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The Clinical and Radiographic Features of Temporomandibular Joint Dysfunction in Patients with Rheumatoid Arthritis  

Al-Mehdi, Aslam (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Hur, Yun-Kyung (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Choi, Jae-Kap (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Publication Information
Journal of Oral Medicine and Pain / v.31, no.3, 2006 , pp. 237-243 More about this Journal
Abstract
The aims of this study was to investigate the clinical and radiographic features of temporomandibular dysfunction in the patients with RA to elucidate whether the RA patients would be a risk group for TMD. The 35 patients with temporomandibular joint dysfunction were included for this study, of which 15 had rheumatoid arthritis diagnosed by a rheumatologist, and other 20 was control group and they didn't have any history or clinical signs related to it. Clinical symptoms and signs of temporomandibular joint disorders, radiographic and MRI findings of temporomandibular joint were investigated. The results were compared between two groups. In RA group bilateral pain, morning stiffness, reduced opening range, and crepitations were more frequently reported than control group. Radiologic findings such as sclerosis and flattening of condylar head, marginal proliferation, and erosion of glenoid fossa were more frequently observed in RA group than control group. Disk destruction, cortical bone erosion, and intraarticular enhancement were more prominenet in RA group. From theses results, it can be concluded that many RA patients will develop TMD symptoms and the structural changes of TMJ is more extensive than the usual TMD cases.
Keywords
Temporomandibular joint dysfunction; Rheumatoid arthritis; MRI; radiography;
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1 Goupille P, Fouquet B, Goga D, Cotty P, and Valat JP: The temporomandibular joint in rheumatoid arthritis: correlations between clinical and tomographic features. J. Dent., 21(3):141-146, 1993   DOI   ScienceOn
2 Gynther GW, Holmlund AB, Reinholt FP, Lindblad S: Temporomandibular joint involvement in generalized osteoarthritis and rheumatoid arthritis: a clinical, arthroscopic, histologic, and immunohistochemical study. Int. J. Oral Maxillofac. Surg., 26:10-16, 1997   DOI   ScienceOn
3 Chen YJ, Gallo LM, Meier D, Palla S.: Individualized oblique-axial magnetic resonance imaging for improved visualization of mediolateral TMJ disc displacement. J. Orofacial Pain, 14:128-139, 2000
4 Ogus H: Rheumatoid arthritis of the temporomandibular joint. Br. J. Oral Surg., 12:275-284, 1975   DOI
5 Shigeaki S, Tadashi O, Takemasa M, Takenori N.: Severity of synovium and bone marrow abnormalities of the temporomandibular joint in early rhuamatoid arthritis : role of gadolinium-enhanced fatsuppressed T1-weighted spain echo MRI. J. Computer Assisted Tomography, 24(30):461-465, 2001
6 Ardic F, Gokharman D, Atsu S, Guner S, Yilmaz M, Yorgancioglu R: The comprehensive evaluation of temporomandibular disorders seen in rheumatoid arthritis. Aust. Dent. J., 51(1):23-28, 2006   DOI   ScienceOn
7 Larheim TA, Smith HJ, Aspestrand F: Temporomandibular joint abnormalities associated with rheumatic disease: comparison between MR imaging and arthrotomography. Radiology, 183:221-228, 1999
8 Chen YJ, Gallo LM, Meier D, Palla S: The mediolateral temporomandibular joint disc position: an in vivo quantitative study. J. Orofacial Pain, 16(1):29-38, 2002
9 Larheim TA: Imaging of the temporomandibular joint in rheumatoid disease. In Westesson PL, Katzberg RW: Imaging of the temporomandibular joint, Baltimore, Williams & Wilkins, 1991, pp. 133-153
10 Ettala-Ylitalo UM, Syrjanen S, Halonen P: Functional disturbances of the masticatory system related to temporomandibular joint involvement by rheumatoid arthritis. J. Oral Rehabil., 14(5):415-427, 1987   DOI
11 Koh ET, Yap AU, Koh CK, Chee TS, Chan S.P, Boudville IC: Tempotomandibular disorder in rheumatoid arthritis. J. Rheumatol.., 26(9):1918-1922, 1999