Clinical analysis of the state of the temporomandibular joints in adult patients with juvenile idiopathic arthritis
DOI:
https://doi.org/10.33295/1992-576X-2022-5-6-40Keywords:
juvenile idiopathic arthritis, temporomandibular disorders, pain, dentoalveolar anomaliesAbstract
Relevance. Juvenile idiopathic arthritis (J IA) is a systemic connective tissue disease with predominant localization of the process in the musculoskeletal system. According to the results of the study [3], temporomandibular joint disease (TMJ) was detected in 4.7±3.2 % of patients with JIA. Therefore, in our opinion, the problem of musculo-articular disorders and diseases of the temporomandibular joints (TMJ) against the background of this pathology is quite relevant.
The aim of this study was to conduct a clinical analysis of the state of the temporomandibular joints in adults with juvenile idiopathic arthritis against the background of dentoalveolar anomalies and deformities.
Materials and research methods. A retrospective analysis of extracts from the medical history of 26 adults (17 women (65.4 %)) and 9 men (34.6 %) who had juvenile idiopathic arthritis and had long-term joint and extra-articular consequences and have long-term articular and extra-articular complications in adulthood was carried out. A clinical analysis of the state of the temporomandibular joints, occlusion and manifestations of pain in these individuals and in 25 individuals of the control group was carried out.
Results of the study and their discussion. Bilateral dysfunctional, inflammatory and degenerative joint lesions were identified in 14 (53.8%) individuals of the observation group, bilateral asymmetrical lesions (a combination of dysfunctional, inflammatory and degenerative processes) in 9 people (34.6%). In 3 (11.6%) individuals, signs of dysfunction and diseases of the TMJ were not identified. Pain in the observation group was defined as extremely mild to moderate, with only 5 people (19.2%) reporting very severe pain. The presence of dentoalveolar anomalies and deformities was determined in 53.8% of patients with JIA and 44% of persons in the control group.
Conclusions. The obtained results confirm the polyetiological nature of dysfunctional conditions and diseases of the temporomandibular joint and indicate directions for the development oftherapeutic and preventive measures for patients with JIA.
Downloads
References
Kovalenko VN, Omelchenko LY, Yaremenko OB, Marushko TV, Bohmat LF, Mukvych OM, Boiko YaE, Harmysh EA, Dzhus MB, Beliavskaia YuV Preemstvennost y эffektyvnost terapyy yuvenylnoho ydyopatycheskoho artryta: napravlenyia personyfytsyrovannoi terapyy. Ukrainskyi revmatolohichnyi zhurnal.2016; 2 ( 64 ) : 9-16 [in Russian]
Kovalenko VM, Shuba NM, Yaremenko OB, Omelchenko LI, Bortkevych OP, Marushko TV, Protsenko HO, Harmish OO, Ter-Vartanian SKh, Svintsitskyi AS, Herasymenko SI. Dyskusiini pytannia obhruntuvannia statusu diahnozu «Iuvenilnyi revmatoidnyi artryt» v katehorii dorosloho naselennia u vypadkakh debiutu khvoroby v dytiachomu ta pidlitkovomu vitsi. Ukrainskyi revmatolohichnyi zhurnal. 2016;1 (63): 21-24 [in Ukraine]
Marushko T.V., Berezhnyi V.V., Havrylenko T.I., Klubova H.F. Rol pro-i protyzapalnykh tsytokyniv u rozvytku zapalnoho protsesu pry yuvenilnomu revmatoidnomu artryti. Ukrainskyi revmatolohichnyi zhurnal. 2006 ;1 (23): 33-36 [in Ukraine]
Mykhailoshyna IO. Psykholohichni aspekty pry syndromi dysfunktsii skronevo-nyzhnoshchelepnoho suhloba. Interdisciplinary research: scientific horizons and perspectives: collection of scientific papers «SCIENTIA» with Proceedings of the I International Scientific and Theoretical Conference. Vilnius, Republic of Lithuania: European Scientific Platform. 2021; March 12 (Vol. 2): 175-179 [in Ukraine]
Dzhus MB. Kliniko-patohenetychne obhruntuvannia vedennia khvorykh na yuvenilnyi revmatoidnyi artryt vid pidlitkovoho do dorosloho viku. Dysertatsiia na zdobuttia naukovoho stupeniu doktora med.nauk. Spetsialnist 14.01.22. - Revmatolohiia. Kyiv-2019. 429 s. [in Ukraine]
Schiffman E., Ohrbach R., Truelove E. et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6-27. doi: https://doi.org/10.11607/jop.1151 PMid:24482784 PMCid:PMC4478082
Dzhus MB, Marushko TV, Mostbauer HV, Ivashkivskyi OI, Kurylchyk IV, Yehorova NA, Nosovets O.K. Prohnozuvannia viddalenykh naslidkiv poliartykuliarnoho variantu yuvenilnoho idiopatychnoho artrytu. Medychna nauka Ukrainy. 2017; №3-4: 28-37 [in Ukraine] https://doi.org/10.32345/2664-4738.3-4.2017.05
Kuroedova VD, Stasiuk AA, Vizhenko EE. Morfolohycheskye y densytometrycheskye yzmenenyia vysochnonyzhnecheliustnoho sustava u patsyentov s zubocheliustnimy anomalyiamy. Ukrainskyi zhurnal medytsyny, biolohii ta sportu. 2019; 4 (6): 132-136 [in Russian]
Lövgren A, Цsterlund C, Ilgunas A, Lampa E, Hellstrцm F. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand. 2018; 76 (6): 387-393. https://doi.org/10.1080/00016357.2018.1440322 PMid:29457522
Yap AU, Sultana R, Natu VP. Somatic and temporomandibular disorder symptoms - Idioms of psychological distress in Southeast Asian youths. Cranio Published online: 26 Sep 2021 https://doi.org/10.1080/08869634.2021.1982496 PMid:34569454
Srivastava et al. Evaluation of temporomandibular disorders among dental students of Saudi Arabia using Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): a cross‑sectional study. BMC Oral Health, 2021;21:211 https://doi.org/10.1186/s12903-021-01578-0 PMid:33902543 PMCid:PMC8077893
Kostiuk T.M., Symonenko R.V., Etnis L.O.Zastosuvannia okliuziinykh shyn,vyhotovlenykh za dopomohoiu prohramy "EXOCAD" z vykorystanniam virtualnoho artykuliatora,nalashtovanoho za rezultatamy elektronnoi aksiohrafii, dlia likuvannia dyzfunktsiinykh porushen skronevo-nyzhnoshchelepnoho suhloba. Novyny stomatolohii 2019; 4 (101): 34-37 [in Ukraine]
Downloads
Published
How to Cite
Issue
Section
