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首页> 外文期刊>The Journal of Prosthetic Dentistry >Is there a link between tinnitus and temporomandibular disorders?
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Is there a link between tinnitus and temporomandibular disorders?

机译：耳鸣和颞下颌疾病之间有联系吗？

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Statement of problem The frequent concurrence of tinnitus and temporomandibular joint and masticatory muscle disorders (TMD) has led to the assumption that a possible relationship exists between these 2 conditions. Purpose The present prospective clinical study was conducted to assess the possible association between tinnitus and TMD and to investigate the effect of stomatognathic therapy on tinnitus distress. Material and methods The prevalence of TMD and tinnitus was investigated in a consecutive series of 951 patients at the Department of Prosthetic Dentistry at the University Medical Center Regensburg, Germany. Patients with TMD and simultaneous tinnitus were included in the prospective clinical trial (n=25). Baseline examination comprised a detailed functional analysis, diagnosis of temporomandibular joint and masticatory muscle disorder, and a tinnitus questionnaire. All the participants received individual dental functional therapy (oral splints, physiotherapy). The effects of functional therapy on TMD and tinnitus symptoms were examined 3 to 5 months after the initiation of dental functional therapy. Means (standard deviations) were calculated, and 1-way ANOVA was used to investigate statistical differences (α=.05). The differences of the 2 binary outcomes were compared with the Pearson χ2 test, and the relative risk was calculated. Results Prevalence of tinnitus was found to be 8 times higher in participants with TMD (30 of 82 [36.6%]) than in participants without TMD (38 of 869 [4.4%]). All the participants with unilateral TMD and unilateral tinnitus showed these conditions on the same side. Stomatognathic therapy improved tinnitus symptoms in 11 of 25 participants (44%). Conclusions The results of this study and the prospective clinical trial showed a significant correlation between tinnitus and TMD. The observed treatment outcome suggests that dental functional therapy may have a positive effect on TMD-related tinnitus.
机译：问题陈述耳鸣，颞下颌关节和咀嚼肌疾病（TMD）的频繁并发导致人们认为这两种情况之间可能存在关联。目的进行本前瞻性临床研究，以评估耳鸣与TMD之间的可能联系，并研究气管吞咽疗法对耳鸣困扰的影响。材料和方法在德国雷根斯堡大学医学中心的义齿科连续951例患者中，调查了TMD和耳鸣的患病率。患有TMD和同时发生耳鸣的患者纳入前瞻性临床试验（n = 25）。基线检查包括详细的功能分析，颞下颌关节和咀嚼肌疾病的诊断以及耳鸣问卷。所有参与者均接受了单独的牙齿功能治疗（口腔夹板，物理治疗）。在开始牙科功能治疗后3到5个月，检查功能治疗对TMD和耳鸣症状的影响。计算平均值（标准差），并使用1次方差分析调查统计差异（α= .05）。将两种二元结局的差异与Pearsonχ2检验进行比较，并计算相对风险。结果发现，患有TMD的参与者的耳鸣发生率（不包括TMD的参与者）为30（82：30 [36.6％]），高出8倍（占869的38 [4.4％]）。所有具有单侧TMD和单侧耳鸣的参与者都在同一侧显示这些情况。口吻疗法改善了25名参与者中的11名（44％）的耳鸣症状。结论这项研究的结果和前瞻性临床试验表明，耳鸣与TMD之间存在显着相关性。观察到的治疗结果表明，牙科功能治疗可能对TMD相关耳鸣有积极作用。

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