title: Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic review.
abstract: The most common temporomandibular disorders (TMD) signs and symptoms are related to muscle sensitivity through palpation, restricted mouth opening, asymmetric mandibular movements, joint sounds, pain and otologic signs and symptoms. To date, counselling, occlusal splints, exercises, biofeedback and acupuncture are examples of conservative modalities proposed for TMD therapy. The aim of this systematic review was to investigate the effect of these conservative therapies for TMD on otologic signs and symptoms. The authors searched the following electronic databases published up to 1st May 2015: PubMed, LILACS, Scopus, Web of Science and Science Direct with no time or language limitations. Using a two-phase selection process, the authors identified 08 articles and used them to conduct a qualitative analysis. Methodological quality of each article was performed with the aid of 'Quality Assessment of a Cohort Study' and 'Quality Assessment of a Randomized Clinical Trial', developed by the Dutch Cochrane Centre, a centre of the Cochrane Collaboration. This systematic review showed in seven of the eight studies included that a total or partial resolution of otologic complains occurred after counselling, exercise therapies and occlusal splint therapy. Upon the limitations of the studies included in this systematic review, the present outcomes suggested that there is insufficient evidence in favour or against the conservative therapies for TMD on changes in otologic signs and symptoms. Thus, further studies with a higher level of evidence and more representative samples should be conducted to better understand the relationship of TMD therapy changes on otologic complains.
authors.affiliation: Post-graduate program in Communication Disorders, Curitiba, Brazil.
authors.forename: J
authors.initials: J
authors.lastname: Stechman-Neto
authors.affiliation: Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
authors.forename: A L
authors.initials: AL
authors.lastname: Porporatti
authors.affiliation: Department of Speech-language Therapy and Pathology, Federal University of Santa Catarina, Florianópolis, Brazil.
authors.forename: I
authors.initials: I
authors.lastname: Porto de Toledo
authors.affiliation: Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.|Section of Clinical Oral Physiology, Department of Dentistry, Aarhus University, Aarhus, Denmark.
authors.forename: Y M
authors.initials: YM
authors.lastname: Costa
authors.affiliation: Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
authors.forename: P C R
authors.initials: PC
authors.lastname: Conti
authors.affiliation: Brazilian Centre for Evidence-based Research, Department of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil.|School of Dentistry, Faculty of Medicine and Dentistry University of Alberta, Edmonton, AB, Canada.
authors.forename: G
authors.initials: G
authors.lastname: De Luca Canto
authors.affiliation: Brazilian Centre for Evidence-based Research, Department of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil.
authors.forename: L A
authors.initials: LA
authors.lastname: Mezzomo
mesh_terms: D003376:Counseling / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D005157:Facial Pain / Q000209:etiology / Q000534:rehabilitation* / Q000628:therapy; D006801:Humans; D017090:Occlusal Splints / Q000706:statistics & numerical data*; D010147:Pain Measurement; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000534:rehabilitation* / Q000628:therapy*; D016896:Treatment Outcome
keywords: conservative treatment; otologic signs and symptoms; systematic review; temporoman-dibular disorders