类风湿关节炎与颞下颌关节紊乱病的相关性研究进展

Research progress of the relationship between rheumatoid arthritis and temporomandibular joint disorders

颞下颌关节紊乱病(temporomandibular joint disorder,TMD)是一种常见口腔疾病,病因众多,自身免疫因素中的类风湿关节炎可能是其重要致病因素之一。类风湿关节炎(rheumatoid arthritis,RA)是一种主要累犯小关节的炎症性疾病,由全身性免疫介导且病因不明。颞下颌关节紊乱病与类风湿关节炎常伴行发生,但两者相关的发病机制及相互作用关系仍待进一步的深入研究。该文阐述了颞下颌关节紊乱病与类风湿关节炎之间的相关性,结合流行病学调查结果进行了病因分析,并进一步总结了其治疗与预后的现状,以期为临床医生提供新的诊疗思路。

Temporomandibular joint disorder(TMD)is a common oral disease,and its etiology is complex.Rheumatoid arthritis(RA),one of the autoimmune factors,may be an important pathogenic factor.Rheumatoid arthritis is an inflammatory disease that mainly affects joints.It is mediated by systemic immunity and its pathogenesis is unknown.Temporomandibular disorders and rheumatoid arthritis are often accompanied,but the pathogenesis and interaction between them need to be further studied.In this paper,we expound the correlation between temporomandibular disorder and rheumatoid arthritis,analyze the etiology combined with the results of epidemiological investigation,and further summarize the current situation of its treatment and prognosis.We hope to provide a new way of diagnosis and treatment for clinicians.