Temporomandibular joint dysfunction in Psoriatic Arthritis: case report

Aim: The aim is to describe a clinical case in which temporomandibular joint dysfunction (TMD) was the first joint manifestation of psoriatic arthritis (PA) and to emphasize the importance of an interdisciplinary approach in early recognition and management of this condition. Methods: A case study was conducted on a patient presenting TMJ pain and dysfunction. The diagnostic process included a clinical examination of TMJ movement, pain intensity, joint sounds, and mandibular deviations, along with imaging for joint degeneration and laboratory tests to analyze inflammatory markers, rheumatoid factors, and specific PA-related autoantibodies. A thorough medical and family history was taken to identify any predisposing factors. Following diagnosis, multidisciplinary treatment was initiated, including NSAIDs, antirheumatic drugs (DMARDs), occlusal splints to reduce TMJ stress, and physical therapy with specific TMJ exercises to restore joint mobility and relieve pain. Collaboration with rheumatologists ensured regular monitoring and adjustments to the treatment plan. Results: Imaging confirmed degenerative joint changes, and laboratory tests indicated systemic inflammation consistent with PA. Conclusion: TMD could be as an early indicator of PA, necessitating a multidisciplinary approach to ensure timely diagnosis and intervention. The integration of pharmacological therapy, dental interventions, and physical therapy resulted in significant symptom relief, improved joint function, and the prevention of further deterioration.