Kim Y H, Park Y G, Han K D, Vu D, Cho K H, Lee S Y
Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Oral Rehabil. 2018 Mar;45(3):198-203. doi: 10.1111/joor.12604. Epub 2018 Jan 21.
Some studies have reported that temporomandibular joint disorder (TMD) is related to tinnitus. However, there is no study of the relationship and prevalence of dental pain and tinnitus. We evaluated the associations between the prevalence of tinnitus and TMD and dental pain by analysing the Korean national health survey. We analysed totally 11 745 participants. The presence of tinnitus, TMD symptoms and dental pain was surveyed by self-assessment questionnaires from all the participants. Multivariable regression analysis was applied to acquire odds ratios (OR) and 95% confidence intervals (CI). The prevalence of tinnitus was higher in the subjects with dental pain (21.1%), TMD (22.5%) and both symptoms (31.2%) than subjects without those symptoms (19.6%). After adjusting for all covariates, subjects with TMD had tinnitus 1.6 times more than subjects without TMD. In the subanalysis, age group more than 65 years, women, and obese subjects had tinnitus more than men, age group <65, and non-obese subjects, respectively. TMD alone and both dental pain and TMD were associated with tinnitus (OR = 1.389 and 95% CI 1.054-1.832 and 2.206 and 1.637-2.974, respectively). Subjects with TMD had more tinnitus than subjects without TMD. Moreover, subjects with dental pain in addition to TMD had increased prevalence of tinnitus than TMD alone.
一些研究报告称，颞下颌关节紊乱症（TMD）与耳鸣有关。然而，尚无关于牙痛与耳鸣之间关系及患病率的研究。我们通过分析韩国全国健康调查来评估耳鸣患病率与TMD及牙痛之间的关联。我们总共分析了11745名参与者。通过所有参与者的自我评估问卷来调查耳鸣、TMD症状和牙痛的存在情况。应用多变量回归分析来获取比值比（OR）和95%置信区间（CI）。有牙痛（21.1%）、TMD（22.5%）以及两种症状都有的受试者（31.2%）的耳鸣患病率高于无这些症状的受试者（19.6%）。在对所有协变量进行调整后，患有TMD的受试者出现耳鸣的几率是未患TMD受试者的1.6倍。在亚组分析中，65岁以上年龄组、女性和肥胖受试者出现耳鸣的几率分别高于男性、65岁以下年龄组和非肥胖受试者。单独的TMD以及牙痛和TMD都与耳鸣有关（OR分别为1.389，95%CI为1.054 - 1.832；以及2.206，95%CI为1.637 - 2.974）。患有TMD的受试者比未患TMD的受试者耳鸣更多。此外，除TMD外还伴有牙痛的受试者耳鸣患病率比仅患有TMD的受试者更高。
