Investigation of the Aural Symptoms and Dizziness in Patients With Temporomandibular Joint Disorders
Condition: Temporomandibular Joint Disorders; Dizziness; Tinnitus
MeSH terms: Joint Diseases; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome; Tinnitus; Vertigo; Dizziness
Study type: Observational [Patient Registry]

Summary: 
      120 male and female patients aged between 18-65 years who apply to the outpatient clinic and
      diagnosed with TMD will be included in the study. Patients will be divided into 3 groups as
      Muscle Disorders (Group 1), Temporomandibular Joint Disorders (Group 2) and degenerative
      joint diseas (osteoarthrosis) (Group 3) according to DC/TMD axis I diagnostic criteria.

      maximum mouth opening, TMJ sound, pain levels, tinnitus, and dizziness are evaluated.
    

Detailed description: 
      120 male and female patients aged between 18-65 years who apply to the outpatient clinic and
      diagnosed with TMD will be included in the study. Patients will be divided into 3 groups as
      Muscle Disorders (Group 1), Temporomandibular Joint Disorders (Group 2) and degenerative
      joint diseas (osteoarthrosis) (Group 3) according to DC/TMD axis I diagnostic criteria.

      Demographic data of all patients participating in the study will be obtained. Then, physical
      examination will reveal maximum mouth opening, right and left lateral movement, deflexion,
      deviation. Accompanying tinnitus, ear fullness and dizziness will be questioned.

      All measurements, including maximum mouth opening, and physical examination will be performed
      with patients sitting upright in an anatomical position in a chair. All measurements will be
      performed by the same physical therapist with 7 years of experience in TMD.

      In the measurement of maximum mouth opening, patients will be asked to open their mouths as
      wide as possible. The distance between the anterior incisors is measured with the help of a
      ruler suitable for millimeter measurement. Maximum mouth opening distance is a physical
      examination method frequently used to determine the motion and function of the jaw joint.
      Functional mouth opening is accepted as 35-40 mm (12).

      For the evaluation of TMJ sound, the TMJ is palpated with the thumb and middle fingers and
      the sound heard when opening and closing the mesh is noted.

      Pain levels are measured using a 10-point visual analog scale (VAS). The presence of bruxism
      is determined on physical examination based on the presence of abnormal tooth wear, tooth
      marks in the buccal region, tooth marks on the tongue, and hypertrophy of the masseter
      muscle.

      The sense of fullness in the ear, tinnitus, and dizzyness, which the patients reported
      themselves, is questioned. The relationship between having TMD, clinical characteristics and
      dizziness will be evaluated.
    

Intervention name(s): temporomandbular joint disorders
Intervention type(s): Diagnostic Test
Intervention description(s): no intervention
Observational model: Other
Time perspective: Cross-Sectional
Sampling method: Probability Sample
Study population: 
        participants aged 18-65 years with TMD
      
Keywords: temporomandibular joint; dizziness; aural sypmtoms; tinnitus