RESEARCH ARTICLE


A Case of Chronic Infectious Arthritis of the Temporomandibular Joint Associated with Osteomyelitis without Malocclusion



Shinji Kito1, Souichi Hirashima2, Izumi Yoshioka3, Manabu Habu3, Masaaki Kodama3, Shinya Kokuryo3, Masafumi Oda1, Tatsurou Tanaka1, Nao Wakasugi-Sato1, Shinobu Matsumoto-Takeda1, Yuji Seta4, Kazuhiro Tominaga3, Yasuhiro Morimoto1, *
1 Department of Oral Diagnostic Science, Kyushu Dental College, Kitakyushu, Japan
2 Department of Dentistry and Oral Surgery, University Hospital of Occupational and Environmental Health, Kitakyushu, Japan
3 Department of Oral and Maxillofacial Surgery, Kyushu Dental College, Kitakyushu, Japan
4 Department of Bioscience, Kyushu Dental College, Kitakyushu, Japan


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Creative Commons License
© Kito et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Division of Diagnostic Radiology, Department of Oral Diagnostic Science, Kyushu Dental College, 2-6-1 Manazuru, Kokurakita-ku, Kitakyushu 803-8580, Japan; Tel: 81-93-285-3094; Fax: 81-93-285-3094; E-mail: rad-mori@kyu-dent.ac.jp


Abstract

Infectious arthritis of the temporomandibular joint (TMJ) is rare, and previous reports have identified malocclusion resulting from condylar deformity and displacement of the condyle as one of the clinical characteristics of the disease. Here we report the case of a 33-year-old man with chronic infectious arthritis of the TMJ without malocclusion associated with osteomyelitis of the right mandible. Based on radiological findings of more prominent inflammation at the TMJ than in other regions and on the observed efficacy of antibiotic administration, we made a diagnosis of suppurative arthritis of the TMJ. Based on our empirical experience, including the present case, we speculate that refusal to cooperate with medical care may be a factor in the development of infectious arthritis of the TMJ.

Keywords: Infectious arthritis, temporomandibular joint, malocclusion.