TY - JOUR T1 - Temporomandibular and odontological abnormalities in patients with rheumatoid arthritis JO - Reumatología Clínica (English Edition) T2 - AU - González-Chávez,Susana Aideé AU - Pacheco-Tena,César AU - Campos Torres,Rosa María AU - Quiñonez-Flores,Celia María AU - Reyes-Cordero,Greta AU - Caraveo Frescas,Teresita de Jesús SN - 21735743 M3 - 10.1016/j.reumae.2018.07.004 DO - 10.1016/j.reumae.2018.07.004 UR - https://reumatologiaclinica.org/en-temporomandibular-odontological-abnormalities-in-patients-articulo-S2173574319301091 AB - ObjectiveTo characterize the orofacial abnormalities in patients with rheumatoid arthritis (RA) and compare them with those in a reference population. MethodsThe study included 30 RA patients and 30 consecutive patients in an odontology clinic in whom RA was ruled out. Patients underwent a clinical dental examination which included: (1) clinical and radiographic abnormalities of the temporomandibular joint; (2) biomechanical craniocervical analysis; (3) state of dentition and treatment needs; (4) periodontal status; (5) oral hygiene status; and (6) facial pain, which was compared among study groups. In addition, the association between the variables studied was determined through correlation tests. ResultsPatients with RA showed a higher prevalence of temporomandibular abnormalities, both clinical (100.0% vs 60.0%, P<.001) and radiographic, including erosions (50.0% vs 16.0%, P=.010), compared with individuals in the control group. Likewise, patients with RA had a greater number of missing teeth (6.9±5.7 vs 3.0±2.0, P=.001), more caries (13.4±5.4 vs 4.9±6.5, P=.001), periodontitis (1.3±0.9 vs 0.8±0.8,P=.015), poorer oral hygiene (43.3% vs 13.3%, P=.005) and greater facial pain (66.7% vs 20.0%, P<.001). The cephalometric analysis of Rocabado showed differences in the craniocervical angle and hyoid triangle between RA and controls. Significant correlations were obtained between oral and temporomandibular abnormalities. ConclusionsPatients with RA showed a greater orofacial deterioration, which reflects the importance of multidisciplinary care, including periodic dental examination. ER -