Abstract

MENDIBURU ZAVALA, Celia Elena del Perpetuo Socorro; CARRILLO MENDIBURU, Josué; LUGO ANCONA, Pedro Ernesto  and  ALVARADO MURGA, Karitza Arianne. Clinical evaluation of temporomandibular articulation in arthritis patients, from the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Yucatán, Mexico. ccm [online]. 2018, vol.22, n.1, pp. 32-49. ISSN 1560-4381.

Introduction: arthritis is the inflammation of the musculoskeletal system, in which temporomandibular joints (TMJ) are involved. Objective: to evaluate the clinical behavior of the TMJ and its surrounding areas, in workers of the Institute of Security and Social Services of State Workers (ISSSTE), Yucatan, Mexico. 2015-2016. Methods: a cross sectional study was done. A questionnaire about diagnostic criteria for temporomandibular disorders, whith a 90 ° clinical examination on sitting position, was applied. Prostheses, splints or other appliances were not removed. Measurements were made on resting masticatory muscles. A stethoscope for listening joints cliks, and a descriptive analysis of frecuencies percentages, were used. Results: one hundred patients (91 women and 9 men) with arthritis were investigated. On the process some rheumatic disease appeared: 80% of rheumatoid arthritis (RA), 12% of osteoarthritis (OR), 5% of juvenile idiopathic arthritis (JIA); 3% of ankylosing spondylitis (AS). Old adults presented a 59% prevalence of some opening corrected standar deviation; 69% showed pain in oral opening; 17% were aching when performing lateral and protrusive movements; 20% to 52% had clicks in the TMJ; and 39% showed distress to the palpation of the temporal and masseter muscles, both on the right and left side: 8% only on temporalis, 17% on the masseter, and 14% on both. Conclusions: arthritis patients reported signs and / or symptoms of temporomandibular disorders.

Keywords : arthritis; osteoarthritis; rheumatic diseases; temporomandibular disorder; temporomandibular joint.

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