No abstract

Psoriasis is a chronic, papulosquamous, and an inflammatory skin disease. It has been found that between 5% and 24% of patients develop psoriatic arthritis (PA) at the same time after or even prior to skin findings. The involvement of temporomandibular joint (TMJ) is a rare condition. In this report, a-46-year-old male patient was referred to our clinic with the complaint of pain in the bilateral TMJs, and a limited jaw movement. Medical anamnesis revealed he had psoriasis for the last 21 years, and developed a seronegative polyarthritis with destructive changes for 8 years. On extra-oral examination, crepitation at TMJs and limitation of jaw movements was detected. The radiographic examination with cone-beam CT revealed the bilaterally decreased joint spaces, erosion, and the loss of cortical edge of the joint on the condylar heads. The definitive diagnosis of PA was made with the help of patient's history and radiological findings. The uses of non-steroidal anti-inflammatory drugs and occlusal splint have been suggested for conservative treatment.

This study suggests that the prevalence of MDMR may be an indicator of high muscle activity. Patients with MDMR should be carefully examined for the risk of relapse prior to any surgical intervention.

Aim:The morphological changes in tooth structure due to aging gain importance in the adult period. These age-related changes can be used to determine age and sex. The aim of this study was to determine the usability of first molar tooth measurements obtained by cone beam computed tomography (CBCT) in estimating chronological age and sex in Turkish study group. Materials and methods:Three-dimensional images of 332 patients older than 12 years of age with known chronological age and sex were evaluated by semi-automatic segmentation performed separately by two observers. Pulp volume and tooth volume were measured from maxillary or mandibular molar tooth in each patient. Simple linear regression analysis and discriminant function analysis were performed to estimate age and sex using the measurements. In addition, independent sample t-test was used to compare the measurements according to sex and tooth position.Results: Sex was estimated by maxillary first molar volume ratio in 76.6% of women and 56.3% of men. Age estimation (AE) with pulp/tooth volume ratio (PTVR) gave more effective results in males and maxillary first molars. Conclusions:In this study, it was found that maxillary first molar volume ratio gave more accurate results in males AE and in females' sex estimation (SE).