Saudi Journal of Oral and Dental Research (SJODR)
Volume-5 | Issue-11 | 528-537
Original Research Article
Connotation of Otological Symptom in Tempro Mandibular Joint Disorder and Vise-Versa (Clinical Comparative Original Study)
Dr. Waleed MB Yahya Alsabea, Dr. Rawaa Younus Al-Rawee
Published : Nov. 13, 2020
Abstract
Many articles have highlighted the association between otological symptoms and TMJD. Anatomic, neurologic and emotional relationships considered the causative factors of symptom association. According to multiple published literatures otalgia can be common sign for TMJD subjects with tenderness and pain on mandibular condyle. Aims of study: The temporomandibular joint disorder may be accompanied by a series of otological symptoms such as otalgia, investigators aims here in this clinical study multiple points such as analyzing the prevalence of different symptoms of TMJD, else more to estimate the importance of cooperation between two different specialties these are maxillofacial and ENT specialties. To verify the frequency of otologic signs and symptoms with TMJ disorder and vice versa; specifying to which limit the therapeutic intervention on the articular pathology may influence the manifestations. Furthermore; authors targeting to detect the influence of proper diagnosis and selection of proper treatment plane. Emphasize the different correlation between the two specialties. Material and Method: One hundred participants are sharing in this research divided equally in to dual specialties origin, fifty patients attain private clinic of the maxillofacial surgeon and fifty participants attain private ear nose throat clinic. All of these patients are share to have temporomandibular joint disorders (TMJDS) and otological symptom (OS) but they attain different specialty. Result: One hundred patients shared in TMJDS and OS analyzed according to different age groups as well as gender difference. Descriptive analyses for cases in both specialties are cleared the highest incidences are highlighted. Thirty-one to forty forming the highest age group in both specialties (38%, 30%) consequently for maxillofacial and ENT patients. Most of the mutants are females (74%) equally for both branches. Comparison between patients attain maxillofacial clinic and patients attain ENT clinic are analyzed according to age and gender in respect to symptoms, investigations, site involved, question answer. Discussion: The management of patients with TMD is a challenge, and an approach that includes dentists and oto-rhino-laryngologists is necessary to rule out, for example, otological diseases. It is imperative to understand the need for interdisciplinary management between the doctor and the dental specialist in craniofacial pain. Also try for a conservative vision in the treatment of muscular tensions of these masticatory and auditory muscles. Specialists in a single discipline cannot always individually resolve the symptoms present in a patient, without the invaluable support of multidisciplinary management. Each specialty contributes in its specific knowledge to the differential diagnosis process that guides a correct treatment plan.