TMD treatment, based on state of the art knowledge derived from clinical studies will be applied in patients with tinnitus and TMD. When this approach proves to be useful for the treatment of tinnitus, it offers a new therapeutic option for patients with tinnitus. To understand how TMD treatment works for patients with tinnitus, we will analyse mediating factors, i.e. factors that contribute to the therapeutic effect. To help clinicians in their clinical process we will identify prognostic indicators, i.e. factors that predict a positive or negative outcome of TMD treatment. This can provide a helpful tool in clinical practice.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
The patient will receive the most appropriate TMD treatment, based on current literature.
Universitair ziekenhuis Antwerpen
Edegem, Antwerpen, Belgium
Tinnitus Questionnaire
Questionnaire to measure the change in tinnitus related distress
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Tinnitus Functional Index
Questionnaire to measure the change in tinnitus severity
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Hyperacusis Questionnaire
Questionnaire to measure the presence of hyperacusis
Time frame: Baseline
Visual analogue scale for tinnitus loudness
Scale to measure the change in average tinnitus loudness
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
TMD pain screener
Questionnaire to assess the presence of and change in temporomandibular disorders(TMD) symptoms
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Hospital anxiety and depression scale
Questionnaire to measure the presence of anxiety and/or depression
Time frame: Baseline
Specific anamnestic questions
pre-defined list of questions on duration of the tinnitus complaints, modulation, bruxism,...
Time frame: Baseline
Static investigation of the temporomandibular joint
evaluation of change in isometric contraction of jaw muscles
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Dynamic investigation of the temporomandibular joint
evaluation of change in isotonic contraction of jaw muscles
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Pain pressure threshold
measurement of change in pain pressure thresholds on masseter, temporalis, temporomandibular joint, sternocleidomastoideus, tibialis anterior
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Mouth opening
change in mouth opening measured in cm with a ruler
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Pain on palpation of masseter, temporalis and temporomandibular joint
change in recognisable pain on palpation, measured on numerical rating scale
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Tinnitus Analysis
analysis of the tinnitus type, pitch and loudness
Time frame: Baseline
Speech in noise test
analysis of the change in understanding spoken words in a noisy situation
Time frame: Baseline, 9 weeks, 18 weeks, 27 weeks
Pure tone audiometry
evaluation of possible hearing problems
Time frame: Baseline
Auditory evoked potentials measurement
change in EEG during listening tasks
Time frame: Baseline, 18 weeks
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