the Link Between TMJ Disorders and Tinnitus Symptoms - Dentistry

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I would like to ask the doctor about some unusual issues related to the temporomandibular joint?


Hello Doctor,
I have noticed a clicking sound when I open and close my mouth over the past two months.
Although I don't have any issues with opening my mouth, I do experience soreness in the area below and in front of my ears, as well as in my masseter muscles when pressed.
Sometimes, if I chew on something for too long, my jaw also feels sore.
I am wondering if this is related to the temporomandibular joint (TMJ).
Recently, I have also experienced unilateral tinnitus (I have had my ears and hearing checked by an ENT specialist, and everything is normal).
Previously, the sound of the tinnitus would even increase when I was chewing, which I find quite strange.
I am curious if there is any correlation between these symptoms.
I did some research online and found that some doctors abroad have mentioned a connection between tinnitus and TMJ.
Studies have shown that tinnitus is more likely to be related to TMJ if it changes when you move your jaw.
If you are experiencing TMJ, try modulating it by moving your jaw.
Common changes include alterations in pitch or volume.
I wanted to ask for your opinion on this.
Thank you.

WKJ, 30~39 year old female. Ask Date: 2022/12/27

Dr. Zeng Guanghui reply Dentistry


1.
If the masseter muscle is sore and there is a clicking sound when opening and closing the temporomandibular joint (TMJ), it is likely a TMJ issue.
It is recommended to consult a dentist or oral surgeon for a detailed examination.
2.
To determine if tinnitus is related to TMJ disorders, it is advisable to seek further evaluation from an otolaryngologist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/12/27

More Info


TMJ disorders, or temporomandibular joint disorders, can indeed have a significant relationship with tinnitus, which is the perception of noise or ringing in the ears. Your symptoms, including the clicking sound when opening and closing your mouth, pain in the jaw muscles, and unilateral tinnitus, suggest that there may be an underlying issue with your TMJ.

The temporomandibular joint connects your jawbone to your skull and is located just in front of your ears. Disorders of this joint can arise from various factors, including jaw injuries, arthritis, teeth grinding (bruxism), or misalignment of the jaw. When the TMJ is not functioning properly, it can lead to a range of symptoms, including jaw pain, headaches, and ear-related issues like tinnitus.

Research indicates that there is a notable connection between TMJ disorders and tinnitus. The exact mechanism is not entirely understood, but it is believed that the close anatomical relationship between the TMJ and the structures of the ear may play a role. The muscles and ligaments associated with the TMJ are in proximity to the auditory system, and inflammation or dysfunction in the TMJ can potentially affect the auditory pathways, leading to tinnitus.
In your case, the fact that your tinnitus changes with jaw movement is particularly telling. Studies have shown that tinnitus related to TMJ disorders often fluctuates with jaw activity, such as chewing or clenching. This suggests that the underlying issue may indeed be linked to your TMJ dysfunction.
To address your symptoms, it is essential to consider a comprehensive approach. Here are some recommendations:
1. Consult a Specialist: If you haven't already, consider seeing a dentist or an oral and maxillofacial specialist who has experience with TMJ disorders. They can perform a thorough examination and may recommend imaging studies, such as X-rays or MRIs, to assess the condition of your TMJ.

2. Physical Therapy: A physical therapist specializing in TMJ disorders can provide exercises to strengthen the jaw muscles and improve mobility. They may also use modalities like ultrasound or electrical stimulation to reduce pain and inflammation.

3. Jaw Exercises: Gentle stretching and relaxation exercises for the jaw can help alleviate tension. Avoiding hard or chewy foods can also reduce strain on the TMJ.

4. Stress Management: Since stress can exacerbate TMJ disorders, techniques such as mindfulness, meditation, or yoga may be beneficial in managing your symptoms.

5. Dental Appliances: In some cases, a dentist may recommend a night guard or splint to prevent teeth grinding and reduce pressure on the TMJ.

6. Medication: Over-the-counter pain relievers or anti-inflammatory medications may help manage pain and inflammation associated with TMJ disorders.

7. Avoiding Jaw Clenching: Being mindful of habits like clenching your jaw or grinding your teeth can help reduce strain on the TMJ.

In conclusion, your symptoms of TMJ dysfunction and tinnitus are likely interconnected. By addressing the TMJ disorder through appropriate medical and therapeutic interventions, you may find relief from both the jaw pain and the tinnitus. It is crucial to work closely with healthcare professionals to develop a tailored treatment plan that addresses your specific needs.

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