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