Oro-facial evaluation of women with rheumatoid arthritis

Oro-facial evaluation of women with rheumatoid arthritis

Author Hoyuela, C. P. S. Autor UNIFESP Google Scholar
Furtado, R. N. V. Autor UNIFESP Google Scholar
Chiari, A. Autor UNIFESP Google Scholar
Natour, J. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Rheumatoid arthritis (RA) is an aggressive articular autoimmune disease that causes deformities and disability. the temporomandibular joint (TMJ) might be affected by this disease. Few controlled studies have evaluated bite force (BF) and oro-facial manifestations of this disease. To characterise oro-facial alterations in patients with RA, correlate these results with clinical and disease activity parameters and correlate BF with hand strength (HS). A cross-sectional study of 150 women was performed, (75 RA patients (RA group) and 75 healthy individuals (control group). the presence of articular sounds, pain on palpation of masseter, temporal and TMJ lateral pole, changes in occlusion, range of mandibular motion, measurement of BF in the incisor and molar regions and assessment of HS were evaluated. in relation to oro-facial evaluation there were statistical differences between the groups. There was correlation between BF and HS, in the RA group, this correlation was consistent in patients with natural teeth. Patients with RA had lower scores (P<005) in the HAQ, DASH and OHIP-14 questionnaires than the control group. Inverse correlations were found between BF and HAQ, but not between BF and DAS-28, DASH and OHIP-14 questionnaires in the RA group. the women with RA presented more signs and symptoms in the oro-facial region and had a lower BF than the women in the control group. BF was inversely correlated with the overall function (evaluated by the HAQ) in the patients with RA, and there were correlations between BF and HS in the RA patients and in the control group.
Keywords rheumatoid arthritis
bite force
hand strength
quality of life
oral health
temporomandibular joint
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Date 2015-05-01
Published in Journal of Oral Rehabilitation. Hoboken: Wiley-Blackwell, v. 42, n. 5, p. 370-377, 2015.
ISSN 0305-182X (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 370-377
Origin http://dx.doi.org/10.1111/joor.12255
Access rights Closed access
Type Article
Web of Science ID WOS:000352809200007
URI http://repositorio.unifesp.br/handle/11600/39075

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