1993
DOI: 10.1016/0300-5712(93)90023-j
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The temporomandibular joint in rheumatoid arthritis: correlations between clinical and tomographic features

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Cited by 64 publications
(53 citation statements)
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“…Nevertheless, occasionally some patients develop progressive TMJ arthritis, which ultimately results in distracted condylar surface-induced pain, dysfunction of mandibular movement, and the development of an anterior open bite. [1][2][3][4] Our case developed an anterior open bite deformity ( Figure 1A) due to the severely eroded articular surfaces of both side condyles, as noted on the lateral tomograms and MRI (Figures 2 and 3). In general, TMJ replacement therapy or costochondral grafting of the TMJ provides a surgical solution for such patients.…”
Section: Discussionmentioning
confidence: 75%
See 1 more Smart Citation
“…Nevertheless, occasionally some patients develop progressive TMJ arthritis, which ultimately results in distracted condylar surface-induced pain, dysfunction of mandibular movement, and the development of an anterior open bite. [1][2][3][4] Our case developed an anterior open bite deformity ( Figure 1A) due to the severely eroded articular surfaces of both side condyles, as noted on the lateral tomograms and MRI (Figures 2 and 3). In general, TMJ replacement therapy or costochondral grafting of the TMJ provides a surgical solution for such patients.…”
Section: Discussionmentioning
confidence: 75%
“…The common clinical findings in RA of the TMJ are tenderness, pain, clicking, crepitation, stiffness, and limitation in jaw movements. 1,2 In patients with progressive disease, the joint space becomes obliterated due to loss of condylar height and retrognathia, and an anterior open bite deformity occurs due to destruction, erosion, sclerosis, and flattening of the articular surface of the condyle and eminence. 3,4 These patients occasionally require a surgical approach, such as TMJ replacement therapy or costochondral grafting of the TMJ to solve the anterior open bite deformity.…”
Section: Introductionmentioning
confidence: 99%
“…The 48 TMJs of the RA patients were assessed according to the TMJ clinical dysfunction score (CDS) as the presence of TMJ symptoms and signs were recorded. [25] Radiological grading of the hands and feet of the studied RA patients was assessed, and percentage damage was calculated according to the modified Larsen score. [26] Informed consents were obtained from the patients, and the local ethics committee approved the study.…”
Section: Methodsmentioning
confidence: 99%
“…Both the reconstructed coronal and corrected sagittal views were assessed for the shape of the mandibular condyle, presence of any bony abnormalities, and condylar position during maximal mouth opening by using the CT TMJ score. [25] For optimum visualization of the anatomical structures under examination, a bone reconstruction algorithm was used. The obtained axial images were transformed into isotropic coronal and corrected sagittal images to obtain MPR for visualization of the articular surfaces.…”
Section: Multislice Computed Tomography Scanningmentioning
confidence: 99%
“…The magnitude of TMJ involvement seems to be correlated with the severity of RA. The level of rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), thrombocytes count, and plasma tumor necrosis factor-α have all been noted to correlate with the severity of TMD [5][6][7][8][9][10][11][12][13]. Dental panoramic tomography has become a very popular radiographic technique in dentistry.…”
Section: Introductionmentioning
confidence: 99%