Using Clinical and Multislice Computer Tomographic Features to Assess Temporomandibular Joint Osseous Involvement in Rheumatoid Arthritis: A Preliminary Study
Archives of Rheumatology,

Gheita T et al. – The multislice computed tomography (MSCT) multiplanar reconstruction (MPR) is a diagnostically reliable modality for the estimation of temporomandibular joint (TMJ) involvement in relation to the clinical manifestations and disease activity in rheumatoid arthritis (RA) patients. Early assessment is of utmost importance for the RA patients with symptomatic TMJ.

  • Twenty–four female patients (mean age 35.5±6.6 years; range 38.3 to 42 years) with definite diagnosis of RA were recruited in the study.
  • Assessment was conducted through medical history, physical examination and clinical investigation.
  • Disease Activity Scores in 28 Joints (DAS28) was calculated and Health Assessment Questionnaire–II (HAQ–II) used.
  • The TMJs were assessed according to the TMJ clinical dysfunction score.
  • Radiological grading of hands and feet was performed according to the modified Larsen score.
  • Findings of the MSCT were assessed using the TMJ CT score.

  • Temporomandibular joint involvement was present in 70.83% of patients.
  • The most commonly seen clinical TMJ dysfunction manifestations were difficult manipulation and pain, tenderness (45.83%) clicking (29.17%), locking (16.67%), followed by altered mouth opening (8.33%).
  • The TMJ osseous involvement became more frequent (83.33%) after using bilateral MPR scan.
  • The most frequent findings were mandibular condyle erosions, altered condyle position, mandibular subchondral sclerosis, articular eminence flattening, altered condyle shape and articular fossa erosion, osteophytes, articular eminence erosion, followed by mandibular subcondral cysts.
  • The mouth opening was obviously reduced in 41.67% of patients.
  • The TMJ CT score showed a trend to correlate with DAS28 and modified Larsen score.

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

    Currently, there are no available articles.

Your Unread Messages in Dentistry

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Dentistry Articles

Indexed Journals in Dentistry: Journal of Dentistry, Advances in Dental Research, Clinical Oral Implants Researchmore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More