Is there an association between otologic symptoms and temporomandibular disorders? An evidence-based review

María F. Hernández-Nuño de la Rosa, David A. Keith, Noah S. Siegel, Isabel Moreno-Hay

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: The aim of this article is to discuss the scientific evidence available on the pathophysiology and management of otologic complaints in patients with temporomandibular disorders (TMDs). Types of Studies Reviewed: The authors conducted an electronic search in MEDLINE, Web of Science and ScienceDirect and retrieved all the relevant peer-reviewed journal articles available in English on the topic. No time restriction was applied. Results: No consensus exists on the management of otologic symptoms in patients with concomitant TMD. The scientific evidence suggests that conservative or reversible TMD therapy might provide relief. However, this evidence is scarce and low, thus further studies with larger sample sizes and better designed methodological frameworks are needed. Until such evidence is available, dentists and orofacial pain specialists should treat TMD patients using current guidelines and refer those with otologic symptoms to an otolaryngologist. Practical Implications: Given the wide range of potential pathophysiologies and treatments for each otologic symptom described in the TMD patient, close collaboration with otolaryngologists is essential to achieve the best patient care.

Original languageEnglish
Pages (from-to)1096-1103
Number of pages8
JournalJournal of the American Dental Association
Issue number11
StatePublished - Nov 2022

Bibliographical note

Publisher Copyright:
© 2022 American Dental Association


  • Temporomandibular disorders
  • ear fullness
  • hearing loss
  • otalgia
  • otologic symptoms
  • pruritus
  • tinnitus
  • vertigo

ASJC Scopus subject areas

  • Dentistry (all)


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