scholarly journals The Temporomandibular Joint in a Rheumatoid Arthritis Patient after Orthodontic Treatment

2009 ◽  
Vol 79 (4) ◽  
pp. 804-811 ◽  
Author(s):  
Kenichi Sasaguri ◽  
Rika Ishizaki-Takeuchi ◽  
Sakurako Kuramae ◽  
Eliana Midori Tanaka ◽  
Takashi Sakurai ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Mouth Opening ◽  
Pharmacological Therapy ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Orthodontic Therapy ◽  
Japanese Female ◽  
Severe Erosion ◽  
Old Japanese ◽  
History Of

Abstract A 32-year-old Japanese female patient consulted the authors' dental clinic with a 4.5-year history of rheumatoid arthritis (RA). She complained of pain during mouth opening and difficulty in eating due to masticatory dysfunction caused by an anterior open bite. Imaging showed severe erosion and flattening of both condyles. RA stabilized after pharmacological therapy and became inactive during the orthodontic therapy aimed at reconstructing an optimal occlusion capable of promoting functional repositioning of the mandible. At present, 4 years and 2 months postretention, the reconstructed occlusion remains stable, and both condyles continue to be remodeled. The distance from reference position to intercuspal position has gradually decreased throughout the 4-year posttreatment and postretention periods. Orthodontic therapy that comprehensively reconstructs occlusion and enhances the functioning of the mandible can induce remodeling of eroded condyles, even those with a history of rheumatoid arthritis.

scholarly journals Rubinstein-Taybi syndrome: principal oral and dental disorders and literature update

2021 ◽  
Vol 3 (2) ◽  
pp. 169-172
Author(s):  
Alejandro Carlos de la Parte-Serna ◽  
◽  
Ricardo Ortega-Soria ◽  
Gonzalo Oliván-Gonzalvo ◽  
◽  
...  
Keyword(s):  
Effective Treatment ◽  
Clinical Case ◽  
Mouth Opening ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Lower Lip ◽  
Dental Prophylaxis ◽  
Pediatric Dentist ◽  
Dental Management ◽  
History Of

Introduction: Oral and dental (OD) disorders in children with Rubinstein-Taybi syndrome (RTS) are frequent but not well-known by dentists and pediatricians due to the syndrome being extremely rare. Objective: To describe the OD findings observed in a 5-year-old girl with RTS and to update the literature. Clinical case: The patient presented the following OD manifestations: prominent lower lip, narrow mouth opening, narrow and arched palate, history of angular cheilitis, micrognathia, poor lingual motility, plaque and tartar, bleeding from gingival areas due to poor dental prophylaxis, and malocclusion in the form of an anterior open bite. These OD manifestations are seen in more than 40-60% of patients with RTS. Conclusions: Professionals who treat children with RTS should become aware of the advisability of referring them to the pediatric dentist from 1 year of age and performing check-ups every 6 months. Dental management is often difficult so collaboration with anesthesiologists is recommended in order to carry out a safe and effective treatment.

scholarly journals Corticosteroid injections in the temporomandibular joint temporarily alleviate pain and improve function in rheumatoid arthritis

2021 ◽  
Author(s):  
Johanna Margaretha Kroese ◽  
Sigvard Kopp ◽  
Frank Lobbezoo ◽  
Per Alstergren
Keyword(s):  
Rheumatoid Arthritis ◽  
Pain Intensity ◽  
Temporomandibular Joint ◽  
Corticosteroid Injection ◽  
Treatment Options ◽  
Mouth Opening ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Tmj Pain ◽  
Corticosteroid Injections

Abstract Objectives To evaluate the effect of corticosteroid injections in the painful temporomandibular joint (TMJ) of patients with rheumatoid arthritis (RA) in relation to systemic inflammatory activity. Method Examination of 35 patients (median age 54 years; 89% female) included maximum mouth opening capacity, degree of anterior open bite (AOB), TMJ pain intensity at rest, and crepitus. Serum levels of rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), serotonin, and plasma levels of interleukine-1β (IL-1β) were determined. Out of the 70 examined joints, 53 joints received a corticosteroid (methylprednisolone) injection after the clinical examination at baseline (T0). The examination was repeated for all patients at T1 (median 3.1 weeks after T0), and for 21 patients at T2 (median 6.3 weeks after T1), of whom 20 patients received a second injection at T1. Results Maximum mouth opening capacity significantly increased, and TMJ pain intensity significantly decreased between T0 and T1, but these improvements were no longer present at T2. No differences were found in AOB between the time points. Of the joints that received an injection at T0, 19 joints had pretreatment crepitus, which resolved in eight joints at T1. No correlations were found between the change in mouth opening capacity or TMJ pain intensity and ESR, CRP, serotonin, or IL-1β. Conclusions Methylprednisolone injections in the TMJ alleviate pain and improve mouth opening capacity for approximately 3 weeks, allowing patients to perform jaw exercises during this timeframe of temporary relief. It thus seems useful for the short-term management of TMJ involvement in RA. Key Points• In rheumatoid arthritis, corticosteroid injection in the temporomandibular joint alleviates pain and improves function.• The clinical improvement achieved with methylprednisolone injections lasts for approximately 3 weeks.• Corticosteroid injections could be used to facilitate and support additional noninvasive, conservative treatment options.

scholarly journals A Case of Fascioliasis Treated Successfully without Sequelae in a Japanese Expatriate Living in Jakarta

2015 ◽  
Vol 8 ◽  
pp. CCRep.S26578 ◽  
Author(s):  
Masataro Norizuki ◽  
Teppei Sasahara ◽  
Harumi Gomi ◽  
Yuji Morisawa ◽  
Noriko Takamura ◽  
...  
Keyword(s):  
Upper Class ◽  
Intermittent Fever ◽  
Contrast Enhanced ◽  
Japanese Female ◽  
Old Japanese ◽  
History Of ◽  
Fasciola Spp ◽  
Enhanced Computed Tomography ◽  
The City ◽  
Contrast Enhanced Computed Tomography

A 46-year-old Japanese female expatriate living in Jakarta presented with intermittent fever lasting for a month. Although she was considered at low risk of Fasciola spp. infection because she lived in an upper-class residential area of the city, the patient presented with eosinophilia after consuming organic raw vegetables; in addition, contrast-enhanced computed tomography detected microabscesses in a tractlike pattern in the liver. These findings led to an early diagnosis of fascioliasis, which was successfully treated without sequelae. In any patient with a history of consuming raw vegetables, fascioliasis should be suspected regardless of where the patient has lived.

scholarly journals Apert syndrome: a case report

2015 ◽  
Vol 04 (03) ◽  
pp. 145-148
Author(s):  
Barman A. ◽  
Dutta BC ◽  
Sarkar JK
Keyword(s):  
Rare Condition ◽  
Open Bite ◽  
Apert Syndrome ◽  
Anterior Open Bite ◽  
Maxillary Hypoplasia ◽  
X Ray ◽  
Fgfr2 Gene ◽  
History Of ◽  
Ocular Hypertelorism ◽  
Hands And Feet

AbstractApert syndrome was described as a triad of craniosynostosis, syndactyly and maxillary hypoplasia. The incidence of Apert syndrome is approximately one in 50,000 births. A three year old boy was brought with a history of facial, hand and feet deformities to the Pediatrics out patient department. On examination, he had symmetric syndactyly of the hands and feet. He also had craniosynostosis with deformed skull. This patient also exhibited midface hypoplasia, exophthahnia, ocular hypertelorism and high arch palate. Crowding of the teeth, malocclusion with anterior open bite is also found. The X-ray of the hand and feet showed skeletal fusion of phalanges (complex syndactyly). The case represents a rare condition where there is a mutation in the FGFR2 gene causing Apert syndrome.

scholarly journals Orthodontics First in Hemimandibular Hyperplasia. “Mind the Gap”

2020 ◽  
Vol 17 (19) ◽  
pp. 7087
Author(s):  
Stefania Perrotta ◽  
Giorgio Lo Giudice ◽  
Tecla Bocchino ◽  
Luigi Califano ◽  
Rosa Valletta
Keyword(s):  
Three Dimensional ◽  
Facial Asymmetry ◽  
Torque Control ◽  
Open Bite ◽  
Orthodontic Appliances ◽  
Anterior Open Bite ◽  
History Of ◽  
Orthognatic Surgery ◽  
The University

A 32-year-old man was referred to the Division of Orthodontics of the University of Naples “Federico II”, with a 15-year history of gradually increasing right-sided facial asymmetry. Clinical and radiological examinations was consistent to hemimandibular hyperplasia, a rare developmental asymmetry characterized by three-dimensional enlargement of one-half of the mandible. The standard surgical-orthodontic management was proposed to the patient. However, he refused to undergo bimaxillary orthognatic surgery. Therefore, a different treatment was proposed based on the orthodontic technique of pre-surgical decompensation and post-surgical refinement used in bimaxillary orthognatic surgery planning, and surgical intervention with a condylectomy. The dental arches were evenly levelled out with a multi-bracket treatment and then the condylectomy was performed. Orthodontic treatment continued with a levelling and torque control by 0.19 × 0.25 SS arch and physiotherapy. At the three-month follow-up, the patient showed anterior and posterior bite rebalancing, arch intercuspation recovery, and anterior open bite closure due to muscular self-rebalancing. The two-year follow-up showed regular mandibular dynamic, orthodontic appliances were removed, and the patient was instructed to wear retainer for the following months. The final result was aesthetically reasonable for the patient, although slight asymmetry of the chin persisted.

Dilemma in closing the bite: a case of orthognathic surgery

2020 ◽  
Vol 13 (1) ◽  
pp. 35-40
Author(s):  
Siddharth Mehta ◽  
Abhay T Kamath ◽  
Adarsh Kudva ◽  
G Srikanth ◽  
Arun Urala
Keyword(s):  
Case Report ◽  
Adult Male ◽  
Clinical Relevance ◽  
Orthognathic Surgery ◽  
Open Bite ◽  
Anterior Region ◽  
Anterior Open Bite ◽  
Posterior Crossbite ◽  
Old Adult ◽  
History Of

This case report demonstrates treatment of an open bite case with a history of trauma to the maxillary anterior region in childhood. A 20-year-old adult male presented with a convex profile and significant anterior bite and unilateral posterior crossbite. Surgical bite correction was planned but posed a dilemma in the choice of surgery. CPD/Clinical Relevance: To demonstrate the outcome of a case of skeletal anterior open bite treated with orthognathic surgery.

scholarly journals A Fatal Case of Relapsing Pneumonia Caused by Legionella pneumophila in a Patient with Rheumatoid Arthritis After Two Injections of Adalimumab

2013 ◽  
Vol 6 ◽  
pp. CCRep.S11641 ◽  
Author(s):  
Masatoshi Hayashi ◽  
Hiroshi Kuraishi ◽  
Takeshi Masubuchi ◽  
Kaneyuki Furihata ◽  
Yuka Aida ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Antibiotic Therapy ◽  
Legionella Pneumophila ◽  
Fatal Case ◽  
Japanese Woman ◽  
First Episode ◽  
Pertinent Literature ◽  
Intravenous Antibiotic ◽  
Old Japanese ◽  
History Of

We present a rare fatal case of relapsing pneumonia caused by Legionella pneumophila in a patient with rheumatoid arthritis after only two injections of adalimumab. A 78-year-old Japanese woman with a 14-year history of rheumatoid arthritis was prescribed adalimumab because her disease activity remained high. However, 8 days after her second injection of adalimumab, she was admitted to our hospital and diagnosed with pneumonia caused by L. pneumophila. Following intravenous antibiotic therapy, she recovered completely from pneumonia and was discharged on day 10, but pneumonia relapsed, resulting in death 79 days after the first episode of pneumonia. L. pneumophila can lead to recurrence of pneumonia that can ultimately prove fatal, similar to the present case. A review of the pertinent literature is also presented.

Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

2015 ◽  
Vol 100 (7-8) ◽  
pp. 1194-1198 ◽  
Author(s):  
Naotake Funamizu ◽  
Tomotaka Kumamoto ◽  
Atsushi Watanabe ◽  
Tomoyoshi Okamoto ◽  
Katsuhiko Yanaga
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Distension ◽  
Dietary History ◽  
Japanese Female ◽  
Old Japanese ◽  
History Of ◽  
Patient’S History

Owing to their rare occurrence, persimmon bezoars are often overlooked as a cause of small bowel obstruction. We herein report a small bowel obstruction in a 67-year-old Japanese female who regularly consumed persimmons in autumn. The patient presented to our hospital with typical complaints of abdominal distension with pain for 2 days. Based on the patient's history of a cesarean section 34 years ago, we initially diagnosed her with small bowel obstruction resulting from adhesions and placed an ileus tube. At first, the patient rejected the operation in spite of our recommendation. After 10 days, because the ileus tube was unable to relieve the obstruction, finally surgery was scheduled. Upon releasing the obstruction by partial resection of the small bowel, we found an impacted bezoar without any evidence of adhesions. After stone analysis, we first realized her regular persimmon intake. This case serves as an important reminder to obtain dietary history in order to investigate all possible causes of small bowel obstruction when intestinal obstruction is suspected.

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