Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2017, vol. 54, nr 4, October-December, p. 417–422

doi: 10.17219/dmp/78718

Publication type: review article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Creative Commons BY-NC-ND 3.0 Open Access

Hearing and stomatognathic system: Searching for a link

Stan układu stomatognatycznego a proces słyszenia

Sławomir Baliński1,A,B,C,D,F, Monika Morawska-Kochman2,A,C,D,E, Marek Bochnia3,A,C,D,E,F

1 Private Dental Practice, Świdnica, Poland

2 Department and Clinic of Otolaryngology Head and Neck Surgery, Wroclaw Medical University, Wrocław, Poland

3 Department of Otolaryngology, Faculty of Dentistry, Wroclaw Medical University, Wrocław, Poland

Abstract

Acoustic vibrations reach the inner ear fluids in 3 integral ways: through the air, bone, and soft tissue. The final stimulation of the hearing receptor is recognized as the result of various interactions appearing between them. Air conduction is best described as the most efficient mode of auditory stimulation. Soft tissue and bone conduction (including dentaural hearing), being frequently underestimated in the complicated process of hearing, are still less examined. Clinical observations prove that dental health may have a direct influence on hearing. Additionally, hearing improvement after dental treatment is of a permanent nature. This review presents a hypothesis and supporting literature review that dental disorders may contribute to disturbances in the excitation and/or the transmission of vibrations through the bone to the hearing receptor. Dissociation in the relationship between stimuli reaching the cochlea simultaneously in 3 modes may have a negative impact on hearing acuity.

Key words

bone conduction, acoustic stimulation, dentition

Słowa kluczowe

przewodnictwo kostne, stymulacja akustyczna, uzębienie

References (58)

  1. Rossi G, Solero P, Rolando M, Olina M. Delayed oto-acoustic emissions evoked by bone-conduction stimulation: Experimental data on their origin, characteristics and transfer to the external ear in man. Scand Audiol Suppl. 1988;29:1–24.
  2. Lenhardt ML, Skellett R, Wang P, Clarke AM. Human ultrasonic speech perception. Sci. 1991;253:82–85.
  3. Adelman C, Fraenkel R, Kriksunov L, Sohmer H. Interactions in the cochlea between air conduction and osseous and non-osseous bone conduction stimulation. Eur Arch Otorhinolaryngol. 2012;269:425–429.
  4. Rosowski JJ, Merchant SN. Mechanical and acoustic analysis of middle ear reconstruction. Am J Otolaryngol. 1995;16:486–497.
  5. Puria S, Peake WT, Rosowski JJ. Sound-pressure measurements in the cochlear vestibule of human-cadaver ears. J Acoust Soc Am. 1997;101:2754–2770.
  6. Ravicz ME, Rosowski J, Voigt HF. Sound-power collection by the auditory periphery of the Mongolian gerbil Meriones unguiculatus. I: Middle-ear input impedance. J Acoust Soc Am. 1992;92:157–177.
  7. Bucchman E, Rosenhouse G, Shupak A, Shimoni U. On the transmission of sound generated by an electromagnetic device from the mastoid process to the petrous bone. J Acoust Soc Am. 1991;90:895–903.
  8. Håkansson B, Carlsson P, Tjellström A. The mechanical point impedance of the human head, with and without skin penetration. J Acoust Soc Am. 1986;80:1065–1075.
  9. Gerhardt KJ, Huang X, Arrinton KE, Meixner K, Abrams RM, Antonelli PJ. Fetal sheep in utero hear through bone conduction. Am J Otolaryngol. 1996;17:374–379.
  10. Miodoński J. A simple differential test between the conduction and the perception disorders. Otolaryngol Pol.1954;8:211–214 [in Polish].
  11. Adelman C, Sohmer H. Thresholds to soft tissue conduction stimulation compared to bone conduction stimulation. Audiol Neurootol. 2013;18:31–35.
  12. Khanna SM, Tonndorf J, Queller JE. Mechanical parameters of hearing by bone conduction. J Acoust Soc Am. 1976;60:139–154.
  13. Reinfeldt S, Stenfelt S, Good T, Håkansson B. Examination of bone-conducted transmission from sound field excitation measured by thresholds, ear-canal sound pressure, and skull vibrations. J Acoust Soc Am. 2007;121:1576–1587.
  14. Stenfelt S. Acoustic and physiologic aspects of bone conduction hearing. Adv Otorhinolaryngol. 2011;71:10–21.
  15. Stenfelt S, Goode RL. Transmission properties of bone conducted sound: Measurements in cadaver heads. J Acoust Soc Am. 2005;118:2373–2391.
  16. Eeg-Olofsson M, Stenfelt S, Tjellström A, Granström G. Transmission of bone-conducted sound in the human skull measured by cochlear vibrations. Int J Audiol. 2008;47:761–769.
  17. Algarra MJ, Ventura MA. Physiology of bone conduction acoustic stimulation and the importance of high-frequency bone conduction. Acta Otorrinolaringol Esp. 2008;59:3–6 [in Spanish].
  18. Stenfelt S. Middle ear ossicles motion at hearing thresholds with air conduction and bone conduction stimulation. Review. J Acoust Soc Am. 2006;119:2848–2858.
  19. Tsai V, Ostroff J, Korman M, Chen JM. Bone-conduction hearing and the occlusion effect in otosclerosis and normal controls. Otol Neurotol. 2005;26:1138–1142.
  20. Stenfelt S, Wild T, Hato N, Goode RL. Factors contributing to bone conduction: The outer ear. J Acoust Soc Am. 2003;113:902–913.
  21. Freeman S, Sichel JY, Sohmer H. Bone conduction experiments in animals – evidence for a non-osseous mechanism. Hear Res. 2000;146:72–80.
  22. Sohmer H, Freeman S, Geal-Dor M, Adelman C, Savion I. Bone conduction experiments in humans – A fluid pathway from bone to ear. Hear Res. 2000;146:81–88.
  23. Sichel JY, Freeman S, Sohmer H. Lateralization during the Weber test: Animal experiments. Laryngoscope. 2002;112:542–546.
  24. Kaufmann M, Adelman C, Sohmer H. Mapping at sites on bone and soft tissue of the head, neck and thorax at which a bone vibrator elicits auditory sensation. Audiol Neurotol Extra. 2012;2:9–15.
  25. Ito T, Roosli C, Kim CJ, Sim JH, Huber AM, Probst R. Bone conduction thresholds and skull vibration measured on the teeth during stimulation at different sites on the human head. Audiol Neurootol. 2011;16:12–22.
  26. Chordecar S, Kriksunov L, Kishon-Rabin L, Adelman C, Sohmer H. Mutual cancellation between tones presented by air conduction, by bone conduction and by non-osseous (soft tissue) bone conduction. Hear Res. 2012;283:180–184.
  27. De Jong M, Perez R, Adelman C, et al. Experimental confirmation that vibrations at soft tissue conduction sites induce hearing by way of a new mode of auditory stimulation. J Basic Clin Physiol Pharmacol. 2011;26:55–58.
  28. Obrębowski A. The application of acumetric hearing tests methods with tuning forks. In: Pruszewicz A, Obrębowski A, eds. Clinical Audiology. 2nd ed. Poznań: Wydawnictwa Akademii Medycznej im. Karola Marcinkowskiego; 2010:171–181 [in Polish].
  29. Khalil TB, Viano DC, Smith DL. Experimental analysis of the vibrational characteristics of the human skull. J Sound Vib. 1979;63:351–376.
  30. Young PG. A parametric study on the axisymmetric modes of vibration of multi-layered spherical shells with liquid cores of relevance to head impact modeling. J Sound Vib. 2002;256:665–680.
  31. Von Békésy G. Zur Theorie des Horens bei der Schallaufnahme durch Knochenleitung. Ann Phys. 1932;13:11–136 [in German].
  32. Huizing EH. Bone conduction – The influence of the middle ear. Acta Otolaryngol. 1960;155:1–99.
  33. Semczuk B. Studies on the role of the state of dentition in the physiopathology of the auditory organ. II–IV. Ann Univ Mariae Curie Sklodowska Med. 1967;22:153–178 [in Polish].
  34. Howell P, Williams M, Dix H. Assessment of sound in the ear canal caused by movement of the jaw relative to the skull. Acta Otolaryngol. 1988;17:93–98.
  35. Hoyer HE, Dorheide J. A study of human head vibrations using time-averaged holography. J Neurosurg. 1983;58:729–733.
  36. Ozer E, Adelman C, Freeman S, Sohmer H. Bone conduction hearing on the teeth of the lower jaw. J Basic Clin Physiol Pharmacol. 2002;13:89–96.
  37. Feldmann H. History of the tuning fork I–III. Laryngorhinootol. 1997;76:116–134.
  38. Behn A, Westerberg BD, Zhang H, Riding KH, Ludemann JP, Kozak FK. Accuracy of the Weber and Rinne tuning fork tests in evaluation of children with otitis media with effusion. J Otolaryngol. 2007;36:197–202.
  39. Brown LA. Dentaural Hearing Testing: Calibrating bone conduction through the teeth. Ann Otol Rhinol Laryngol. 1969;78:1058–1061.
  40. Dahlin GC, Allen FG, Collard EW. Bone-conduction thresholds of human teeth. J Acoust Soc Am. 1973;53:1434–1437.
  41. Stenfelt SP, Håkansson BE. Sensitivity to bone-conducted sound: Excitation of the mastoid versus the teeth. Scand Audiol. 1999;28:190–198.
  42. Sonitus Medical Inc. 2010. Online information available at The SoundBite system. http://www.sonitusmedical.com. Accessed on 2013.
  43. Murray M, Miller R, Hujoel P, Popelka GR. Long-term safety and benefit of a new intraoral device for single-sided deafness. Otol Neurotol. 2011;32:1262–1269.
  44. Miller R, Hujoel P, Murray M, Popelka GR. Safety of an intra-oral hearing device utilizing a split-mouth research design. J Clin Dent. 2011;22:159–162.
  45. Arm & Hammer. 2012. Online information avbout product http://www.spinbrush.com/Toothtunes.html. Accessed on 2017.
  46. Hoffman B, Lorens G, Poremski T. Impaired dentition has impact on hearing loss. Słuch. 2010;72:8.
  47. Rothvell JA, Boyd PJ. Amalgam dental fillings and hearing loss. Int J Audiol. 2008;47:770–776.
  48. Schell CL, Diehl RL, Holmes AE, et al. An association between dentate status and hearing acuity. Spec Care Dent. 1999;19:208–213.
  49. Lawrence HP, Garcia RI, Essick GK, et al. A longitudinal study of the association between tooth loss and age-related hearing loss. Spec Care Dent. 2001;21:129–140.
  50. Peeters J, Naert I, Carette E, Manders E, Jacobs R. A potential link between oral status and hearing impairment: Preliminary observations. J Oral Rehabil. 2004;31:306–310.
  51. King WH, Burton MC, Tucker KM. Clinical manifestations of dentaural hearing. J Prosthet Dent. 1974;32:130–140.
  52. Nagasaka H, Matsukubo T, Takaesu Y, Kobayashi Y, Sato T, Ishikawa T. Changes and equalization in hearing level induced by dental treatment and instruction in bilaterally equalized chewing: A clinical report. Bull Tokyo Dent Coll. 2002;43:243–250.
  53. Kempf HG, Roller R, Mühlbradt L. Correlation between inner ear disorders and temporomandibular joint diseases. HNO. 1993;41:7–10.
  54. Abrams R, Hammel HT. Hypothalamic temperature in anaesthetized albino rats during feeding and sleeping. Am J Physiol. 1964;206:641–646.
  55. Momose T, Nishikawa J, Watanabe TS, et al. Effect of mastication on regional cerebral blood flow in humans examined by positron-emission tomography with 15O‑labelled water and magnetic resonance imaging. Arch Oral Biol. 1997;42:57–61.
  56. Rampone AJ, Shirasu ME. Temperature changes in the rat in response to feeding. Sci. 1964;144:317–319.
  57. Stein PS, Desrosiers M, Donegan SJ, Yepes JF, Kryscio RJ. Tooth loss, dementia and neuropathology in the Nun Study. J Am Dent Assoc. 2007;138:1314–1322.
  58. Kondo K, Niino M, Shido K. A case-control study of Alzheimer’s disease in Japan – Significance of life-styles, Dementia. 1994;5:314–326.