Questionnaire to evaluate the dysfunctionalities of the temperomandibular joints in rheumatoid arthritis

Objectives: To design a useful tool for derivations from the Rheumatology Service to the Dentistry Service of patients with rheumatoid arthritis who present possible pathologies in the temporomandibular joints (TMJ). Methods: A dichotomous questionnaire was designed which was called: Questionnaire to evaluate the dysfunction of the temporomandibular joints in rheumatoid arthritis (CEDATAR). It was structured in four dimensions: dynamic, static, translation in closing and translation in opening. It was performed by the rheumatologist in the quarterly consultation (attached in table 1). A Correspondence Analysis of Factors was carried out. Internal consistency was evaluated by Crombach?s Alpha. It was validated with expert specialists who completed multiple grids. It was applied to one hundred patients who attended the Rheumatology Service of the Hospital Córdoba consecutively. The patients signed the informed consent and presented a diagnosis of rheumatoid arthritis according to the criteria of the American College of Rheumatology. The present study is approved by the Cieis of Adults of the Córdoba Hospital. Results: The Correspondence Analysis was good (attached in graph 1). Crombach?s Alpha was 0.76, it showed internal consistency. The lack of symptoms expressed by the patient to the professional was evidenced. The patients considered that if they did not feel pain in the TMJ, it was not necessary to inform the rheumatologist, however, CEDATAR allowed to show that if there was pathology in the TMJs. although they did not present painful symptoms. Conclusions: Since rheumatoid arthritis is a declared disease of importance in public health and health policies, the use of CEDATAR in daily rheumatology consultations would be of imponderable relevance. It would speed up dental therapy since the patient would be referred before presenting joint pain and would allow limiting the advance of the autoimmune disease at the level of the temporomandibular joints. It would provide a favorable prognosis due to early diagnosis and therefore limit injuries and disabilities. 113. ID 3643235

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Bibliographic Details
Main Authors: Rhys, Karen Vanesa, Gobbi, Carla Andrea, Busamia, Beatriz Ester, Albiero, Eduardo Horacio, Lagnarini, Ana Laura, Alba, Paula Beatríz
Format: Fil: Fil: Rhys, Karen Vanesa. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Fisiología; Argentina. biblioteca
Language:eng
Published: Sociedad Argentina de Investigación Odontológica 2021
Subjects:Questionnaire, Rheumatoid arthritis, Artritis reumatoide, Cuestionario,
Online Access:http://hdl.handle.net/11086/548608
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