scholarly journals Bilateral TMJ Involvement in Rheumatoid Arthritis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Pritesh B. Ruparelia ◽  
Deep S. Shah ◽  
Kosha Ruparelia ◽  
Shreyansh P. Sutaria ◽  
Deep Pathak
Keyword(s):  
Rheumatoid Arthritis ◽  
Temporomandibular Joint ◽  
Progressive Disease ◽  
Clinical Signs ◽  
Bone Destruction ◽  
Signs And Symptoms ◽  
Review Literature ◽  
Radiographic Findings ◽  
Clinical Signs And Symptoms

Rheumatoid arthritis (RA) is a systemic inflammatory, slowly progressive disease that results in cartilage and bone destruction. Temporomandibular joint (TMJ) involvement is not uncommon in RA, and it is present in about more than 50% of patients; however, TMJ is usually among the last joints to be involved and is associated with many varied clinical signs and symptoms. Hence, RA of TMJ presents to the dentist with great diagnostic challenges. This report presents a case of RA with bilateral TMJ involvement with its classical radiographic findings and review literature.

scholarly journals Temporomandibular Joint Monoarthritis in Rheumatoid Arthritis - A Rare Case Report

2021 ◽  
Vol 48 (3) ◽  
pp. 43-45
Author(s):  
Md Abu Shahin ◽  
Sudhir Karmacharya ◽  
Md Ariful Islam ◽  
Mamun Khan ◽  
Abdulla Al Morshed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Temporomandibular Joint ◽  
High Titer ◽  
Clinical Signs ◽  
Joint Stiffness ◽  
Signs And Symptoms ◽  
Joint Inflammation ◽  
Joint Involvement ◽  
Inflammatory Disorder ◽  
Clinical Signs And Symptoms

Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune inflammatory disorder that is characterized by joint inflammation, erosive properties and symmetric multiple joint involvement. Temporomandibular joint (TMJ) is very rare to be affected in the early phase of the disease, thus posing diagnostic challenges for the rheumatologist. TMJ complaints are present in about more than 50% of patients of RA. TMJ is usually among the last joint to be involved and is associated with many clinical signs and symptoms of which pain is a major problem leading to inflammation, limited movements, swelling, joint stiffness, and muscle spasm. Here reported case is 64 years old male, ex-smoker, diagnosed case of diabetes mellitus for 7 years, hypertension for 2 years, came to hospital with the complains of pain in left jaw for 1 year. He had no history of other joint pain, morning stiffness or any deformities. The patient was diagnosed as a case of rheumatoid arthritis on the basis of inflammatory monoarthritis with high titer positive RA factor and anti CCP. The patient gradually improved after treatment with methotrexate. Inflammatory markers like ESR dropped down with the clinical improvement. TMJ is seldom joint to be affected first in the disease course. Bangladesh Med J. 2019 Sep; 48 (3): 43-45

scholarly journals Obturation Over an S1 ProTaper Instrument Fragment in a Mandibular Molar with Three Years of Follow-up

2014 ◽  
Vol 25 (6) ◽  
pp. 571-575 ◽  
Author(s):  
Manoel Brito-Júnior ◽  
Yara Teresinha Correa Silva-Sousa ◽  
João Felipe Bonatto Bruniera ◽  
Carla Cristina Camilo ◽  
André Luis Faria-e-Silva ◽  
...  
Keyword(s):  
Negative Impact ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Root Canal Filling ◽  
Radiographic Findings ◽  
Gutta Percha ◽  
Computed Tomography Images ◽  
Mandibular Molar ◽  
Clinical Signs And Symptoms

This case report describes root canal filling performed over a large S1 ProTaper file fragment in a second mandibular molar with irreversible pulpitis. An S1 ProTaper file was fractured during the instrumentation of the mesiobuccal canal. Approximately 10 mm of file fragment remained in the apical and middle thirds of the canal. The obturation was performed over this fragment using thermomechanically compacted gutta-percha and sealer. Radiographic findings and the absence of clinical signs and symptoms at 3-year follow up indicated successful treatment. Cone-beam computed tomography images revealed absence of periapical lesion and details of intracanal file fragment related to root fillings and apex morphology. In this case, the presence of a large intracanal fractured instrument did not have a negative impact on the endodontic prognosis during the follow up evaluation period.

scholarly journals Scientific knowledge about infections by the new coronavirus in older adults: a scoping review

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Darlene Mara dos Santos Tavares ◽  
Nayara Gomes Nunes Oliveira ◽  
Marina Aleixo Diniz-Rezende ◽  
Graziele Ribeiro Bitencourt ◽  
Marcos Barragan da Silva ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Scientific Knowledge ◽  
Clinical Signs ◽  
Case Series ◽  
Signs And Symptoms ◽  
Review Literature ◽  
Adverse Outcomes ◽  
Other Information ◽  
Clinical Signs And Symptoms

ABSTRACT Objective: to map the scientific knowledge about COVID-19 in older adults. Method: this is a scoping review literature review. A search was performed in the PubMed, CINAHL, Web of Science and LILACS databases. Original articles that answered the guiding question were included: what scientific knowledge is available in the world about COVID-19 in older adults? Results: thirty-one articles were included, most of them carried out in China (n=23) and with a retrospective design (n=13) and case studies/case series (n=13). Based on the findings, six thematic categories emerged: clinical signs and symptoms (n=12), other information (n=9), adverse outcomes/complications resulting from COVID-19 (n=8), age relationship and greater severity of COVID-19 (n=8), variables related to death by COVID-19 (n=8), and diagnostic findings (n=8). Conclusion: the findings reinforce older adults’ greater vulnerability to the worsening of COVID-19, as well as to complications resulting from the disease, including the greater occurrence of death.

scholarly journals Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in brazilian dental undergraduates

2007 ◽  
Vol 18 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Kariny Nomura ◽  
Mathias Vitti ◽  
Anamaria Siriani de Oliveira ◽  
Thaís Cristina Chaves ◽  
Marisa Semprini ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Neck Pain ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Public University ◽  
Men Students ◽  
Young Population ◽  
Clinical Signs And Symptoms

This study to assessed the prevalence of signs and symptoms of temporomandibular disorders (TMD) by means of the frequency distribution of data for 218 dentistry students from a Brazilian public university using the Fonseca's questionnaire. The group consisted of 96 men and 122 women, with an average age of 20 years. Of the students, 53.21% showed some level of TMD: 35.78% mild TMD 11.93% moderate and 5.5% severe. Women were the most affected group, with 63.11% showing some level of TMD, against 40.62% of men. When considering only severe TMD, women are approximately 9 times more affected than men. Students with any level of TMD showed marked characteristics: 76.72% considered themselves tense people; 71.55% reported to clench or grind their teeth; 65.52% reported clicking of the temporomandibular joint; 64.66% reported frequent headache and 61.21% neck pain. In conclusion, clinical signs and symptoms of TMD can occur in young population and this information is of great importance for the early diagnosis of the dysfunction.

scholarly journals Wegener’s granulomatosis

2013 ◽  
Vol 154 (28) ◽  
pp. 1083-1095 ◽  
Author(s):  
Klára Gadó ◽  
László Z. Szabó ◽  
László Csákó ◽  
Gyula Domján
Keyword(s):  
Wegener’S Granulomatosis ◽  
Progressive Disease ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Wegener's Granulomatosis ◽  
Medium Size ◽  
Organ Systems ◽  
Long Time ◽  
Clinical Signs And Symptoms ◽  
Single Organ

Wegener’s granulomatosis is a necrotizing inflammation of small and medium size vessels with granuloma formation. It is a very heterogeneous disease in respect of severity and clinical manifestation. While it can be a rapidly progressive disease with fatal ending, there are forms limited only to one organ. Diagnosis is supported by the positivity of anti-neutrophil cytoplasmatic antibody and the presence of the typical histological findings. Unfortunately, these examinations cannot confirm clinical suspicion relatively frequently. In addition, there may be only symptoms related to one single organ for a long time at the beginning of the disease and, therefore, one have to be aware of the clinical signs and symptoms of the different organ systems. This may allow us to make an early diagnosis and start treatment in time. Orv. Hetil., 2013, 154, 1083–1095.

scholarly journals Management of a temporomandibular joint synovial cyst in a case complicated by severe trigeminocardiac reflex

2018 ◽  
Vol 100 (7) ◽  
pp. e174-e175 ◽  
Author(s):  
S El-Habbash ◽  
P Padaki ◽  
S Bayoumi ◽  
P Ross
Keyword(s):  
Temporomandibular Joint ◽  
Maxillofacial Surgery ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Synovial Cyst ◽  
Trigeminocardiac Reflex ◽  
Cardiac Dysrhythmias ◽  
First Case ◽  
Ectopic Beats ◽  
Clinical Signs And Symptoms

The trigeminocardiac reflex is a rare occurrence in patients undergoing maxillofacial surgery, with a reported incidence of 1–2%. Clinical signs and symptoms include bradycardia, nausea, with further stimulation potentially leading to cardiac dysrhythmias, ectopic beats, atrioventricular blocks and asystole. Most maxillofacial procedures, including temporomandibular joint procedures, are considered low risk. We report the first case of a tender temporomandibular joint synovial cyst whose management was complicated by severe trigeminocardiac reflex resulting in asystole. We suggest that in such cases communication between surgeons and the anaesthesia team is of paramount importance and informing the anaesthetist intraoperatively prior to the manipulation of the capsule or temporomandibular joint meniscus is recommended in the prevention or successful treatment of this condition.

scholarly journals Juvenile Rheumatoid Arthritis

2017 ◽  
Vol 14 (11-12) ◽  
pp. 224
Author(s):  
S. Zulkifli ◽  
Maimunah Affandi ◽  
Bambang Madiono
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Disease ◽  
Juvenile Rheumatoid Arthritis ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Joint Involvement ◽  
Still’S Disease ◽  
Systemic Manifestation ◽  
Still's Disease ◽  
Clinical Signs And Symptoms

Juvenile Rheumatoid Arthritis (JRA) or usually also called Still's disease, is a chronic disease occurring in children with the clinical signs and symptoms of joint involvement and systemic manifestation. It has many similarities with adult rheumatoid type, but also distinct differences.

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