Browse > Article

Case Report : Temporomandibular Joint Involvement in Rheumatoid Arthritis  

Lim, Hyun-Dae (Department of Oral medicine, College of Dentistry, Wonkwang University)
Lee, You-Mee (Department of Oral medicine, College of Dentistry, Wonkwang University)
Publication Information
Journal of Oral Medicine and Pain / v.31, no.3, 2006 , pp. 231-236 More about this Journal
Abstract
Rheumatoid arthritis(RA) is an of autoimmune inflammatory systemic disease. It is characterized by uncontrolled proliferation of synovial tissue and a wide array multisystem comorbidities. The disease may involve any joint of the body, but often statrs in the peripheral joints. It was reported that more than 50% of RA patients exhibit clinical involvement of TMJ. This report is a case report of dental management and progression for 16 months in patients who had severe bony change in TMJ involved rheumatoid arthritis Dental management was included palliative treatment such as interocclusal splints, physical therapy, mouth opening exercise. Although it was progressed rapidly osteolytic bone change during follow-up, no more advanced occulsal change and improved symptom and jaw motion. Further investigations about rule of dentistry in TMJ involvement in RA maybe needed.
Keywords
TMJ; Rheumatoid Arthritis; Osteolytic change;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Boyer GS, Benevolenskaya LI, Templin DW et al. Prevalance of Rheumatoid Arthritis in circumpolar native populations. J Rheumatol 1998;25:23-29
2 Lee DM, Weinblatt ME. Rheumatoid Arthritis. The Lancet 2001;358:903-911   DOI
3 Rindfleisch JA, Muller D. Diagnosis and Management of Rheumatoid Arthritis. American Family Physician 2005;72:1037-1047,1049-50.
4 Lipsky P et al. Infliximab and mehotrexate in the treatment of patients with early rheumatoid arthritis. N engl J Med 2000;343:1594-1602   DOI   ScienceOn
5 Simon HKH. Rheumatology: 7. Basic of Therapy. Canadian Medical Association Journal 2000;163(4): 417-423
6 Park NG, K WK, Shin DH et al. Prevalence of Osteoarthritis and Rheumatoid Arthritis in Two Communities in Korea. Journal of the Korean Rheumatism Association 2003;10(2):151-157
7 Friez L, Le Goc Y. Arthicualtions Tempro-Maxillarires et polyarthrite heumatoide. Rheumatologie 1982;34:193-196
8 Ettala-Ylitalo UM, Syrjanen S, Halonen P. Functional disturbances of the masticatory system related to temporomandibular joint involvement by rheumatoid arthritis. Journal of Oral Rehabilitation 1987;14:415-427   DOI
9 Brooks P. Clinical review Recent advances Rheumatology. British Medical Journal 1998;316:1810-1812   DOI
10 Celiker R, Gökçe-Kutsal Y, Eryilmaz M. Temporomandibular joint involvement in Rheumatoid Arthritis Relationship with Disease Activity. Scand J Rheumatol 1995;24:22-5   DOI   ScienceOn
11 Bush FM, Dolwick MF: The temporomandibular joint and realted orofacial disorders. philadelphia: JB Lippincott; 1995: 35-86
12 Helenius LMJ, Hallikainen D, Helenius I et al. Clinical and radiographic findings of the temporomaddibular joint in patients with various rheumatic disease. A case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:455-63   DOI   ScienceOn
13 Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient. 6th ed., Philadelpia, 2002, Mosby pp.478-486
14 Lane SK, Gravel JW. Clinical utility of common serum rheumatologic tests. American Family Physician 2002;65(6):1073-1080
15 Goupille P, Fouquet B, Goga D, Cotty P, Valat JP. The temporomandbular joint in rheumatoid arthritis: correlations between clinical and tomographic features. J Dent 1993;21:141-146   DOI   ScienceOn
16 Suenaga S. Ogura T, Matusuda T, Noikura T. Severity of synovium and bonemarrow abnormalities of the temporomandibular joint in early rheumatoid arthritis: role of gadolinium-enhanced fat-suppressed T1-wedge spin echo MRI. J Comput Assist Tomogr 2000;24(3):461-465   DOI   ScienceOn
17 Ragan C. General management of Rheumatoid arthitis, JAMA 1949;141:124   DOI
18 Koh ET, Yap AU, Koh CK, Chee TS, Chan SP, Boudville IC. Temporomandibular Disorders in Rheumatoid Arthritis. J Rheumatol 1999;26:1918-22
19 Bayar N, Kara SA, Keles I, Koc MC, Altinok D, Orkun S. Temporomandibular joint involvement in Rheumatoid Arthritis: a radiological and Clinical Study. Journal Of Craniomandibular Practice 2002;20 (2):105-110
20 Diane Lacaille. Rheumatology: 8. Advanced Therapy. Canadian Medical Association Journal 2000;163 (4):721-728
21 Chaiamnuay P, Daramawan J, Muriden KD, Assawatanabodee P. Epidermiology of rheumatic disease in rural Thailand: a WHO-ILAR COPCORD study. Community Oriented Programme for the Control of Rheumatic Disease. J Rheumatol 1998;25:1382-1387
22 Arnett FC, Edworthy SM, Bloch DA et al. The American rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis and Rheumatism 1988;31(3):315-324   DOI
23 Baton J et al. A comparison of etanercept and methotrexate in patients with early rheumatoid arthritis. N engl J Med 2000;343:1586-1593   DOI   ScienceOn
24 Telberg A, Kopp S. A three-year follow up of temporomandibular disorders in rheumatoid arthritis and ankylosing spondylitis. Acta Odontol Scand 1996;54:14-18.   DOI   ScienceOn