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Órgano oficial de la Facultad de Odontología, UNAM

2011, Number 3

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Rev Odont Mex 2011; 15 (3)

Temporomandibular joint ankylosis treated with arthroplasty in a patient with reumathoid arthritis. A case report

Miranda HB, Miranda VJE

Language: Spanish
References: 23
Page: 163-168
PDF size: 424.46 Kb.


ABSTRACT

Temporomandibular joint (TMJ) ankylosis is a degenerative disease that produces a limitation of mouth opening, causing problems during feeding, occlusal disharmony, upper way obstruction and facial asymmetry in developing children. It presents a multifactorial aetiology with diverse factors as trauma, infections, inflammatory diseases, radiation-therapy, microsomia, tumors and congenital diseases. Trauma is considered the most common factor. Rheumatoid Arthritis (RA) is a systemic chronic, inflammatory and autoimmune disease affecting diarthroidal joints and frequently a variety of organs. Rheumatoid Arthritis (RA) occurs worldwide, in all ethnic groups, with a prevalence of 0.3% to 1.5% of cases in the population. Females are 2.3 times more likely to be affected than males, the peak onset being between the fourth and sixth decades of life, but it may begin in childhood (JRA) or later in life. Temporomandibular joint affects 50 to 60% of all patients with RA a year after the disease has become systemic.
Case report: A 39 year old female patient with RA with a severe mouth opening limitation (4 mm) that had caused her malnutrition. The patient was receiving treatment at the Rheumatology and Maxillofacial Surgery Clinic where surgical procedure was performed carried out (bilateral TMJ arthoplasty and left side coronoidectomy), after the surgery the patient was able to open the mouth 31 mm; in a control appointment 18 months after the surgery there were no signs of recurrence.


REFERENCES

  1. Arnett FC. Rheumatoid arthritis. In: Wyngaarden Jb, Smith LH, Bennett JC. Cecil textbook of medicine. ed. 19. Philadelphia. WB Saunders, 1988: 1508.

  2. Fonseca JR, Bays R, Quinn P. Temporal disorders. Ed. Saunders Company, 2000; 4: 79.

  3. Larheim TA. Rheumatoid arthritis and related joint diseases. In: Katzberg RW, Westesson PJ et al. Diagnosis of the temporomandibular joint. Philadelphia: WB Saunders Co., 1993: 303-26.

  4. Tegelberg Á. Temporomandibular joint involvement in rheumatoid arthritis: A clinical study. Dissertation, University of Lund, Malmö, Sweden, 1987.

  5. García–Aparicio L, Parri FJ, Sancho R. Anquilosis de la articulación temporomandibular (ATM) en la edad pediátrica. Rev Cirugía Pediátrica 2000; 13: 62-63.

  6. Nitzan DW, Bar–Ziv J. Surgical management of temporomandibular joint ankylosis type III by retaining the displaced condyle and disc. J Oral Maxillofacial Surgery 1998; 56: 1133-1138.

  7. Lipski EP. Rheumatoid arthritis. In: Teextbook of Medicine Harrison. Ed. McGraw Hill, 1895: II(13).

  8. Takatsuka S, Narinobou M, Nakagawa K et al. Histologic evaluation of auricular cartilage grafts after discectomy in rabbit craniomandibular joint. Journal Oral Maxillofacial Surgery 1996; 54: 1216.

  9. Tierney LM, McPhee S. Diagnóstico clínico y tratamiento. Edit. MM, 2002: 37.

  10. Dolwik MF, Aufdemorte TB. Sillione–induce foreign body reaction and linphadenopathy after temporomandibular joint arthroplasty. Oral Surg 1983; 59: 449.

  11. Lei Zhou. Auricular Cartilage graft interposition after temporomandibular joint ankylosis surgery in children. Journal Oral and Maxillofacial Surgery 2002; 60: 985-987.

  12. Raveh J, Vuillemin T, Ladrach K et al. Temporomandibular joint ankylosis: surgical treatment and long term results. Journal Oral Maxillofacial Surgery 1989; 47: 900.

  13. Quinn DP. Color atlas of temporomandibular joint surgery. Mosby, Chicago, 1998: 170-212.

  14. Topazian RG. Comparison of gap and interposition arthroplasty in the treatment of temporomandibular joint ankylosis. Journal Oral Surgery 1996; 24: 405.

  15. Politis C, Fossion E, Bossuyt M. The use of costocondral graft in arthroplasty of the temporomandibular joint. J Craniomaxillofacial Surgery 1987; 15: 345-354.

  16. Isberg A. Disfunción de la articulación temporomandibular. Edit. Artes Médicas 2003; 121: 131.

  17. Akerman S, Kopp S, Nilner M et al. Relationship between clinical and radiographic findings of the temporomandibular joint in rheumatoid arthritis. Oral Sur Oral Med Oral Pathol 1988; 66: 639.

  18. Brad N, Douglas D. Oral and maxillofacial pathology. Edit. WB Saunders, 2nd Edition, 2002: 757.

  19. Burgh NJ, Bramley P. Libro de texto y atlas en color de la articulación temporomandibular. Edit. Mosby, 1993: 69-83.

  20. Daniela TE, Fox PC. Salivary and oral components of Sjögren’s syndrome. Rheumatology Disease Clinics of North America 1992; 18: 571-589.

  21. Al Kayat A, Bramley P. A modified pre-auricular approach to temporomandibular joint and malar arch. British Journal Oral Surgery 1979; 17: 91-103.

  22. Franc C, Breton P, Freidel M. Résultats tardifs du treatment chirurgical de l’ankylosis temporo–mandibulaire de L’Enfant. Rev Stomatol Chir Maxillofac 1997; 98: 263-265.

  23. Moss ML, Rankow RM. The role of the funtional matrix in mandibular growth. Angle Orthod 1968; 28: 95.




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