20May 2017

TEMPOMANDIBULAR JOINT EVALUATION IN RHEUMATOID ARTHRITIS PATIENTS USING MAGNETIC RESONANCE IMAGING.

  • Assistant Lecturer of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University.
  • Professor of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University.
  • Professor of Rheumatology and Rehabilitation, Faculty of Medicine, Cairo University.
  • Professor of Radiology, Faculty of Medicine, Cairo University
  • Assoc. Professor of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University.
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Objective:To evaluate the temporomandibular joint abnormalities in the patients with rheumatoid arthritis using magnetic resonance imaging. Methods: Twenty eight subjects (56 TMJs). They were divided into two groups; (RA) group which comprised 14 RA patients and control group which comprised 14 volunteers. Magnetic resonance imaging was performed for each patient in closed and open mouth positions. Each joint was examined for soft tissue and osseous abnormalities. Results:The RA group showed statistically significant higher prevalence of erosion (P=0.007), flattening (P=0.006), subchondral cyst (P=0.019), and sclerosis (P=0.018) than the control group. On the other hand, there was no statistically significant difference between the soft tissue findings of the TMJs in both the control group and RA group. Furthermore, there was no correlation between the disease duration and MRI findings Conclusion: Temporomandibular joint osseous and soft tissue abnormalities are not uncommon in the rheumatoid arthritis patients thus, Temporomandibular jointimaging is recommended for rheumatoid arthritis patients.

  1. Aiken A, Bouloux G, Hudgins P. (2012): MR Imaging of the Temporomandibular Joint. MagnReson Imaging Clin N Am., 20: 397 ? 412.
  2. Alkhader M, Ohbayashi N, Tetsumura A, Nakamura S, Okochi K, Momin MA, Kurabayashi T. (2010): Diagnostic performance of magnetic resonance imaging fordetecting osseous abnormalities of the temporomandibularjointand its correlation with cone beam computed tomography. DentomaxillofacRadiol., 39: 270 ? 276.
  3. Arvidsson LZ, Smith HJ, Flato B, Larheim TA. (2010): Temporomandibular Joint Findings in Adults with Long-standing Juvenile Idiopathic Arthritis: CT and MR Imaging Assessment. Radiology, 256 (1): 191 ? 200.
  4. Audrey HX, Bin Abd Razak HR, Andrew THC. (2014): The Truth Behind Subchondral Cysts in Osteoarthritis of the Knee. The Open Orthop J., 8: 7 ? 10.
  5. Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran D, Medina JA, Cur? JK. (2014): Imaging of the temporomandibular joint: An update. World J Radiol., 6 (8): 567 ? 582.
  6. Boj EJ, Huhmann IN, Schnabel BH, et al. (2007): Bone erosions and bone marrow edema as defined by magnetic resonance imaging reflect true bone marrow inflammation in rheumatoid arthritis. Arthritis & Rheu., 56: (4):? 1118?1124.
  7. Grande FD,?Farahani SJ,?Carrino JA,?Chhabra (2014): Bone marrow lesions: A systematic diagnostic approach. Indian J Radiol Imaging, 24 (3): 279 ?287.
  8. Helenius LMJ, Tervahartiala P, Helenius I, Al-Sukhun J, Kivisaari L. (2006): Clinical, radiographic and MRI findings of the temporomandibular joint in patients with different rheumatic diseases. Int. J. Oral Maxillofac. Surg., 35: 983 ? 989.
  9. Hiz O, Ediza L, Ozkana Y, Borab A. (2012): Clinical and Magnetic Resonance Imaging Findings of the Temporomandibular Joint in Patients With Rheumatoid Arthritis. J Clin Med Res., 4 (5): 323 ? 331.
  10. Hussain AM, Packota G, Major PW, Flores-Mir C. (2008): Role of different imaging modalities in assessment of temporomandibular joint erosions and osteophytes: a systematic review. DentomaxillofacRadiol., 37: 63 ? 71.
  11. Kretapirom K, Okochi K, Nakamura S, Tetsumura A, Ohbayashi N, Yoshino N, Kurabayashi T. (2013): MRI characteristics of rheumatoid arthritis in the temporomandibular joint. Dento maxillofac radiol., 42 (4).
  12. Levin RW, Park J, Ostrov B, Reginato A, Baker DG, Bomalaski JS, et al. (1996):Clinical assessment of the 1987 American College of Rheumatology criteria for rheumatoid arthritis. Scand J Rheumatol., 25: 277281.
  13. Okochi K, Kretapirom K, Sumi Y, Kurabayashi T. (2011): Longitudinal MRI follow-up of rheumatoid arthritis in the temporomandibular joint: importance of synovial proliferation as an early-stage sign. Oral Radiol., 27: 83 ? 86.
  14. Rindfleisch JA and Muller D. (2005): Diagnosis and Management of Rheumatoid Arthritis. Am Fam Physician, 72 (6): 1037 ? 1047.
  15. Schellhas KP, Piper MA, Omlie MR. (1990): Facial Skeleton Remodeling Due to Temporomandibular Joint Degeneration: An Imaging Study of 100 Patients. AJNR., 11: 541 ? 551.
  16. Smith HJ, Larheim TA, Aspestrand F. (1992): Rheumatic and nonrheumatic disease in the temporomandibular joint: gadolinium-enhanced MR imaging. Radiology, 185: 229 ? 234.
  17. Sommer OJ, Aigner F, Rudisch A, Gruber H, Fritsch H, Millesi W, Stiskal M. (2003): Cross-sectional and functional imaging of the temporomandibular joint: radiology, pathology, and basic biomechanics of the jaw. Radiographics, 23: e14.
  18. Syrjanen SM. (1985): the Temporomandibular joint in rheumatoid arthritis. ActaRadiol Dia., 26:235-243.
  19. Tsiklakis K. (2010): Cone beam computed tomographic findings in temporomandibular AlphaOmegan, 103 (2): 68 ? 78.
  20. Uchiyama Y, Murakami S, Furukawa S. (2013): Temporomandibular joints in patients with rheumatoid arthritis using magnetic resonance imaging.ClinRheumatol., 32 (11): 1613 ? 8.
  21. Weishupt D, Kochli VD, Marinccek B. (2006): How Does MRI work? An introduction to physics and function of 2nd ed. Springer, 1? 47.
  22. Westesson PL, Brooks SL. (1992): Temporomandibular joint: relationship between MR evidence of effusion and the presence of pain and disk displacement. AJR Am J Roentgenol., 159: 559 ? 563.
  23. White SC, Pharoah MJ. (2014): Oral Radiology principles and interpretation. 7th ed. Mosby.
  24. Witulski S, Vogl TJ, Rehart S, Ottl P. (2014): Evaluation of the TMJ by means of Clinical TMD Examination and MRI Diagnostics in Patients with Rheumatoid Arthritis. Biomed Res Int.
  25. Yilmaz HH, Yildirim D, Ugan Y, Tunc SE, AhmetYesildag A, Orhan H, et al. (2012): Clinical and magnetic resonance imaging findings of the temporomandibular joint and masticatory muscles in patients with rheumatoid arthritis. Rheumatol Int., 32:1171 ? 1178.

[Ola Mohamed Rehan, Hoda Abdel Kader Saleh, Hala Ahmed Raffat, Ayman Ismail Kamel and NohaSaleh Abu Taleb. (2017); TEMPOMANDIBULAR JOINT EVALUATION IN RHEUMATOID ARTHRITIS PATIENTS USING MAGNETIC RESONANCE IMAGING. Int. J. of Adv. Res. 5 (May). 695-703] (ISSN 2320-5407). www.journalijar.com

Ola Mohamed Rehan
Assistant Lecturer of Oral and Maxillofacial Radiology, Faculty of Oral and Dental Medicine, Cairo University.

DOI:

Article DOI: 10.21474/IJAR01/4167      
DOI URL: https://dx.doi.org/10.21474/IJAR01/4167

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