Share This Article:

Rheumatoid Arthritis of the Temporomandibular Joint; Comparison of Digital Panoramic Radiographs Taken Using the Joint Limitation Program [JLA View] and CT Scans

Abstract Full-Text HTML Download Download as PDF (Size:1182KB) PP. 59-63
DOI: 10.4236/ojra.2012.23012    3,861 Downloads   9,212 Views   Citations

ABSTRACT

Objective: The aim of this study was to evaluate the efficacy of digital panoramic radiographs using the JLA view pro-gram in cases of rheumatoid arthritis and compare them to CT scans of the patients. Methods: 40 patients with known condition of RA and clinical symptoms in the TMJ were selected for the study. Radiological evaluation included a panoramic radiograph of the TMJs that was taken and a computer tomography of the joints. In the panoramic radio-graphs taken, isolation of the TMJs was done using the JLA view program, while in the CT scans of the patients, all scans were taken with closed mouth, with a distance of 0.5 mm per slice. The parameters examined were: 1) Bony changes of the condyle; 2) The position of the condyle in the mandibular fossa; 3) The joint space; 4) Bony changes of mandibular fossa. Results: There were no statistically significant differences found between the two observers or be-tween the two joints of the same patient [right and left] on the panoramic radiographs. For the case of CT scans there were significant differences between the joint space of right and left joints, while in the ANOVA performed differences were found for the evaluation of the bony changes of the condyle. Conclusion: There were no significant differences between the two radiographic methods selected and therefore when a proper simple radiograph is taken and well evalu-ated, the conclusions drawn from it are well based and there is no need for further examinations

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

A. Delantoni, "Rheumatoid Arthritis of the Temporomandibular Joint; Comparison of Digital Panoramic Radiographs Taken Using the Joint Limitation Program [JLA View] and CT Scans," Open Journal of Rheumatology and Autoimmune Diseases, Vol. 2 No. 3, 2012, pp. 59-63. doi: 10.4236/ojra.2012.23012.

References

[1] D. M. Laskin, “Diagnosis of Pathology of the Temporomandibular Joint, Clinical and Imaging Perspectives,” Radiologic Clinics of North America, Vol. 31, No. 1, 1993, pp. 135-147.
[2] H. H. Yilmaz, D. Yildirim, Y. Ugan, S. E. Tunc, A. Yesildag, H. Orhan and C. Akdag, “Clinical and Magnetic Resonance Imaging Findings of the Temporomandibular Joint and Masticatory Muscles in Patients with Rheumatoid Arthritis,” Rheumatology International, Vol. 32, No. 5, 2011, pp. 1171-1178.
[3] L. A. Weinberg, “The Etiology, Diagnosis, and Treatment of TMJ Dysfunction-Pain Syndrome. Part I: Etiology,” Journal of Prosthetic Dentistry, Vol. 42, No. 6, 1979, pp. 654-664. doi:10.1016/0022-3913(79)90197-5
[4] H. M. Worth, “Principles and Practice of Oral Radiographic Interpretation,” Year Book Medical Publishers, Chicago,1963.
[5] G. Steinhardt, “Rheumatoid Arthritis of the Temporomaxillary Joint,” Zeitschrift fur Laryngologie, Rhinologie, Otologie und Ihre Grenzgebiete, Vol. 30, No. 11, 1951, pp. 475-485.
[6] A. Fiumicelli, “Involvement of the Temporo-Mandibular Joint in Rheumatoid Arthritis,” Nova Acta Stomatol, Vol. 3, No. 1, 1951, pp. 1-10.
[7] H. J. Tabeling and M. F. Dolwick, “Rheumatoid Arthritis: Diagnosis and Treatment,” Florida Dental Journal, Vol. 56, No. 1, 1985, pp. 16-18.
[8] E. Braunwald and R. G. Petersdorf, “Harrison’s Principles of Internal Medicine,” McGraw-Hill, New York, 1987.
[9] B. Wenneberg, L. Hollender and S. Kopp, “Radiographic Changes in the Temporomandibular Joint in Ankylosing Spondylitis,” Dentomaxillofacial Radiology, Vol. 12, No. 1, 1983, pp. 25-30.
[10] B. Wenneberg, S. Kopp and L. Hollender, “The Temporomandibular Joint in Ankylosing Spondylitis. Correlations between Subjective, Clinical, and Radiographic Features in the Stomatognathic System and Effects of Treatment,” Acta Odontologica Scandinavica, Vol. 42, No. 3, 1984, pp. 165-173. doi:10.3109/00016358408993868
[11] P. L. Westesson, “Temporomandibular Joint and Dental Imaging,” Neuroimaging Clinics of North America, Vol. 6, No. 2,1996, pp. 333-355.
[12] K. Marton, “Oral Symptoms of Immunologic Disorders. Part I. Systemic Autoimmune Diseases,” Fogorvosi Szemle, Vol. 96, No. 1, 2003, pp. 9-15.
[13] A. G. Pullinger, D. A. Seligman and W. K. Solberg, “Temporomandibular Disorders. Part I: Functional Status, Dentomorphologic Features, and Sex Differences in a Nonpatient Population,” Journal of Prosthetic Dentistry, Vol. 59, No. 2, 1988, pp. 228-235. doi:10.1016/0022-3913(88)90019-4
[14] A. G. Pullinger, D. A. Seligman and W. K. Solberg, “Temporomandibular Disorders. Part II: Occlusal Factors Associated with Temporomandibular Joint Tenderness and Dysfunction,” Journal of Prosthetic Dentistry, Vol. 59, No. 3, 1988, pp. 363-367. doi:10.1016/0022-3913(88)90191-6
[15] D. E. Ryan, “Temporomandibular Disorders,” Current Opinion in Rheumatology, Vol. 5, No. 2, 1993, pp. 209-218. doi:10.1097/00002281-199305020-00014
[16] P. N. Scutellari, C. Orzincolo and S. Ceruti, “The Temporo-Mandibular Joint in Pathologic Conditions: Rheumatoid Arthritis and Seronegative Spondyloarthritis,” Radiologia Medica, Vol. 86, No. 4, 1993, pp. 456-466.
[17] M. Kononen, B. Wenneberg and A. Kallenberg, “Cra- niomandibular Disorders in Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis: A Clinical Study,” Acta Odontologica Scandinavica, Vol. 50, No. 5, 1992, pp. 281-287. doi:10.3109/00016359209012774
[18] I. M. Chalmers and G. S. Blair, “Rheumatoid Arthritis of the Temporomandibular Joint. A Clinical and Radiological Study Using Circular Tomography,” Quarterly Journal of Medicine, Vol. 42, No. 166, 1973, pp. 369-386.
[19] J. E. Chenitz, “Rheumatoid Arthritis and Its Implications in Temporomandibular Disorders,” Cranio, Vol. 10, No. 1, 1992, pp. 59-69.
[20] T. A. Larheim, H. J. Smith and F. Aspestrand, “Rheumatic Disease of the Temporomandibular Joint: MR Imaging and Tomographic Manifestations,” Radiology, Vol. 175, No. 2, 1990, pp. 527-531.
[21] N. Bayar, S. A. Kara, I. Keles, M. C. Koc, D. Altinok and S. Orkun, “Temporomandibular Joint Involvement in Rheumatoid Arthritis: A Radiological and Clinical Study,” Cranio, Vol. 20, No. 2, 2002, pp. 105-110.
[22] E. T. Koh, A. U. Yap, C. K. Koh, T. S. Chee, S. P. Chan and I. C. Boudville, “Temporomandibular Disorders in Rheumatoid Arthritis,” Journal of Rheumatology, Vol. 26, No. 9, 1999, pp. 1918-1922.
[23] L. Z. Arvidsson, B. Flat? and T. A. Larheim, “Radiographic TMJ Abnormalities in Patients with Juvenile Idiopathic Arthritis Followed for 27 Years,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, Vol. 108, No. 1, 2009, pp. 114-123.
[24] L. M. Helenius, D. Hallikainen, I. Helenius, J. H. Meurman, M. Kononen, M. Leirisalo-Repo and C. Lindqvist, “Clinical and Radiographic Findings of the Temporomandibular Joint in Patients with Various Rheumatic Diseases. A Case-Control Study,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, Vol. 99, No. 4, 2005, pp. 455-463. doi:10.1016/j.tripleo.2004.06.079
[25] P. L. Westesson, “Temporomandibular Joint and Dental Imaging,” Neuroimaging Clinics of North America, Vol. 6, No. 2, 1996, pp. 333-355.
[26] J. V. Manzione, R. W. Katzberg and T. J. Manzione, “Internal Derangements of the Temporomandibular Joint. II. Diagnosis by Arthrography and Computed Tomography,” International Journal of Periodontics & Restorative Dentistry, Vol. 4, No. 4, 1984, pp. 16-27.
[27] T. A. Larheim, “Comparative Imaging of the Temporomandibular Joint,” Current Opinion in Dentistry, Vol. 2, 1992, pp. 163-169.
[28] T. A. Larheim, “Comparison between Three Radiographic Techniques for Examination of the Temporomandibular Joints in Juvenile Rheumatoid Arthritis,” Acta Radiologica Diagnosis, Vol. 22, No. 2, 1981, pp. 195-201.
[29] T. A. Larheim, “Imaging of the Temporomandibular Joint in Rheumatic Disease,” Cranio Clinics International, Vol. 1, No. 1, 1991, pp. 133-153.
[30] T. A. Larheim, T. Bjornland, H. J. Smith, F. Aspestrand and A. Kolbenstvedt, “Imaging Temporomandibular Joint Abnormalities in Patients with Rheumatic Disease. Comparison with Surgical Observations,” Oral Surgery, Oral Medicine, Oral Pathology, Vol. 73, No. 4, 1992, pp. 494-501. doi:10.1016/0030-4220(92)90333-L
[31] T. A. Larheim, H. J. Smith and F. Aspestrand, “Rheumatic Disease of the Temporomandibular Joint: MR Imaging and Tomographic Manifestations,” Radiology, Vol. 175, No. 2, 1990, pp. 527-531.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.