Targeted Assessment of the Temporomandibular Joint in Patients With Rheumatoid Arthritis

Nogueira, Ricardo Viana Bessa; Vasconcelos, Belmiro Cavalcanti do Egito; Duarte, Angela P.; Góes, Paulo Sávio Angeiras de; Bezerra, Tácio Pinheiro

doi:10.1016/j.joms.2007.08.037

Cited by 75 publications

(87 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As a synovial joint, patients with RA are at risk of TMJ involvement, and 67-71% patients will have at least one symptom; however, the true prevalence depends on the population studied, diagnostic criteria, and means of TMJ assessment (1,2,7). The likelihood of TMJ involvement correlates with the severity and duration of the systemic disease as tenderness in multiple peripheral joints is often accompanied by a painful TMJ (2,8,9).…”

Section: Rheumatoid Arthritis Of the Temporomandibular Jointmentioning

confidence: 99%

“…The likelihood of TMJ involvement correlates with the severity and duration of the systemic disease as tenderness in multiple peripheral joints is often accompanied by a painful TMJ (2,8,9). Typical clinical findings include joint pain, stiffness, sounds, and limitation of movement (2,8). TMJ pain and masticatory muscle tenderness suggest an active disease (1).…”

Section: Rheumatoid Arthritis Of the Temporomandibular Jointmentioning

confidence: 99%

See 1 more Smart Citation

Management of the temporomandibular joint in inflammatory arthritis: Involvement of surgical procedures

O’Connor¹,

Fawthrop

Salha

et al. 2017

Eur J Rheumatol

View full text Add to dashboard Cite

IntroductionThe incidence of temporomandibular joint (TMJ) involvement in inflammatory arthritis is often underestimated, and experience in treatment among rheumatologists is limited. Three conditions have an affinity toward the TMJ: Rheumatoid arthritis (RA), psoriatic arthritis (PA), and ankylosing spondylitis (AS). The prevalence is the highest in RA, followed by PA (1-5).The disease processes differ from those seen in osteoarthritis or following trauma, which are characterized by degeneration or ankylosis, respectively, as joint destruction occurs. Furthermore, inflammatory arthropathies are systemic diseases that can lead to a relapse in symptoms, despite initially successful treatment, as TMJ inflammation continues. Immunosuppressive therapies used to ameliorate systemic inflammation may also complicate treatment responses, particularly if surgical management is required, as there is a theoretical increased risk of infection. In contrast, osteoarthritis symptoms may stabilize, previous joint trauma tends not to deteriorate unless TMJ ankylosis ensues, and immunosuppression is not required. Therefore, a different management approach is required in patients with inflammatory arthropathy that addresses both the systemic illness and localized TMJ disease.Pain, reduced mouth opening, joint noises, locking, and difficulty eating are the predominant symptoms and can be debilitating if left untreated. Pain originates from the TMJ itself, the associated masticatory muscles, or from both these areas, and it is manifested by tenderness on palpation of the respective anatomical area. Mouth opening is measured as the gap between the tips of the upper and lower incisors at maximal opening (interincisal distance) with less than 35 mm considered abnormal (6). Joint noises and locking result from the internal derangement of the joint mechanism, which consists of the mandibular condyle, intra-articular disc, and glenoid fossa, or from inflammatory debris deposited as part of the disease process. Combined with pain and restricted opening, these contribute toward problems in eating. 151Many conditions may affect the temporomandibular joint (TMJ), but its incidence in individual joint diseases is low. However, inflammatory arthropathies, particularly rheumatoid and psoriatic arthritis and ankylosing spondylitis, appear to have a propensity for affecting the joint. Symptoms include pain, restriction in mouth opening, locking, and noises, which together can lead to significant impairment. Jaw rest, a soft diet, a bite splint, and medical therapy, including disease-modifying antirheumatic drugs (DMARDs) and simple analgesia, are the bedrock of initial treatment and will improve most symptoms in most patients. Symptom deterioration does not necessarily follow disease progression, but when it does, TMJ arthroscopy and arthrocentesis can help modulate pain, increase mouth opening, and relieve locking. These minimally invasive procedures have few complications and can be repeated. Operations to repair or remove a damaged in...

show abstract

Section: Rheumatoid Arthritis Of the Temporomandibular Jointmentioning

confidence: 99%

Section: Rheumatoid Arthritis Of the Temporomandibular Jointmentioning

confidence: 99%

Management of the temporomandibular joint in inflammatory arthritis: Involvement of surgical procedures

O’Connor¹,

Fawthrop

Salha

et al. 2017

Eur J Rheumatol

View full text Add to dashboard Cite

show abstract

“…Essas doenças frequentemente acometem as ATMs, provocam dor e alteram a função mandibular (Moen et al, 2005;Bessa-Nogueira et al, 2008;Hoyuela et al, 2015).…”

Section: Exames Clínicos E Escalas De Auto-avaliaçãounclassified

“…Uma característica da AR é o acometimento da membrana sinovial das articulações de maneira simétrica (Bessa-Nogueira et al, 2008 (Felício et al 2009), portanto há uma concordância entre os resultados verificados nos pacientes com SS do presente estudo e nos pacientes com AR (Möen et al, 2005).…”

Section: Exames Clínicos E Escalas De Auto-avaliaçãounclassified

“…De acordo com List et al (1999), nos casos de SS primária foi observado mais similaridades nos resultados dos exames clínicos com um grupo controle do que com o grupo com DTM e o mecanismo subjacente às limitações funcionais nessas doenças não são relacionados. Mas a ocorrência de DTM tem sido associada à SS secundária (Möen et al, 2005), porque esta desordem é comum em pacientes com artrite reumatóide (AR) (Bessa-Nogueira et al, 2008;Hoyuela et al, 2015).…”

Section: Introductionunclassified

See 1 more Smart Citation

Funções orofaciais em portadores de síndrome de Sjögren

Zanin¹

View full text Add to dashboard Cite

The association between rheumatoid arthritis and masticatory muscles through the utilization of diffusion‐weighted magnetic resonance imaging

Hirahara,

Ito,

Muraoka

et al. 2023

Oral Science International

View full text Add to dashboard Cite

ObjectiveThe objective of this study was to investigate the association between rheumatoid arthritis (RA) and masticatory muscles by analyzing the apparent diffusion coefficient (ADC) obtained from diffusion‐weighted magnetic resonance imaging (DW‐MRI).Materials and MethodsIn this retrospective study, we analyzed data from 36 patients who underwent MRI examinations at our hospital from August 2006 to March 2022. We also included a control group consisting of 39 patients with normal TMJs who were examined during the same time frame. To compare the ADC values of the masticatory muscles between the two groups, DW‐MRI was employed.ResultsRA patients exhibited significantly higher mean ADC values in the medial and lateral pterygoid muscles compared to the control group. Receiver operating characteristic (ROC) curve analysis indicated cutoff values of 1.14, 1.15, and 1.28 for the ADC values of the masticatory muscles in RA patients, with corresponding maximum ADC under the curve values of 0.53, 0.60, and 0.65.ConclusionsThe study revealed a notable distinction in the condition of the masticatory muscles between patients with RA and the control group, implying that the ADC measured through DWI holds promise for evaluating the association between masticatory muscles and RA. Furthermore, these findings suggest that DWI could serve as a valuable tool in identifying the presence of RA.

show abstract

Targeted Assessment of the Temporomandibular Joint in Patients With Rheumatoid Arthritis

Cited by 75 publications

References 19 publications

Management of the temporomandibular joint in inflammatory arthritis: Involvement of surgical procedures

Management of the temporomandibular joint in inflammatory arthritis: Involvement of surgical procedures

Funções orofaciais em portadores de síndrome de Sjögren

The association between rheumatoid arthritis and masticatory muscles through the utilization of diffusion‐weighted magnetic resonance imaging

Contact Info

Product

Resources

About