Investigation of Factors Associated with Dizziness, Tinnitus, and Ear Fullness in Patients with Temporomandibular Disorders

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Basak Cigdem Karacay, Merve Damla Korkmaz
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Abstract

Aims: To determine differences between TMD subtypes in terms of clinical characteristics, dizziness, tinnitus, and ear fullness according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and to investigate the clinical conditions associated with dizziness, tinnitus, and ear fullness. Methods: Participants having TMDs aged 18 to 45 years were included in this study. They were classified and divided into three groups according to the DC/TMD Axis I criteria: group 1 = pain-related TMDs and headache; group 2 = intra-articular joint disorders; and group 3 = degenerative joint disease. Demographic data and dizziness, tinnitus, and ear fullness were assessed. Maximum mouth opening, opening/closing click, lateral click, fine/coarse crepitation, bruxism, and presence of pain were evaluated by physical examination. Results: A total of 129 participants were included: 68 (52.7%) in group 1, 40 (31%) in group 2, and 21 (16.3%) in group 3. In the comparison of all three diagnostic groups, there was a significant difference only in educational level (P = .013). The presence of dizziness, tinnitus, or ear fullness was not found to be significantly different among the three groups. When all participants were divided into two groups according to the presence of dizziness, low education levels (P = .007), being married (P = .040), presence of pain (P = .002), tinnitus (P = .008), ear fullness (P = .017), and presence of thin crepitation (P = .015) were related to having dizziness symptoms. In addition, patients with ear fullness (P = .042), dizziness (P = .008), and female sex (P = .008) reported more tinnitus. Conclusion: TMD subtype was not associated with dizziness, tinnitus, or ear fullness. Painful conditions were associated with dizziness in participants with TMDs.

颞下颌疾病患者头晕、耳鸣和耳胀的相关因素研究
目的:根据《颞下颌疾病诊断标准》(DC/TMD),确定TMD亚型在临床特征、头晕、耳鸣和耳饱度方面的差异,并探讨与头晕、耳鸣和耳饱度相关的临床情况。方法:研究对象为年龄在18 ~ 45岁之间的tmd患者。根据DC/TMD轴I标准将患者分为3组:1组=疼痛相关TMD和头痛;2组=关节内关节紊乱;组3 =退行性关节疾病。评估了人口统计数据和头晕、耳鸣和耳胀。通过体格检查评估最大张口、开/闭咔嗒声、侧咔嗒声、细/粗咯吱声、磨牙和是否存在疼痛。结果:共纳入129例患者:1组68例(52.7%),2组40例(31%),3组21例(16.3%)。在三个诊断组的比较中,只有教育程度有显著差异(P = 0.013)。头晕、耳鸣或耳朵充盈的情况在三组之间没有显著差异。当所有参与者根据是否出现头晕分为两组时,低教育水平(P = .007)、已婚(P = .040)、疼痛(P = .002)、耳鸣(P = .008)、耳胀(P = .017)和轻微震颤(P = .015)与头晕症状有关。此外,耳朵充盈(P = 0.042)、头晕(P = 0.008)和女性(P = 0.008)的患者耳鸣较多。结论:TMD亚型与头晕、耳鸣、耳胀无关。疼痛状况与tmd参与者的头晕有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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