Temporomandibular disorders in ankylosing spondylitis: a cross-sectional, monocentric study

被引:0
作者
Esra Bilgin
Emre Bilgin
Oya Özdemir
Umut Kalyoncu
机构
[1] Hacettepe University,Department of Physical Medicine and Rehabilitation, Faculty of Medicine
[2] Hacettepe University,Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine
来源
Rheumatology International | 2020年 / 40卷
关键词
Temporomandibular disorders; Ankylosing spondylitis; Craniocervical posture; Disease activity;
D O I
暂无
中图分类号
学科分类号
摘要
There are contradictory results in the relevant literature about the relationship between objective determinants of craniocervical posture and temporomandibular disorder (TMD), whereas no study has worked on ankylosing spondylitis (AS) and TMD relationship. We conducted this study to test the predictors of TMD in AS patients and its relationship with craniocervical posture. AS patients aged between 18 and 50 years consecutively admitted to our outpatient clinics were recruited. TMD was diagnosed by ‘Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)’. Spinal mobility was assessed by BASMI; disease activity by ASDAS-CRP and neck disability by Neck Disability Index. Craniocervical posture was assessed on lateral cervical X-ray by measuring the craniocervical angle, cervical curvature angle, suboccipital distance, atlas–axis distance, and anterior translation distance. A total of 98 (58.2% female) patients with a mean age of 37.4 ± 8.2 years were enrolled in this study. TMD was diagnosed in 58 (59.2%) patients. Spinal mobility and craniocervical posture measurements were similar among the two groups. Smoking, bruxism (in females), neck disability and AS disease activity (in males) were higher in TMD patients. Multivariate analysis revealed active smoking (aOR 6.9; 95% CI 1.8–25.6; p = 0.004), bruxism in females (aOR 17.9; 95% CI 2.0–159.2; p = 0.01), high ASDAS in males (aOR 11.8; 95% CI 1.2–122.5; p = 0.038) and neck disability (aOR 12.7; 95% CI 3.8–42.9; p < 0.001) as independent risk factors for TMD in AS patients. No relationship between the craniocervical posture measurements and TMD was found in AS patients. Active smoking, high disease activity in males, bruxism in females and neck disability were found as predictors of TMD in AS patients.
引用
收藏
页码:933 / 940
页数:7
相关论文
共 187 条
[1]  
Schiffman E(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 Groupdagger J Oral Facial Pain Headache 28 6-27
[2]  
Ohrbach R(2015)Temporomandibular disorders BMJ 350 h1154-463
[3]  
Truelove E(2005)Clinical and radiographic findings of the temporomandibular joint in patients with various rheumatic diseases. A case–control study Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99 455-718
[4]  
Look J(2017)Temporomandibular joint findings in patients with rheumatoid arthritis, ankylosing spondylitis, and primary Sjogren's syndrome J Investig Clin Dent 8 12255-58
[5]  
Anderson G(2013)Temporomandibular joint involvement in ankylosing spondylitis BMJ Case Rep 2 2013-678
[6]  
Goulet JP(2016)Temporomandibular joint ankylosis in ankylosing spondylitis: a case report and review of literature J Family Med Prim Care 5 716-501
[7]  
Durham J(2015)The evaluation of head and craniocervical posture among patients with and without temporomandibular joint disorders—a comparative study J Clin Diagn Res 9 55-90
[8]  
Newton-John TR(2010)Radiographic measurement of the cervical spine in patients with temporomandibular dysfunction Arch Oral Biol 55 670-209
[9]  
Zakrzewska JM(2014)Static body postural misalignment in individuals with temporomandibular disorders: a systematic review Braz J Phys Ther 18 481-772
[10]  
Helenius LM(2018)Cervical posture analysis in dental students and its correlation with temporomandibular disorder Cranio 36 85-88