Temporomandibular joint erosions in systemic lupus erythematosus

Gerbracht, David; Shapiro, Lee

doi:10.1002/art.1780250519

Cited by 7 publications

(2 citation statements)

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“…The social and psychological status of patients with SLE is suggested to be a possible risk factor for TMJ disorders due to the common prevalence of muscle hyperactivity, stress, anxiety, and depression in these patients (Hanly, Fisk, McCurdy, Fougere, & Douglas, 2005; Rollman & Gillespie, 2000). Chronic use of corticosteroids in SLE patients may also have effects on condylar changes, including erosions, flattening, sclerosis, and osteophytes (Caramaschi, Biasi, Forno, & Adami, 2012; Gerbracht & Shapiro, 1982; Liebling & Gold, 1981). Therefore, inflammatory process of the SLE is not accepted as the sole reason for the TMJ changes and associated manifestations in these patients (Aliko et al, 2011).…”

Section: Resultsmentioning

confidence: 99%

“…Chronic use of corticosteroids in SLE patients may also have effects on condylar changes, including erosions, flattening, sclerosis, and osteophytes (Caramaschi, Biasi, Forno, & Adami, 2012;Gerbracht & Shapiro, 1982;Liebling & Gold, 1981). Therefore, inflammatory process of the SLE is not accepted as the sole reason for the TMJ changes and associated manifestations in these patients (Aliko et al, 2011).…”

Section: Temporomandibular Joint Involvementmentioning

confidence: 99%

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Orofacial manifestations and dental management of systemic lupus erythematosus: A review

et al. 2020

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Systemic lupus erythematosus (SLE) is an autoimmune multisystem disease with numerous clinical manifestations. There is no consensus about the ideal oral management for this group of patients to date. This review aimed to describe the broad spectrum of orofacial and clinical manifestations and their therapeutic approaches. Studies concerning orofacial manifestations of SLE and dental treatment modalities were selected by a literature search (1978–2019) using Google Scholar, PubMed/MEDLINE electronic databases. The initial search strategy provided a total of 129 articles, and of these, 30 were included for qualitative synthesis. The reviewed studies revealed that SLE patients are more at risk of compromised oral and dental health exhibiting increased risk of periodontal diseases and temporomandibular joint disorders. The use of systemic drugs especially immunosuppressive and anticoagulants in SLE patients may also influence their oral management. Results emphasize the need to carry out, at an early stage of the disease, an appropriate oral management of these patients to improve oral health‐related quality of life and to prevent the need of more invasive therapeutics. A multidisciplinary approach is needed for dental and medical management of such patients.

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Section: Resultsmentioning

confidence: 99%

Section: Temporomandibular Joint Involvementmentioning

confidence: 99%

Orofacial manifestations and dental management of systemic lupus erythematosus: A review

et al. 2020

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Temporomandibular joint involvement in systemic lupus erythematosus

Jönsson

Lindvall

Nyberg

1983

Arthritis & Rheumatism

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Temporomandibular joint involvement was studied in 37 systemic lupus erythematosus patients not selected with regard to this involvement. One-third had current complaints and two-thirds had a history of severe symptoms. Objective findings indicating systemic lupus erythematosus arthritis were locking or dislocation, tenderness to palpation, and pain on movement of the mandible. Such changes were found in 8 patients (22%) but in none of the healthy controls. Radiographic changes of the condyles, including flattenings, erosions, osteophytes, and sclerosis, were seen in 11 patients (30%), 4 of whom had deformity of other joints as well.

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