Diagnosing psoriatic arthritis of the temporomandibular joint: a study in radiographic images

Kulkarni, A. V.; Gadre, Pushkar; Kulkarni, Pooja Adwait; Gadre, Kiran Shrikrishna

doi:10.1136/bcr-2013-010301

Cited by 8 publications

(5 citation statements)

References 3 publications

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“…Additionally, patients with PsA and, to a lesser extent, those with psoriasis (PsO) are equally more frequently affected by TMD as compared to the healthy subjects, and again, TMD may be the presenting manifestation of the rheumatic condition ( 8 , 29 , 94 ). Dervis et al ( 95 ) showed TMJ dysfunction in 29% and 35% of patients with PsO and PsA, respectively.…”

Section: Methodsmentioning

confidence: 99%

The Role of Ultrasound in Temporomandibular Joint Disorders: An Update and Future Perspectives

et al. 2022

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Temporomandibular joint (TMJ) disorder is the second most common chronic pain condition affecting the general population after back pain. It encompasses a complex set of conditions, manifesting with jaw pain and limitation in mouth opening, influencing chewing, eating, speaking, and facial expression. TMJ dysfunction could be related to mechanical abnormalities or underlying inflammatory arthropathies, such as rheumatoid arthritis (RA) or juvenile idiopathic arthritis (JIA). TMJ exhibits a complex anatomy, and thus a thorough investigation is required to detect the TMJ abnormalities. Importantly, TMJ involvement can be completely asymptomatic during the early stages of the disease, showing no clinically detectable signs, exposing patients to delayed diagnosis, and progressive irreversible condylar damage. For the prevention of JIA complications, early diagnosis is therefore essential. Currently, magnetic resonance imaging (MRI) is described in the literature as the gold standard method to evaluate TMJ. However, it is a high-cost procedure, not available in all centers, and requires a long time for image acquisition, which could represent a problem notably in the pediatric population. It also suffers restricted usage in patients with claustrophobia. Ultrasonography (US) has emerged in recent years as an alternative diagnostic method, as it is less expensive, not invasive, and does not demand special facilities. In this narrative review, we will investigate the power of US in TMJ disorders based on the most relevant literature data, from an early screening of TMJ changes to differential diagnosis and monitoring. We then propose a potential algorithm to optimize the management of TMJ pathology, questioning what would be the role of ultrasonographic study.

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Section: Methodsmentioning

confidence: 99%

The Role of Ultrasound in Temporomandibular Joint Disorders: An Update and Future Perspectives

et al. 2022

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“…Radiological findings that are consistent with the diagnosis include cortical erosion, the narrowing of the articular space, the flattening of the articular surfaces, and osteophytic lesions [55].…”

Section: Diagnosing Tmds Associated With Psamentioning

confidence: 65%

“…The clinical diagnosis of PsA-TMD is based on medical history assessment, particularly in terms of rheumatological disease and physical examination of the TMJ and the masticatory muscles. The final diagnosis is completed with radiological evidence [55]. Thus, the diagnostic approach includes the following scheme: medical history, with a focus on patients affected by psoriasis, and physical examination of the TMJ.…”

Section: Diagnosing Tmds Associated With Psamentioning

confidence: 99%

“…Thus, the diagnostic approach includes the following scheme: medical history, with a focus on patients affected by psoriasis, and physical examination of the TMJ. The clinical signs are arthralgia, crepitus, and rarely, ankylosis on both sides [55]. The aspecific symptoms include pain, functional limitations, and muscular effects [48,51,56,57], with general orofacial pain, headache, and myalgia at the masticatory muscles and sleep disorders [58][59][60].…”

Section: Diagnosing Tmds Associated With Psamentioning

confidence: 99%

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Psoriatic Arthritis Involving TMJ: A Review on Pathogenesis and Consideration on Eventual Gender Differences

Bernardi,

Memè,

Belfioretti

et al. 2024

Dentistry Journal

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Psoriatic arthritis is defined as chronic inflammatory arthritis associated with psoriasis. The current data regarding gender differences in clinical manifestation and therapeutic outcomes of psoriatic arthritis are limited. Generally, men show a peripheral disease manifestation, while women have an axial distribution of the lesions. If we look at temporomandibular joint (TMJ) involvement, epidemiological data on the involvement of the TMJ are hard to find. Few studies on therapeutic management and the related impact on the quality of life are reported in the literature. Given the morpho-functional peculiarities of the TMJ and the different pain burdens between male and female genders, when manifestation of psoriatic arthritis occurs, clinicians should face it using a multidisciplinary approach for a correct diagnosis and successful treatment. This review aims to examine the diagnostic signs of psoriatic arthritis in the TMJ, the eventual variations of this disease in male and female patients, and the therapeutical strategies. The coordination of different specialties is fundamental to the remission of clinical symptoms and lesion regression.

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“…The radiological signs obtained using magnetic resonance or CT scans reveal an alteration of the morphology of the condyles and of the mandibular fossa, with signs of erosion, bone remodeling, and osteoarthritis [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

A Female Psoriatic Arthritis Patient Involving the TMJ

Falisi

Gatto

Paolo

et al. 2021

Case Reports in Dentistry

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Psoriatic arthritis (PsA) is an inflammatory chronic arthritis associated with psoriasis. Currently, data about gender differences in clinical manifestation and therapeutic outcomes of PsA are limited. Frequently, women manifest a peripheral disease while men have an axial localization. Moreover, women display higher disease activity and physical activity limitations, if compared to men. Although the involvement of the temporomandibular joint (TMJ) is quite rare, it can seriously impact the quality of life. The morpho-functional peculiarities of TMJ require a multidisciplinary approach to perform a correct diagnosis and a successful treatment. Here, we report a case of a woman affected by PsA involving TMJ treated by combining pharmacological therapy and an occlusal splint. The coordination between different specialties led to a complete remission of clinical symptoms and a regression of lesions.

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Diagnosing psoriatic arthritis of the temporomandibular joint: a study in radiographic images

Cited by 8 publications

References 3 publications

The Role of Ultrasound in Temporomandibular Joint Disorders: An Update and Future Perspectives

The Role of Ultrasound in Temporomandibular Joint Disorders: An Update and Future Perspectives

Psoriatic Arthritis Involving TMJ: A Review on Pathogenesis and Consideration on Eventual Gender Differences

A Female Psoriatic Arthritis Patient Involving the TMJ

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