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Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis
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) w...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170686/ https://www.ncbi.nlm.nih.gov/pubmed/37161398 http://dx.doi.org/10.1186/s12903-023-03001-2 |
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author | Piancino, Maria Grazia Rotolo, Rossana Cannavale, Rosangela Cuomo, Giovanna Masini, Francesco Dalmasso, Paola D’Apuzzo, Fabrizia Perillo, Letizia Nucci, Ludovica |
author_facet | Piancino, Maria Grazia Rotolo, Rossana Cannavale, Rosangela Cuomo, Giovanna Masini, Francesco Dalmasso, Paola D’Apuzzo, Fabrizia Perillo, Letizia Nucci, Ludovica |
author_sort | Piancino, Maria Grazia |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10170686 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101706862023-05-11 Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis Piancino, Maria Grazia Rotolo, Rossana Cannavale, Rosangela Cuomo, Giovanna Masini, Francesco Dalmasso, Paola D’Apuzzo, Fabrizia Perillo, Letizia Nucci, Ludovica BMC Oral Health Research 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. BioMed Central 2023-05-09 /pmc/articles/PMC10170686/ /pubmed/37161398 http://dx.doi.org/10.1186/s12903-023-03001-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Piancino, Maria Grazia Rotolo, Rossana Cannavale, Rosangela Cuomo, Giovanna Masini, Francesco Dalmasso, Paola D’Apuzzo, Fabrizia Perillo, Letizia Nucci, Ludovica Cranial structure and condylar asymmetry of adult patients with rheumatoid arthritis |
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 | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170686/ https://www.ncbi.nlm.nih.gov/pubmed/37161398 http://dx.doi.org/10.1186/s12903-023-03001-2 |
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