Psoriatic arthritis of the temporomandibular joint: A systematic review

Abstract

Objectives Psoriasis is an inflammatory condition brought on by the immune system. This study aimed to perform a systematic review related to psoriatic arthritis (PsA) of the temporomandibular joint (TMJ). Methods The search strategy was developed by a radiologist expert with more than 20 years of experience. The search was performed without time restrictions in five electronic databases: PubMed, Web of Science, Embase, Scopus and Ovid. The search strategy was based on MeSH and Emtree terms. The methodological quality of the studies was rated using the quality assessment tools from the National Heart Lung and Blood Institute (NHLBI). Results Twenty‐three publications were included, 10 being case reports. One hundred‐fifty‐one patients with TMJ PsA were reported. Psoriasis evolution ranged from 1.5 years to 24 years. Clinical symptoms of TMJ involvement included: TMJ pain and sounds, limited range of jaw movements, preauricular swelling, malocclusion, headache, tinnitus, neck stiffness and altered dietary function. TMJ was evaluated by magnetic resonance imaging (six studies), computed tomography (eight articles) and by ultrasonography findings (two articles). For TMJ treatment, topical and systemic medication was reported in 11 studies. Five studies included patients needing surgical procedures for TMJ ankylosis. Conclusions A relationship between TMD and psoriasis has been revealed. TMJ PsA has been investigated and debated, although the radiographic findings or clinical symptoms of PsA are not noticeably different from other forms of TMJ arthritis. Conservative therapy can lead to significant improvement of TMJ function.

Salivary Biomarkers and Temporomandibular Disorders: A Systematic Review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

“…Previous investigations have conducted comprehensive assessments of distinct biomarkers present in the synovial fluid of individuals affected by internal joint derangement in the TMJ. [55][56][57][58][59][60][61][62][63] Saliva involves a less invasive approach to evaluating these biomarkers. The study of Mehra et al involved venipuncture, a minimally invasive procedure involving the insertion of a needle into a vein to collect blood samples, which was employed for biomarker analysis.…”

“…Previous investigations have conducted comprehensive assessments of distinct biomarkers present in the synovial fluid of individuals affected by internal joint derangement in the TMJ 55‐63 . Saliva involves a less invasive approach to evaluating these biomarkers.…”

Temporomandibular joint disorders in seronegative spondyloarthritis: what a rheumatologist needs to know?

“…Reumatologia 2023; 61/5 matic involvement of TMJ can have similar findings with non-rheumatic TMD. Disc pathology though, seems to be more obvious is inflammatory arthritis [53]. Ultrasonography proves to be a quite efficient modality in the assessment of TMJ since its results are comparable to MRI (88% concordance, sensitivity 72.2% and specificity 60% comparing to MRI) [61].…”

“…Psoriatic arthritis usually accompanies plaque psoriasis (PsO), with the estimated prevalence of PsA among psoriatic cases ranging between 14–31% [ 51 , 52 ]. A recent systematic review [ 53 ] pooled all primary studies of patients with PsA and TMJ involvement, including 10 case reports, 13 case series and a total of 4 case-control studies. A total of 151 cases of PsA and concomitant TMD were identified, with great discrepancy in the diagnostic criteria applied both for PsA and the assessment of TMD [ 53 ].…”

Post‐traumatic stress, prevalence of temporomandibular disorders in war veterans: Systematic review with meta‐analysis

“…39 Temporomandibular disorder is a group of disorders that affect the temporomandibular joint (TMJ) and the muscles around it. 15,40 It can cause a range of symptoms, such as pain, difficulty chewing, clicking or popping sounds when opening and closing the mouth, and headaches. Temporomandibular disorder is generally caused by issues in the muscles, joints and ligaments that control the jaw.…”