Temporomandibular joint replacement in rheumatoid-induced disease

We report a series of seven patients with rheumatoid arthritis whose temporomandibular joints were replaced using the Christensen joint system. Patients were assessed before and after operation both subjectively (pain and dietary interference) and objectively (interincisal distance). Patient's...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2001-02, Vol.39 (1), p.71-75
Main Authors: Saeed, N.R., McLeod, N.M.H., Hensher, R.
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis, Rheumatoid - surgery
Arthroplasty, Replacement
Biological and medical sciences
Dentistry
Diet
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Joint Prosthesis - economics
Male
Mastication
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Middle Aged
Non tumoral diseases
Otorhinolaryngology. Stomatology
Pain Measurement
Patient Satisfaction
Range of Motion, Articular
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Temporomandibular Joint - surgery
Temporomandibular Joint Disorders - surgery
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Summary:We report a series of seven patients with rheumatoid arthritis whose temporomandibular joints were replaced using the Christensen joint system. Patients were assessed before and after operation both subjectively (pain and dietary interference) and objectively (interincisal distance). Patient's satisfaction with the outcome of operation was also recorded. All patients showed improved visual analogue scores for pain and dietary interference after their operations and an improvement in interincisal distance was recorded in five of the patients (the remaining two having had the operation for anterior open bite). Overall satisfaction was high and no patient has rejected the prosthesis or had any substantial complications. The mean follow up period is 30 months (range 8–50). We suggest that patients with severe, rheumatoid-induced temporomandibular disease should be considered for arthroplasty as it is possible to restore some normal function and appearance.
ISSN:0266-4356
1532-1940
DOI:10.1054/bjom.2000.0565