Temporomandibular Joint Reconstruction in Patients With Autoimmune/Connective Tissue Disease

Mehra, Pushkar; Henry, C. H.; Giglou, Kamyar R.

doi:10.1016/j.joms.2018.03.014

Cited by 21 publications

(11 citation statements)

References 25 publications

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“…The most frequent finding is regular pain while other reported symptoms are TMJ sounds (especially crepitation), difficulty in mouth opening, and reduced mouth opening (Aliko, Ciancaglini, Alushi, Tafaj, & Ruci, 2011). A recent study evaluated clinical outcomes of TMJ reconstructions in patients with various autoimmune/connective tissue diseases and found that SLE patient group presented an improvement of maximal incisal opening without pain (Mehra, Henry, & Giglou, 2018). 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).…”

Section: Resultsmentioning

confidence: 99%

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%

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

et al. 2020

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“…28,29 Four studies reported MRI findings [30][31][32][33] ; and 32,33 reported US findings as well. Five studies included patients needing surgical procedures: TMJ replacement [34][35][36] ; TMJ reconstruction with prosthesis or grafting 37 and one study on the removal of an ankylotic block and condylar shaving. 38 Five studies reported a positive outcome.…”

Section: Case Seriesmentioning

confidence: 99%

Psoriatic arthritis of the temporomandibular joint: A systematic review

Almășan

Băciuţ

Buduru

et al. 2023

J of Oral Rehabilitation

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Objectives Psoriasis is an inflammatory condition brought on by the immune system. This study aimed to perform a systematic review related to psoriatic arthritis (PsA) of the temporomandibular joint (TMJ). Methods The search strategy was developed by a radiologist expert with more than 20 years of experience. The search was performed without time restrictions in five electronic databases: PubMed, Web of Science, Embase, Scopus and Ovid. The search strategy was based on MeSH and Emtree terms. The methodological quality of the studies was rated using the quality assessment tools from the National Heart Lung and Blood Institute (NHLBI). Results Twenty‐three publications were included, 10 being case reports. One hundred‐fifty‐one patients with TMJ PsA were reported. Psoriasis evolution ranged from 1.5 years to 24 years. Clinical symptoms of TMJ involvement included: TMJ pain and sounds, limited range of jaw movements, preauricular swelling, malocclusion, headache, tinnitus, neck stiffness and altered dietary function. TMJ was evaluated by magnetic resonance imaging (six studies), computed tomography (eight articles) and by ultrasonography findings (two articles). For TMJ treatment, topical and systemic medication was reported in 11 studies. Five studies included patients needing surgical procedures for TMJ ankylosis. Conclusions A relationship between TMD and psoriasis has been revealed. TMJ PsA has been investigated and debated, although the radiographic findings or clinical symptoms of PsA are not noticeably different from other forms of TMJ arthritis. Conservative therapy can lead to significant improvement of TMJ function.

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“…Mehra et al (59) in 2018 evaluated outcomes for patients with autoimmune or connective tissue diseases (rheumatoid, lupus or psoriatic arthritis) treated with autogenous bone grafts (CCG or SCG) Group 1 (n=9) compared to TJP (TMJ Concepts) Group 2 (n=20). Maxillary osteotomies were performed on two-thirds of the subjects.…”

Section: Autogenous Bone Grafts Versus Alloplastic Tmj Tjp: Comparati...mentioning

confidence: 99%

The efficacy of patient-fitted total joint prostheses and orthognathic surgery to reconstruct patients with congenital craniofacial deformities and temporomandibular joint malformation: a systematic review

Wolford¹,

Kesterke²,

Harrison³

2023

Front Oral Maxillofac Med

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Background: Surgical correction of congenital craniofacial deformities (CCD) with temporomandibular joint (TMJ) malformations can be difficult to achieve acceptable functional and esthetic treatment outcomes.The purpose of this study was to perform a systematic literature review to determine effectiveness of TMJ patient-fitted total joint prostheses (TJP) in conjunction with orthognathic surgery for correcting CCD patients with TMJ malformation. Methods: Systematic literature review identified studies in English for surgical correction of CCD patients with TMJ malformation using TMJ TJP with orthognathic surgery. Pub Med, Cochrane, Scopus, Web of Science, and Ovid (from inception through December 2022) and manual searches were used with the following MeSH filters: TMJ prosthesis AND craniofacial deformities OR hemifacial microsomia OR Goldenhar's syndrome OR Treacher-Collins syndrome OR Nager syndrome OR congenital ankylosis OR congenital deformity OR congenital anomaly. Inclusion criteria: (I) patients with CCD and TMJ malformation; (II) TMJ reconstruction with TJP; and (III) orthognathic surgery performed. Exclusion criteria: (I) CCD and TMJ malformation not present; (II) case reports; (III) technical reports; (IV) TMJ TJP were not used; and (V) orthognathic surgery not performed.Results: The search identified 13 papers meeting the filtered requirements, but only 4 papers with a total of 27 patients met the inclusion criteria and received unilateral or bilateral patient-fitted TJP and orthognathic surgery. All 4 studies reported good outcomes relative to stability and increased maximal incisal opening (MIO). Major complications included infection and cranial nerve VII injury. Only one paper had low risk of bias while the others had high risk.Conclusions: This study indicates patient-fitted TJP and orthognathic surgery may provide predictable and stable outcomes with improved MIO for CCD patients with TMJ malformation. The small sample size indicates surgeons should use caution with this surgical protocol until further verification.

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Temporomandibular Joint Reconstruction in Patients With Autoimmune/Connective Tissue Disease

Cited by 21 publications

References 25 publications

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

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

Psoriatic arthritis of the temporomandibular joint: A systematic review

The efficacy of patient-fitted total joint prostheses and orthognathic surgery to reconstruct patients with congenital craniofacial deformities and temporomandibular joint malformation: a systematic review

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