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J Oral Rehabil. 2019 Jan;46(1):76-86. doi: 10.1111/joor.12706. Epub 2018 Sep 8.

Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta-analysis.

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Departamento de Especialidades Médico-Quirúrgicas, Universidad de Oviedo, Instituto Asturiano de Odontología, Oviedo, Spain.
Departamento de Morfología y Biología Celular, Grupo SINPOs, Universidad de Oviedo, Oviedo, Spain.
Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Oviedo, Spain.
Departmento de Especialidades Clínicas Odontológicas, Facultad de Odontología, Universidad Complutense de Madrid, Madrid, Spain.


The aim of this study was to determine whether there exists a higher prevalence of tinnitus in patients with temporomandibular disorders (TMDs) than in patients without TMDs. A systematic review was conducted in PubMed/MEDLINE for articles published between January 1992 and April 2018 in accordance with the PRISMA statement. Studies were included in this review only if they assessed TMDs using the research diagnostic criteria (RDC)/TMD or DC/TMD. A total of five studies were included in the systematic review, and a random-effects meta-analysis of three of the studies was conducted. In all of the selected studies, the prevalence of tinnitus was higher in patients with TMDs (35.8% to 60.7%) than in patients without TMDs (9.7% to 26.0%). The odds ratio of suffering from tinnitus among patients with TMDs was 4.45 (95% CI 1.64-12.11. P = 0.003). Thus, despite the limitations of the included studies, this review demonstrates that the prevalence of tinnitus in TMD patients is significantly higher than that in patients without TMD.


aural symptoms; otologic symptoms; systematic review; temporomandibular disorders; temporomandibular joint; tinnitus


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