Probable Correlation between Temporomandibular Dysfunction and Vertigo in
               the Elderly

Marchiori, Luciana Lozza de Moraes; Oltramari-Navarro, Paula Vanessa Pedron; Meneses-Barrivieira, Caroline Luiz; Melo, Juliana Jandre; Macedo, Julya; Bruniera, Juliana Ribeiro Zuculin; Gorres, Vanessa Cristina; Navarro, Ricardo de Lima

doi:10.1055/s-0033-1358583

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Original Articles • Int Arch Otorhinolaryngol 18 (01) • Jan 2014 • https://doi.org/10.1055/s-0033-1358583 linkcopy

Probable Correlation between Temporomandibular Dysfunction and Vertigo in the Elderly

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction Temporomandibular disorder (TMD) covers a variety of clinical problems, and some epidemiologic studies have tried to indicate mechanisms of interaction and association between vertigo and TMD, but this topic still is controversial.

Objective To assess the presence of vertigo in elderly patients associated with TMD.

Methods A cross-sectional study was conducted with the inclusion of elderly individuals who lived independently. TMD was assessed by dental evaluation and vertigo was verified by medical history. Statistical analysis was performed using the chi-square and relative risk.

Results There was a significant association (p = 0.0256) between the TMD and vertigo (odds ratio = 2.3793).

Conclusion These results highlighted the importance of identifying risk factors for vertigo that can be modified through specific interventions, which is essential to prevent future episodes, as well as managing the process of rehabilitation of elderly patients in general.

Keywords
dizziness; aged; temporomandibular joint dysfunction syndrome

TMD	Vertigo complaint				Total
	Yes		No
	n	%	n	%
Yes	54	27.14	87	43.72	141
No	12	6.03	46	23.11	58
Total	66	33.17	133	66.84	199

TMD	Vertigo complaint				Total
	Yes		No
	n	%	n	%
Yes	45	35.71	53	42.06
No	7	5.56	21	16.67
Total	52	41.27	74	58.73	126

TMD	Vertigo complaint				Total
	Yes		No
	n	%	n	%
Yes	9	12.33	34	46.57	43
No	5	6.85	25	34.25	30
Total	14	19.18	59	80.82	73

Multiple logistic regression
Intercept: Vertigo
	Odds ratio	I95% CI	p value
TMD	2.3950	1.16–4.93	0.0178
Gender	1.3954	0.74–2.63	0.3024

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[TNF01t01] Abbreviation: Absolute risk reduction, ARR; TMD, temporomandibular disorder.

[TNF02t01] Note: Odds ratio = 2.3793; 95% confidence interval 1.1577–4.8900; χ² correlation = 5.748 (p = 0.0256). Number needed to cause one adverse event in time = 7; ARR = 17.61%.