365-2842.2011.02266.x ↗
52. Increased Risk of Tinnitus in Patients with Temporomandibular Disorder: A Retrospective Population-Based Cohort Study10.1007/s00405-015-3491-2 ↗
53. The Role of Magnetic Resonance Imaging of the Temporomandibular Joint to Investigate Tinnitus in Adults with Temporomandibular Joint Disorder: A Comparative Study10.1055/s-0039-1688840 ↗
54. Correlation between Tinnitus and Petrotympanic Fissure Status among Patients with Temporomandibular Joint Dysfunction10.1016/j.joms.2015.07.020 ↗
55. Evaluation of the Relationship between Temporomandibular Joint Disorders and Tinnitus with Computed Tomography10.1016/j.jormas.2022.06.015 ↗
56. Evaluation of Aural Manifestations in Temporo-Mandibular Joint Dysfunction10.1111/j.1365-2273.2004.00842.x ↗
57. (2023, May 30). Evaluating the Effect of the Temporomandibular Disorder Treatment over Tinnitus. Available online: https://arquivosdeorl.org.br/additional/acervo_eng.asp?id=786.
58. Influence of Clinical, Physical, Psychological, and Psychophysical Variables on Treatment Outcomes in Somatic Tinnitus Associated with Temporomandibular Pain: Evidence from a Randomized Clinical Trial10.1111/papr.12919 ↗
59. Association of Temporomandibular Disorders and Tinnitus with Health-Related Quality of Life: A Cross-Sectional Study Using the Fifth Korea National Health and Nutrition Examination Survey10.1111/joor.13287 ↗
60. Painful Temporomandibular Disorders, Self Reported Tinnitus, and Depression Are Highly Associated10.1590/0004-282X20130191 ↗
61. Sex Differences in the Response to Different Tinnitus Treatment10.3389/fnins.2020.00422 ↗
62. Impact of Temporomandibular Joint Complaints on Tinnitus-Related Distress10.3389/fnins.2019.00879 ↗
63. Temporomandibular Joint Herniation through the Foramen of Huschke with Clicking Tinnitus10.1016/j.anorl.2018.05.014 ↗
64. Temporomandibular Joint Herniation into the Middle Ear: A Rare Cause of Mastication-Induced Tinnitus10.1016/j.radcr.2019.10.032 ↗
65. Association between Anatomical Features of Petrotympanic Fissure and Tinnitus in Patients with Temporomandibular Joint Disorder Using CBCT Imaging: An Exploratory Study10.1155/2020/1202751 ↗
66. Growth and Development: Hereditary and Mechanical Modulations10.1016/j.ajodo.2003.08.024 ↗
67. Developmental Defects of the Tympanic Plate: Case Reports and Review of the Literature10.1016/0278-2391(89)90738-6 ↗
68. Treatment of Chronic Tinnitus with Repeated Sessions of Prefrontal Transcranial Direct Current Stimulation: Outcomes from an Open-Label Pilot Study10.1007/s00415-011-6189-4 ↗