Temporomandibular disorders in patients with rheumatoid arthritis: A clinical study.
OBJECTIVE
The aim of this study is to evaluate the prevalence and type of temporomandibular disorders (TMD) in patients with rheumatoid arthritis (RA).


METHODS
Fifty-four patients having RA treatment at Cukurova University in Rheumatology Clinic were enrolled to the study. Demographic and rheumatologic data were recorded. The patients were examined in Dental Faculty by using Research Diagnostic Criteria/TMD (RDC/TMD) axis I and answered RDC/TMD axis II Biobehavioral Questionnaire. Data were evaluated according instructions for scoring and assessment of RDC/TMD. Mann-Whitney test was performed to compare continuous variables between two groups and Kruskal-Wallis test was performed to compare continuous variables for more than two groups.


RESULTS
Although their activity situations were 55.6% active and 44.4% inactive, the distribution of treatment modality was 31.5% for anti-tumor necrosis factor-α (TNF-α) and 68.5% for disease-modifying antirheumatic drugs (DMARD). The distribution of temporomandibular joint (TMJ) involvement was; 9.3% with no involvement, 7.4% with joint involvement, 64.8% with muscular involvement, 18.5% with both muscular and joint involvement. Rheumatologic functional scores were (0) 3.7%, (1) 50%, (2) 38.9%, (3) 7.4%. Patients' chronic pain was graded from 0 to 4 and the distribution was 3.7%, 24.1%, 20.4%, 31.5% and 20.4%, respectively. The mean duration of RA for anti-TNF-α (11.47 ± 7.67) was significantly higher compared with DMARD (7.09 ± 5.21) P = 0.040.


CONCLUSIONS
There was a high prevalence of TMD in RA patients, and muscular involvement was the highest among the TMJ involvements. Thus, this study supports TMJ examination should be encouraged in the rheumatology settings.
Department of Prosthetic Dentistry, Faculty of Dentistry, Cukurova University, Adana, Turkey.
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Kurtoglu
Department of Oral Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey.
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Kurkcu
Department of Biostatistics, Faculty of Medicine, Cukurova University, Adana, Turkey.
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Sertdemir
Department of Rheumatology, Faculty of Medicine, Cukurova University, Adana, Turkey.
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Ozbek
Department of Prosthetic Dentistry, Faculty of Dentistry, Cukurova University, Adana, Turkey.
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Gürbüz
D000328:Adult; D018501:Antirheumatic Agents; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D014409:Tumor Necrosis Factor-alpha; D014421:Turkey / Q000453:epidemiology
D018501:Antirheumatic Agents; D014409:Tumor Necrosis Factor-alpha