The effect of specially designed and managed occlusal devices on patient symptoms of tinnitus: A cohort study.

Objective Bioesthetic maxillary anterior guided orthoses (BMAGOs) were designed and adjusted to establish the mandibular location referred to as stable seated condylar position SSCP. This study demonstrates treatment efficacy of this device on tinnitus. Methods All patients had histories of temporomandibular disorder (TMD), head, neck and shoulder pain. Each patient wore the BMAGO at all times, eating, talking and sleeping with it functioning as a surrogate occlusion. Patients were seen every two weeks for adjustments. They were provided a self-reporting numeric rating scale (NRS) beginning each visit. NRS scores ranged from 0 to 10, with 10 being the highest intensity pain for 12 TMD symptoms including tinnitus. Results A significant decrease of tinnitus symptoms (p<.001) were recorded for all effected patients by visit #12. Conclusions These findings firmly support symptomatic reduction of tinnitus.