Naslov
Osteoarthritis of temporomandibular joint and secondary osteoporosis – a clinical report

Autori
Badel, Tomislav ; Krapac, Ladislav ; Pandurić, Josip ; Keros, Jadranka ; Marotti, Miljenko ; Krolo, Ivan ; Kraljević, Sonja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Knjiga sažetaka 4. hrvatskog kongresa o osteoporozi / Babić-Naglić, Đurđica - Cavtat : Hrvatsko Društvo za osteoporozu, 2007, 110-110

Skup
4. hrvatski kongres o osteoporozi

Mjesto i datum
Cavtat, Hrvatska, 14.03.2007. - 18.03.2007

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
osteoarthritis; temporomandibular joint; secondary osteoporosis

Sažetak
Osteoarthritis of temporomandibular joint (TMJ) belongs to the arthrogenic group of temporomandibular disorders (TMD), which are the most common cause of orofacial musculoskeletal pain. Concepts of TMD etiology is described as biopsychosocial etiologic theory. The theory included biologic and psychological components. Multifactorial etiologic theory was described under various physical and psychological factors, which could be potentially significant in development of TMD forms. But at the individual patient level the most common is that the TMD etiology has been unknown. The case presented is of a 36 year-old male patient treated for secondary ostheoporosis. Hyperthyroidosis has been diagnosed and treated since 1999. Densitometry was performed in 2004 due to bone, spine and joint pain. Femoral osteoporosis (Tscore:-2.51) and spinal osteopenia (L1-L4) (Tscore:-2.00) were determined. The control densitometry in 2006 showed a significant improvement after Fosamax T treatment: femoral osteopenia (Tscore:-2.16) and spinal osteopenia (L1-L4) (Tscore:-1.14). At the approximately same time, symptoms in the left TMJ appeared. Osteoarthritis of TMJ was diagnosed by a clinical examination and manual functional analysis - crepitations and joint pain of 4.5 on the visual-analogue scale (VAS). Symptoms of osteoarthritis were confirmed by magnetic resonance imaging (MRI). Initial treatment by occlusal splint reduced the pain significantly and TMJ crepitation during mouth opening does not disturb the patient (VAS=0.5). Like TMDs, osteoporosis has multifactorial etiology, and it is unknown all possible relationship between osteoporosis and pathological changes in the orofacial system, including also TMJs. Male osteoporosis include primary or idiopathic, and secondary osteoporosis caused by many factors, including hyperthyroidosis. Especially secondary osteoporosis in men appears to be an an important public health problem. Osteoarthritis of TMJ has a multifactorial etiology, and the connection of osteoarthritis with osteoporosis has not been confirmed sufficiently. The reversible and non-invasive reduction of pain or pain intensity control is considered a successful functional treatment of osteoarthritis.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

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