Analysis of helkimo and craniomandibular indexes for temporomandibular disorder diagnosis on rheumatoid arthritis patients

Cunha, Suzana C. da; Nogueira, Ricardo Viana Bessa; Duarte, Angela P.; Vasconcelos, Belmiro Cavalcanti do Egito; Almeida, Renata de Albuquerque Cavalcanti

doi:10.1016/s1808-8694(15)31117-4

Cited by 37 publications

(22 citation statements)

References 13 publications

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“…The classification of the present study's results using the anamnestic and clinical dysfunction index developed by Helkimo clearly shows the higher prevalence of TMD in the RA group compared to group N. Other authors were also able to demonstrate this fact [10, 20, 21]. …”

Section: Discussionsupporting

confidence: 75%

Evaluation of the TMJ by means of Clinical TMD Examination and MRI Diagnostics in Patients with Rheumatoid Arthritis

Vogl

Rehart

Ottl

2014

BioMed Research International

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This study included 30 patients with diagnosed rheumatoid arthritis (RA) and 30 test subjects without RA (control group). The objective of the study was to examine both groups for the presence of temporomandibular disorders (TMD) and morphological changes of the temporomandibular joint (TMJ). All individuals were examined using a systematic detailed clinical TMD examination as well as magnetic resonance imaging (MRI). The clinical TMD examination yielded significant differences between the RA patients and the control group concerning crepitus of the TMJ, and palpation tenderness of the masticatory muscles as well as the unassisted mandibular opening. The evaluation of the MRI images for the RA group showed significantly more frequent deformations of the condyle, osteophyte formations and erosions in the condylar compacta, and degenerative changes in the spongiosa. Increased intra-articular accumulation of synovial liquid and signs of inflammatory changes of the spongiosa were only found in the RA group. Statistical analysis showed a significant correlation between crepitus and specific osteoarthrotic changes (MRI), respectively, and between crepitus and a complete anterior disk displacement without reduction (MRI). The duration of the RA disease correlated neither with the anamnestic and clinical dysfunction index by Helkimo nor with RA-specific MRI findings.

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Section: Discussionsupporting

confidence: 75%

Evaluation of the TMJ by means of Clinical TMD Examination and MRI Diagnostics in Patients with Rheumatoid Arthritis

Vogl

Rehart

Ottl

2014

BioMed Research International

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“…Clinical examination of the patients was performed according to Helkimo index. (20) Structured form was created for data collection from all sample. Patient identification data and the results from the Helkimo index were recorded.…”

Section: Patients and Methods:-mentioning

confidence: 99%

Role of Pharmacotherapy as Diagnostic Therapeutic Test in Management of Persistence of Pain Associated With Myofascial Pain Dysfunction Syndrome in Patients With Elongated Styloid Process.

Kamal¹,

Khairy²

2019

IJAR

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Objectives: Study the response of cases with myofascial pain dysfunction syndrome (MPDS) associated with elongated styloid process to pharmacotherapy. Patients and Methods: Thirty patients with 60 styloid process have been involved in the present study. They were suffering from MPDS. Styloid process length, angulation and morphology were assessed from the panoramic view bilaterally. Treatment plan for MPDS was started gradually from simple short period method (pharmacotherapy for two weeks), to conventional long period one (intraoral occlusal splint fabrication and insertion or therapeutic ultrasonic sessions for three months). The response to the treatment was used as diagnostic therapeutic test. Treatment outcome of patients with and without an elongated styloid process were compared using visual analog scale (VAS) and maximum interincisal mouth opening (MIO). Results: Patients group with severely elongated styloid process (mean length 32.95 mm) showed no improvement after two weeks of treatment by drugs; so they subjected to intraoral occlusal splint fabrication or therapeutic ultrasonic sessions. The mean length of styloid process was 28.2 mm and mean angle was 60.73 o in both sides of all subjects included in this study. Assessment of the styloid process morphology resulted in; 30 sides showed uninterrupted elongated pattern, 12 sides were psudosegmented and 18 sides were segmented. Conclusions: There was tendency for elongation of styloid process among patients with MPDS. Response of drug treatment in MPDS patients with elongated styloid process was questionable in this study, and the diagnostic therapeutic test is useful in detection of such cases. Persistence of pain among MPDS patients could be attributed to the elongation of their styloid process.

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“…Therefore, the patients were interviewed about pain and the following items were assessed: opening pattern, vertical range of motion and pain during opening, joint sounds, excursions and joint sound during excursions, muscle and joint pain with palpation [30]. The modified Helkimo's Clinical Dysfunction Index was calculated afterwards [31,32].…”

Section: Oral Examinationmentioning

confidence: 99%

Comprehensive Assessment of Orofacial Health and Disease Related Parameters in Adolescents with Juvenile Idiopathic Arthritis—A Cross-Sectional Study

Merle

Hoffmann²,

Schmickler

et al. 2020

JCM

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Background: The aim of this cross-sectional study was to investigate oral health and functional status of adolescents with juvenile idiopathic arthritis (JIA) and its possible link to disease specific parameters. Methods: Patients with JIA were recruited (November 2012–October 2014) and disease specific information was extracted from patients’ records. Oral examination included: dental findings (decayed-, missing- and filled-teeth-index (dmf-t/DMF-T)), gingival inflammation (papilla-bleeding-index (PBI)) and periodontal screening index (PSI). Functional examination followed Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Additionally, modified Helkimo’s Clinical Dysfunction Index and radiographic scoring were recorded. Results: 59 JIA patients were included. The mean dmf-t/DMF-T was 2.6. Only one patient showed no signs of gingival inflammation, while 57.6% had a maximum PSI of 2 or less. Positive functional findings were assessed clinically in more than half of the patients. Major diagnosis by RDC/TMD was osteoarthrosis. Patients with at least one positive anamnestic or clinical functional finding revealed significantly higher radiographic scores (CI = 0.440, p = 0.022). Patients with increased c-reactive-protein had a significantly higher PBI (Z = –2.118, p = 0.034) and increased radiographic scores (CI = 0.408, p = 0.043). Conclusions: Adolescents suffering from JIA show high levels of caries experience and gingival inflammation. Temporomandibular joint dysfunction is often seen in JIA patients. Consequently, special dental care programs would be recommendable.

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Analysis of helkimo and craniomandibular indexes for temporomandibular disorder diagnosis on rheumatoid arthritis patients

Cited by 37 publications

References 13 publications

Evaluation of the TMJ by means of Clinical TMD Examination and MRI Diagnostics in Patients with Rheumatoid Arthritis

Evaluation of the TMJ by means of Clinical TMD Examination and MRI Diagnostics in Patients with Rheumatoid Arthritis

Role of Pharmacotherapy as Diagnostic Therapeutic Test in Management of Persistence of Pain Associated With Myofascial Pain Dysfunction Syndrome in Patients With Elongated Styloid Process.

Comprehensive Assessment of Orofacial Health and Disease Related Parameters in Adolescents with Juvenile Idiopathic Arthritis—A Cross-Sectional Study

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