How does TMJ affect tinnitus. What are the common symptoms of TMJ disorder. Can treating TMJ alleviate tinnitus. What are the best treatment options for TMJ-related tinnitus. How does jaw misalignment contribute to ear ringing. Is TMJ disorder linked to other health issues beyond tinnitus. When should you seek professional help for TMJ symptoms and tinnitus.

The Link Between TMJ Disorders and Tinnitus

Temporomandibular joint (TMJ) disorders and tinnitus are often interconnected, with many patients experiencing both conditions simultaneously. While tinnitus is commonly associated with age-related or noise-induced hearing loss, emerging research suggests that TMJ disorders may be a significant contributing factor in some cases.

TMJ disorders occur when there are problems with the jaw joint and surrounding muscles. These issues can lead to a variety of symptoms, including jaw pain, difficulty chewing, and clicking or popping sounds when opening or closing the mouth. Interestingly, TMJ disorders can also manifest as tinnitus, or ringing in the ears.

How Does TMJ Affect Tinnitus?

The connection between TMJ and tinnitus lies in the complex anatomy of the head and neck region. The temporomandibular joint is located close to the ear, and the muscles and nerves associated with the jaw are intricately linked to those of the ear. When TMJ issues arise, they can affect the surrounding structures, potentially leading to tinnitus.

• Muscle tension: TMJ disorders can cause tension in the muscles surrounding the ear, which may contribute to tinnitus.
• Nerve irritation: The trigeminal nerve, which is connected to both the jaw and ear muscles, can become irritated due to TMJ problems, potentially causing tinnitus.
• Eustachian tube dysfunction: TMJ issues may affect the function of the Eustachian tube, leading to changes in ear pressure and tinnitus.

Common Symptoms of TMJ Disorder

Recognizing the symptoms of TMJ disorder is crucial for early diagnosis and treatment. While tinnitus may be one manifestation, there are several other common signs to be aware of:

1. Jaw pain or tenderness
2. Difficulty or discomfort while chewing
3. Clicking, popping, or grating sounds in the jaw joint
4. Facial pain or aching
5. Headaches, particularly in the temple area
6. Earaches or ear pain
7. Neck and shoulder pain
8. Limited jaw movement or locking of the jaw

Can TMJ Cause Dizziness and Nausea?

Yes, TMJ disorders can indeed cause dizziness and nausea in some patients. The intricate connection between the jaw joint and the inner ear can lead to balance issues and vertigo-like symptoms. Additionally, the stress and tension associated with TMJ problems may contribute to feelings of nausea.

The Impact of Jaw Misalignment on Tinnitus

One of the primary factors contributing to TMJ disorders and associated tinnitus is jaw misalignment, also known as malocclusion. When the upper and lower teeth do not align properly, it can lead to a cascade of issues affecting the entire head and neck region.

How Does Jaw Misalignment Contribute to Ear Ringing?

Jaw misalignment can affect tinnitus in several ways:

• Muscle strain: Misalignment forces the jaw muscles to work harder, leading to tension that can affect the ear muscles.
• Joint pressure: An improper bite can put excessive pressure on the TMJ, potentially impacting nearby structures, including the ear.
• Nerve compression: Misalignment may compress or irritate nerves in the jaw area, which can refer pain or sensations to the ear.

TMJ Disorder: More Than Just a Jaw Problem

While TMJ disorders primarily affect the jaw, their impact can extend far beyond this localized area. The interconnected nature of the body’s musculoskeletal system means that issues in the jaw can have wide-ranging effects.

How Can TMJ Affect the Entire Body?

TMJ disorders can lead to a variety of systemic issues, including:

• Postural changes: Jaw misalignment can affect the position of the head and neck, potentially leading to poor posture and associated problems.
• Chronic pain: Ongoing TMJ issues may contribute to chronic pain conditions affecting various parts of the body.
• Sleep disturbances: TMJ pain and associated tinnitus can interfere with sleep quality, leading to fatigue and other health issues.
• Digestive problems: Difficulty chewing due to TMJ pain may affect digestion and nutrition.

Diagnosis and Treatment Options for TMJ-Related Tinnitus

Proper diagnosis is crucial for effectively treating TMJ-related tinnitus. A comprehensive examination by a dentist or oral surgeon specializing in TMJ disorders is typically the first step.

What Diagnostic Tools Are Used for TMJ Disorders?

Several diagnostic methods may be employed to assess TMJ disorders:

• Physical examination of the jaw and surrounding muscles
• Dental X-rays or CT scans to visualize the jaw structure
• MRI to evaluate soft tissue and disc problems
• TMJ arthroscopy for a direct view of the joint
• Electromyography to assess muscle function

What Are the Best Treatment Options for TMJ-Related Tinnitus?

Treatment for TMJ-related tinnitus often involves a multifaceted approach:

1. Orthodontics: Correcting bite misalignment through braces or other orthodontic treatments
2. TENS (Transcutaneous Electrical Nerve Stimulation): Using gentle electrical stimulation to relax jaw muscles
3. Custom-fit orthotic devices: Aligning the jaw in a more natural and comfortable position
4. Physical therapy: Exercises to strengthen and stretch jaw muscles
5. Medications: Pain relievers or muscle relaxants to manage symptoms
6. Stress management techniques: Reducing overall tension that may exacerbate TMJ issues
7. Full mouth reconstruction: In severe cases, rebuilding and reshaping teeth to improve bite alignment

The Importance of Early Intervention for TMJ and Tinnitus

Seeking treatment for TMJ disorders and associated tinnitus as early as possible is crucial for preventing the progression of symptoms and potential complications.

Why Shouldn’t You Ignore Tinnitus and TMJ Symptoms?

Ignoring TMJ symptoms and tinnitus can lead to various issues:

• Worsening pain and discomfort
• Increased difficulty in treating the condition as it progresses
• Potential for chronic pain development
• Impact on overall quality of life
• Possible progression to more severe ear or jaw problems

Innovative Approaches to TMJ and Tinnitus Treatment

As research in the field of TMJ disorders and tinnitus continues to evolve, new and innovative treatment approaches are emerging. These cutting-edge techniques offer hope for patients who may not have found relief through traditional methods.

What Are Some Advanced Treatment Options for TMJ-Related Tinnitus?

Several innovative treatments are showing promise in managing TMJ disorders and associated tinnitus:

• Botox injections: Used to relax overactive jaw muscles
• Platelet-rich plasma (PRP) therapy: Utilizing the body’s own healing factors to promote joint repair
• Low-level laser therapy: Applying light energy to reduce inflammation and promote healing
• Cognitive-behavioral therapy: Addressing the psychological aspects of chronic pain and tinnitus
• Biofeedback: Teaching patients to control muscle tension through real-time monitoring

Living with TMJ and Tinnitus: Lifestyle Modifications and Self-Care

While professional treatment is often necessary for TMJ disorders and tinnitus, there are several lifestyle changes and self-care practices that can help manage symptoms and improve quality of life.

How Can You Manage TMJ Symptoms and Tinnitus at Home?

Consider incorporating these self-care strategies into your daily routine:

1. Practice good posture to reduce strain on the jaw and neck
2. Avoid hard or chewy foods that may exacerbate jaw pain
3. Use heat or cold therapy to alleviate muscle tension
4. Perform gentle jaw exercises as recommended by a healthcare professional
5. Practice stress-reduction techniques such as meditation or deep breathing
6. Avoid excessive jaw movements, such as wide yawning or gum chewing
7. Use a night guard if you tend to clench or grind your teeth during sleep

By implementing these strategies alongside professional treatment, many patients find significant relief from their TMJ symptoms and associated tinnitus.

The Future of TMJ and Tinnitus Research

As our understanding of the connection between TMJ disorders and tinnitus continues to grow, researchers are exploring new avenues for diagnosis, treatment, and prevention. This ongoing research holds promise for improved outcomes for patients suffering from these conditions.

What Are Some Promising Areas of TMJ and Tinnitus Research?

Current and future research directions include:

• Advanced imaging techniques for more accurate diagnosis
• Genetic studies to identify predisposing factors for TMJ disorders
• Development of new, minimally invasive surgical techniques
• Exploration of regenerative medicine approaches for joint repair
• Investigation of the neurological connections between TMJ and tinnitus
• Advancements in custom orthotic design using 3D printing technology

As research progresses, patients can look forward to more targeted and effective treatments for TMJ-related tinnitus in the future.

When to Seek Professional Help for TMJ Symptoms and Tinnitus

Recognizing when to consult a healthcare professional about TMJ symptoms and tinnitus is crucial for timely intervention and effective treatment. While occasional jaw discomfort or brief episodes of ear ringing may not be cause for immediate concern, persistent or worsening symptoms warrant medical attention.

What Are the Signs That You Should See a Doctor for TMJ and Tinnitus?

Consider seeking professional help if you experience:

• Persistent jaw pain or tenderness lasting more than a few weeks
• Difficulty opening or closing your mouth fully
• Constant or frequently recurring tinnitus
• Headaches that don’t respond to over-the-counter pain relievers
• Noticeable changes in your bite or jaw alignment
• Pain that spreads to your face, neck, or shoulders
• Tinnitus accompanied by hearing loss or dizziness

Early intervention can often prevent the progression of TMJ disorders and associated tinnitus, leading to better outcomes and improved quality of life. Don’t hesitate to consult with a dentist specializing in TMJ disorders or an ear, nose, and throat (ENT) specialist if you’re experiencing concerning symptoms.

Remember, every individual’s experience with TMJ disorders and tinnitus is unique. What works for one person may not be as effective for another. By working closely with healthcare professionals and staying informed about the latest treatment options, you can develop a personalized approach to managing your symptoms and improving your overall well-being.

Is Your “Bad Bite” the Cause of Your Ear Ringing and Pain?

Your tinnitus is possibly a symptom of a larger problem – namely, TMJ Disorder. But the reality is that even this disorder is a symptom.

The cause of TMJ issues is misalignment of the teeth. Misalignment puts the bones, muscles, joints, and tendons of the head and neck out of alignment as well.

This causes a lot of strain on the muscles, including those of the ear. The ear muscles – the tensor tympani and tensor levi palatine – react to facial muscle tension. The reason for this is because they are both connected to the trigeminal nerve.

The result: ear pain and ringing.

Jaw pain can contribute to problems throughout the body

If you thought TMJ disorder only affects the head and neck – think again.

It affects the entire body.

If you think about it, the way our body is connected from our head to our toes is a beautiful thing. It allows for harmony and fluidity of movement. But the slightest imbalance in your jaws can result in tinnitus, headaches, dizziness, nausea, and jaw pain.

We Believe… Every Patient Deserves to Find Relief – What a TMJ Dentist Can Do For You

If you experience TMJ tinnitus, jaw pain, migraines, or clicking and popping of your jaw joint, you need to come to my office.

woman with ear ringingWithout jaw joint and tinnitus treatment, your symptoms are likely to get worse down the road. As your symptoms progress, the ringing and ear pain can get more intense. What is now an occasional ear ringing and headache can easily turn into being in constant pain down the road.

It is vital to get the treatment you need to get relief from your symptoms of today, as well as the issues that could arise tomorrow.

One of the common causes of TMJ disorder and tinnitus is a misaligned bite. I have multiple ways of helping you find relief.

• Orthodontics – This is the ultimate TMJ Disorder treatment. If your bite is to blame, we need to fix it. And that is what braces will help us to do.
• TENS Machine – Tight muscles can be a major source of jaw pain. This is a gentle electronic stimulation of the jaw muscles that assists them in releasing and relaxing more fully.
• Custom-Fit Orthotic – This device aligns the jaw so that it’s in a position that’s natural and comfortable. We use a K7 mapping tool to analyze your jaw, which helps us to properly design the orthotic.
• Another solution for more severe TMJ pain is a full mouth reconstruction – where we rebuild and reshape the teeth to allow for a better bite, relieving the muscles and joints in the area.

I’ve worked with multiple patients who experience painful symptoms and continue to educate myself to help them. My goal is to always stay current with treatment techniques and technology. Doing so provides me with some amazing tools that help me provide symptom relief to my patients.

I’ve worked with multiple patients who experience painful symptoms and continue to educate myself to help them. My goal is to always stay current with treatment techniques and technology. Doing so provides me with some amazing tools that help me provide symptom relief to my patients.

Don’t Put Tinnitus Treatment Off Any Longer

You may think that ear ringing or occasional ear pain is just a simple annoyance. But that’s really not true – not if you look at your symptoms as part of a bigger concern that’s happening to your body…

TMJ patients with ringing in their ears often experience pain of one sort or another. They may have earaches, migraines, or shoulder tension. And none of that falls under the category of “simply annoying.”

These symptoms of TMJ disorder can affect your daily life. Even if you don’t have any painful symptoms now, that doesn’t mean you won’t get them in the future.

Save yourself a lot of pain and frustration by getting treatment from my Mount Prospect dentist office. We’ll create a TMJ treatment plan that will provide you with relief and prevent further damage down the road.

Do you think you might have TMJ Disorder? Here at the Meyer Dental Group we believe that TMJ sufferers should get a proper diagnosis from their a dentist. Book a TMJ consultation or fill out my free TMJ Pain Questionnaire. You’ll get a response with my recommendations for treatment and relief.

Dr. Tom Meyer DDS – TMJ Chicago dentist, dentist Mount Prospect

TMJ Disorders and Tinnitus: Relationship and Treatment

Tinnitus (ringing in the ears) is largely associated with age- or noise-related hearing loss. Mounting evidence has found that, in a smaller number of cases, temporomandibular joint (TMJ) disorders may be a root cause of tinnitus instead of hearing loss.

People with subjective tinnitus hear disquieting sounds, such as ringing, buzzing, and humming, that are imperceptible to others. This condition becomes more common as people age and begin to lose their hearing.

In contrast, tinnitus associated with TMJ disorders typically affects a younger demographic. It’s also more common in people who were assigned female at birth than those who were assigned male at birth.

In this article, we explore the connection between tinnitus and TMJ disorders. We also discuss potential treatments that may provide relief for both conditions.

TMJs connect your lower jaw (mandible) to your skull on both sides of your face. These joints are located directly in front of your ears. Your TMJs support the jaw muscles needed for eating, yawning, and speaking.

Causes of TMJ disorders

TMJ disorders are caused by inflammation or irritation of the ligaments and muscles surrounding the joints.

Potential causes include:

• grinding teeth during sleep (bruxism)
• arthritis in the jaw
• trauma to the head or neck
• malocclusion (having an overbite or underbite)
• dislocation of the TMJ disk

Symptoms of TMJ disorders

Symptoms of TMJ disorders include:

• clicking or popping sound in jaw
• pain in the jaw and ear
• headache
• difficulty opening your mouth
• jaws that lock in an open or closed position

A 2018 systematic review and meta-analysis of multiple studies found that the prevalence of tinnitus was higher in people with TMJ disorders than in people without TMJ disorders. This may be due to the proximity of the inner ear to the TMJ.

A part in the inner ear called the cochlea transforms sound waves into electrical impulses that the brain translates into recognizable sounds. Damage to the hair cells in the cochlea is a catalyst for tinnitus.

Because the cochlea is located next to the temporomandibular joint, irritation and inflammation in the joint may damage the cochlea and other parts of the inner ear. This may cause subjective tinnitus.

Subjective vs objective tinnitus

Subjective tinnitus is the most common form of tinnitus. Noises are heard only by a person with tinnitus and are not generated by an exterior sound source.

Objective tinnitus is a rarer form of tinnitus. The sounds are typically caused by internal circulatory functions (blood flow) or defects in the structures of the ear. The sounds may be loud enough to be heard by another person.

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A 2019 research study found that TMJ and tinnitus often occur together in people who were assigned female at birth and who are younger than the average tinnitus patient.

Tinnitus in this group tends to be severe and accompanied by pain, pressure, and high levels of stress.

Accompanying symptoms include:

• dizziness
• headache
• vertigo
• neck pain
• poor quality of life

Tinnitus related to TMJ disorders is sometimes referred to as a type of somatic tinnitus. Somatic tinnitus is defined as tinnitus that’s caused by a musculoskeletal problem.

Researchers involved in a 2019 study noted that people with tinnitus and TMJ disorders might make up a specific tinnitus subtype. Their reasoning was based on this group’s responsiveness to specific treatments.

A 2012 study noted that people with tinnitus and TMJ disorders were able to reduce tinnitus symptoms through movements of the head and jaw. Music and sound stimulation also had a beneficial effect.

Research data from as far back as 1997 found that treating TMJ disorders helps alleviate tinnitus in people with both conditions. However, recent studies suggest more research is needed to confirm this connection.

Even so, the American Tinnitus Association is in favor of treating TMJ disorders to alleviate tinnitus that’s caused by problems with the joint.

Possible treatments for TMJ disorders

There are several types of treatments for TMJ disorders that may help alleviate both tinnitus and jaw pain. These include:

• medications, such as muscle relaxants and antidepressants
• a soft food diet
• dental treatments, including bite realignment
• mouth guards to prevent tooth grinding
• oral splints to realign the eardrum
• physical therapy to stretch and strengthen jaw muscles
• corticosteroid injections into the joint
• minimally invasive surgical procedures, such as arthrocentesis
• open joint surgery (arthrotomy)

TMJ disorders and tinnitus are challenging conditions that can negatively affect your quality of life. Whether you have TMJ disorders or symptoms of tinnitus in one or both ears, talk with a doctor. This is especially important if you’re having difficulty keeping up with daily activities, or if you feel anxious or depressed.

Treatments exist for both tinnitus and TMJ disorders.

TMJ disorders are often treated by a dental professional. Talk with your current healthcare professional about the type of specialist who’s best suited to treat your symptoms.

Research suggests TMJ disorders are a cause of tinnitus in some instances. People who have both conditions tend to be younger than the average tinnitus patient.

People assigned female at birth also seem to be more affected by TMJ disorders and accompanying tinnitus than people assigned male at birth.

When tinnitus is caused by TMJ disorders, treatments specific to this cause may help alleviate symptoms.

Talk with your doctor or dentist about potential treatments and which may be best suited for you.

Temporomandibular Joint and Tinnitus – Tinnitus Neuro-Tinnitus Treatment

17
Apr
2019

17 Apr 2019 News, Causes of subjective tinnitus ah, in evidence not needs. The same goes for neck problems. Tinnitus is often caused by injuries to the jaw and neck, which we successfully ignore in our youth. But then, when talking, chewing, turning and tilting the head begin to cause tinnitus, many seek medical help. And they do exactly the right thing. Modern medicine has many opportunities to save such patients from annoying and annoying tinnitus.

Contents of the article:

• 1 Features of the TMJ
• 2 How does the pathology of the TMJ manifest itself?
  • 2.1 Diagnosis: where and by whom?
• 3 How to treat?
• 4 Neck problems and tinnitus

TMJ features

The temporomandibular joint is a complex articulation that allows the jaw to move not only up and down, but also sideways. In addition, it is controlled by the most powerful muscles of the human body – chewing.

Problems with it can be different:

1. dislocation of the fibrous disc inside the articular cavity;
2. injury of articular surfaces;
3. excessive muscular effort applied to the jaw;
4. arthritis, as a manifestation of systemic pathology and arthrosis, as a result of wear and tear of the joint;
5. infectious processes spreading to the TMJ from the ENT organs, the mastoid process.

How does TMJ pathology manifest itself?

Typical symptoms for the problems listed above are pain when opening the mouth and tinnitus. The reason for the first is clear: swelling of the capsule, friction of the articular heads. As for tinnitus, things are a bit more complicated here.

First, the masticatory muscles are located next to the muscle fibers that control the structures of the middle ear. Therefore, the excessive tone of the masticatory muscles affects hearing, contributes to the appearance of tinnitus.

Secondly, in the pathology of the TMJ, small ligaments that go from the joint to the auditory ossicles of the middle ear may be involved in the process. Comments are superfluous.

Thirdly, the nerve centers that control the work of the temporomandibular joint are closely connected with the parts of the brain responsible for hearing and interpreting sounds. If one system suffers, then the function of the second is also impaired.

In addition, when a joint is dysfunctional, it starts making sounds on its own.

And quite characteristic: clicking with each opening and closing of the mouth, creaking, even grinding. Very annoying and stressful condition.

Diagnostics: where and who?

For most patients, it is enough to see a dentist. But it is also worth preparing for instrumental additional examination: X-ray, CT, and sometimes MRI.

In modern conditions, it is even possible to do arthroscopy: to examine the state of the temporomandibular joint with the help of a micro-camera inserted into its cavity.

How to treat?

In many cases, TMJ problems are helped by simple recommendations:

• switch to a soft food diet;
• relaxation exercises for chewing muscles;
• use of non-steroidal anti-inflammatory drugs;
• people with bruxism (teeth grinding at night) should have a special mouth guard fitted.

But sometimes, in order for the noise to finally subside, one has to resort to surgery and even prosthetics of individual structures of the joint.

Neck problems and tinnitus

The cervical spine is very vulnerable, especially in case of an accident. It is also prone to inflammation and osteochondrosis.
Regarding common diseases of the cervical region, we have a separate article on our website (opens in a new tab).

Read about the pathology of the cervical spine

Tinnitus associated with neck pathology is often accompanied by psycho-emotional disorders (depression), cognitive (poor memory, difficulty concentrating) and somatic (dizziness) disorders.

Naturally, in order to help such patients get rid of tinnitus, it is necessary to establish the source of the problem as accurately as possible, for which the entire arsenal of techniques (X-ray, CT, MRI) is used. And only after a complete examination, it is possible to draw up an algorithm for the treatment of a particular patient.

The Tinnitus Neuro clinic has everything you need for professional assistance to people with cervicogenic tinnitus: call us 8-495-374-92-03 or contact us through the website.

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Indications for intra-articular (temporomandibular joint) steroids for tinnitus

Indications for intra-articular (temporomandibular joint) steroids for tinnitus

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Indications for intra-articular (in the temporomandibular joint) administration of steroids for tinnitus

Journal:

Bulletin of otorhinolaryngology.

2019;84(6): 138‑138

How to quote:

Indications for intra-articular (in the temporomandibular joint) administration of steroids for tinnitus. Bulletin of otorhinolaryngology.
2019;84(6):138-138.
Temporomandibular steroids in patients with tinnitus: only on indication. Vestnik Oto-Rino-Laringologii. 2019;84(6):138-138. (In Russ.)

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K. Henk, K. Mark

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Patients with tinnitus of undetermined cause may have temporomandibular joint (TMJ) dysfunction, one treatment for which is intra-articular steroids. The aim of this study was to determine the efficacy of temporomandibular joint steroid administration for the treatment of patients with tinnitus and to more specifically determine the indications for this therapy. We analyzed 70 case histories of patients who came to the clinic from October 2016 to October 2018 for consultations about tinnitus lasting more than 1 month. They were treated with steroid injections into the temporomandibular joint. The data of complaints and anamnesis of patients, radiographs of the cervical spine and audiograms were evaluated. Dynamic monitoring of the effectiveness of therapy was carried out by an independent observer using a telephone survey. Reduction in tinnitus during the 7-week follow-up was achieved in 20% of patients receiving intra-articular injections. After 18 months, this positive effect was observed in 50% of patients. Of the side effects from intra-articular injections after 7 weeks of observation, an increase in the intensity of tinnitus was noted in 11% of patients and general side effects from the use of steroids in 3% of patients. In patients with ANS disorders, unilateral tinnitus was identified in combination with pain in the neck. In 53% of patients with unilateral tinnitus in combination with neck pain, after 7 weeks of treatment with intra-articular injections, a decrease in the intensity of tinnitus was noted, and in 40% of them, the intensity of the noise decreased by more than half. An increase in the intensity of tinnitus as a side effect was observed in 7% of patients in this group.