Characteristics of Temporomandibular Disorders and Orofacial Pain in Individuals with Rheumatoid Arthritis.

IF 2.1 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Prosthodontics Pub Date : 2023-11-01 DOI:10.11607/ijp.8145

Vesna Fugosic Mesic, Ana-Maria Laskarin, Tatjana Kehler, Stjepan Spalj, Matea Dozet, Daniela Kovacevic Pavicic

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Abstract

Purpose: To compare characteristics of temporomandibular disorders (TMDs) in patients with rheumatoid arthritis (RA) to patients without RA.

Materials and methods: The sample included 80 patients (aged 33 to 73 years; 88% women and 22% men) with 40 in each group. An international diagnostic protocol for TMDs was followed.

Results: Arthralgia was the most prevalent TMD in the RA group. Orofacial pain was more common in the RA group than in the controls (42.5% vs 15%, P = .031), with higher chronic pain grade and pain intensity (P ≤ .005). Somatization and depression were also increased (P < .001). In multiple logistic regression analysis, arthralgia (OR: 6.4; 95% CI: 1.1 to 37.1; P = .038) and age ≥ 55 years were predictors of RA (OR: 3.9; 95% CI: 1.4 to 10.8; P = .009) when controlling for the effects of biological sex and pain intensity. TMDs were related to 7.4 times higher odds for presence of orofacial pain, while RA was related to 3.4 times higher odds for pain.

Conclusions: RA patients experienced more orofacial pain and higher pain intensity, somatization, and depression compared to healthy individuals. Pain is more influenced by TMDs than by RA. Int J Prosthodont 2023;36:630-636.

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类风湿性关节炎患者颞下颌关节紊乱和口面疼痛的特点。

目的：比较类风湿性关节炎（RA）和非RA患者颞下颌关节紊乱病（TMDs）的特点。材料和方法：样本包括80名患者（年龄33至73岁；88%为女性，22%为男性），每组40名。遵循了TMDs的国际诊断协议。结果：关节痛是RA组最常见的TMD。RA组的口腔面部疼痛比对照组更常见（42.5%vs15%，P=.031），慢性疼痛等级和疼痛强度更高（P≤.005）。躯体化和抑郁也增加（P<.001）。在多元逻辑回归分析中，关节痛（OR:6.4；95%CI:1.1至37.1；P=0.038）和年龄≥55岁是RA的预测因素（OR:3.9；95%CI:1.4至10.8；P=0.009）。颞下颌关节紊乱病与口面疼痛的几率高7.4倍有关，而类风湿性关节炎与疼痛几率高3.4倍有关。结论：与健康人相比，RA患者经历了更多的口面疼痛和更高的疼痛强度、躯体化和抑郁。与RA相比，TMDs对疼痛的影响更大。Int J Prostodont 2023；36:630-636。

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来源期刊

International Journal of Prosthodontics 医学-牙科与口腔外科

CiteScore

3.20

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Official Journal of the European Association for Osseointegration (EAO), the International College of Prosthodontists (ICP), the German Society of Prosthodontics and Dental Materials Science (DGPro), and the Italian Academy of Prosthetic Dentistry (AIOP) Prosthodontics demands a clinical research emphasis on patient- and dentist-mediated concerns in the management of oral rehabilitation needs. It is about making and implementing the best clinical decisions to enhance patients'' quality of life via applied biologic architecture - a role that far exceeds that of traditional prosthetic dentistry, with its emphasis on materials and techniques. The International Journal of Prosthodontics is dedicated to exploring and developing this conceptual shift in the role of today''s prosthodontist, clinician, and educator alike. The editorial board is composed of a distinguished team of leading international scholars.