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Tinnitus and the Masticatory System

  • Michael BehrEmail author
Chapter
  • 4.1k Downloads

Keypoints

  1. 1.

    Epidemiologic data indicate a frequent association between temporomandibular joint disorders and tinnitus.

     
  2. 2.

    It is extremely unlikely that tinnitus is Directly caused by a mechanical relationship between the masticatory system and the middle ear.

     
  3. 3.

    Increased muscle tension of masticatory muscles may cause clonus of the palatine muscle via reflex muscle hypertension.

     
  4. 4.

    Increased muscle tension of masticatory muscles can influence tinnitus via somatosensory afferents.

     
  5. 5.

    In certain patients, occlusional appliances have been shown to normalize increased muscle tension and improve tinnitus, even if evidence for their efficacy is limited.

     

Keywords

Tinnitus Temporomandibular joint Temporomandibular diseases Masticatory muscles Bruxism 

Abbreviations

CNS

Central nerve system

DCN

Dorsal cochlear nucleus

TMD

Temporomandibular disorder

TMJ

Temporomandibular joint

References

  1. 1.
    Koskinen J, Paavolainen M, Raivio M, Roschier J (1980) Otological manifestations in temporomandibular joint dysfunction. J Oral Rehabil 7:249–54PubMedCrossRefGoogle Scholar
  2. 2.
    Ogutcen-Toller M, Juniper RP (1993) The embryologic development of the human lateral pterygoid muscle and its relationships with the temporomandibular joint disc and Meckel’s cartilage. J Oral Maxillofac 51:772–8PubMedCrossRefGoogle Scholar
  3. 3.
    Kuttila S, Kuttila M, Le BY, Alanen P, Suonpaa J (2005) Recurrent tinnitus and associated ear symptoms in adults. Int J Audiol 44:164–70PubMedCrossRefGoogle Scholar
  4. 4.
    Ramirez LM, Ballesteros LE, Sandoval GP (2008) Topical review: temporomandibular disorders in an integral otic symptom model. Int J Audiol 47:215–27PubMedCrossRefGoogle Scholar
  5. 5.
    Gelb H, Calderone JP, Gross SM, Kantor ME (1967) The role of the dentist and the otolaryngologist in evaluating temporomandibular joint syndromes. J Prosthet Dent 18:497–503PubMedCrossRefGoogle Scholar
  6. 6.
    Vernon J, Griest S, Press L (1992) Attributes of tinnitus associated with the temporomandibular joint syndrome. Eur Arch Otorhinolaryngol 249:93–4PubMedCrossRefGoogle Scholar
  7. 7.
    Komori E, Sugisaki M, Tanabe H, Katoh S (1986) Discomalleolar ligament in the adult human. Cranio 4:299–305PubMedGoogle Scholar
  8. 8.
    Loughner BA, Larkin LH, Mahan PE (1989) Discomalleolar and anterior malleolar ligaments: possible causes of middle ear damage during temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol 68:14–22PubMedCrossRefGoogle Scholar
  9. 9.
    Sencimen M, Yalcin B, Dogan N, Varol A, Okcu KM, Ozan H, et al (2008) Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint. Int J Oral Maxillofac Surg 37:943–7PubMedCrossRefGoogle Scholar
  10. 10.
    Cheynet F, Guyot L, Richard O, Layoun W, Gola R (2003) Discomallear and malleomandibular ligaments: anatomical study and clinical applications. Surg Radiol Anat 25:152–7PubMedCrossRefGoogle Scholar
  11. 11.
    Arlen H (2009) The otomandibular system. Clinical Management of Head, Neck and TMJ Pain Dysfunction. Philadelphia: WB Saunders and Co, 171–80Google Scholar
  12. 12.
    Malkin DP (1987) The role of TMJ dysfunction in the etiology of middle ear disease. Int J Orthod 25:20–1PubMedGoogle Scholar
  13. 13.
    Zipfel TE, Kaza SR, Greene JS (2000) Middle-ear myoclonus. J Laryngol Otol 114:207–9PubMedCrossRefGoogle Scholar
  14. 14.
    Ramfjord SP (1961) Bruxism, a clinical and electromyographic study. J Am Dent Assoc 62:21–44PubMedGoogle Scholar
  15. 15.
    Dawson PE (1973) Temporomandibular joint pain-dysfunction problems can be solved. J Prosthet Dent 29:100–12PubMedCrossRefGoogle Scholar
  16. 16.
    Kerstein RB, Farrell S (1990) Treatment of myofscial pain-dysfunction syndrome with occlusal equilibration. J Prosthet Dent 63:695–700PubMedCrossRefGoogle Scholar
  17. 17.
    Kardachi BJ, Bailey JO, Ash MM (1978) A comparison of biofeedback and occlusal adjustment on bruxism. J Periodontol 49:367–72PubMedGoogle Scholar
  18. 18.
    Clark GT, Adler RC (1985) A critical evaluation of occlusal therapy: occlusal adjustment procedures. J Am Dent Assoc 110:743–50PubMedGoogle Scholar
  19. 19.
    Turp JC, Komine F, Hugger A (2004) Efficacy of stabilization splints for the management of patients with masticatory muscle pain: a qualitative systematic review. Clin Oral Investig 8:179–95PubMedCrossRefGoogle Scholar
  20. 20.
    Macedo CR, Silva AB, Machado MA, Saconato H, Prado GF (2007) Occlusal splints for treating sleep bruxism (tooth grinding). Cochrane Database Syst Rev 4:CD005514Google Scholar
  21. 21.
    Yamamoto E, Nishimura H, Iwanaga M (1985) Tinnitus and/or hearing loss elicited by facial mimetic movement. Laryngoscope 95:966–70PubMedCrossRefGoogle Scholar
  22. 22.
    Levine RA (1999) Somatic (craniocervical) tinnitus and the dorsal cochlear nucleus hypothesis. Am J Otolaryngol 20:351–62PubMedCrossRefGoogle Scholar
  23. 23.
    Lockwood AH, Salvi RJ, Burkard RF (2002) Tinnitus. N Engl J Med 347:904–10PubMedCrossRefGoogle Scholar
  24. 24.
    Shore SE, Vass Z, Wys NL, Altschuler RA (2000) Trigeminal ganglion innervates the auditory brainstem. J Comp Neurol 419:271–85PubMedCrossRefGoogle Scholar
  25. 25.
    Shore S, Zhou J, Koehler S (2007) Neural mechanisms underlying somatic tinnitus. Prog Brain Res 166:107–23PubMedCrossRefGoogle Scholar
  26. 26.
    Shore SE (2005) Multisensory integration in the dorsal cochlear nucleus: unit responses to acoustic and trigeminal ganglion stimulation. Eur J Neurosci 21:3334–48PubMedCrossRefGoogle Scholar
  27. 27.
    Kanold PO, Young ED (2001) Proprioceptive information from the pinna provides somatosensory input to cat dorsal cochlear nucleus. J Neurosci 21:7848–58PubMedGoogle Scholar
  28. 28.
    Møller AR (2006) Neural plasticity in tinnitus. Prog Brain Res 157:365–72PubMedCrossRefGoogle Scholar
  29. 29.
    Kaltenbach JA (2000) Neurophysiologic mechanisms of tinnitus. J Am Acad Audiol 11:125–37PubMedGoogle Scholar
  30. 30.
    Kaltenbach JA (2007) The dorsal cochlear nucleus as a contributor to tinnitus: mechanisms underlying the induction of hyperactivity. Prog Brain Res 166:89–106PubMedCrossRefGoogle Scholar
  31. 31.
    Kaltenbach JA (2006) The dorsal cochlear nucleus as a participant in the auditory, attentional and emotional components of tinnitus. Hear Res 216–217:224–34PubMedCrossRefGoogle Scholar
  32. 32.
    Rocabado M (1983) Biomechanical relationship of the cranial, cervical, and hyoid regions. J Craniomandibular Pract 1:61–6PubMedGoogle Scholar
  33. 33.
    Behr M, Stebner K, Kolbeck C, Faltermeier A, Driemel O, Handel G (2007) Outcomes of temporomandibular joint disorder therapy: observations over 13 years. Acta Odontol Scand 65:249–53PubMedCrossRefGoogle Scholar
  34. 34.
    Winnberg A, Pancherz H, Westesson PL (1988) Head posture and hyo-mandibular function in man. A synchronized electromyographic and videofluorographic study of the open-close-clench cycle. Am J Orthod Dentofacial Orthop 94:393–404PubMedCrossRefGoogle Scholar
  35. 35.
    Bergamini M, Pierleoni F, Gizdulich A, Bergamini C (2008) Dental occlusion and body posture: a surface EMG study. Cranio 26:25–32PubMedGoogle Scholar
  36. 36.
    Sonnesen L, Bakke M, Solow B (2001) Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod 23:179–92PubMedCrossRefGoogle Scholar
  37. 37.
    Sonnesen L, Kjaer I (2007) Cervical vertebral body fusions in patients with skeletal deep bite. Eur J Orthod 29:464–70PubMedCrossRefGoogle Scholar
  38. 38.
    Sonnesen L, Kjaer I (2008) Anomalies of the cervical vertebrae in patients with skeletal Class II malocclusion and horizontal maxillary overjet. Am J Orthod Dentofacial Orthop 188:15–20CrossRefGoogle Scholar
  39. 39.
    Goodey R (2007) Tinnitus treatment: state of the art. Prog Brain Res 166:237–46PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Prosthetic DentistryUniversity Medical Center RegensburgRegensburgGermany

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