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High-Grade Inflammatory TMJ Diseases and Traumatic TMJ Conditions

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Imaging of the Temporomandibular Joint

Abstract

Temporomandibular joint (TMJ) pathologies are numerous. This richly illustrated chapter focuses on the appropriate imaging and diagnostic criteria of high-grade inflammatory arthritides. They affect the TMJ in varying degree; most often in addition to other joints but sometimes the TMJ is the only affected joint. We discuss the most common rheumatic diseases in adults and children and some uncommon other types of arthritis and their TMJ characteristics. A small section on traumatic TMJ conditions is also included.

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References

  1. Silman AJ, Pearson JE. Epidemiology and genetics of rheumatoid arthritis. Arthritis Res. 2002;4(Suppl 3):S265–72.

    Article  Google Scholar 

  2. Ngo ST, Steyn FJ, McCombe PA. Gender differences in autoimmune disease. Front Neuroendocrinol. 2014;35(3):347–69.

    Article  CAS  Google Scholar 

  3. Witulski S, Vogl TJ, Rehart S, Ottl P. Evaluation of the TMJ by means of clinical TMD examination and MRI diagnostics in patients with rheumatoid arthritis. Biomed Res Int. 2014;2014:328560.

    Article  Google Scholar 

  4. Larheim TA, Storhaug K, Tveito L. Temporomandibular joint involvement and dental occlusion in a group of adults with rheumatoid arthritis. Acta Odontol Scand. 1983;41(5):301–9.

    Article  CAS  Google Scholar 

  5. Badel T, Savic Pavicin I, Krapac L, Zadravec D, Rosic D. Psoriatic arthritis and temporomandibular joint involvement - literature review with a reported case. Acta Dermatovenerol Croat. 2014;22(2):114–21.

    PubMed  Google Scholar 

  6. Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007;369(9570):1379–90.

    Article  Google Scholar 

  7. Arora P, Amarnath J, Ravindra SV, Rallan M. Temporomandibular joint involvement in ankylosing spondylitis. BMJ Case Rep. Published online: 2 May 2013.

    Google Scholar 

  8. Klecker RJ, Weissman BN. Imaging features of psoriatic arthritis and Reiter’s syndrome. Semin Musculoskelet Radiol. 2003;7(2):115–26.

    Article  Google Scholar 

  9. Selmi C, Gershwin ME. Diagnosis and classification of reactive arthritis. Autoimmun Rev. 2014;13(4-5):546–9.

    Article  CAS  Google Scholar 

  10. Larheim TA, Westesson P-LA. Maxillofacial imaging. Berlin: Springer; 2018.

    Book  Google Scholar 

  11. Larheim TA. Temporomandibular joint space in children without joint disease. Acta Radiol Diagn (Stockh). 1981;22(1):85–8.

    Article  CAS  Google Scholar 

  12. Pullinger AG, Hollender L, Solberg WK, Petersson A. A tomographic study of mandibular condyle position in an asymptomatic population. J Prosthet Dent. 1985;53(5):706–13.

    Article  CAS  Google Scholar 

  13. Smith HJ, Larheim TA, Aspestrand F. Rheumatic and nonrheumatic disease in the temporomandibular joint: gadolinium-enhanced MR imaging. Radiology. 1992;185(1):229–34.

    Article  CAS  Google Scholar 

  14. Larheim TA, Smith HJ, Aspestrand F. Rheumatic disease of the temporomandibular joint: MR imaging and tomographic manifestations. Radiology. 1990;175(2):527–31.

    Article  CAS  Google Scholar 

  15. Arvidsson LZ, Smith HJ, Flato B, Larheim TA. Temporomandibular joint findings in adults with long-standing juvenile idiopathic arthritis: CT and MR imaging assessment. Radiology. 2010;256(1):191–200.

    Article  Google Scholar 

  16. Kirkhus E, Arvidsson LZ, Smith HJ, Flato B, Hetlevik SO, Larheim TA. Disk abnormality coexists with any degree of synovial and osseous abnormality in the temporomandibular joints of children with juvenile idiopathic arthritis. Pediatr Radiol. 2016;46(3):331–41.

    Article  Google Scholar 

  17. Petty RE, Laxer RM, Wedderburn LR. Chapter 15 - Juvenile idiopathic arthritis. Philadelphia: Elsevier; 2016. p. 188–204.e6.

    Google Scholar 

  18. Larheim TA, Doria AS, Kirkhus E, Parra DA, Kellenberger CJ, Arvidsson LZ. TMJ imaging in JIA patients-an overview. Semin Orthod. 2015;21(2):102–10.

    Article  Google Scholar 

  19. Arvidsson LZ, Flato B, Larheim TA. Radiographic TMJ abnormalities in patients with juvenile idiopathic arthritis followed for 27 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(1):114–23.

    Article  Google Scholar 

  20. Kellenberger CJ, Junhasavasdikul T, Tolend M, Doria AS. Temporomandibular joint atlas for detection and grading of juvenile idiopathic arthritis involvement by magnetic resonance imaging. Pediatr Radiol. 2018;48(3):411–26.

    Article  Google Scholar 

  21. Hechler BL, Phero JA, Van Mater H, Matthews NS. Ultrasound versus magnetic resonance imaging of the temporomandibular joint in juvenile idiopathic arthritis: a systematic review. Int J Oral Maxillofac Surg. 2017;47(1):83–9.

    Article  Google Scholar 

  22. Stabrun AE, Larheim TA, Hoyeraal HM, Rosler M. Reduced mandibular dimensions and asymmetry in juvenile rheumatoid arthritis. Pathogenetic factors. Arthritis Rheum. 1988;31(5):602–11.

    Article  CAS  Google Scholar 

  23. Flato B, Lien G, Smerdel A, Vinje O, Dale K, Johnston V, et al. Prognostic factors in juvenile rheumatoid arthritis: a case-control study revealing early predictors and outcome after 14.9 years. J Rheumatol. 2003;30(2):386–93.

    PubMed  Google Scholar 

  24. Lopez EN, Dogliotti PL. Treatment of temporomandibular joint ankylosis in children: is it necessary to perform mandibular distraction simultaneously? J Craniofac Surg. 2004;15(5):879–84; discussion 84–5.

    Article  Google Scholar 

  25. Bhattacharyya I, Chehal H, Gremillion H, Nair M. Gout of the temporomandibular joint: a review of the literature. J Am Dent Assoc. 2010;141(8):979–85.

    Article  Google Scholar 

  26. Oliveira IN, Gomes RC, Dos Santos RR, Oliveira Tde P, Pereira LL, Mainenti P. Gout of the temporomandibular joint: report of a case. Int Arch Otorhinolaryngol. 2014;18(3):316–8.

    Article  Google Scholar 

  27. Yuan Y, Liu C, Xiang X, Yuan TL, Qiu L, Liu Y, et al. Ultrasound scans and dual energy CT identify tendons as preferred anatomical location of MSU crystal depositions in gouty joints. Rheumatol Int. 2018;38(5):801–11.

    Article  CAS  Google Scholar 

  28. Abhishek A, Doherty M. Epidemiology of calcium pyrophosphate crystal arthritis and basic calcium phosphate crystal arthropathy. Rheum Dis Clin N Am. 2014;40(2):177–91.

    Article  Google Scholar 

  29. Ishida T, Dorfman HD, Bullough PG. Tophaceous pseudogout (tumoral calcium pyrophosphate dihydrate crystal deposition disease). Hum Pathol. 1995;26(6):587–93.

    Article  CAS  Google Scholar 

  30. O’Sullivan TJ, Alport EC, Whiston HG. Pigmented villonodular synovitis of the temporomandibular joint. J Otolaryngol. 1984;13(2):123–6.

    PubMed  Google Scholar 

  31. Romanach MJ, Brasileiro BF, Leon JE, Alves DB, de Almeida OP, Vargas PA. Pigmented villonodular synovitis of the temporomandibular joint: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(3):e17–28.

    Article  Google Scholar 

  32. Morales H, Cornelius R. Imaging approach to temporomandibular joint disorders. Clin Neuroradiol. 2016;26(1):5–22.

    Article  CAS  Google Scholar 

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Correspondence to Linda Z. Arvidsson .

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Arvidsson, L.Z., Mork-Knutsen, B.B., Hol, C., Abrahamsson, AK., Ottersen, M.K., Larheim, T.A. (2019). High-Grade Inflammatory TMJ Diseases and Traumatic TMJ Conditions. In: Rozylo-Kalinowska, I., Orhan, K. (eds) Imaging of the Temporomandibular Joint. Springer, Cham. https://doi.org/10.1007/978-3-319-99468-0_14

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  • DOI: https://doi.org/10.1007/978-3-319-99468-0_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99467-3

  • Online ISBN: 978-3-319-99468-0

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