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Bilateral TMJ Involvement in Rheumatoid Arthritis
Pritesh B Ruparelia1, Deep S Shah1, Kosha Ruparelia2
1Department of Oral Medicine and Radiology, College of Dental Science and Research Centre, 47 Jai Ambika Society, Isanpur Road, Maninagar, Ahmedabad, Gujarat 380008, India.
Case Reports in Dentistry
|May 8, 2014
Summary
Rheumatoid arthritis (RA) can affect the temporomandibular joint (TMJ), causing diagnostic challenges for dentists. This case highlights classical radiographic findings of bilateral TMJ involvement in RA patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Rheumatology
- Radiology
Background:
- Rheumatoid arthritis (RA) is a systemic inflammatory disease causing progressive cartilage and bone destruction.
- Temporomandibular joint (TMJ) involvement occurs in over 50% of RA patients, often presenting late with diverse symptoms.
- RA of the TMJ poses significant diagnostic challenges for dental professionals due to varied clinical presentations.
Purpose of the Study:
- To present a case of rheumatoid arthritis with bilateral temporomandibular joint involvement.
- To illustrate the classical radiographic findings associated with TMJRA.
- To review the existing literature on TMJ involvement in rheumatoid arthritis.
Main Methods:
- Case report presentation.
- Analysis of classical radiographic findings in a patient with confirmed RA and bilateral TMJ involvement.
- Comprehensive literature review on TMJRA.
Main Results:
- The case demonstrates bilateral TMJ involvement consistent with rheumatoid arthritis.
- Classical radiographic features indicative of TMJRA were observed.
- Literature review confirms the prevalence and diagnostic challenges of TMJRA.
Conclusions:
- Temporomandibular joint involvement is a significant manifestation of rheumatoid arthritis.
- Early recognition and diagnosis of TMJRA are crucial for effective management.
- Radiographic evaluation plays a key role in identifying TMJ involvement in RA patients.
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