Assessment of dimensions of mandibular condyles and their correlation with jaw movements in rheumatoid arthritis patients

Authors

  • Ranj Adil Jalal Department of Oral Diagnosis, College of Dentistry, University of Sulaimani, Kurdistan Region, Iraq. Author
  • Khadija Muhamad Ahmed Department of Oral Diagnosis, College of Dentistry, University of Sulaimani, Kurdistan Region, Iraq. Author
  • Shahla Muhamad Saeed Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. Author

DOI:

https://doi.org/10.17656/jzs.10901

Keywords:

Rheumatoid Arthritis, CBCT, TMJ, Condyle

Abstract

Objectives: The aim of this study is to assess the condylar dimensions in Rheumatoid Arthritis (RA) patients and compare them to condylar dimensions of healthy persons and try to find out correlations between dimensional condylar changes and jaw movements in RA patients.

 

Methods: This case-control study was performed on 40 RA patients with ten healthy adults (control cases). Clinical examination with Cone Beam Computerized Tomography (CBCT) was done for participants. Independent and paired t-tests with correlation coefficient tests were used for data analysis by the SPSS program.

 

Results: There was a significant difference between RA and controls regarding the means of their unassisted and assisted maximum mouth opening and the mean of right lateral jaw excursion also. The mean condylar length in RA patients was 6.88 mm while in control cases was 7.61, and the mean condylar width in RA was 16.77 and in controls was 16.53 mm, and the mean condylar height was 18.02 mm in RA and 21.14 mm in controls without significant difference between both groups. There was a positive correlation between the condylar dimensions and the jaw movements.

 

Conclusions: Condylar height and width were decreased in RA patients in comparison to the control group, indicating bony changes in the upper condylar surface. In addition, RA patients have decreased range of jaw movements like mouth opening, which might result from bony changes and reduction in condylar dimensions.

References

Littlejohn E.A. & Monrad S.U. (2018). Early diagnosis and treatment of rheumatoid arthritis. Primary Care: Clinics in Office Practice. 45, 237–255. DOI: https://doi.org/10.1016/j.pop.2018.02.010

Myasoedova E., Crowson C.S., Kremers H.M., Therneau T.M. & Gabriel S.E. (2010). Is the incidence of rheumatoid arthritis rising? Results from Olmsted County, Minnesota, 1955-2007. Arthritis & Rheumatism. 62(6), 1576-1582. DOI: https://doi.org/10.1002/art.27425

Jayachandran S. & Khobre P. (2016). Temporomandibular joint in rheumatoid arthritis: clinicoradiological aspects. Indian Journal of Rheumatology. 11(3), 174–176. DOI: https://doi.org/10.4103/0973-3698.187415

Mohamed M.M., Dahaba M.M., Farid M.M. & Elsayed A.M. (2019) Radiographic changes in TMJ in relation to serology and disease activity in RA patients. Dentomaxillofacial Radiology. 48(1), 1–8.

Smolen J.S., Aletaha D. & McInnes I.B. (2016). Rheumatoid arthritis. Lancet. 388, 2023–2038. DOI: https://doi.org/10.1016/S0140-6736(16)30173-8

Barghan S., Tetradis S. & Mallya S. (2012). Application of cone beam computed tomography for assessment of the temporomandibular joints. Australian Dental Journal. (1 Suppl), 109–118. DOI: https://doi.org/10.1111/j.1834-7819.2011.01663.x

Mendiburu-Zavala C., Camargo-Riqué M.E., Peñaloza-Cuevas R., Cárdenas-Erosa R., Lara-Flores M. & Castaño V.M. (2019). Tomographic analysis of the temporomandibular joint in patients with arthritis: a case of disease translation in Yucatan, Mexico. American Journal of Translational Research. 11(1), 210–217.

Cordeiro PC, Guimaraes JP, de Souza VA, Dias IM, Silva JN, Devito KL, & Bonato LL. (2016). Temporomandibular joint involvement in rheumatoid arthritis patients: association between clinical and tomographic data. Acta Odontology Latinoam. 29(3), 219–224.

Hajati A.K., Alstergren P., Näsström K., Bratt J. & Kopp S. (2009). Endogenous glutamate in association with inflammatory and hormonal factors modulates bone tissue resorption of the temporomandibular joint in patients with early rheumatoid arthritis. Journal of Oral Maxillofacial Surgery. 67, 1895–1903. DOI: https://doi.org/10.1016/j.joms.2009.04.056

O’Connor R.C., Fawthrop F., Salha R. & Sidebottom A.J. (2017). Management of the temporomandibular joint in inflammatory arthritis: involvement of surgical procedures. European Journal of Rheumatology. 4, 151–156. DOI: https://doi.org/10.5152/eurjrheum.2016.035

Ardakani F.E., Safi Y. & Entezar-e-ghaem M. (2019). The evaluation of the average of horizontal angle of the condylar in the axially plan in patients with degenerative joint disease of the temporomandibular joint (DJD of the TMJ). Journal of Research in Medicine and Dental Sciences. 7(2), 152–158.

Hunter A. & Kalathingal S. (2013). Diagnostic imaging for temporomandibular disorders and orofacial pain. Dental Clinics. 57, 405–418. DOI: https://doi.org/10.1016/j.cden.2013.04.008

Tamimi D., Kocasarac H.D. & Mardini S. (2019). Imaging of the temporomandibular joint. Semin Roentgenology. 54, 282–301. DOI: https://doi.org/10.1053/j.ro.2019.03.007

Talmaceanu D, Lenghel LM, Bolog N, Hedesiu M, Buduru S, Rotar H, Baciut M, Baciut G. (2018). Imaging modalities for temporomandibular joint disorders: an update. Clujul Medical. 91(3), 280–287. DOI: https://doi.org/10.15386/cjmed-970

Berco M., Rigali P.H., Miner R.M., DeLuca S., Anderson N.K. & Will L.A. (2009). Accuracy and reliability of linear cephalometric measurements from cone-beam computed tomography scans of a dry human skull. American Journal of Orthodontics and Dentofacial Orthopedics.136 (1), 17.e1-9. DOI: https://doi.org/10.1016/j.ajodo.2008.08.021

Ludlow J.B., Laster W.S., See M., Bailey L.J. & Hershey H.G. (2007). Accuracy of measurements of mandibular anatomy in cone beam computed tomography images. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 103(4), 534-542. DOI: https://doi.org/10.1016/j.tripleo.2006.04.008

Moreira C.R., Sales M.A., Lopes P.M. & Cavalcanti M.G. (2009). Assessment of linear and angular measurements on three-dimensional cone beam computed tomographic images. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology.108 (3), 430-436. DOI: https://doi.org/10.1016/j.tripleo.2009.01.032

Schlueter B., Kim K.B., Oliver D. & Sotiropoulos G. (2008). Cone beam computed tomography 3D reconstruction of the mandibular condyle. The Angle Orthodontist. 78(5), 880-888. DOI: https://doi.org/10.2319/072007-339.1

Schiffman E., Ohrbach R., Truelove E., Truelove E., Look J., Anderson G., Ceusters W. & Smith B. (2014). 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. Journal of Oral & Facial Pain and Headache. 28(1), 6-27. DOI: https://doi.org/10.11607/jop.1151

Hilgers M.L., Scarfe W.C., Scheetz J.P. & Farman A.G. (2005). Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. American Journal of Orthodontics and Dentofacial Orthopedics. 128: 803–811. DOI: https://doi.org/10.1016/j.ajodo.2005.08.034

Al-koshab M., Nambiar P. & John J. (2015). Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians. PloS One. 10, e0121682. DOI: https://doi.org/10.1371/journal.pone.0121682

Ardic F., Gokharman D., Atsu S., Guner S., Yilmaz M. & Yorgancioglu R. (2006). The comprehensive evaluation of temporomandibular disorders seen in rheumatoid arthritis. Australian Dental Journal. 51, 23-28. DOI: https://doi.org/10.1111/j.1834-7819.2006.tb00396.x

Youssef M., Mostafa M., Dahaba M.M., Farid M.M., Ali E. & Adel M. (2020). Radiographic changes in TMJ in relation to serology and disease activity in RA patients. Dentomaxillofacial Radiology. 49, 20190186. DOI: https://doi.org/10.1259/dmfr.20190186

Manja C.D. & Rajaduray D. (2019). Analysis of height and width of mandibular condyle and shape of the articular eminence with and without clicking using TMJ radiography. International Journal of Dentistry Research. 4, 99-103. DOI: https://doi.org/10.31254/dentistry.2019.4303

Published

2023-06-20

How to Cite

Assessment of dimensions of mandibular condyles and their correlation with jaw movements in rheumatoid arthritis patients. (2023). Journal of Zankoy Sulaimani - Part A, 25(1), 9. https://doi.org/10.17656/jzs.10901

Most read articles by the same author(s)