Treatment strategies of temporomandibular joint and masticatory muscle disorders in patients with tinnitus

Abstract

Keypoints: 1. Temporomandibular joint disorders (TMD) are often accompanied by tinnitus. 2. Improvement or total remission of tinnitus from treatment of TMD is a secondary effect. 3. Treatment of TMD is suggested for patients with impaired range of jaw motion, painful jaw movements, pain in masticatory muscles or temporomandibular joint (TMJ), or oral parafunction and masticatory muscle hyperactivity. 4. Treatment of TMD includes: a. Intraocclusal stabilization appliances (occlusal splints); b. Selective adjustment of the occlusal surface of teeth and artificial dentition; c. Reassurance and counseling d. Medication, physical therapy or physiotherapy e. EMG biofeedback with progressive relaxation, hypnosis, and acupuncture; f. Joint injections (hydrocortisone), injection of local anesthetics intomuscle trigger points; g. TMJ surgery. © Springer Science+Business Media, LLC 2011.