# Correlation between Temporomandibularibular Disorders and
## 4 Discussion
### Timitus Treatment  
In 2020, [PERSON] et al. discovered significant gender differences in the treatment results of numerous tinnitus care approaches [61]. Women in this study population have demonstrated a better response to treatment after receiving successive HDtDCS (high-definition transcranial direct current stimulation) sessions. HD-tDCS is a unique non-invasive brain stimulation technology based on the idea that mild intensity electric currents applied to locations of the scalp generate underlying cerebral activity [61]. These findings are consistent with those of [PERSON] et al. (2012), who found greater benefits from frontal tDCS in women [68]. [PERSON] et al. (2016) conducted retrospective cohort research in 2016 on patients aged 20 years and older who had recently been diagnosed with TMJ dysfunction [52]. The authors suggested that TMD may increase the risk of tinnitus, but they found age, sex, and comorbidities of hearing loss, noise impacts on the inner ear, and degenerative and vascular ear illnesses as demographic characteristics and comorbidities that may be related to tinnitus [52]. The incidence of tinnitus was greater in the TMJ disease cohort than in the control patient, and female TMD patients have a higher risk incidence than male TMD patients [52]. [PERSON] et al. (2004) conducted a case-control study aiming to assess the aural manifestations in patients with TMD and the effect of TMD treatment on tinnitus. Thirty patients were divided into two groups: Group (A) with myofasical pain dysfunction syndrome, and Group (B) with disc displacement with reduction. In conclusion, this study highlights the importance of evaluating aural manifestations in TMD patients. The results suggest that conservative treatment of TMD can effectively alleviate ear symptoms and improve the overall condition in these patients. In fact, the incidence of ear symptoms (otalgia and tinnitus) significantly decreased after therapy in both groups [56]. The same results were obtained by [PERSON] et al. (2011), who found a significant decrease in tinnitus symptoms after treating temporomandibular dysfunction [57]. The researchers conducted a prospective cohort study involving individuals with TMD and tinnitus, and after dental treatment for TMD, there was a significant decrease in the intensity of tinnitus. Notably, tinnitus completely disappeared in four (26.6%) patients [57]. [PERSON] et al. (2020) conducted a randomized clinical trial, demonstrating that treating TMD pain reduced tinnitus severity in patients with somatic tinnitus attributed to the temporomandibular joint. The same results were obtained by [PERSON] et al. (2011), who found a significant decrease in tinnitus recognition after treating temporomandibular dysfunction. The researchers conducted a prospective cohort study involving individuals with TMD and tinnitus, and after dental treatment for TMD, there was a significant decrease in the intensity of tinnitus. Notably, tinnitus completely disappeared in four (26.6%) patients [57]. In 2020, [PERSON] et al. evaluated the impact of physical, clinical, psychological, and psychophysical factors on treatment results following the use of cervico-mandibular manual therapy, education, and exercise in patients with TMD and tinnitus [58]. The study highlighted the importance of baseline tinnitus severity and localized PPT over the temporalis muscle as significant factors in predicting treatment outcomes for individuals with TMD-related tinnitus undergoing physical therapy. Other predictors, such as sex and quality of life, also played a role but were less influential in the treatment outcomes [58].