Abstract
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.
References
- Ghasemi-rad M, Attaya H, Lesha E, et al., Ankylosing spondylitis: A state of the art factual backbone. World J Radiol 2015;7,:236-52. doi: 10.4329/wjr.v7.i9.236
- Dougados M, Baeten D. Spondyloarthritis. Lancet 2011;377(9783): 2127-37. doi: 10.1016/S0140-6736(11) 60071-8
- Dougados M, Linden SVD, Juhlin R, et al., The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 1991;34, 1218-27.
- Vander Cruyssen B, Ribbens C, Boonen A, et al., The epidemiology of ankylosing spondylitis and the commencement of anti-TNF therapy in daily rheumatology practice. Ann Rheum Dis 2007;66: 1072-77. doi: 10.1136/ ard.2006.064543
- Oliveira LSDAF, de Oliveira-Santos C, de Melo DP, et al., Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis. Maxillofac Oral Surg 2013;17:213-17. doi: 10.1007/s10006-012-0365-2
- Mehdizadeh M, Poorsattar BMA. Surgical orodental implications in ankylosing spondylitis. Dent Res J 2012;9:807-11.
- Matsumoto A, Sasai T, Matsumoto K. A temporomandibular joint ankylosis with periarticular tissue calcification long followed up case. J Arthritis 2015;4: 150. doi:10.4172/2167- 7921.1000150.
- Felstead AM, Revington PJ. Surgical management of temporomandibular joint ankylosis in ankylosing spondylitis. Int J Rheum 2011; Article ID 854167. doi:10.1155/2011/854167.
- Helenius LMJ, Hallikainen D, Helenius I,et al. HLA-DRB1* alleles and temporomandibular joint erosion in patients with various rheumatic diseases. Scand J Rheum 2004;33:24-9. doi: 10.1080/03009740310004603
- Brkić Z, Pijevčević N, PavlićV, Petronijevic M., Oral rehabilitation of patient with temporomandibular joint ankylosis caused by ankylosing spondylitis: A case presentation. Vojnosanit Pregl 2017; 74: 374–77. doi: 10.2298/VSP150522189B
- Sidebottom J. Guidelines for the replacement of temporomandibular joints in the United Kingdom. Br J Oral Maxillofac Surg 2008;46:146-47. doi: 10.1016/j. bjoms.2006.12.001
- Ezirganlı Ş, Kara Mİ, Küçük D, et al., Investigation amount of maximum mouth opening and association with temporomandibular joint disorders in Turkish adult population. J Dent Fac Ataturk Uni 2013;21:57-62.
- Keller JJ, Kang JH, Lin HC. Association between ankylosing spondylitis and chronic periodontitis: A population-based study. Arthritis Rheum 2013;65:167-73. doi: 10.1002/ art.37746
- Chow TK, Ng WL, Tam CK, et al., Bilateral ankylosis of temporomandibular joint secondary to ankylosing spondylitis in a male Chinese. Scand J Rheumatol 1997;26:133-34.
- Sporniak-Tutak K, Janiszewska-Olszowska J, Kowalczyk R. Management of temporomandibular ankylosis–compromise or individualization–a literature review. Med Sci Monit 2011;17:111-6.
- Arora P, Amarnath J, Ravindra SV, Rallan M. Temporomandibular joint involvement in ankylosing spondylitis. BMJ Case Rep 2013; 2013: bcr2013009386. doi: 10.1136/bcr-2013-009386.
Abstract
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.
Keywords
References
- Ghasemi-rad M, Attaya H, Lesha E, et al., Ankylosing spondylitis: A state of the art factual backbone. World J Radiol 2015;7,:236-52. doi: 10.4329/wjr.v7.i9.236
- Dougados M, Baeten D. Spondyloarthritis. Lancet 2011;377(9783): 2127-37. doi: 10.1016/S0140-6736(11) 60071-8
- Dougados M, Linden SVD, Juhlin R, et al., The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum 1991;34, 1218-27.
- Vander Cruyssen B, Ribbens C, Boonen A, et al., The epidemiology of ankylosing spondylitis and the commencement of anti-TNF therapy in daily rheumatology practice. Ann Rheum Dis 2007;66: 1072-77. doi: 10.1136/ ard.2006.064543
- Oliveira LSDAF, de Oliveira-Santos C, de Melo DP, et al., Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis. Maxillofac Oral Surg 2013;17:213-17. doi: 10.1007/s10006-012-0365-2
- Mehdizadeh M, Poorsattar BMA. Surgical orodental implications in ankylosing spondylitis. Dent Res J 2012;9:807-11.
- Matsumoto A, Sasai T, Matsumoto K. A temporomandibular joint ankylosis with periarticular tissue calcification long followed up case. J Arthritis 2015;4: 150. doi:10.4172/2167- 7921.1000150.
- Felstead AM, Revington PJ. Surgical management of temporomandibular joint ankylosis in ankylosing spondylitis. Int J Rheum 2011; Article ID 854167. doi:10.1155/2011/854167.
- Helenius LMJ, Hallikainen D, Helenius I,et al. HLA-DRB1* alleles and temporomandibular joint erosion in patients with various rheumatic diseases. Scand J Rheum 2004;33:24-9. doi: 10.1080/03009740310004603
- Brkić Z, Pijevčević N, PavlićV, Petronijevic M., Oral rehabilitation of patient with temporomandibular joint ankylosis caused by ankylosing spondylitis: A case presentation. Vojnosanit Pregl 2017; 74: 374–77. doi: 10.2298/VSP150522189B
- Sidebottom J. Guidelines for the replacement of temporomandibular joints in the United Kingdom. Br J Oral Maxillofac Surg 2008;46:146-47. doi: 10.1016/j. bjoms.2006.12.001
- Ezirganlı Ş, Kara Mİ, Küçük D, et al., Investigation amount of maximum mouth opening and association with temporomandibular joint disorders in Turkish adult population. J Dent Fac Ataturk Uni 2013;21:57-62.
- Keller JJ, Kang JH, Lin HC. Association between ankylosing spondylitis and chronic periodontitis: A population-based study. Arthritis Rheum 2013;65:167-73. doi: 10.1002/ art.37746
- Chow TK, Ng WL, Tam CK, et al., Bilateral ankylosis of temporomandibular joint secondary to ankylosing spondylitis in a male Chinese. Scand J Rheumatol 1997;26:133-34.
- Sporniak-Tutak K, Janiszewska-Olszowska J, Kowalczyk R. Management of temporomandibular ankylosis–compromise or individualization–a literature review. Med Sci Monit 2011;17:111-6.
- Arora P, Amarnath J, Ravindra SV, Rallan M. Temporomandibular joint involvement in ankylosing spondylitis. BMJ Case Rep 2013; 2013: bcr2013009386. doi: 10.1136/bcr-2013-009386.
Details
| Subjects | Clinical Sciences |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | October 22, 2017 |
| Published in Issue | Year 2017 Volume: 30 Issue: 3 |