+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Management of tinnitus and jaw-muscle tenderness using an intraoral appliance and acupuncture



Management of tinnitus and jaw-muscle tenderness using an intraoral appliance and acupuncture



Swedish Dental Journal 37(3): 105-110



Associations between signs and symptoms from the masticatory system and tinnitus have been reported.The aim of the study was to evaluate the effect of intraoral splint therapy and acupuncture on jaw-muscle tenderness and tinnitus. The study comprised 45 patients (24 men, 21 women; mean age 48 +/- 12 years) with long-standing tinnitus (duration 6.5 +/- 5.9 years).The patients were referred from the audiology department at the University hospital in Orebro, Sweden, where a complete audiological survey was performed. Jaw muscles were palpated and the subjective tinnitus evaluated on a 100 mm scale (VAS) at baseline and after one year. All patients received stabilization (Michigan type) splints at start of treatment. After 6 months, nonresponders (n=25) were subjected to acupuncture (6 sessions with duration of 30 minutes). Standard statistical methods were used. All patients had tender jaw muscles at palpation. Patients reported a significant decrease of the intensity of tinnitus during the observation period (from 78 +/- 20 mm to 52 +/- 24 mm after one year; P < 0.001). Only 6 (13%) of the 45 patients did not report any improvement of their tinnitus.The number of jaw muscles tender to palpation also decreased significantly from 7.9 +/- 5.9 to 4.6 +/- 5.3; (P<0.001). In conclusion, all 45 patients with tinnitus had tenderjaw muscles. Intraoral splint therapy and acupuncture had a favorable effect on tinnitus and the jaw muscle symptoms. One year after the start of treatment, all but 6 of the 45 patients reported improvement of their tinnitus. Based on the results it is suggested that many tinnitus patients with jaw muscle tenderness can benefit by a treatment including intraoral splint and acupuncture.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 054247658

Download citation: RISBibTeXText

PMID: 24341163


Related references

A 3-year study of patients with tinnitus and jaw muscle tenderness. Cranio 37(5): 304-309, 2019

Nursing management of the infant with an intraoral appliance. Journal of Obstetric Gynecologic and Neonatal Nursing 16(1): 23-25, 1987

Tinnitus and its relationship with muscle tenderness in patients with headache and facial pain. Journal of Laryngology and Otology 129(7): 638-643, 2015

An intraoral appliance for management of the protrusive premaxilla in bilateral cleft lip. Cleft Palate Journal 25(1): 53-57, 1988

Muscle tenderness in tension headache treated with acupuncture or physiotherapy. Cephalalgia 10(3): 131-142, 1990

Tenderness and acupuncture points in the masseter muscle: a correlation study. Journal of Craniomandibular Disorders 2(3): 133-136, 1988

Acupuncture for tinnitus management. Scandinavian Audiology 21(4): 245-251, 1992

Conservative management of keratocystic odontogenic tumour in a young child with decompression and an intraoral appliance: 5-year follow-up. Bmj Case Reports 2018:, 2018

Effects of intraoral appliance and biofeedback/stress management alone and in combination in treating pain and depression in patients with temporomandibular disorders. Journal of Prosthetic Dentistry 70(2): 158-164, 1993

Acupuncture in the management of tinnitus: A placebo-controlled study. Audiology 33(6): 351-360, 1994

Tinnitus school: an educational approach to tinnitus management based on a stress-reaction tinnitus model. International Tinnitus Journal 13(1): 63-68, 2007

Long-term effect of acupuncture for treatment of tinnitus: a randomized, patient- and assessor-blind, sham-acupuncture-controlled, pilot trial. Journal of Alternative and Complementary Medicine 18(7): 693-699, 2012

Meat Tenderness, Relation between Hydroxyproline of Alkali-Insoluble Protein and Tenderness of Bovine Muscle. Journal of Agricultural and Food Chemistry 7(12): 860-862, 1959

Study on meat tenderness. II. Comparison of muscle tenderness in young bulls and culled cows. Annales de Zootechnie 21(4): 575-578, 1972

Tenderness of beef.III. The muscle-fiber components of tenderness. Jour Food Sci 27(5): 483-488, 1962