Clinical and radiographic findings of the temporomandibular joint in patients with various rheumatic diseases. A case-control study

The Temporomandibular Joint in a Rheumatoid Arthritis Patient after Orthodontic Treatment

“…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.…”

“…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.…”

Temporomandibular Joint Arthritis in Pediatric Sjögren Disease and Sarcoidosis

“…There are other rheumatologic diseases that can also present with TMJ inflammation [e.g., sarcoidosis, Sjögren disease, mixed connective tissue disease (MCTD)] 4,5,6 , but the prevalence is less known. During the course of clinical care at the Pediatric Rheumatology Clinic at Children's Hospital of Alabama (Birmingham, AL, USA), several non-JIA arthritis patients have presented with symptoms and/or signs consistent with TMJ disease and were subsequently evaluated by MRI for TMJ arthritis.…”

“…Signs or symptoms of TMJ arthritis were found in all 7 patients with MRI-confirmed TMJ arthritis. This highlights why it is appropriate to look for masticatory muscle tenderness, restricted maximal interincisor distance, and deviation in mouth opening 4 . For children with JIA, the most common subjective symptoms noted in patients with TMJ arthritis are pain at rest, crepitation, swelling, and clicking 8 .…”

Oral rehabilitation of a patient with ankylosing spondylitis and orofacial pain: A case report

“…The treating dental professional should be suspicious of AS when a patient shows the symptoms of a painful hypo-mobile back joint with no history of trauma and neck or back complaints, and should consider a rheumatologist consult [9,10].…”