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Scientific paper - Original scientific paper
Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis
Acta stomatologica Croatica : International journal of oral sciences and dental medicine, 59 (2025), 1; 2-14. https://doi.org/10.15644/asc59/1/1
Laškarin, Ana-Marija; Špalj, Stjepan; Laškarin, Gordana; Ružić Baršić, Antonija; Grđan, Jasmina; Babarović, Emina; Kehler, Tatjana; Peršić, Viktor; Dulčić, Nikša

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Laškarin, A. M., Špalj, S., Laškarin, G., Ružić Baršić, A., Grđan, J., Babarović, E. ... Dulčić, N. (2025). Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis. Acta stomatologica Croatica : International journal of oral sciences and dental medicine, 59. (1), 2-14. doi: 10.15644/asc59/1/1

Laškarin, Ana Marija, et al. "Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis." Acta stomatologica Croatica : International journal of oral sciences and dental medicine, vol. 59, no. 1, 2025, pp. 2-14. https://doi.org/10.15644/asc59/1/1

Laškarin, Ana Marija, Stjepan Špalj, Gordana Laškarin, Antonija Ružić Baršić, Jasmina Grđan, Emina Babarović, Tatjana Kehler, Viktor Peršić and Nikša Dulčić. "Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis." Acta stomatologica Croatica : International journal of oral sciences and dental medicine 59, no. 1 (2025): 2-14. https://doi.org/10.15644/asc59/1/1

Laškarin, A. M., et al. (2025) 'Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis', Acta stomatologica Croatica : International journal of oral sciences and dental medicine, 59(1), pp. 2-14. doi: 10.15644/asc59/1/1

Laškarin AM, Špalj S, Laškarin G, Ružić Baršić A, Grđan J, Babarović E, and sur.. Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis. Acta stomatologica Croatica : International journal of oral sciences and dental medicine [Internet]. 2025 [cited 2025 April 01];59(1):2-14. doi: 10.15644/asc59/1/1

A. M. Laškarin, et al., "Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis", Acta stomatologica Croatica : International journal of oral sciences and dental medicine, vol. 59, no. 1, pp. 2-14, 2025. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:337784. [Accessed: 01 April 2025]

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Title (english)Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis
Title (croatian)Intrakapsularni temporomandibularni poremećaji označavaju aktivnost aksijalnog spondiloartritisa
AuthorAna-Marija Laškarin
AuthorStjepan Špalj
AuthorGordana Laškarin
AuthorAntonija Ružić Baršić
AuthorJasmina Grđan
AuthorEmina Babarović
AuthorTatjana Kehler
AuthorViktor Peršić
AuthorNikša Dulčić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Physiology, Immunology and Pathophxsiology)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Rehabilitatiom Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Objectives: The group of spondyloarthritis (SpA) disorders shares common clinical manifestations, including internal derangement (ID) of temporomandibular joint (TMJ). This study aimed to investigate SpA activity in patients with ID of TMJ. Materials and Methods: We assessed 200 patients with neck pain using the Assessment of Spondyloarthritis International Society (ASAS) criteria. TMJ was examined using Diagnostic Criteria for Temporomandibular Disorders (DC/TMD protocol). Patients with SpA were divided into three groups: symptomatic ID of TMJ, asymptomatic ID of TMJ, or healthy TMJ (controls). Activity of SpA was evaluated using the Ankylosing Spondylitis Disease Activity Score (ASDAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Disease Activity Index in Psoriatic Arthritis (DAPSA), patients’ self-estimated SpA activity, difficulties in performing daily activities, pain intensity (visual analogue scale) and laboratory parameters. Results: Patients with symptomatic and asymptomatic ID showed statistically significantly increased ASDAS, anti-streptolysin titer, patients’ self-estimated axial pain and activity of SpA, and decreased hematocrit than the control. Patients with symptomatic ID also had statistically significant earlier onset of SpA, along with increased BASDAI and DAPSA, total body pain, difficulties in performing daily activities, platelet count, and serum alpha-amylase but lower hemoglobin concentration than controls. Patients with asymptomatic ID had higher frequencies of exacerbated axial SpA and sacroiliac joint ankylosis compared to the control. Conclusion: All patients with SpA and ID showed increased axial disease activity.
Abstract (croatian)
Cilj rada: Skupina bolesti spondiloartritisa (SpA) ima zajedničke kliničke pojavnosti, uključujući intrakapsularni temporomandibularni poremećaj (IK TMP). Ovo istraživanje imalo je za cilj istražiti aktivnost SpA-e kod bolesnika s IK TMP-om. Materijali i metode: Dijagnosticirali smo SpA kod 200 bolesnika s bolovima u vratu koristeći se međunarodnom razradbom ASAS (engl. The Assessment of SpondyloArthritis International Society). Temporomandibularni zglob (TMZ) pregledan je s pomoću protokola Dijagnostički kriteriji za temporomandibularne poremećaje (DK/TMP). Bolesnici sa SpA-om podijeljeni su u tri skupine: simptomatski IK TMP, asimptomatski IK TMP ili zdravi TMZ (kontrola). Aktivnost SpA-e procijenjena je korištenjem ASDAS-a (engl. Ankylosing Spondylitis Disease Activity Score), BASDAI-ija (engl. Bath Ankylosing Spondylitis Disease Activity Index), DAPSA-e (engl. Disease Activity Index in Psoriatic Arthritis), aktivnosti SpA-e koju su bolesnici sami procijenili, poteškoća u obavljanju dnevnih aktivnosti, jakosti bolova (vizualna analogna ljestvica) i laboratorijskim parametrima. Rezultati: Bolesnici sa simptomatskim i asimptomatskim IK TMP-om imali su statistički značajno veći ASDAS, titar antistreptolizina, samoprocjenu aksijalne boli i aktivnost SpA-e te smanjeni hematokrit u odnosu prema kontroli. Bolesnici sa simptomatskim IKTMP-om dodatno su imali statistički značajno raniji početak SpA-e, zajedno s povećanim BASDAI-jem i DAPSA-om, bolovima u cijelom tijelu, poteškoćama u obavljanju dnevnih aktivnosti, broju trombocita i koncentracijom α-amilaze u serumu, ali manju koncentraciju hemoglobina od kontrole. Bolesnici s asimptomatskim IK TMP-om imali su veću učestalost pogoršanja aksijalnoga spondiloartritisa (SpA) i ankiloze sakroilijačnoga zgloba u usporedbi s kontrolom. Zaključak: Kod svih bolesnila sa SpA-om i IK TMP-om zabilježena je povećana aksijalna aktivnost bolesti.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa stomatologica Croatica : International journal of oral sciences and dental medicine
Numberingvol. 59, no. 1, pp. 2-14
p-ISSN0001-7019
e-ISSN1846-0410
DOIhttps://doi.org/10.15644/asc59/1/1
URN:NBNurn:nbn:hr:184:337784
Publication2025
Document URLhttps://hrcak.srce.hr/329384
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2025-03-27 08:30:09