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Resumen Objetivo Caracterizar las afecciones orofaciales en pacientes con artritis reumatoide (AR) y compararlas con las presentes en pacientes sin la enfermedad de la ciudad de Chihuahua, Chihuahua, Mexico. Metodos El estudio incluyo a 30 pacientes con diagnostico de AR y 30 pacientes consecutivos en una consulta de odontologia. A traves de una revision clinica odontologica, se compararon entre los grupos variables relacionadas con: 1) trastornos clinicos y radiograficos de la articulacion temporomandibular, 2) analisis biomecanico craneocervical, 3) estado de la denticion y necesidades de tratamiento, 4) estado periodontal, 5) estado de higiene oral y 6) dolor facial. Ademas se determino la asociacion entre las variables estudiadas a traves de pruebas de correlacion. Resultados Los pacientes con AR tuvieron una mayor prevalencia de alteraciones en la articulacion temporomandibular, tanto clinicas (100 vs. 60%; p Conclusiones Los pacientes con AR mostraron un mayor deterioro orofacial, lo que refleja la importancia de atencion multidisciplinaria incluyendo la evaluacion odontologica periodica.

The aim of the study was to describe the oral health and orofacial function of Mexican patients with rheumatoid arthritis (RA) and their association with clinical and radiological aspects of the disease. Patients with RA received a complete odontological exam, which also included a clinical and radiographic assessment of the temporomandibular joint (TMJ). The rheumatologic assessment included detailed profiling of the disease and serological and radiographic parameters. The study included 62 RA patients; the median (min–max) age was 51 (18–72) years old and 8.5 (1–39) years of disease duration. The 63.6% of the patients had DAS28 ≥ 3.2, and a median (min–max) of Sharp/van der Heijde score (SvdHS) of 41 (0–214). 98.3% of the patients presented caries, which were severe in 53.3% of the cases. The 73.8% of the patients were missing teeth due to caries, with a median (min–max) of 4 (0–32) teeth missing per patient. Oral hygiene was classified as bad in 49.1% of patients and only 15.3% of them had a healthy periodontium. The TMJ function was abnormal in 98.4% of the patients and 62.9% of them presented moderate or severe TMJ disorder (TMD). The radiographic damage of the TMJ correlated positively with the SvdHS. No correlations were found between disease activity or structural progression and orofacial variables, including periodontitis. There are severe oral and orofacial health problems in RA patients despite having medical attention for their disease. Multidisciplinary management remains an area of opportunity for both the medical specialists and the health system in our country.

To characterize the orofacial abnormalities in patients with rheumatoid arthritis (RA) and compare them with those in a reference population.The study included 30 RA patients and 30 consecutive patients in an odontology clinic in whom RA was ruled out. Patients underwent a clinical dental examination which included: 1) clinical and radiographic abnormalities of the temporomandibular joint; 2) biomechanical craniocervical analysis; 3) state of dentition and treatment needs; 4) periodontal status; 5) oral hygiene status; and 6) facial pain, which was compared among study groups. In addition, the association between the variables studied was determined through correlation tests.Patients with RA showed a higher prevalence of temporomandibular abnormalities, both clinical (100.0% vs. 60.0%, P.001) and radiographic, including erosions (50.0% vs. 16.0%, P=.010), compared with individuals in the control group. Likewise, patients with RA had a greater number of missing teeth (6.9±5.7 vs. 3.0±2.0, P=.001), more caries (13.4±5.4 vs. 4.9±6.5, P=.001), periodontitis (1.3±0.9 vs. 0.8±0.8, P=.015), poorer oral hygiene (43.3% vs. 13.3%, P=.005) and greater facial pain (66.7% vs. 20.0%, P.001). The cephalometric analysis of Rocabado showed differences in the craniocervical angle and hyoid triangle between RA and controls. Significant correlations were obtained between oral and temporomandibular abnormalities.Patients with RA showed a greater orofacial deterioration, which reflects the importance of multidisciplinary care, including periodic dental examination.