Vesna Fugosic Mesic, Ana-Maria Laskarin, Tatjana Kehler, Stjepan Spalj, Matea Dozet, Daniela Kovacevic Pavicic
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Characteristics of Temporomandibular Disorders and Orofacial Pain in Individuals with Rheumatoid Arthritis.
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.
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.
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