Almășan Oana, Hedeșiu Mihaela, Băciuț Mihaela, Buduru Smaranda, Dinu Cristian
Department of Prosthetic Dentistry and Dental Materials, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Department of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
J Oral Rehabil. 2023 Mar;50(3):243-255. doi: 10.1111/joor.13409. Epub 2023 Jan 12.
Psoriasis is an inflammatory condition brought on by the immune system. This study aimed to perform a systematic review related to psoriatic arthritis (PsA) of the temporomandibular joint (TMJ).
The search strategy was developed by a radiologist expert with more than 20 years of experience. The search was performed without time restrictions in five electronic databases: PubMed, Web of Science, Embase, Scopus and Ovid. The search strategy was based on MeSH and Emtree terms. The methodological quality of the studies was rated using the quality assessment tools from the National Heart Lung and Blood Institute (NHLBI).
Twenty-three publications were included, 10 being case reports. One hundred-fifty-one patients with TMJ PsA were reported. Psoriasis evolution ranged from 1.5 years to 24 years. Clinical symptoms of TMJ involvement included: TMJ pain and sounds, limited range of jaw movements, preauricular swelling, malocclusion, headache, tinnitus, neck stiffness and altered dietary function. TMJ was evaluated by magnetic resonance imaging (six studies), computed tomography (eight articles) and by ultrasonography findings (two articles). For TMJ treatment, topical and systemic medication was reported in 11 studies. Five studies included patients needing surgical procedures for TMJ ankylosis.
A relationship between TMD and psoriasis has been revealed. TMJ PsA has been investigated and debated, although the radiographic findings or clinical symptoms of PsA are not noticeably different from other forms of TMJ arthritis. Conservative therapy can lead to significant improvement of TMJ function.
银屑病是一种由免疫系统引发的炎症性疾病。本研究旨在对颞下颌关节（TMJ）银屑病关节炎（PsA）进行系统评价。
检索策略由一位拥有20多年经验的放射科专家制定。在五个电子数据库（PubMed、科学网、Embase、Scopus和Ovid）中进行无时间限制的检索。检索策略基于医学主题词表（MeSH）和Emtree术语。使用美国国立心肺血液研究所（NHLBI）的质量评估工具对研究的方法学质量进行评分。
纳入23篇文献，其中10篇为病例报告。共报道了151例TMJ PsA患者。银屑病病程从1.5年到24年不等。TMJ受累的临床症状包括：TMJ疼痛和弹响、下颌运动范围受限、耳前肿胀、错牙合、头痛、耳鸣、颈部僵硬和饮食功能改变。通过磁共振成像（6项研究）、计算机断层扫描（8篇文章）和超声检查结果（2篇文章）对TMJ进行评估。在11项研究中报道了TMJ的局部和全身用药情况。5项研究纳入了因TMJ强直需要手术治疗的患者。
已揭示颞下颌关节紊乱病（TMD）与银屑病之间的关系。尽管PsA的影像学表现或临床症状与其他形式的TMJ关节炎没有明显差异，但TMJ PsA已得到研究和讨论。保守治疗可使TMJ功能显著改善。
