SUMMARY Objective. This retrospective study aimed to verify the outcomes of stabilising occlusal splint therapy prescribed to 22 patients with unilateral definite Ménière’s disease and comorbid temporomandibular joint disorder. Methods. The results of a battery of audiometric and vestibular tests were recorded before and after 6 months of treatment, as well as the scores of disease-specific questionnaires. Results. The average hearing threshold in the affected ear and the acoustic immittance were unchanged. No spontaneous and positional nystagmus were recorded. Caloric hyporesponsiveness and vestibular myogenic evoked responses did not vary. No changes of stabilometric body sway parameters in eyes opened condition and with optokinetic stimulation delivered to the unaffected labyrinth were observed. A significant reduction was recorded in eyes closed condition and with the optokinetic stimulation toward the affected ear. The Tinnitus Handicap Inventory, the Situational Vertigo Questionnaire and the Numeric Pain Rating Scale scores improved. The number of vertigo attacks was reduced. Conclusions. Occlusal splint therapy is a favourable option to reduce aural symptoms of Ménière’s disease and comorbid temporomandibular joint disorder, even if its pathophysiological mechanism remains elusive.

Occlusal splint therapy in patients with Ménière’s disease and temporomandibular joint disorder / Monzani, D.; Baraldi, C.; Apa, E.; Alicandri Ciufelli, M.; Bertoldi, C.; Roggla, E.; Guerzoni, S.; Marchioni, D.; Pani, L.. - In: ACTA OTORHINOLARYNGOLOGICA ITALICA. - ISSN 0392-100X. - 42:1(2022), pp. 89-96. [10.14639/0392-100X-N1641]

Occlusal splint therapy in patients with Ménière’s disease and temporomandibular joint disorder

Baraldi C.;Apa E.;Alicandri Ciufelli M.;Bertoldi C.;Guerzoni S.;Marchioni D.;Pani L.
2022

Abstract

SUMMARY Objective. This retrospective study aimed to verify the outcomes of stabilising occlusal splint therapy prescribed to 22 patients with unilateral definite Ménière’s disease and comorbid temporomandibular joint disorder. Methods. The results of a battery of audiometric and vestibular tests were recorded before and after 6 months of treatment, as well as the scores of disease-specific questionnaires. Results. The average hearing threshold in the affected ear and the acoustic immittance were unchanged. No spontaneous and positional nystagmus were recorded. Caloric hyporesponsiveness and vestibular myogenic evoked responses did not vary. No changes of stabilometric body sway parameters in eyes opened condition and with optokinetic stimulation delivered to the unaffected labyrinth were observed. A significant reduction was recorded in eyes closed condition and with the optokinetic stimulation toward the affected ear. The Tinnitus Handicap Inventory, the Situational Vertigo Questionnaire and the Numeric Pain Rating Scale scores improved. The number of vertigo attacks was reduced. Conclusions. Occlusal splint therapy is a favourable option to reduce aural symptoms of Ménière’s disease and comorbid temporomandibular joint disorder, even if its pathophysiological mechanism remains elusive.
42
1
89
96
Occlusal splint therapy in patients with Ménière’s disease and temporomandibular joint disorder / Monzani, D.; Baraldi, C.; Apa, E.; Alicandri Ciufelli, M.; Bertoldi, C.; Roggla, E.; Guerzoni, S.; Marchioni, D.; Pani, L.. - In: ACTA OTORHINOLARYNGOLOGICA ITALICA. - ISSN 0392-100X. - 42:1(2022), pp. 89-96. [10.14639/0392-100X-N1641]
Monzani, D.; Baraldi, C.; Apa, E.; Alicandri Ciufelli, M.; Bertoldi, C.; Roggla, E.; Guerzoni, S.; Marchioni, D.; Pani, L.
File in questo prodotto:
File Dimensione Formato  
1641-Article Text-17163-2-10-20220307.pdf

accesso aperto

Tipologia: Versione dell'editore (versione pubblicata)
Dimensione 193.73 kB
Formato Adobe PDF
193.73 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1270317
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 1
social impact