The comprehensive evaluation of temporomandibular disorders seen in rheumatoid arthritis

Background: We studied clinical signs and symptoms of temporomandibular disorders and radiological changes in the temporomandibular joint from patients with rheumatoid arthritis (RA) compared to patients with myofascial pain dysfunction of the temporomandibular system and control patients to evaluat...

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Bibliographic Details
Published in:Australian dental journal 2006-03, Vol.51 (1), p.23-28
Main Authors: Ardic, F., Gokharman, D., Atsu, S., Guner, S., Yilmaz, M., Yorgancioglu, R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - diagnostic imaging
Arthritis, Rheumatoid - physiopathology
Bone Resorption - diagnostic imaging
Case-Control Studies
Cross-Sectional Studies
Dentistry
Facial Pain - physiopathology
Female
high resolution computed tomography
Humans
Image Processing, Computer-Assisted - methods
Male
Mandibular Condyle - diagnostic imaging
Masticatory Muscles - physiopathology
Middle Aged
myofascial pain dysfunction
Osteoarthritis - diagnostic imaging
Pain Measurement
Radiography, Panoramic
Range of Motion, Articular - physiology
rheumatoid arthritis
Temporal Bone - diagnostic imaging
Temporomandibular disorders
Temporomandibular Joint Disorders - diagnosis
Temporomandibular Joint Disorders - diagnostic imaging
Temporomandibular Joint Disorders - physiopathology
Temporomandibular Joint Dysfunction Syndrome - physiopathology
Tomography, X-Ray Computed - methods
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Summary:Background: We studied clinical signs and symptoms of temporomandibular disorders and radiological changes in the temporomandibular joint from patients with rheumatoid arthritis (RA) compared to patients with myofascial pain dysfunction of the temporomandibular system and control patients to evaluate clinical and radiological relationships. Methods: A cross‐sectional, controlled, clinical and radiological study was planned and 99 subjects (69 patients and 30 controls) were included in the study. Results: Twenty‐three patients with RA (69.7 per cent) had painful temporomandibular joint. Fifty‐five per cent had myofascial pain dysfunction according to the research diagnostic criteria for temporomandibular disorders (TMD). Nearly all of our patients with RA (93.9 per cent) had symptoms, and almost all of them had positive findings of TMD in high resolution computed tomography. Condylar head resorption, joint space narrowing and degeneration were statistically more prominent features in patients with rheumatoid arthritis compared with controls (p
ISSN:0045-0421
1834-7819
DOI:10.1111/j.1834-7819.2006.tb00396.x