Correlation of clinical findings of temporomandibular joint with serological results in rheumatoid arthritis patients

Jalal, Ranj Adil; Ahmed, Khadija; Saeed, Shahla M; Qaradaghi, Taha A

doi:10.1002/cre2.621

Cited by 5 publications

(4 citation statements)

References 31 publications

(37 reference statements)

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“…Our study investigates the appearance of signs and symptoms of TMD in patients with newly diagnosed rheumatic disease, prior to the initiation of any treatment. This contrasts with previous research that typically assesses TMD prevalence in patients already receiving antirheumatic treatment or hospitalized for their condition [13,14]. This distinction is crucial, as treatment may influence the presentation and severity of TMD symptoms, potentially masking their true prevalence and characteristics in untreated patients [15].…”

Section: Discussionmentioning

confidence: 83%

Correlation of Prevalence and Symptom Severity of Temporomandibular Disorders Among Healthy Individuals and Patients with Newly Diagnosed Rheumatic Diseases

Athina

2023

JDHOR

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Objective: The objective of this study was to assess the prevalence and severity of temporomandibular disorders in patients with rheumatic diseases at the initial stage of diagnosis, prior to any medication and to compare their findings with those of healthy individuals. Design: The study included 92 patients with rheumatic diseases and 94 healthy dental patients. Clinical examinations were performed and anamnestic and clinical dysfunction indices were recorded. Chi-square and t-tests were used to compare characteristics between the control and experimental groups (p < 0.05). Results: The findings revealed a statistically significant difference between the two groups in both subjective and objective measures of temporomandibular disorders. In the rheumatic group, 63% of patients reported subjective symptoms, while 93.5% exhibited clinical dysfunction. There were no significant differences in clicking or deviation between the groups. However, movement limitation was significantly higher in the experimental group (71.8%). No significant difference was observed between rheumatic patients and healthy controls regarding muscular pain, temporomandibular joint pain or pain during movement. Conclusion: In conclusion, severe clinical dysfunction of the temporomandibular joint is twice as common in rheumatic patients compared with healthy individuals. A significantly higher limitation of movement was observed in newly diagnosed rheumatic patients, who are not undergoing any therapeutic intervention.

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Section: Discussionmentioning

confidence: 83%

Correlation of Prevalence and Symptom Severity of Temporomandibular Disorders Among Healthy Individuals and Patients with Newly Diagnosed Rheumatic Diseases

Athina

2023

JDHOR

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“…thus, the pathological process of developing Ra may be more pronounced in the subjects of Kroese et al [26]. in subjects with diagnosed Ra, previous studies report that elevated levels of RF and accP are related to more frequent clinical signs and symptoms of tMD compared to controls [20,32,35].…”

Section: Discussionmentioning

confidence: 91%

“…Yet, large range of frequencies have been reported due to differences in study design and diagnostic criteria (for example lin et al [19]). also, Jalal et al [35] reported an increasing frequency of tMD signs with regard to the time of diagnosing the Ra: 15% of subjects with Ra diagnosed within 5 years had tMD signs compared to 40% of subjects with Ra diagnosed within 6-10 years. this implies that majority of subjects with Ra have some signs of tMD and those who could benefit from further tMD examination and management should be identified and directed to a suitable dental clinic.…”

Section: Discussionmentioning

confidence: 92%

Associations of inflammatory polyarthritis with clinical and radiological findings of temporomandibular disorders

Oksanen,

Sipilä,

Heliövaara

et al. 2024

AOS

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Objective: To evaluate the association of different forms of inflammatory polyarthritis with clinical signs of temporomandibular disorders (TMD) and radiological findings in temporomandibular joint (TMJ), based on a nationwide health survey in Finland. The aim was also to assess the presence of clinical and radiological TMD findings in subjects with increased risk for developing rheumatoid arthritis (RA). Material and methods: Anationally representative sample included 6331 Finnish adults who participated in the Health 2000 Survey (BRIF8901). Subjects were examined for signs of TMD, findings in panoramic radiograph of TMJ, musculoskeletal health and serology (rheumatoid factor, RF, and anti-cyclic citrullinated peptide, aCCP). Results: Sixty-four percent of seronegative RAand 60% of seropositive RAsubjects had at least one sign of TMD. While adjusting for confounding factors (gender, age, dentures and smoking history), RAwas significantly associated with crepitation and abnormal radiological findings in TMJ. Seronegative RAwas also associated with restricted mouth opening. Systemic autoimmunity associated with RA(“at risk of RA”) was not associated with clinical or radiological TMD findings. Conclusions: Clinical and radiological findings of TMD are more prevalent among subjects with inflammatory polyarthritis than among the population in general in the Finnish adult population.

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“…Since RA is an inflammatory arthritis involving synovial joints, it is not surprising that it involves TMJ. The incidence of TMJ involvement in RA patients ranges from 5 to 86% 8 . In this study, we aimed to examine the TMJ involvement and magnetic resonance imaging (MRI) findings in EORA and YORA patients.…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint involvement in elderly onset and young onset rheumatoid arthritis patients

Ilhanli,

Ilhanli

2023

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: There are studies showing clinical and laboratory differences between elderly-onset rheumatoid arthritis and young-onset rheumatoid arthritis. Temporomandibular joint involvement in rheumatoid arthritis is not rare. In this study, we aimed to examine the temporomandibular joint involvement and magnetic resonance imaging findings in elderly-onset rheumatoid arthritis and young-onset rheumatoid arthritis patients. METHODS: A total of 87 rheumatoid arthritis patients were investigated retrospectively. The onset ≥60 years was considered elderly-onset rheumatoid arthritis. Erosion, flattening, and resorption of the condyle, narrowing of the joint space, joint effusion, synovial hypertrophy, and synovitis were interpreted as temporomandibular joint involvement with magnetic resonance imaging. Patients’ age, gender, rheumatoid factor, and anti-cyclic citrullinated peptide positivity, extra-articular findings, medical treatment, and disease activity score were noted. RESULTS: A total of 15 (17.2%) patients had elderly-onset rheumatoid arthritis. Temporomandibular joint involvement was detected in 67 (77%) patients; 9 (60%) of them were in the elderly-onset rheumatoid arthritis group (n=15) and 58 (80.6%) of them were in the young-onset rheumatoid arthritis group (n=72). Patients with temporomandibular joint involvement were significantly higher than those without temporomandibular joint involvement in both the elderly-onset rheumatoid arthritis and young-onset rheumatoid arthritis groups (p<0.001). No significant difference was found between elderly-onset rheumatoid arthritis and young-onset rheumatoid arthritis for the temporomandibular joint involvement (p=0.100). In the young-onset rheumatoid arthritis group, rheumatoid factor positivity and anti-cyclic citrullinated peptide positivity were more frequent in the patients with temporomandibular joint involvement (p=0.011, p=0.024). A comparison of the elderly-onset rheumatoid arthritis and young-onset rheumatoid arthritis patients showed no significant difference in the magnetic resonance imaging findings except for the resorption of the condyle. CONCLUSION: According to our findings, elderly-onset rheumatoid arthritis is not much different from young-onset rheumatoid arthritis in terms of temporomandibular joint involvement, magnetic resonance imaging findings, and clinical and laboratory features.

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Correlation of clinical findings of temporomandibular joint with serological results in rheumatoid arthritis patients

Cited by 5 publications

References 31 publications

Correlation of Prevalence and Symptom Severity of Temporomandibular Disorders Among Healthy Individuals and Patients with Newly Diagnosed Rheumatic Diseases

Correlation of Prevalence and Symptom Severity of Temporomandibular Disorders Among Healthy Individuals and Patients with Newly Diagnosed Rheumatic Diseases

Associations of inflammatory polyarthritis with clinical and radiological findings of temporomandibular disorders

Temporomandibular joint involvement in elderly onset and young onset rheumatoid arthritis patients

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