Original Article

The incidence of TMD in patients with earache

Abstract

Background and Objectives: Temporomandibular joint dysfunction (TMD) is known as a chronic pain in the ears manifested in the form of tinnitus, earache, hearingloss, vertigo, and other impairments. Although patients affected with this disorder undergo long-term treatments using various medicines without significant pain relief, medical care is still possible with a correct diagnosis. This study investigated the incidencerate of TMD in patients suffering from earache. Materials and Methods: This cross-sectional study investigate the incidence rate of TMD in patients with earache referring todental clinics affiliated to Tehran University of Medical Sciences (TUMS), Iran, including patients with over six months of earache or those having pain despite using medicines. The Diagnostic Criteria for TMD (DC/TMD) Axis I and II Protocol was used for examining TMD and stress, and also independent t-test and Chi-square test were employedto compare TMD patientsin terms of age and gender. Results: A total number of 100 individuals aged between 18 and 65 years, including 40 malesand 60 females were examined in this study. The incidence rate of TMD in patients with earache was also reported by 76.5%. Conclusion: The results indicated a high incidence rate of TMD in patients having earache. Accordingly, patients complaining about TMD required specialized earache evaluations by dentists and medics. Keywords: Temporomandibular joint dysfunction; Earache; Tinnitus.
References:
1. Kalantarmotamed MH DaM. temporomandibulardisorders,orofacial pain: shayannemodar; 1381.
2. Dworkin SF. Temporomandibular Disorder (TMD) pain–related disability found related to depression, nonspecific physical symptoms, and pain duration at 3 international sites. J of Evide Base Dent Pract. 2011;11(3):143-4.
3. Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J of the American Dent Assoc . 1990;120(3):273-81.
4. De Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management: Quintessence Chicago; 2008.
5. Greenberg MS, Glick M. Burket's oral medicine: diagnosis & treatment: PMPH-USA; 2015.
6. Okeson JP. Management of temporomandibular disorders and occlusion: Elsevier Health Sciences; 2014.
7. Ong K, Keng S. The biological, social, and psychological relationship between depression and chronic pain. CRANIO.94-286:(4)21;2003 .
8. Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness? J of prosthet dent. 1994; 72(1):29-38.
9. Suvinen TI, Reade PC, Kemppainen P, Könönen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Europ j of pain. 2005; 9(6):613.
10. Arendt-Nielsen L, Graven-Nielsen T. Central sensitization in fibromyalgia and other musculoskeletal disorders. Curr pain and head repo. 2003; 7(5):355-61.
11. Graven-Nielsen T, Arendt-Nielsen L. Peripheral and central sensitization in musculoskeletal pain disorders: an experimental approach. Current rheumatology reports. 2002; 4(4):313-21.
12. Mense S. Pathophysiologie des Rückenschmerzes und seine Chronifizierung. Der Schmerz. 2001;15(6):413-7.
13. Benjamin S, Morris S, McBeth J, Macfarlane GJ, Silman AJ. The association between chronic widespread pain and mental disorder: a population-based study. Arthritis & Rheum. 2000;43(3):561.
14. Gureje O, Von Korff M, Kola L, Demyttenaere K, He Y, Posada-Villa J, et al. The relation between multiple pains and mental disorders : results from the World Mental Health Surveys. PAIN®. 2008;135(1):82-91.
15. Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148-56.
16. Jacobs T, Sawaengkit P. National Institute of Dental and Craniofacial Research efficacy trials of bionator Class II treatment: a review. The Angle orthodont. 2002;72(6):571-5.
17. Lam DK, Lawrence HP, Tenenbaum HC. Aural symptoms in temporomandibular disorder patients attending a craniofacial pain unit. J of orofac pain. 2001;15(2).
18. Parker WS, Chole RA. Tinnitus, vertigo, and temporomandibular disorders. Ame J of Ortho and DentofacialOrthoped. 1995;107(2):153-8.
19. Catanzariti J-F, Debuse T, Duquesnoy B. Chronic neck pain and masticatory dysfunction. Joint Bone Spine. 2005;72(6):515-9.
20. Vélez A, Restrepo C, PELÁEZ-VARGAS A, Gallego G, Alvarez E, Tamayo V, et al. Head posture and dental wear evaluation of bruxist children with primary teeth. J of oral rehabilit. 2007;34(9):663.70-
21. Uemoto L, Macedo MEG, Alfaya TA, Souza FNd, Barcelos R, Gouvêa CVD. Impact of supportive therapy for otological changes in patients with temporomandibular joint disorders. Revista Dor. 2012;13(3):208-12.
22. Kuttila S, Kuttila M, Le Bell Y, Alanen P, Jouko S. Aural symptoms and signs of temporomandibular disorder in association with treatment need and visits to a physician. The Laryngoscope. 1999;109(10):1669-73.
23. Rubinstein B. IS THERE A LINK? 1993.
24. Cox KW. Temporomandibular disorder and new aural symptoms. Arch of Otolaryng–Head & Neck Surg. 2008;134(4):389-93.
25. Tuz HH, Onder EM, Kisnisci RS. Prevalence of otologic complaints in patients with temporomandibular disorder. Ame J of Ortho and DentofacialOrthoped. 2003;123(6):620-3.
26. Wright EF. Referred craniofacial pain patterns in patients with temporomandibular disorder. The Journal of the American Dental Association. 2000;131(9):1307-15.
27. Kamisaka M, Yatani H, Kuboki T, Matsuka Y, Minakuchi H. Four-year longitudinal course of TMD symptoms in an adult population and the estimation of risk factors in relation to symptoms. J of orofac pain. 2000;14(3).
28. Pedroni C, De Oliveira A, Guaratini M. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J of oral rehabilit. 2003;30(3):283-9.
29. Conti P, Costa Y, Gonçalves D, Svensson P. Headaches and myofascial temporomandibular disorders: overlapping entities, separate managements? J of oral rehabilit. 2016;43(9):702-15.
30. List T, Wahlund K, Larsson B. Psychosocial functioning and dental factors in adolescents with temporomandibular disorders: a case-control study. J of orofac pain. 2001;15(3).
31. Silva Junior AA, Krymchantowski AV, Gomes JBL, Leite FMG, Alves BMF, Lara RP, et al. Temporomandibular disorders and chronic daily headaches in the community and in specialty care. Headache: J of Head and Face Pain. 2013;53(8):1350-5.
32. Auerbach SM, Laskin DM, Frantsve LME, Orr T. Depression, pain, exposure to stressful life events, and long-term outcomes in temporomandibular disorder patients. J of oral and maxillo surg. 2001;59(6):628-33.
33. Manfredini D, Bandettini di Poggio A, Cantini E, Dell'Osso L, Bosco M. Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach .J of oral rehabilit. 2004;31(10):933-40.
34- NajafiSh, Tafakhori A, Kharrazi Fard M, Radfar L; Prevalence of temporomandibular disorder in patients with chronic headache. J Craniomax Res 2017; 4(1): 301-306.
35- Macedo J. Doi M. Oltramari-Navarro P. Gorres V. Mendes M. Silva I et al. Association between Ear Fullness, Earache, and Temporomandibular Joint Disorders in the Elderly. Int Arch Otorhinolaryngol. 2014 Oct; 18(4): 383–386.
36. Kusdra PM, Stechman-Neto J, Leão BLC, Martins PFA, Lacerda ABM, Zeigelboim BS. Relationship between Otological Symptoms and TMD. Int Tinnitus J. 2018 Jun 1;22(1):30-34.
Files
IssueVol 7, No 1 (Winter 2020) QRcode
SectionOriginal Article(s)
Published2020-08-01
DOI https://doi.org/10.18502/jcr.v7i1.4009
Keywords
Temporomandibular joint dysfunction; Earache; Tinnitus.

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Najafi S, Sheykh Bahaei N, Sadat Sadrzadeh Afshar M, Asadi Ghalhari S, Gholizadeh N. The incidence of TMD in patients with earache. J Craniomaxillofac Res. 2020;7(1):13-20.