Prevalence of degenerative joint disease of the temporomandibular joint: a systematic review

Pantoja, Letícia Lopes Quirino; Toledo, Isabela Porto de; Pupo, Yasmine Mendes; Porporatti, André Luís; Canto, Graziela De Luca; Zwir, Liete Figueiredo; Guerra, Eliete Neves Silva

doi:10.1007/s00784-018-2664-y

Cited by 83 publications

(59 citation statements)

References 53 publications

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“…First, in patients with RA, the articular surface of the condyle was covered by inflammatory granulation, which caused destruction of the osseous structures in the joint area [51]. The pathological change began with deterioration of the articular cartilage, due to an excessive load above the functional adaptive remodeling, with concomitant activation of the degraded proteoglycans and proteolytic enzymes in the synovial fluid [52]. This could lead to a secondary inflammatory response with degradation of the joint components, including TMJ [19,53].…”

Section: Discussionmentioning

confidence: 99%

“…A previous study demonstrated that inflammation occurred in the RA affected joints, prior to the osseous changes. Even in the initial stage of RA, localized osteoarthritis might occur as an inflammatory disease in the TMJ area [52]. This initial inflammation might induce mild swelling and limit movement within the TMJ area, in patients with RA.…”

Section: Discussionmentioning

confidence: 99%

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Increased Risk of Temporomandibular Joint Disorder in Patients with Rheumatoid Arthritis: A Longitudinal Follow-Up Study

Byun

Min

Choi

2020

JCM

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We evaluated the incidence of temporomandibular disorder (TMD) in patients with rheumatoid arthritis (RA) and examined the association between TMD and RA, through longitudinal follow-up. Population data from the Korean National Health Insurance Service-Health Screening Cohort from 2002 to 2015 was used. From 514,866 subjects, 3122 with RA were matched with 12,488 controls in a 1:4 ratio. The crude and adjusted models (for obesity, smoking, alcohol consumption, blood pressure, blood glucose, total cholesterol, and Charlson Comorbidity Index scores) were calculated. Chi-square tests, Kaplan-Meier (KM) analysis, and two-tailed analyses were used for statistical analysis. Stratified Cox proportional hazard models were used to assess the hazard ratios (HR) and 95% confidence intervals (CI) for TMD in the RA group, compared to those in the control group. The adjusted HR for TMD in RA was 2.52 (95% CI = 1.70–3.74), compared to the control group. The results were consistent with the subgroup analyses, according to age and sex, except in men older than 60 years of age. KM analysis showed similar results. Hence, we found that patients with RA have a higher risk of TMD, and should be observed for symptoms of the initial stage of TMD to prevent the risk of aggravation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Increased Risk of Temporomandibular Joint Disorder in Patients with Rheumatoid Arthritis: A Longitudinal Follow-Up Study

Byun

Min

Choi

2020

JCM

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“…Bununla birlikte, tedavi kararında klinik tablonun belirleyici olduğu ifade edilmiştir. 5,6,24 Çalışma grubumuz, TME kliniğine şikâyet nedeni ile başvuran veya yönlendirilen hastalardan oluşmaktadır, ancak hastaların muayeneleri sonrasında %33,7'si sağlıklı olarak nitelendirilmiştir. Bu gruptaki bazı hastaların kas muayenelerinde bir veya iki kas grubunda palpasyonda hassasiyet saptanmış olmakla birlikte, KK teşhisi konabilmesi için aynı taraftaki üç kas grubunda ağrı olması esas alınmıştır.…”

Section: Discussionunclassified

Investigation of Diagnosis-Treatment of Temporomandibular Joint Disorder Patients According to Demographic Variables

Mersin¹,

Basmaci²,

Latifoğlu³

2020

Turkiye Klinikleri J Dental Sci

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Temporomandibular eklem düzensizlikleri (TMED); toplumda sık görülen, etiyolojik faktörleri çeşitlilik gösteren rahatsızlıklardır. Bu çalışmanın amacı şakak, yüz ve çene eklemindeki sorunlar nedeni ile kliniğimize başvuran hastaların muayeneleri sonucundaki teşhis ve tedavilerini demografik verilerine göre incelemektir. Gereç ve Yöntemler: Ankara 75. Yıl Ağız Diş Sağlığı Hastanesi TMED Kliniği'ne şakak, yüz, çene ekleminde ağrı, hareket kısıtlaması şikâyetiyle başvuran yaş aralığı 18-70 yıl olan 196 hastanın bilateral TME, çiğneme kasları muayene edildi. Muayene bulguları, demografik veriler muayene formuna kaydedildi. Teşhisler kas kökenli eklem rahatsızlığı (KK), disk düzensizliği (DD) ve dejeneratif eklem hastalığı (DEH) olmak üzere üç grupta incelendi. Jacobs'un progresif gevşeme tekniği, hastalığı önleyici yaklaşımlara ilişkin eğitim, farmakolojik tedavi, sıcak/soğuk kompres, egzersiz programı, sert stabilizasyon splinti tedavileri uygun kombinasyonlarda uygulandı. Demografik verilere göre teşhis ve tedavilerin dağılımları, teşhise göre verilen tedavilerin dağılımları karşılaştırıldı. İstatistiksel analizde ki-kare testi kullanıldı. Bulgular: Yaş ortalaması 39,23±13,74; kadın:erkek oranı 3,1: 1 idi. Teşhislere göre cinsiyetler arasındaki fark anlamlı bulunmadı. Hastaların %50,5'inde KK, %29,6'sında DD, %5,1'inde DEH teşhis edildi. KK olan hastalara sıcak/soğuk kompres, farmakolojik tedavi ve stabilizasyon splinti tedavileri; DD olan hastalara ise egzersiz ve farmakolojik tedavi istatistiksel olarak fazla uygulandı. Demografik verilere göre DD teşhisi konan bireylerin %75,9'unun 18-45 yaş grubunda, %53,4'ünün bekâr, %72,4'ünün lise/üstü eğitime sahip olduğu ve farkın istatistiksel olarak anlamlı olduğu görüldü. KK ve DEH teşhisi olan hastalarda demografik verilere göre anlamlı ilişki saptanmadı. Sonuç: Kliniğimize başvuran hastalar içinde kadın hastaların ve KK oranının yüksek olduğu görüldü. KK olanlara sıcak/soğuk kompres, farmakolojik tedavi ve stabilizasyon splinti tedavilerinin; DD olanlara ise egzersiz tedavisi ve farmakolojik tedavinin daha fazla uygulandığı tespit edildi. Anah tar Ke li me ler: Temporomandibular eklem; temporomandibular eklem düzensizliği; miyofasiyal ağrı ABS TRACT Objective: Temporomandibular joint disorders (TMJD) are common in community with various etiologic factors. Aim of this study was to investigate diagnosis, treatment of patients according to demographic data, referred to our clinic with pain in the temples, face, TMJs. Material and Methods: 196 (18-70 years) patients admitted to our TMJD Clinic were examined bilaterally for pain in TMJs and masticatory muscles. Findings and demographic data were recorded to examination form. The diagnoses were evaluated in three groups: Muscle disorders(MD), disc displacement(DD) and degenerative joint disease (DJD). For management; preventive measures training, Jacobs's progressive relaxation technique, pharmacologic treatment, hot/cold compress, exercise, stabilization splints were applied in appropriate combinations. Distribution of dia...

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“…The clinical phenotype is characterized by pain, limited TMJ mobility, and the emission of sounds during joint function. MRIs might show disc pathology, joint effusion, bone edema, or a dislocated disc (Tanaka et al, 2008; Pantoja et al, 2018). CBCT, CT, and PAN reveal a narrowing of the joint space, flattening of the condyle and fossa, and a change in the inclination of the condyle.…”

Section: Degenerative Joint Disease Of the Temporomandibular Jointmentioning

confidence: 99%

The Biomechanical Effect of the Sagittal Split Ramus Osteotomy on the Temporomandibular Joint: Current Perspectives on the Remodeling Spectrum

et al. 2019

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The sagittal split ramus osteotomy is a key approach for treating dentofacial deformities. Although it delivers excellent results, the sagittal split ramus osteotomy is believed to induce stress to the temporomandibular joint. Potential stress inducers could be classified as intra- and postoperative factors resulting in an inflammatory response and molecular cascades, which initiate physiological remodeling. Occasionally, this process exceeds its capacity and causes pathological remodeling, through either degenerative joint disease or condylar resorption. Hard evidence on how orthognathic surgery causes inflammation and how this inflammation is linked to the spectrum of remodeling remains scarce. Current concepts on this matter are mainly based on clinical observations and molecular mechanisms are extrapolated from fundamental research in other body parts or joints. This perspective study provides an overview of current knowledge on molecular pathways and biomechanical effects in temporomandibular joint remodeling. It provides research directions that could lead to acquiring fundamental evidence of the relation of orthognathic surgery and inflammation and its role in remodeling. Performing osteotomies in animal models and identifying inflammatory mediators as well as their effect on the joint seem promising. Patients affected by pathological remodeling can also provide samples for histological as well as molecular analysis. Individual susceptibility analysis by linking certain suspect phenotypes to genetic variation could identify the cause and molecular pathway responsible for degenerative joint disease and condylar resorption, ultimately leading to clinically applicable treatment and prevention strategies.

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Prevalence of degenerative joint disease of the temporomandibular joint: a systematic review

Cited by 83 publications

References 53 publications

Increased Risk of Temporomandibular Joint Disorder in Patients with Rheumatoid Arthritis: A Longitudinal Follow-Up Study

Increased Risk of Temporomandibular Joint Disorder in Patients with Rheumatoid Arthritis: A Longitudinal Follow-Up Study

Investigation of Diagnosis-Treatment of Temporomandibular Joint Disorder Patients According to Demographic Variables

The Biomechanical Effect of the Sagittal Split Ramus Osteotomy on the Temporomandibular Joint: Current Perspectives on the Remodeling Spectrum

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