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Oral splint therapy in patients with Menière's disease and temporomandibular disorder: A long-term, controlled study

Bernkopf, Edoardo; Capriotti, Vincenzo; Bernkopf, Giulia; Cancellieri, Emilia; D’Alessandro, Andrea; Marcuzzo, Alberto Vito; Gentili, Caterina; De Vincentiis, Giovanni Carlo; Tirelli, Giancarlo

Oral splint therapy in patients with Menière's disease and temporomandibular disorder: A long-term, controlled study Thumbnail


Authors

Edoardo Bernkopf

Vincenzo Capriotti

Giulia Bernkopf

Emilia Cancellieri

Andrea D’Alessandro

Alberto Vito Marcuzzo

Caterina Gentili

Giovanni Carlo De Vincentiis

Giancarlo Tirelli



Abstract

Purpose: To assess the effect of oral splint therapy on audio-vestibular symptoms in patients with Menière’s disease (MD) and temporomandibular disorder (TMD). Methods: Retrospective case–control study. Treatment group: 37 patients with MD and TMD who received gnatological treatment. Control group: 26 patients with MD and TMD who had never received gnatological treatment. The number of vertigo spells in 6months (primary endpoint), pure-tone audiometry average (PTA), MD stage, functional level, Dizziness handicap Index (DHI), Tinnitus handicap Index (THI) and Aural Fullness Scale (AFS) were compared at baseline and after 24months according to groups. Analysis of Covariance was used to determine the treatment effect. Results: Groups were comparable for demographic, clinical data, baseline PTAs and the number of vertigo spells. Analysis of covariance showed a significant effect of gnathological treatment on number of vertigo spells (ηp2 = 0.258, p < 0.001), PTA (ηp2 = 0.201, p < 0.001), MD stage (ηp2 = 0.224, p < 0.001), functional level (ηp2 = 0.424, p < 0.001), DHI (ηp2 = 0.421, p < 0.001), THI (ηp2 = 0.183, p < 0.001), but not for AFS (ηp2 = 0.005, p = 0.582). The treatment group showed vertigo control of class A in 86.5% and class B in 13.5% of patients. In the control group, vertigo control was of class A in 19.2% of patients and class B in 11.5%, class C in 30.8%, class D in 11.5%, class E in 19.2% and class F in 7.7%. Classes of vertigo control differed significantly (X2 test, p < 0.001). Conclusions: Oral splint therapy could represent a viable treatment in patients with TMD and uncontrolled MD disease. The effects are maintained at least after 2years.

Citation

Bernkopf, E., Capriotti, V., Bernkopf, G., Cancellieri, E., D’Alessandro, A., Marcuzzo, A. V., …Tirelli, G. (2023). Oral splint therapy in patients with Menière's disease and temporomandibular disorder: A long-term, controlled study. European Archives of Oto-Rhino-Laryngology, 280, 1169–1182. https://doi.org/10.1007/s00405-022-07604-3

Journal Article Type Article
Acceptance Date Aug 8, 2022
Online Publication Date Aug 26, 2022
Publication Date Mar 31, 2023
Deposit Date Sep 23, 2022
Publicly Available Date Mar 29, 2024
Journal European Archives of Oto-Rhino-Laryngology
Print ISSN 0937-4477
Electronic ISSN 1434-4726
Publisher Springer (part of Springer Nature)
Peer Reviewed Peer Reviewed
Volume 280
Pages 1169–1182
DOI https://doi.org/10.1007/s00405-022-07604-3
Keywords Temporomandibular disorders, Temporomandibular joint dysfunction syndrome, Vertigo, Meniere disease, Temporomandibular joint
Public URL https://uwe-repository.worktribe.com/output/9961011
Publisher URL https://link.springer.com/article/10.1007/s00405-022-07604-3

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Copyright Statement
This is the author’s accepted manuscript of their article 'Bernkopf, E., Capriotti, V., Bernkopf, G., Cancellieri, E., D’Alessandro, A., Marcuzzo, A. V., …Tirelli, G. (2023). Oral splint therapy in patients with Menière's disease and temporomandibular disorder: A long-term, controlled study. European Archives of Oto-Rhino-Laryngology, 280, 1169–1182. https://doi.org/10.1007/s00405-022-07604-3.

The final published version is available here: https://link.springer.com/article/10.1007/s00405-022-07604-3




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