Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis
Abstract Objective The aim of this prospective cross sectional study was to evaluate the cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis (RA) diagnosed after 25 years of age compared to a healthy adult control group. Methods Eighteen adult patients (57.4 ± 11.4 y...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-023-03001-2 |
| _version_ | 1797827307925143552 |
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| author | Maria Grazia Piancino Rossana Rotolo Rosangela Cannavale Giovanna Cuomo Francesco Masini Paola Dalmasso Fabrizia D’Apuzzo Letizia Perillo Ludovica Nucci |
| author_facet | Maria Grazia Piancino Rossana Rotolo Rosangela Cannavale Giovanna Cuomo Francesco Masini Paola Dalmasso Fabrizia D’Apuzzo Letizia Perillo Ludovica Nucci |
| author_sort | Maria Grazia Piancino |
| collection | DOAJ |
| description | Abstract Objective The aim of this prospective cross sectional study was to evaluate the cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis (RA) diagnosed after 25 years of age compared to a healthy adult control group. Methods Eighteen adult patients (57.4 ± 11.4 years) with RA were compared with a control group. Cephalometric analysis and the Habets method for the calculation of the condylar asymmetry were used. The main cephalometric data investigated were focused on the diagnosis of hyperdivergent cranial structure (NSL/ML, NL/ML), backwards rotation of the mandible (Fh/ML), short vertical ramus (Ar:Go), steep mandibular plane (ML/Oc). Results The cephalometric data considered were not significantly different in the RA vs controls except for the steepness of the occlusal plane (NL/Oc), which was steeper in the patients group (P < 0.02) and the ramus of the mandible which was greater in patients. The asymmetry of the condyles was significant (P < 0.003) and different from the control group, but that of the ramus was not. Conclusions In this study, RA patients diagnosed after 25 years of age did not show a different pattern of growth with respect to the control group. As expected, the condyles showed a difference being asymmetrical in RA patients due to the high turnover of this joint reacting to severe systemic inflammation in conditions of continuous functional work, load and forces. This study follows a previous study with the same research plan conducted on young JIA patients who showed a different pattern of growth of the skull leading to a severe hyperdivergent cranial structure with backward rotation of the mandible; this is mainly due to the insufficient growth of the condylar site exposed to the inflammatory process during development. Unlike JIA patients, this study showed that RA patients follow an individual growth pattern not affected by inflammation, even if they show joint asymmetry. |
| first_indexed | 2024-04-09T12:46:40Z |
| format | Article |
| id | doaj.art-d88e680eb72d4bf0acb37a874b4a29d4 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-09T12:46:40Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-d88e680eb72d4bf0acb37a874b4a29d42023-05-14T11:29:57ZengBMCBMC Oral Health1472-68312023-05-012311710.1186/s12903-023-03001-2Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritisMaria Grazia Piancino0Rossana Rotolo1Rosangela Cannavale2Giovanna Cuomo3Francesco Masini4Paola Dalmasso5Fabrizia D’Apuzzo6Letizia Perillo7Ludovica Nucci8Department of Surgical Sciences-Orthodontic Division, Italian Research Center, University of TurinMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of the Study of Campania Luigi VanvitelliDepartment of Surgical Sciences-Orthodontic Division, Italian Research Center, University of TurinDepartment of Precision Medicine, University of the Study of Campania Luigi VanvitelliDepartment of Medical and Surgical Sciences, University of the Study of Campania Luigi VanvitelliDepartment of Public Health and Paediatrics, University of TurinMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of the Study of Campania Luigi VanvitelliMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of the Study of Campania Luigi VanvitelliMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of the Study of Campania Luigi VanvitelliAbstract Objective The aim of this prospective cross sectional study was to evaluate the cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis (RA) diagnosed after 25 years of age compared to a healthy adult control group. Methods Eighteen adult patients (57.4 ± 11.4 years) with RA were compared with a control group. Cephalometric analysis and the Habets method for the calculation of the condylar asymmetry were used. The main cephalometric data investigated were focused on the diagnosis of hyperdivergent cranial structure (NSL/ML, NL/ML), backwards rotation of the mandible (Fh/ML), short vertical ramus (Ar:Go), steep mandibular plane (ML/Oc). Results The cephalometric data considered were not significantly different in the RA vs controls except for the steepness of the occlusal plane (NL/Oc), which was steeper in the patients group (P < 0.02) and the ramus of the mandible which was greater in patients. The asymmetry of the condyles was significant (P < 0.003) and different from the control group, but that of the ramus was not. Conclusions In this study, RA patients diagnosed after 25 years of age did not show a different pattern of growth with respect to the control group. As expected, the condyles showed a difference being asymmetrical in RA patients due to the high turnover of this joint reacting to severe systemic inflammation in conditions of continuous functional work, load and forces. This study follows a previous study with the same research plan conducted on young JIA patients who showed a different pattern of growth of the skull leading to a severe hyperdivergent cranial structure with backward rotation of the mandible; this is mainly due to the insufficient growth of the condylar site exposed to the inflammatory process during development. Unlike JIA patients, this study showed that RA patients follow an individual growth pattern not affected by inflammation, even if they show joint asymmetry.https://doi.org/10.1186/s12903-023-03001-2Arthritis, rheumatoidCephalometryOrthopantomographyMandibular condyleFacial asymmetryTemporomandibular joint |
| spellingShingle | Maria Grazia Piancino Rossana Rotolo Rosangela Cannavale Giovanna Cuomo Francesco Masini Paola Dalmasso Fabrizia D’Apuzzo Letizia Perillo Ludovica Nucci Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis BMC Oral Health Arthritis, rheumatoid Cephalometry Orthopantomography Mandibular condyle Facial asymmetry Temporomandibular joint |
| title | Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
| title_full | Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
| title_fullStr | Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
| title_full_unstemmed | Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
| title_short | Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
| title_sort | cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
| topic | Arthritis, rheumatoid Cephalometry Orthopantomography Mandibular condyle Facial asymmetry Temporomandibular joint |
| url | https://doi.org/10.1186/s12903-023-03001-2 |
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