{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:35:20Z","timestamp":1785418520642,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Ear symptoms coincident with TMD symptoms have been noticed for a long time. The aim was to investigate the relationship between reported ear symptoms in TMD patients and different TMD symptoms, dental occlusion, oral parafunction and habits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Consecutive patients, \u226518\u2009years of age and referred to a specialist clinic for orofacial pain and dysfunction during a three\u2010month period, were considered for the study. Patients with poor general or psychiatric health were excluded. One hundred thirty\u2010two patients were included and studied with regard to reported ear symptoms in relation to clinical dysfunction, occlusion, habits and subjective rating of their symptoms. A clinical examination was performed according to RDC\/TMD and extended with occlusal factors, parafunctions and habits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ear symptoms were reported by 72% of the TMD patients, with ear fullness in 49% as the most frequent symptom. The patients with ear symptoms were significantly older and proportionally more often females. Ear symptoms were significantly correlated to the subjective index, to myalgia (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.003), decreased opening capacity (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.01), TMJ pain (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.02), parafunctions (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.007), and some occlusal factor (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.018\u20130.003). Muscle pain on palpation was significantly associated with ear fullness, and changed hearing and sensitivity to sound, on the same side (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ear symptoms are frequently reported by TMD patients. Concomitant ear symptoms are associated with oral parafunction and muscle pain on palpation on the same side as the ear symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.457","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T19:39:16Z","timestamp":1622576356000},"page":"1167-1174","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Ear symptoms in patients with orofacial pain and dysfunction \u2010 An explorative study on different <scp>TMD<\/scp> symptoms, occlusion and habits"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4406-9216","authenticated-orcid":false,"given":"Christina","family":"Mejersj\u00f6","sequence":"first","affiliation":[{"name":"Clinic of Orofacial Pain Sahlgrenska Academy at the University of Gothenburg and the Public Dental Health Service  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-2477","authenticated-orcid":false,"given":"Nina","family":"Pauli","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Institute of Clinical Sciences Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2014.04.032"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-58"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2003.11746232"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800912"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(00)70084-9"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016359309040581"},{"key":"e_1_2_10_8_1","first-page":"129","volume-title":"Orofacial pain: Guidelines for assessment, diagnosis, and management","author":"Leeuw R.","year":"2013"},{"key":"e_1_2_10_9_1","first-page":"230","volume-title":"Orofacial pain: Guidelines for assessment, diagnosis, and management","author":"Leeuw R.","year":"2013"},{"key":"e_1_2_10_10_1","first-page":"10","volume-title":"Orofacial pain: Guidelines for assessment, diagnosis, and management","author":"Leeuw R.","year":"2013"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1808-8694(15)30566-8"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(98)00089-X"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880110076015"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12718"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.12.043"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(96)90421-7"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/000163502760148034"},{"key":"e_1_2_10_18_1","first-page":"226","article-title":"Characteristics of subjects with secondary otalgia","volume":"18","author":"Kuttila S.","year":"2004","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_10_19_1","first-page":"146","article-title":"Aural symptoms in temporomandibular disorder patients attending a craniofacial pain unit","volume":"15","author":"Lam D.","year":"2001","journal-title":"Journal of Orofacial Pain"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.755"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.905510"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2017.07.010"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.1995.tb01048.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12531"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2010.06.007"},{"key":"e_1_2_10_26_1","first-page":"13","article-title":"Aural symptoms in patients referred for temporomandibular pain\/dysfunction","volume":"40","author":"Mejersj\u00f6 C.","year":"2016","journal-title":"Swedish Dental Journal"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6401293"},{"key":"e_1_2_10_28_1","first-page":"73","volume-title":"Management of temporomandibular disorders and occlusion","author":"Okeson J. 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