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Temporomandibular Joint Involvement in Rheumatoid Arthritis
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ÀÓÇö´ë/Lim HD
ÀÌÀ¯¹Ì/Lee YM
KMID : 0355220060310030231
Abstract
·ù¸¶Æ¼½º °üÀý¿°Àº ´Ù¹ß¼º °üÀý¿°À» Ư¡À¸·Î ÇÏ´Â ¿øÀÎ ºÒ¸íÀÇ ÁøÇ༺ ¿°Áõ¼º ÁúȯÀÌ´Ù. Ãʱ⿡´Â °üÀýÈ°¸·ÀÌ Ä§½ÀµÇÁö¸¸ Á¡Â÷ ÁÖÀ§ÀÇ ¿¬°ñ°ú °ñÀÌ Ä§½ÀµÇ¾î °üÀýÀÇ Æı«¿Í º¯ÇüÀ» ÃÊ·¡ÇÑ´Ù. ·ù¸¶Æ¼½º °üÀý¿°Àº ¼Õ¸ñ°üÀý, Áß¼öÁö°üÀý°ú ±ÙÀ§ÁöÀý°£°üÀýÀÌ Ä§¹üÇϱ⠽±°í ±× ¹ÛÀÇ ¿©·¯ °üÀý¿¡¼µµ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¸ç ÃøµÎÇϾǰüÀý¿¡¼µµ ºó¹øÇÏ°Ô ³ªÅ¸³ª´Â °ÍÀ¸·Î º¸°íµÇ°í ÀÖ´Ù. ÀÌ Áõ·Ê¿¡¼´Â ´Ù¸¥ °üÀý¿¡¼ º¸´Ù ÃøµÎÇϾǰüÀý¿¡¼ µÎµå·¯Áö°í ±Þ¼ÓÇÏ°Ô ÁøÇàµÇ¾ú´Ù. ÀÇ°úÀû ¾à¹° Ä¡·á¿Í ´õºÒ¾î 16°³¿ùµ¿¾ÈÀÇ ±³ÇÕ¾ÈÁ¤ÀåÄ¡ ¹× ¹°¸® Ä¡·á, ¿îµ¿¿ä¹ýÀ» ÅëÇÑ Ä¡°úÀû óġ¿Í ÃøµÎÇϾǰüÀýÀÇ °æ°ú¸¦ º¸°íÇÑ´Ù. Ä¡·áÁß ±Þ¼ÓÇÑ °üÀýÀÇ Æı«´Â ÀÖ¾úÀ¸³ª ´õ ÀÌ»óÀÇ ±³ÇÕº¯È´Â ¾ø¾ú°í ÇϾǿ°ú ÅëÁõÀº »ó´çÈ÷ °³¼±µÇ¾ú´Ù. ´Ù¸¥ °üÀý¿¡ ºñÇØ ÃøµÎÇϾǰüÀý¿¡ µÎµå·¯Áö°Ô ³ªÅ¸³ª°Ô µÇ´Â ¿äÀΰú À̸¦ °¡¼ÓȽÃÅ°´Â ¿äÀο¡ ´ëÇؼ´Â ¾ÕÀ¸·ÎÀÇ ¿¬±¸°¡ ´õ ÇÊ¿äÇÒ °ÍÀÌ´Ù.
Rheumatoid arthritis(RA) is an of autoimmune inflammatory systemic disease. It is characterized by uncontrolled proliferation of synovial tissue and a wide array multisystem comorbidities. The disease may involve any joint of the body, but often statrs in the peripheral joints.
It was reported that more than 50% of RA patients exhibit clinical involvement of TMJ. This report is a case report of dental management and progression for 16 months in patients who had severe bony change in TMJ involved rheumatoid arthritis.
Dental management was included palliative treatment such as interocclusal splints, physical therapy, mouth opening exercise.
Although it was progressed rapidly osteolytic bone change during follow-up, no more advanced occulsal change and improved symptom and jaw motion. Further investigations about rule of dentistry in TMJ involvement in RA maybe needed.
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TMJ;Rheumatoid Arthritis;Osteolytic change;ÃøµÎÇϾǰüÀý;·ù¸¶Æ¼½º °üÀý¿°;°ñÈí¼ö
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