Meryem YILMAZ KAYSIN, İlknur AKTAŞ, Feyza ÜNLÜ ÖZKAN

Ciddi temporomandibular eklem ve diş tutulumu olan nadir bir ankilozan spondilit olgusu

Ankilozan spondilit (AS) primer olarak aksiyel iskeleti tutan vefonksiyonel bozukluğa yol açan kronik enflamatuvar bir hastalıktır.Temporomandibular eklem (TME) ankilozu, eklem bileşenlerininkemik veya fibröz adezyonu ile karakterize olup, ağız açıklığındakısıtlanma ile sonuçlanmaktadır. Hastalığın yüksek prevelansınarağmen AS’e bağlı TME ve diş ankilozu oldukça nadir birdurumdur. Bu olgu sunumu ile TME ağrısı ve ağız açıklığındakısıtlılık ile polikliniğimize başvuran ve TME ve diş ankilozu tanısıalan bir AS olgusu sunmayı amaçladık. Hastanın ağız açıklığındakısıtlılık ve zorlu bir diş çekimi öyküsü mevcuttu. Kötü dentalhikayesi olan ve ağız açmakta zorluğu olan AS hastalarında, TMEve diş ankilozu mutlaka düşünülmelidir. Şüpheli olgularda çeneve diş anormalliklerini tespit etmek için panoramik ağız grafisi ilehasta değerlendirilmelidir.

Anahtar Kelimeler:

spondilit, Temporomandibular eklem, Diş

A rare case of ankylosing spondylitis with severe temporomandibular joint and dental involvement

Ankylosing spondylitis (AS) is a chronic inflammatory diseasethat primarily affects the axial skeleton, resulting in functionaldeterioration. Temporomandibular joint (TMJ) ankylosis ischaracterized by bony or fibrous adhesion of the anatomic jointcomponents, which results in limited mouth opening. Despite thehigh prevalence of the disease, ankylosis of the TMJ and toothsecondary to AS are rare conditions. Here, a patient with ASadmitted to the outpatient clinic with a chief complaint of TMJpain and restricted mouth opening was diagnosed with TMJ anddental sclerosis. The patient’s dental history included fracture ofa wisdom tooth during an attempted extraction and difficulty inmouth opening. TMJ and dental ankylosis should be considered inpatients with AS with a poor dental history and difficulty in mouthopening. For such suspected cases, a panoramic radiograph of thejaws and teeth should be obtained to detect abnormalities.

Keywords:

Ankylosing spondylitis, Temporomandibular joint, Tooth,

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