Oro-facial evaluation of women with rheumatoid arthritis

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dc.contributor.authorHoyuela, C. P. S. [UNIFESP]
dc.contributor.authorFurtado, R. N. V. [UNIFESP]
dc.contributor.authorChiari, A. [UNIFESP]
dc.contributor.authorNatour, J. [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:40:29Z
dc.date.available2016-01-24T14:40:29Z
dc.date.issued2015-05-01
dc.description.abstractRheumatoid 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.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Rheumatol, Dept Med, Escola Paulista Med, BR-04023061 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Rheumatol, Dept Med, Escola Paulista Med, BR-04023061 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent370-377
dc.identifierhttp://dx.doi.org/10.1111/joor.12255
dc.identifier.citationJournal of Oral Rehabilitation. Hoboken: Wiley-Blackwell, v. 42, n. 5, p. 370-377, 2015.
dc.identifier.doi10.1111/joor.12255
dc.identifier.issn0305-182X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/39075
dc.identifier.wosWOS:000352809200007
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Oral Rehabilitation
dc.rightsAcesso restrito
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectrheumatoid arthritisen
dc.subjectbite forceen
dc.subjecthand strengthen
dc.subjectquality of lifeen
dc.subjectoral healthen
dc.subjecttemporomandibular jointen
dc.titleOro-facial evaluation of women with rheumatoid arthritisen
dc.typeArtigo
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