The Influence of Degrees of Severity of Temporomandibular Dysfunction on Report of Vestibular Symptoms - A Cross-Sectional Study

J Man Manip Ther. 2023 Feb;31(1):32-37. doi: 10.1080/10669817.2022.2064084. Epub 2022 Apr 18.

Abstract

Introduction: Due to the anatomical proximity and functional connection, vestibular symptoms (VS) are common in temporomandibular disorders (TMD). However, it is not known whether the degree of severity of TMD affect the report of associated vestibular symptoms.

Objective: To evaluate associations of demographic, clinical and functional factors, as well as report of VS, with the severity of TMD.

Method: Cross-sectional study carried out at a higher education institution in Salvador, Bahia, Brazil. After approval by the Ethics Committee of Hospital Santo Antônio (CAAE 81517317.2.0000.0047), the collection team applied the Dizziness Handicap Inventory (DHI), the Fonseca Anamnestic Questionnaire (QAF) and the Research Diagnostic Criteria for Temporomandibular Disorders axis II questions (RDC/TMD) in employees, teachers and students. Statistical tests of association with the Chi-square, t test for independent samples and ANOVA (alpha 5% and 80% power) were performed.

Results: The sample of 623 participants identified 333 (63.7%) people with TMD and 418 (79.9%) with VS. Females were associated with both temporomandibular dysfunction and vestibular symptoms. The degree of severity of the TMD showed a strong correlation with VS (p < 0.001).

Conclusion: In the studied sample, it was observed that the greater the degree of severity of the TMD, the greater the VS, which confirms the need to evaluate both systems in symptomatic patients for each of the clinical conditions.

Keywords: Vestibulopathies; dizziness; prevalence; temporomandibular disorders.

MeSH terms

  • Cross-Sectional Studies
  • Dizziness / complications
  • Female
  • Humans
  • Students
  • Temporomandibular Joint Disorders*
  • Vertigo / complications

Grants and funding

The author(s) reported there is no funding associated with the work featured in this article.