Temporomandibular Joint Disorders in Patients with Rheumatoid Arthritis

Lin, Yi Chun; Hsu, Ming Lun; Yang, Jih Sheng; Liang, Toong Hua; Chou, Sun Long; Lin, Hui-Wen

doi:10.1016/s1726-4901(08)70055-8

Cited by 74 publications

(95 citation statements)

References 24 publications

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“…The clinical involvement was present within (73.3%) of the study subjects while joint sounds was considered the most predominant feature and that was in agreement with other previous studies (5,6,9).…”

Section: Discussionsupporting

confidence: 92%

“…It was found that the incidence of RA was more in females than males and that was in agreement with other studies like (Lin YC, 2007) (6) and with (Lipisky 1998) (7) . The age range (45.6 years) ranged from (28 to 63) years and the duration of the disease was (20.6 years) and its effect upon RA subjects coincided with the criteria of RA according to British Society of Rheumatology ,2008.…”

Section: Discussionsupporting

confidence: 92%

“…The age range (45.6 years) ranged from (28 to 63) years and the duration of the disease was (20.6 years) and its effect upon RA subjects coincided with the criteria of RA according to British Society of Rheumatology ,2008. (3) ,and other articles (6,9).…”

Section: Discussionmentioning

confidence: 94%

See 2 more Smart Citations

Evaluation of The Effects Of Rheumatoid Arthritis On The Hard And Soft Tissue Components Of The Temporomandibular Joint By Using Magnetic Resonance Imaging

Abdulla¹,

Kubba²,

Al-khalissy³

2014

Iraqi dent. j.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Evaluation of The Effects Of Rheumatoid Arthritis On The Hard And Soft Tissue Components Of The Temporomandibular Joint By Using Magnetic Resonance Imaging

Abdulla¹,

Kubba²,

Al-khalissy³

2014

Iraqi dent. j.

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“…RA shortens the life span by 5-7 years and if severe, significantly alters the normal life style. It is known that rheumatoid arthritis is a disease characterized by symmetrical joint involvement, explaining that 60% of our selected patients in this study had symmetrical TMJ involvement [26,27] The most prevalent TMD sign or symptom is joint sounds, as in this study it is obvious in (85%) of examined joints, (45%) recalled joint pain during palpation, while one case only (0.5%) had a deviated mandible during maximum extrusion. Although some authors found that pain during condylar translation, asymmetry during maximum opening and protrusions as well as crepitation during movement were predictors for TMJ involvement with a good specificity but at low sensitivity.…”

Section: Discussionmentioning

confidence: 53%

Assessment of Temporomandibular Joint Diseases in Patients with Rheumatoid Arthritis by Panoramic Radiography and Magnetic Resonance Imaging

Eshak¹

2016

JDHODT

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Objective: To assess the temporomandibular joint in patients with rheumatoid arthritis by both panoramic radiography and MRI.Study design: Panoramic radiograph and MRI imaging were performed to forty joints of twenty patients from both sexes and varying ages, complaining of signs and/or symptoms of TMJ involvement. Diagnoses of Rheumatoid Arthritis were according to 1987 ACR criteria for RA. All images were analyzed and scored. Results:Comparison between panorama and MRI revealed that there was statistically significant difference regard condyles position in panorama and condylar osseous changes in MRI, temporal cortical bone integrity in panorama and osseous condylar changes in MRIs and finally joints space narrowing in panorama and disc position, disc morphology, and joint effusion in MRIs. While, there was no statistically significant difference regard condyles morphology in panorama and osseous condylar changes in MRIs, and finally joint space narrowing in panorama and revealed retrodiscal band hyper intense signal detected in MR images.

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“…The temporomandibular joint (TMJ) is known to be frequently affected by RA (1,2), with reported frequencies of TMJ involvement varying between 2 and 86% (2,3). TMJs afflicted with RA may be associated with pain, swelling, crepitation, stiffness on opening the mouth and limitation of movement (4).…”

Section: Introductionmentioning

confidence: 99%

RANKL, OPG and CTR mRNA expression in the temporomandibular joint in rheumatoid arthritis

Liu¹,

Xu²,

Li³

et al. 2015

Experimental and Therapeutic Medicine

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Abstract. The calcitonin receptor (CTR) and receptor activator of nuclear factor κB ligand (RANKL) have been found to be involved in the differentiation of osteoclasts. The association between the RANKL:osteoprotegerin (OPG) expression ratio and the pathogenesis of bone-destructive rheumatoid arthritis (RA) has been described in several joints, but the available data for the temporomandibular joint (TMJ) are limited. The aim of the present study was to investigate the involvement of osteoclasts at sites of bone erosion by determining the CTR expression and the RANKL:OPG expression ratio in the TMJ in a collagen-induced arthritis (CIA) model. Forty-eight male Wistar rats were randomly divided into two groups: Control group, injected with saline solution for 6 weeks; and CIA group, injected with emulsion. The RANKL and OPG mRNA expression was significantly increased in immunized rats compared with that in non-immunized rats. The RANKL:OPG expression ratio on the trabecular bone surface was 9.0 and 6.4 in the CIA group at weeks 4 and 6, respectively, while the RANKL:OPG expression ratio in the controls was 1.0:2. CTR mRNA expression was significantly upregulated in immunized rats compared with that in non-immunized rats; the level of CTR mRNA in the CTR-positive osteoclasts on the trabecular bone surface was 10.9-and 7.8-fold higher in the CIA rats than that in the control rats at weeks 4 and 6, respectively. In conclusion, focal bone destruction in an experimental model of arthritis in the TMJ can be attributed to cells expressing CTR, a defining feature of osteoclasts. The expression of RANKL and OPG mRNA within the inflamed synovium provides an insight into the mechanism of osteoclast differentiation and function at the border of bone erosion in arthritis.

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Temporomandibular Joint Disorders in Patients with Rheumatoid Arthritis

Cited by 74 publications

References 24 publications

Evaluation of The Effects Of Rheumatoid Arthritis On The Hard And Soft Tissue Components Of The Temporomandibular Joint By Using Magnetic Resonance Imaging

Evaluation of The Effects Of Rheumatoid Arthritis On The Hard And Soft Tissue Components Of The Temporomandibular Joint By Using Magnetic Resonance Imaging

Assessment of Temporomandibular Joint Diseases in Patients with Rheumatoid Arthritis by Panoramic Radiography and Magnetic Resonance Imaging

RANKL, OPG and CTR mRNA expression in the temporomandibular joint in rheumatoid arthritis

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