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TMJ Rheumatoid Arthritis
David Hatcher, DDS, MSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Rheumatoid arthritis (RA)
            • Definitions

              • Chronic inflammatory disease manifesting as synovial membrane inflammation in several joints; characterized by progressive bony erosions and cartilage destruction
              • Villous synovitis leads to formation of synovial granulomatous tissue (pannus) that grows into fibrocartilage and bone, releasing enzymes that destroy articular surfaces and underlying bone

            IMAGING

            • General Features

              • Imaging Recommendations

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Ahmed N et al: Deficient cytokine control modulates temporomandibular joint pain in rheumatoid arthritis. Eur J Oral Sci. 123(4):235-41, 2015
                                          2. Ahmed N et al: Tumor necrosis factor mediates temporomandibular joint bone tissue resorption in rheumatoid arthritis. Acta Odontol Scand. 73(3):232-40, 2015
                                          3. Ahola K et al: Impact of rheumatic diseases on oral health and quality of life. Oral Dis. 21(3):342-8, 2015
                                          4. Hoyuela CP et al: Oro-facial evaluation of women with rheumatoid arthritis. J Oral Rehabil. 42(5):370-7, 2015
                                          5. Malliari M et al: First diagnosis of rheumatoid arthritis in a patient with temporomandibular disorder: a case report. Int J Prosthodont. 28(2):124-6, 2015
                                          6. Morales H et al: Imaging approach to temporomandibular joint disorders. Clin Neuroradiol. ePub, 2015
                                          7. Sodhi A et al: Rheumatoid arthritis affecting temporomandibular joint. Contemp Clin Dent. 6(1):124-7, 2015
                                          8. Ruparelia PB et al: Bilateral TMJ involvement in rheumatoid arthritis. Case Rep Dent. 2014:262430, 2014
                                          9. Witulski S et al: Evaluation of the TMJ by means of clinical TMD examination and MRI diagnostics in patients with rheumatoid arthritis. Biomed Res Int. 2014:328560, 2014
                                          10. Kretapirom K et al: MRI characteristics of rheumatoid arthritis in the temporomandibular joint. Dentomaxillofac Radiol. 42(4):31627230, 2013
                                          11. Uchiyama Y et al: Temporomandibular joints in patients with rheumatoid arthritis using magnetic resonance imaging. Clin Rheumatol. 32(11):1613-8, 2013
                                          12. Cunha CO et al: Bilateral asymptomatic fibrous-ankylosis of the temporomandibular joint associated with rheumatoid arthritis: a case report. Braz Dent J. 23(6):779-82, 2012
                                          13. Bayar N et al: Temporomandibular joint involvement in rheumatoid arthritis: a radiological and clinical study. Cranio. 20(2):105-10, 2002
                                          14. Treister N et al: Rheumatoid arthritis: a review and suggested dental care considerations. J Am Dent Assoc. 130(5):689-98, 1999
                                          15. Gynther GW et al: Radiographic changes in the temporomandibular joint in patients with generalized osteoarthritis and rheumatoid arthritis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 81(5):613-8, 1996
                                          16. Larheim TA et al: Imaging temporomandibular joint abnormalities in patients with rheumatic disease. Comparison with surgical observations. Oral Surg Oral Med Oral Pathol. 73(4):494-501, 1992
                                          17. Larheim TA et al: Rheumatic disease of the temporomandibular joint: MR imaging and tomographic manifestations. Radiology. 175(2):527-31, 1990
                                          18. Tegelberg A: Temporomandibular joint involvement in rheumatoid arthritis. A clinical study. Swed Dent J Suppl. 49:1-133, 1987
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Rheumatoid arthritis (RA)
                                                    • Definitions

                                                      • Chronic inflammatory disease manifesting as synovial membrane inflammation in several joints; characterized by progressive bony erosions and cartilage destruction
                                                      • Villous synovitis leads to formation of synovial granulomatous tissue (pannus) that grows into fibrocartilage and bone, releasing enzymes that destroy articular surfaces and underlying bone

                                                    IMAGING

                                                    • General Features

                                                      • Imaging Recommendations

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Ahmed N et al: Deficient cytokine control modulates temporomandibular joint pain in rheumatoid arthritis. Eur J Oral Sci. 123(4):235-41, 2015
                                                                                  2. Ahmed N et al: Tumor necrosis factor mediates temporomandibular joint bone tissue resorption in rheumatoid arthritis. Acta Odontol Scand. 73(3):232-40, 2015
                                                                                  3. Ahola K et al: Impact of rheumatic diseases on oral health and quality of life. Oral Dis. 21(3):342-8, 2015
                                                                                  4. Hoyuela CP et al: Oro-facial evaluation of women with rheumatoid arthritis. J Oral Rehabil. 42(5):370-7, 2015
                                                                                  5. Malliari M et al: First diagnosis of rheumatoid arthritis in a patient with temporomandibular disorder: a case report. Int J Prosthodont. 28(2):124-6, 2015
                                                                                  6. Morales H et al: Imaging approach to temporomandibular joint disorders. Clin Neuroradiol. ePub, 2015
                                                                                  7. Sodhi A et al: Rheumatoid arthritis affecting temporomandibular joint. Contemp Clin Dent. 6(1):124-7, 2015
                                                                                  8. Ruparelia PB et al: Bilateral TMJ involvement in rheumatoid arthritis. Case Rep Dent. 2014:262430, 2014
                                                                                  9. Witulski S et al: Evaluation of the TMJ by means of clinical TMD examination and MRI diagnostics in patients with rheumatoid arthritis. Biomed Res Int. 2014:328560, 2014
                                                                                  10. Kretapirom K et al: MRI characteristics of rheumatoid arthritis in the temporomandibular joint. Dentomaxillofac Radiol. 42(4):31627230, 2013
                                                                                  11. Uchiyama Y et al: Temporomandibular joints in patients with rheumatoid arthritis using magnetic resonance imaging. Clin Rheumatol. 32(11):1613-8, 2013
                                                                                  12. Cunha CO et al: Bilateral asymptomatic fibrous-ankylosis of the temporomandibular joint associated with rheumatoid arthritis: a case report. Braz Dent J. 23(6):779-82, 2012
                                                                                  13. Bayar N et al: Temporomandibular joint involvement in rheumatoid arthritis: a radiological and clinical study. Cranio. 20(2):105-10, 2002
                                                                                  14. Treister N et al: Rheumatoid arthritis: a review and suggested dental care considerations. J Am Dent Assoc. 130(5):689-98, 1999
                                                                                  15. Gynther GW et al: Radiographic changes in the temporomandibular joint in patients with generalized osteoarthritis and rheumatoid arthritis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 81(5):613-8, 1996
                                                                                  16. Larheim TA et al: Imaging temporomandibular joint abnormalities in patients with rheumatic disease. Comparison with surgical observations. Oral Surg Oral Med Oral Pathol. 73(4):494-501, 1992
                                                                                  17. Larheim TA et al: Rheumatic disease of the temporomandibular joint: MR imaging and tomographic manifestations. Radiology. 175(2):527-31, 1990
                                                                                  18. Tegelberg A: Temporomandibular joint involvement in rheumatoid arthritis. A clinical study. Swed Dent J Suppl. 49:1-133, 1987