TMJ involvement in ankylosing spondylitis
Journal Title: International Journal of Oral Health Dentistry - Year 2018, Vol 4, Issue 3
Abstract
Ankylosing spondylitis AS is a chronic autoinflammatory disease of the joints belonging to the group of spondyloarthropathic disorders The disease has a crippling effect on the axial skeleton and its progression to the later stages can have a debilitating effect on the patient It has an underdiagnosed pathology and enigmatic pathophysiology A strong genetic link has been found with the help of genome screening Frequency of temporomandibular joint TMJ involvement in patients with ankylosing spondylitis AS has varied from 4 to 35 It is more common in men and produces generalised stiffness in involved joints Clinician should be suspicious of AS when a patient reports with painful restricted movements of joint neck or back and with no trauma history Conventional radiographic methods have allowed the demonstration of TMJ abnormalities in patients with AS but cone beam computed tomography CBCT is necessary to establish joint space relations and bony morphology We describe a case of severe AS with TMJ involvement in a 34yearold male patient and demonstrated TMJ changes on CBCTKeywords Ankylosing spondylitis Spondyloarthropathic disorders Temporomandibular joint Cone beam computed tomography
Authors and Affiliations
Navdeep Johar, Sandeep Chaurasia, Gauri Barkale, Trishna Rahangdau, Tushar Phulambrikar
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