Objectives: The aim of the present study was to assess the prevalence of temporomandibular joint (TMJ)symptoms, clinical and magnetic resonance imaging (MRI) findings in a cohort of Southern Italian patientswith SSc.Methods: Twenty-seven patients with SSc (12 diffuse, 15 limited, mean age 53.9, SD ± 1.2) and 28 healthysubjects (mean age 54.8, SD ± 4.2) were enrolled in this observational cohort study. In all patients, clinicalexamination for assessing the presence of TMJ sounds, pain in the TMJ area, tenderness of masticatorymuscles, limited mouth opening, pain assessment, MRI scan and Anamnestic and Dysfunctional Indexwere performed.Results: The test groups reported more clinical and MRI findings of TMJ symptoms and dysfunction thancontrol group. The frequency distributions of symptoms were significantly different (P < 0.05), in thetest groups for TMJ sounds, pain during mandibular movement and difficulty in the maximum mouthopening. There was also a significant decrease (P < 0.001), in the test groups, in the mean of leftward,rightward laterotrusion and protrusion. Correlation analysis allowed to affirm that maximum openingleftward laterotrusion, protrusion and click were significantly correlated to Modified Rodnan Skin Score.The mean duration of disease was significantly correlated, ever in total SSc group, only for the maximummouth opening value.Conclusion: This study demonstrates that TMJ involvement is common in SSc patients and is correlatedwith a length and involvement of disease and supports the notion that TMJ examination should be encour-aged in the rheumatology setting and clinicians should provide a right pain management and patientsupport.

Occlusal and MRI characterizations in systemic sclerosis patients: A prospective study from Southern Italian cohort

Isola G
Writing – Review & Editing
;
2016-01-01

Abstract

Objectives: The aim of the present study was to assess the prevalence of temporomandibular joint (TMJ)symptoms, clinical and magnetic resonance imaging (MRI) findings in a cohort of Southern Italian patientswith SSc.Methods: Twenty-seven patients with SSc (12 diffuse, 15 limited, mean age 53.9, SD ± 1.2) and 28 healthysubjects (mean age 54.8, SD ± 4.2) were enrolled in this observational cohort study. In all patients, clinicalexamination for assessing the presence of TMJ sounds, pain in the TMJ area, tenderness of masticatorymuscles, limited mouth opening, pain assessment, MRI scan and Anamnestic and Dysfunctional Indexwere performed.Results: The test groups reported more clinical and MRI findings of TMJ symptoms and dysfunction thancontrol group. The frequency distributions of symptoms were significantly different (P < 0.05), in thetest groups for TMJ sounds, pain during mandibular movement and difficulty in the maximum mouthopening. There was also a significant decrease (P < 0.001), in the test groups, in the mean of leftward,rightward laterotrusion and protrusion. Correlation analysis allowed to affirm that maximum openingleftward laterotrusion, protrusion and click were significantly correlated to Modified Rodnan Skin Score.The mean duration of disease was significantly correlated, ever in total SSc group, only for the maximummouth opening value.Conclusion: This study demonstrates that TMJ involvement is common in SSc patients and is correlatedwith a length and involvement of disease and supports the notion that TMJ examination should be encour-aged in the rheumatology setting and clinicians should provide a right pain management and patientsupport.
Pain; Scleroderma; Stomatognathic apparatus; Systemic sclerosis; Temporomandibular diseases; Temporomandibular joint; Cohort Studies; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Prospective Studies; Range of Motion, Articular; Scleroderma, Systemic; Temporomandibular Joint Dysfunction Syndrome; Rheumatology
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/345216
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