Bidirectional relationship between temporomandibular disorder and ankylosing spondylitis: a population-based cohort study

Huang, Yue; Chang, Chung-Ta; Muo, Chih‐Hsin; Chiu, Kuan–Ming; Tsai, Cheng-Han; Liu, Shih-Ping

doi:10.1007/s00784-021-03938-0

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…Tumor necrosis factor alpha and interleukin-17 may play crucial roles in the pathological mechanism of TMJ synovitis and axSpA (Huang et al, 2021;Kellesarian et al, 2016). It should also be considered that there may be unrecognized factors that contribute to the observed association of axSpA and subsequent TMDs.…”

Section: Discussionmentioning

confidence: 99%

“…K/BxN mice with arthritic disease showed spontaneous damage to the TMJ resulting from a local inflammatory process characterizing superficial cartilage removal, leading to erosion of the condyle surface (Kuchler‐Bopp et al, 2020). Tumor necrosis factor alpha and interleukin‐17 may play crucial roles in the pathological mechanism of TMJ synovitis and axSpA (Huang et al, 2021; Kellesarian et al, 2016). It should also be considered that there may be unrecognized factors that contribute to the observed association of axSpA and subsequent TMDs.…”

Section: Discussionmentioning

confidence: 99%

“…Current evidence linking TMDs and axSpA is unclear; while some studies have identified an association between these two conditions (Bilgin et al, 2020; Huang et al, 2021; Souza et al, 2021), others failed to observe a significant relationship (Crum & Loiselle, 1971; Davidson et al, 1975; Maes & Dihlmann, 1968).…”

Section: Introductionmentioning

confidence: 99%

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Association between axial spondyloarthritis and temporomandibular disorders: A systematic review

et al. 2023

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This study aimed to assess the frequency of temporomandibular disorders (TMDs) in patients with axial spondyloarthritis (axSpA) compared with the healthy individuals. We systematically searched PubMed, Embase, Scopus, Web of Science, CINAHL, and Google Scholar databases from their inception until 2022, without language restriction. A standardized dataset was used to extract data from the observational studies. Patients were required to have axial spondyloarthritis and clinical and/or radiographic evidence of temporomandibular joint dysfunction. Meta‐analysis was performed with a random effects model. A systematic review was registered under number CRD42020206283. We identified seven relevant studies, which provided data for 745 patients and 216 temporomandibular disorders events. The combined odds ratio (OR) showed that the risk of temporomandibular disorders in individuals with axial spondyloarthritis was higher than the control group (pooled OR = 5.26, 95% CI 2.50–11, 06; p < 0.02; I2 = 58%). Also, these individuals do not appear to refer possible temporomandibular joint symptoms to the rheumatologist or dentist. The results of this systematic review and meta‐analysis suggest that patients with axial spondyloarthritis have an increased frequency of temporomandibular disorders. TMDs seem to be secondary to postural alterations rather than direct involvement of the temporomandibular joints (TMJs).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association between axial spondyloarthritis and temporomandibular disorders: A systematic review

et al. 2023

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“…As for the exact prevalence of TMD in AS, this is not yet known, however, among all rheumatic and musculoskeletal diseases (RMDs), AS has been reported to have the greatest TMD burden [30][31][32][33]. In Table I details of primary studies of patients with AS and TMD involvement are presented [30,31,[33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49].…”

Section: Ankylosing Spondylitismentioning

confidence: 99%

“…The interplay between the two entities was investigated in a retrospective cohort study by Huang et al [ 40 ], aiming to understand which condition propels the development of the next one. The investigators assessed two hypotheses, namely what is the prevalence of TMD in AS and what is the prevalence of AS in TMD.…”

Section: Ankylosing Spondylitismentioning

confidence: 99%

Temporomandibular joint disorders in seronegative spondyloarthritis: what a rheumatologist needs to know?

Syrmou,

Grammatikopoulou,

Bogdanos

et al. 2023

Reumatologia

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Temporomandibular joint (TMJ) can be affected in the context of spondyloarthritis (SpA) with detrimental impact on individuals’ quality of life. Intraarticular inflammation, synovitis, enthesitis, disc displacement and cervical vertebrae malalignment are some of the pathophysiological phenomena involved. Temporomandibular joint disorders (TMD) incidence appears to be higher in patients with ankylosing spondylitis and psoriatic arthritis, especially when clinical evaluation includes not only imaging but relevant history, TMJ examination and diagnostic criteria for TMD. The Visual Analogue Scale (VAS) pain score and Health Assessment Questionnaire Disability Index (HAQ) quality of life score could be useful tools. Panoramic radiographs and ultrasound can be used for screening but in symptomatic patients magnetic resonance imaging (MRI) is preferable. Conservative management and early pharmacological treatment can prevent permanent joint impairment. For refractory cases, early referral to Legislation for Oral and Maxillofacial Surgery (OMFS) specialists is indicated. The aim of this narrative review is to address the involvement of TMJ in SpA and to encourage clinicians to incorporate TMJ assessment in their physical examination and basic screening.

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Temporomandibular joint involvement in individuals with ankylosing spondylitis: A scoping review

Holanda

Boscato

et al. 2023

Archives of Oral Biology

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Bidirectional relationship between temporomandibular disorder and ankylosing spondylitis: a population-based cohort study

Cited by 6 publications

References 24 publications

Association between axial spondyloarthritis and temporomandibular disorders: A systematic review

Association between axial spondyloarthritis and temporomandibular disorders: A systematic review

Temporomandibular joint disorders in seronegative spondyloarthritis: what a rheumatologist needs to know?

Temporomandibular joint involvement in individuals with ankylosing spondylitis: A scoping review

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