Aural Symptoms and Signs of Temporomandibular Disorder in Association With Treatment Need and Visits to a Physician

Objectives: To analyze associations between aural symptoms and clinical signs of and treatment need for temporomandibular disorders, as well as visits to a physician, in a Finnish population. Study Design: A longitudinal study of a random sample of adults. Methods: Four hundred eleven subjects (203...

Full description

Saved in:

Bibliographic Details
Published in:	The Laryngoscope Vol. 109; no. 10; pp. 1669 - 1673
Main Authors:	Kuttila, Seppo, Kuttila, Maraana, Le Bell, Yrsa, Alanen, Pentti, Jouko, Suonpää
Format:	Journal Article
Language:	English
Published:	Hoboken, NJ John Wiley & Sons, Inc 01-10-1999 Wiley-Blackwell
Subjects:	Adult Aural symptoms Biological and medical sciences Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Earache - complications Facial bones, jaws, teeth, parodontium: diseases, semeiology Female Humans Male Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology temporomandibular disorder Temporomandibular Joint Dysfunction Syndrome - complications Temporomandibular Joint Dysfunction Syndrome - therapy Tinnitus - complications treatment need visits to physician Human Ear disease Stomatology Indication Diseases of the osteoarticular system Temporomandibular joint Symptomatology Concomitant disease Treatment Dysfunction Ear ENT disease Lesion Maxillary disease
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Objectives: To analyze associations between aural symptoms and clinical signs of and treatment need for temporomandibular disorders, as well as visits to a physician, in a Finnish population. Study Design: A longitudinal study of a random sample of adults. Methods: Four hundred eleven subjects (203 men and 208 women aged 25, 35, 45, 55, or 65 years at baseline) were examined and interviewed at three consecutive examinations at 12‐month intervals, and a questionnaire on visits to physician during the preceding 12 months was completed. Results: The aural symptoms were common. The prevalence of otalgia without infection varied between 12% and 16%, while the prevalence of tinnitus and fullness of ears was 12% to 17% and 5% to 9%, respectively. Women had more aural symptoms than men. When compared with the other subjects, the subjects with aural symptoms more often had masticatory muscles that were tender to palpation or temporomandibular joint signs. Subjects with obvious treatment need for temporomandibular disorders had more aural symptoms than subjects in the other treatment need subgroups. They also visited a physician more often because of otalgia than the subjects with otalgia in the other treatment need subgroups. Conclusions: In patients with otalgia, infectious otolaryngologic diseases should be ruled out. Then the patients without infection should be remitted to a dentist with stomatognathic experience. In the absence of temporomandibular disorders, further medical consultations (e.g., otorhinolaryngological, neurological, physiatric, and psychiatric) are indicated.
Bibliography:	istex:CAF397C1CD08FA5CDDECA5B31C37F72CAE12F6A0 ark:/67375/WNG-B5G91R8D-H ArticleID:LARY5541091022 Supported by grants from Läkaresällskapet and the Finnish Dental Association. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0023-852X 1531-4995
DOI:	10.1097/00005537-199910000-00022