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Subjective tinnitus > 3 months
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Clear otological or neurological causes of the tinnitus
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AND one of the following present:
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Severe depression
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• Tinnitus association with manipulation of the teeth or jaw
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Progressive middle ear pathology
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• Temporal coincidence of onset or increase of both TMD pain and tinnitus
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Intracranial pathology
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• Increase of tinnitus during inadequate postures during rest, walking, working or sleeping
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Traumatic cervical spine or temporomandibular injury in the past 6 months
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• Intense bruxism and/or clenching periods during the day or night
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Tumours
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Previous surgery in the orofacial area
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Substance abuse that may affect the outcome measures
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TMD treatment is contra-indicated
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Already received TMD treatment in past 2 months
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