Pain dysfunction of the temporomandibular join associated to otic symptomatology. Faustino Pérez Hernández University's Hospital. Matanzas. January 2007-January 2008

Abstract

Temporomandibular joints are located before the ears and bond the jawbones with the crania base through ligaments and muscles; they also integrate the oclusal surfaces of the teeth; it makes hinging movements in anterior-posterior sense, containing a fiber-gristly disc to avoid frictions; whatever alteration in any of its parts may cause a pain dysfunction syndrome, manifested in the person as myofacial pain, cephalea, earache or auditive symptoms. Describing the relation between otic symptomatology and temporomandibular dysfunction. We studied 123 patients, with referred otic symptoms, remitted to the orthodontic consultation with negative diagnosis of otolaryngologic disease. For the clinical examination we used the Krogh Paulsen Test to diagnose dysfunction. 115 patients presented temporomandibular join dysfunction with 93,5 % and as subjective symptoms, myofacial pain, cephalea and otalgia were considered the most significant. Stress was a risk fact presented by 91,1 %, followed by oclusal problems. We stated that there is a relation between the temporomandibular disturbances and otic symptomatology, being women the ones who tended to suffer the disease more frequently.