The effect of arthrocentesis of the temporomandibular joint in patients with rheumatoid arthritis

被引:22
作者
Trieger, N [1 ]
Hoffman, CH [1 ]
Rodriguez, E [1 ]
机构
[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Dent Oral & Maxillofacial Surg, Bronx, NY 10467 USA
关键词
D O I
10.1016/S0278-2391(99)90070-8
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: This study evaluated the objective and subjective changes in a group of rheumatoid arthritic CRA) patients with temporomandibular joint (TMJ) complaints who were subjected to joint lysis and lavage. Patients and Methods: Twelve females with previous documented Rh underwent baseline assessment with erythrocyte sedimentation rate, physical examination of TMJ function, and a visual analog pain scale (VAPS). The VAPS and jaw function changes were recorded at 2-week intervals for 6 weeks after lysis and lavage under local anesthesia in an ambulatory setting. Results: All patients showed statistically significant post-treatment improvement in their pain, and function was enhanced. Conclusion: TMJ arthrocentisis is a useful adjunct in the short-term management of the symptoms of rheumatoid arthritis.
引用
收藏
页码:537 / 540
页数:4
相关论文
共 19 条
[1]   RELATIONSHIP BETWEEN CLINICAL AND RADIOLOGIC FINDINGS OF THE TEMPOROMANDIBULAR-JOINT IN RHEUMATOID-ARTHRITIS [J].
AKERMAN, S ;
KOPP, S ;
NILNER, M ;
PETERSSON, A ;
ROHLIN, M .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1988, 66 (06) :639-643
[2]  
CARLSSON GE, 1970, TEMPOROMANDIBULAR JO
[3]  
CHALMERS IM, 1973, Q J MED, V42, P369
[4]  
COHEN AS, 1975, LABORATORY DIAGNOSTI, P1
[6]  
GOUPILLE P, 1990, J RHEUMATOL, V17, P1285
[7]   RHEUMATOID-ARTHRITIS AND DISK DERANGEMENT OF THE TEMPOROMANDIBULAR-JOINT - A COMPARATIVE ARTHROSCOPIC STUDY [J].
HOLMLUND, AB ;
GYNTHER, G ;
REINHOLT, FP .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1992, 73 (03) :273-277
[8]   Correlation between arthroscopic diagnosis of osteoarthritis and synovitis of the human temporomandibular joint and keratan sulfate levels in the synovial fluid [J].
Israel, HA ;
Diamond, BE ;
SaedNejad, F ;
Ratcliffe, A .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1997, 55 (03) :210-217
[9]  
KELLY WN, 1993, TXB RHEUMATOLOGY, V1
[10]  
KOPP S, 1983, SCAND J DENT RES, V91, P33