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VOLUME 18 , ISSUE 9 ( September, 2017 ) > List of Articles

RESEARCH ARTICLE

Intricate Estimation and Evaluation of Mandibular Movements in Geriatric Patients Suffering from Rheumatoid Arthritis

Shruti Dev, Sonali Perti, Mirna Garhnayak, Kalinga K Sahoo, Angurbala Dhal, Lokanath Garhnayak

Citation Information : Dev S, Perti S, Garhnayak M, Sahoo KK, Dhal A, Garhnayak L. Intricate Estimation and Evaluation of Mandibular Movements in Geriatric Patients Suffering from Rheumatoid Arthritis. J Contemp Dent Pract 2017; 18 (9):781-784.

DOI: 10.5005/jp-journals-10024-2126

Published Online: 00-09-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Rheumatoid arthritis (RA) is an autoimmune disorder that usually affects joints and making them warm, painful, and swollen. The chief purpose of this study was to evaluate movements of mandible in geriatric patients suffering from RA with or without temporomandibular joint dysfunction.

Materials and methods

A total of 45 people were included in this study with age of 60 years and above. Partially or completely edentulous patients were divided into experimental and control group. Experimental group consists of 20 people suffering from arthritis and control group consists of 25 people without arthritis. Movements were recorded with or without prosthesis while mastication in both experimental and control group.

Results

Statistical evaluation of two studied groups showed decrease opening angle (p < 0.05) during mastication; however, insertion of new prosthesis showd a significant increase in values in both groups, with an increase in opening and closing angles.

Conclusion

Positive correlation was found between arthritis and movements of the mandible in older people suffering from RA.

Clinical significance

Patients suffering from RA are having restricted mandibular movements thus imposing an overall negative impact however; presence of prosthesis has been shown to enforce a positive effect on mandibular movement.

How to cite this article

Dev S, Perti S, Garhnayak M, Sahoo KK, Dhal A, Garhnayak L. Intricate Estimation and Evaluation of Mandibular Movements in Geriatric Patients Suffering from Rheumatoid Arthritis. J Contemp Dent Pract 2017;18(9):781-784.


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  1. Clinical and radiographic findings of the temporomandibular joint in patients with various rheumatic diseases. A case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 Apr;99(4):455-463.
  2. Rheumatoid arthritis affecting temporomandibular joint. Contemp Clin Dent 2015 Jan-Mar;6(1):124-127.
  3. The temporomandibular joint in ankylosing spondylitis. Correlations between subjective, clinical, and radiographic features in the stomatognathic system and effects of treatment. Acta Odontol Scand 1984 Jun;42(3):165-173.
  4. My treatment approach to rheumatoid arthritis. Mayo Clin Proc 2012 Jul;87(7):659-673.
  5. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988 Mar;31(3):315-324.
  6. Mandibular movements in older people with rheumatoid arthritis. Oral Surg Oral Med Oral Pathol Oral Radiol 2017 May;123(5):e153-e159.
  7. A radiographic evaluation of temporomandibular and hand (metacarpophalangeal)/wrist joints of patients with adult rheumatoid arthritis. Dent Res J (Isfahan) 2012 Dec;9(Suppl 1):S32-S38.
  8. Stomatognathic system involvement in rheumatoid arthritis patients. Cranio 2014 Jan;32(1):31-37.
  9. Rheumatoid nodules and quality of life in rheumatoid arthritis females – complex assessment. Rom J Morphol Embryol 2016;57(1):215-225.
  10. Evaluation of the TMJ by means of clinical TMD examination and MRI diagnostics in patients with rheumatoid arthritis. Biomed Res Int 2014 Aug;2014:328560.
  11. Oro-facial evaluation of women with rheumatoid arthritis. J Oral Rehabil 2015 May;42(5):370-377.
  12. Comparison of arthroscopy and radiography in patients with temporomandibular joint symptoms and generalized arthritis. Dentomaxillofac Radiol 1998 Mar;27(2):107-112.
  13. Inflammatory mediators and radiographic changes in temporomandibular joints of patients with rheumatoid arthritis. Acta Odontol Scand 2003 Feb;61(1):57-64.
  14. The comprehensive evaluation of temporomandibular disorders seen in rheumatoid arthritis. Aust Dent J 2006 Mar;51(1):23-28.
  15. Prevalence of temporomandibular disorder signs in patients with complete versus partial dentures. Clin Oral Investig 2006 Apr;10(3):167-173.
  16. The prevalence of temporomandibular joint dysfunction among patients wearing complete dentures. Aust Dent J 1988 Aug;33(4):299-302.
  17. The prevalence of craniomandibular disorders in completely edentulous denture-wearing subjects. J Oral Rehabil 1991 May;18(3):231-242.
  18. Loss of natural dentition: multi-level effects among a geriatric population. Gerodontology 2012 Jun;29(2):e192-e199.
  19. Temporomandibular disorder features in complete denture patients versus patients with natural teeth: a comparative study. Pak Oral Dent J 2010 Jun;30(1):254-259.
  20. The usefulness of diagnostic imaging for the assessment of pain symptoms in temporomandibular disorders. Jpn Dent Sci Rev 2016 Nov;52(4):93-106.
  21. Management of the temporomandibular joint in rheumatoid disorders. Br J Oral Maxillofac Surg 2013 Apr;51(3):191-198.
  22. Quantitative systematic review of topically applied non-steroidal anti-inflammatory drugs. BMJ 1998 Jan;316(7128):333-338.
  23. Direct coronal computed tomography of the temporomandibular joint in patients with rheumatoid arthritis. Br J Radiol 1992 Feb;65(779):955-960.
  24. How to live with rheumatoid arthritis??? Int Res J Pharm 2012 Mar;3(3):115-121.
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