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Treatment of Somatosensory Tinnitus: A Randomized Controlled Trial Studying the Effect of Orofacial Treatment as Part of a Multidisciplinary Program

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Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Edegem, Belgium
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Department of Otorhinolaryngology, Antwerp University Hospital, Faculty of Medicine and Health Sciences, University of Antwerp, 2650 Edegem, Belgium
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Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Edegem, Belgium
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Multidisciplinary Motor Centre Antwerp, University of Antwerp, 2610 Edegem, Belgium
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Lab Dental Materials, University of Antwerp, 2610 Edegem, Belgium
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Special Care Dentistry, University Hospital Antwerp, 2610 Edegem, Belgium
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Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium
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Department of Oral Health Sciences, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Research Institute MOVE Amsterdam, 1012WX Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(3), 705; https://doi.org/10.3390/jcm9030705
Received: 3 February 2020 / Revised: 20 February 2020 / Accepted: 27 February 2020 / Published: 5 March 2020
(This article belongs to the Section Otolaryngology)
Background: Tinnitus, or ringing in the ears, is a perception of sound in the absence of overt acoustic stimulation. In some cases, tinnitus can be influenced by temporomandibular somatosensory input, then called temporomandibular somatosensory tinnitus (TST). It is, however, not entirely known if orofacial treatment can decrease tinnitus severity. The purpose of this study was to evaluate the effect of orofacial treatment on tinnitus complaints in patients with TST. Methods: Adult patients with TST were included, and all patients received information and advice about tinnitus and conservative orofacial treatment consisting of physical therapy, and, in case of grinding, occlusal splints were applied. Included patients were randomly assigned to an early start group and a delayed start group according to our delayed treatment design. Results: In total, 40 patients were included in each group. The treatment effect on tinnitus severity was investigated using the tinnitus questionnaire (TQ) and Tinnitus Functional Index (TFI). Regarding the TQ score, no clinically relevant reductions were observed, and no significant differences in the decrease were observed between the early start group and delayed start group. Contrarily, a significantly higher percentage of patients showed a decrease in the TQ degree in the early start group compared to the delayed start group (30.0% versus 2.8%, p = 0.006). The TFI score did show a significantly greater and clinically relevant reduction in the early start group compared to the delayed start group (p = 0.042). Conclusion: A multidisciplinary non-invasive orofacial treatment was able to reduce tinnitus severity in patients with temporomandibular related somatosensory tinnitus. View Full-Text
Keywords: tinnitus; temporomandibular disorders; occlusal splints tinnitus; temporomandibular disorders; occlusal splints
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MDPI and ACS Style

van der Wal, A.; Michiels, S.; Van de Heyning, P.; Braem, M.; Visscher, C.M.; Topsakal, V.; Gilles, A.; Jacquemin, L.; Van Rompaey, V.; De Hertogh, W. Treatment of Somatosensory Tinnitus: A Randomized Controlled Trial Studying the Effect of Orofacial Treatment as Part of a Multidisciplinary Program. J. Clin. Med. 2020, 9, 705. https://doi.org/10.3390/jcm9030705

AMA Style

van der Wal A, Michiels S, Van de Heyning P, Braem M, Visscher CM, Topsakal V, Gilles A, Jacquemin L, Van Rompaey V, De Hertogh W. Treatment of Somatosensory Tinnitus: A Randomized Controlled Trial Studying the Effect of Orofacial Treatment as Part of a Multidisciplinary Program. Journal of Clinical Medicine. 2020; 9(3):705. https://doi.org/10.3390/jcm9030705

Chicago/Turabian Style

van der Wal, Annemarie; Michiels, Sarah; Van de Heyning, Paul; Braem, Marc; Visscher, Corine M.; Topsakal, Vedat; Gilles, Annick; Jacquemin, Laure; Van Rompaey, Vincent; De Hertogh, Willem. 2020. "Treatment of Somatosensory Tinnitus: A Randomized Controlled Trial Studying the Effect of Orofacial Treatment as Part of a Multidisciplinary Program" J. Clin. Med. 9, no. 3: 705. https://doi.org/10.3390/jcm9030705

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