Associations of inflammatory polyarthritis with clinical and radiological findings of temporomandibular disorders

Authors

  • Sari Oksanen Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
  • Kirsi Sipilä Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland; Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
  • Markku Heliövaara Finnish National Institute for Health and Welfare, Helsinki, Finland
  • Anna Liisa Suominen Institute of Dentistry, University of Eastern Finland, Kuopio, Finland; Institute of Dentistry, Kuopio University Hospital, Kuopio, Finland; Department of Public Health and Welfare, National Institute for Health and Welfare, Helsinki, Finland
  • Sisko Huumonen Institute of Dentistry, University of Eastern Finland, Kuopio, Finland; Institute of Dentistry, Kuopio University Hospital, Kuopio, Finland

DOI:

https://doi.org/10.1080/00016357.2023.2267118

Keywords:

Temporomandibular disorders, polyarthritis, arthritis, rheumatoid, biomarkers

Abstract

Objective: To evaluate the association of different forms of inflammatory polyarthritis with clinical signs of temporomandibular disorders (TMD) and radiological findings in temporomandibular joint (TMJ), based on a nationwide health survey in Finland. The aim was also to assess the presence of clinical and radiological TMD findings in subjects with increased risk for developing rheumatoid arthritis (RA).

Material and methods: Anationally representative sample included 6331 Finnish adults who participated in the Health 2000 Survey (BRIF8901). Subjects were examined for signs of TMD, findings in panoramic radiograph of TMJ, musculoskeletal health and serology (rheumatoid factor, RF, and anti-cyclic citrullinated peptide, aCCP).

Results: Sixty-four percent of seronegative RAand 60% of seropositive RAsubjects had at least one sign of TMD. While adjusting for confounding factors (gender, age, dentures and smoking history), RAwas significantly associated with crepitation and abnormal radiological findings in TMJ. Seronegative RAwas also associated with restricted mouth opening. Systemic autoimmunity associated with RA(“at risk of RA”) was not associated with clinical or radiological TMD findings.

Conclusions: Clinical and radiological findings of TMD are more prevalent among subjects with inflammatory polyarthritis than among the population in general in the Finnish adult population. 

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Published

2024-03-22

Issue

Vol. 83: (2024) Acta Odontologica Scandinavica

Section

Research article

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Copyright (c) 2024 Sari Oksanen, Kirsi Sipilä, Markku Heliövaara, Anna Liisa Suominen, Sisko Huumonen

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