A rare case of ankylosing spondylitis with severe temporomandibular joint and dental involvement

Yıl 2017, Cilt: 30 Sayı: 3, 181 - 184, 22.10.2017

Meryem Yılmaz Kaysın İlknur Aktas Feyza Unlu Ozkan

https://doi.org/10.5472/marumj.370860

Öz

Ankylosing spondylitis (AS) is a chronic inflammatory disease

that primarily affects the axial skeleton, resulting in functional

deterioration. Temporomandibular joint (TMJ) ankylosis is

characterized by bony or fibrous adhesion of the anatomic joint

components, which results in limited mouth opening. Despite the

high prevalence of the disease, ankylosis of the TMJ and tooth

secondary to AS are rare conditions. Here, a patient with AS

admitted to the outpatient clinic with a chief complaint of TMJ

pain and restricted mouth opening was diagnosed with TMJ and

dental sclerosis. The patient’s dental history included fracture of

a wisdom tooth during an attempted extraction and difficulty in

mouth opening. TMJ and dental ankylosis should be considered in

patients with AS with a poor dental history and difficulty in mouth

opening. For such suspected cases, a panoramic radiograph of the

jaws and teeth should be obtained to detect abnormalities.

Anahtar Kelimeler

Ankylosing spondylitis, Temporomandibular joint, Tooth

Ciddi temporomandibular eklem ve diş tutulumu olan nadir bir ankilozan spondilit olgusu

Öz

Ankilozan spondilit (AS) primer olarak aksiyel iskeleti tutan ve

fonksiyonel bozukluğa yol açan kronik enflamatuvar bir hastalıktır.

Temporomandibular eklem (TME) ankilozu, eklem bileşenlerinin

kemik veya fibröz adezyonu ile karakterize olup, ağız açıklığında

kısıtlanma ile sonuçlanmaktadır. Hastalığın yüksek prevelansına

rağmen AS’e bağlı TME ve diş ankilozu oldukça nadir bir

durumdur. Bu olgu sunumu ile TME ağrısı ve ağız açıklığında

kısıtlılık ile polikliniğimize başvuran ve TME ve diş ankilozu tanısı

alan bir AS olgusu sunmayı amaçladık. Hastanın ağız açıklığında

kısıtlılık ve zorlu bir diş çekimi öyküsü mevcuttu. Kötü dental

hikayesi olan ve ağız açmakta zorluğu olan AS hastalarında, TME

ve diş ankilozu mutlaka düşünülmelidir. Şüpheli olgularda çene

ve diş anormalliklerini tespit etmek için panoramik ağız grafisi ile

hasta değerlendirilmelidir.

Anahtar Kelimeler

spondilit, Temporomandibular eklem, Diş

Kaynakça

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