Peculiarities of the orthopedic treatment of patients with dysfunction of the tempo-mandibular joint with rheumatoid arthritis

Abstract

The prevalence of inflammatory and degenerative temporomandibular joint (TMJ) dysfunction among the adult population is 25–65% (Smiyan S.I., Bilozetskyi I.I., 2018). Many studies show that the course of rheumatoid arthritis can be accompanied not only by damage of large joints but also TMJ dysfunctions in 67–71% of patients (Pinto J.R.R. et al., 2018; Savtekin G., Segirli A.O., 2018). For an orthopedic appointment, the most significant manifestations of the disease will be: pain and limited opening of the mouth, which significantly complicate the reception of the patient. On the other hand, dental defects that haven’t been replaced in time contribute to the appearance of maxillofacial deformities, the development of traumatic occlusion, generalized periodontitis, which only deepens the damage to the TMJ (Kovalyshyn H.V., 2021).