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González-Chávez SA, Pacheco-Tena C, Campos Torres RM, Quiñonez-Flores CM, Reyes-Cordero G, Caraveo Frescas TDJ. Temporomandibular and Odontological Abnormalities in Patients with Rheumatoid Arthritis. ACTA ACUST UNITED AC 2018; 16:262-271. [PMID: 30097330 DOI: 10.1016/j.reuma.2018.07.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 06/20/2018] [Accepted: 07/06/2018] [Indexed: 01/07/2023]
Abstract
OBJECTIVE To characterize the orofacial abnormalities in patients with rheumatoid arthritis (RA) and compare them with those in a reference population. METHODS The study included 30 RA patients and 30 consecutive patients in an odontology clinic in whom RA was ruled out. Patients underwent a clinical dental examination which included: 1) clinical and radiographic abnormalities of the temporomandibular joint; 2) biomechanical craniocervical analysis; 3) state of dentition and treatment needs; 4) periodontal status; 5) oral hygiene status; and 6) facial pain, which was compared among study groups. In addition, the association between the variables studied was determined through correlation tests. RESULTS Patients with RA showed a higher prevalence of temporomandibular abnormalities, both clinical (100.0% vs. 60.0%, P<.001) and radiographic, including erosions (50.0% vs. 16.0%, P=.010), compared with individuals in the control group. Likewise, patients with RA had a greater number of missing teeth (6.9±5.7 vs. 3.0±2.0, P=.001), more caries (13.4±5.4 vs. 4.9±6.5, P=.001), periodontitis (1.3±0.9 vs. 0.8±0.8, P=.015), poorer oral hygiene (43.3% vs. 13.3%, P=.005) and greater facial pain (66.7% vs. 20.0%, P <.001). The cephalometric analysis of Rocabado showed differences in the craniocervical angle and hyoid triangle between RA and controls. Significant correlations were obtained between oral and temporomandibular abnormalities. CONCLUSIONS Patients with RA showed a greater orofacial deterioration, which reflects the importance of multidisciplinary care, including periodic dental examination.
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Affiliation(s)
| | - César Pacheco-Tena
- Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, México.
| | - Rosa María Campos Torres
- Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, México; Facultad de Odontología, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, México
| | | | - Greta Reyes-Cordero
- Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, México
| | - Teresita de Jesús Caraveo Frescas
- Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, México; Facultad de Odontología, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, México
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Navallas M, Inarejos EJ, Iglesias E, Cho Lee GY, Rodríguez N, Antón J. MR Imaging of the Temporomandibular Joint in Juvenile Idiopathic Arthritis: Technique and Findings. Radiographics 2017; 37:595-612. [DOI: 10.1148/rg.2017160078] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- María Navallas
- From the Departments of Radiology (M.N., E.J.I.), Rheumatology (E.I., J.A.), and Rehabilitation (N.R.), Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain; and Department of Oral and Maxillofacial Surgery, University Hospital of Torrejón, Madrid, Spain (G.Y.C.L.)
| | - Emilio J. Inarejos
- From the Departments of Radiology (M.N., E.J.I.), Rheumatology (E.I., J.A.), and Rehabilitation (N.R.), Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain; and Department of Oral and Maxillofacial Surgery, University Hospital of Torrejón, Madrid, Spain (G.Y.C.L.)
| | - Estíbaliz Iglesias
- From the Departments of Radiology (M.N., E.J.I.), Rheumatology (E.I., J.A.), and Rehabilitation (N.R.), Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain; and Department of Oral and Maxillofacial Surgery, University Hospital of Torrejón, Madrid, Spain (G.Y.C.L.)
| | - Gui Youn Cho Lee
- From the Departments of Radiology (M.N., E.J.I.), Rheumatology (E.I., J.A.), and Rehabilitation (N.R.), Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain; and Department of Oral and Maxillofacial Surgery, University Hospital of Torrejón, Madrid, Spain (G.Y.C.L.)
| | - Natalia Rodríguez
- From the Departments of Radiology (M.N., E.J.I.), Rheumatology (E.I., J.A.), and Rehabilitation (N.R.), Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain; and Department of Oral and Maxillofacial Surgery, University Hospital of Torrejón, Madrid, Spain (G.Y.C.L.)
| | - Jordi Antón
- From the Departments of Radiology (M.N., E.J.I.), Rheumatology (E.I., J.A.), and Rehabilitation (N.R.), Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Barcelona, Spain; and Department of Oral and Maxillofacial Surgery, University Hospital of Torrejón, Madrid, Spain (G.Y.C.L.)
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