Oralna rehabilitacija bolesnika sa ankilozom temporomandibularnog zgloba uzrokovanom ankilozirajućim spondilitisom

  • Zlata Ilija Brkić Clinic for Dentistry, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Nikola Bogosav Pijevčević Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Verica Pavlić Department of Periodontology and Oral Medicine, Faculty of Medicine, University of Banja Luka, Banja Luka, Republic of Srpska, Bosnia and Herzegovina
  • Milan Petronijević Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic for Rheumatology, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP150522189B
Ključne reči: spondilitis, ankylosing||, ||spondilitis, ankilozirajući, temporomandibular joint||, ||temporomandibularni zglob, ankylosis||, ||ankiloza, diagnosis||, ||dijagnoza, dental care for chronically ill||, ||zubi, nega i lečenje hronično obolelih, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod. Ankilozirajući spondilitis (AS)/Behterova bolest je hronično zapaljensko reumatsko oboljenje. Kod 4–35% bolesnika obolelih od AS zahvaćen je i temporomandibular-ni zglob (TMZ), a njegova zahvaćenost zavisi od težine samog oboljenja i dužine trajanja AS. Iako je AS-uzrokovana TMZ ankiloza veoma retka, mora se obratiti posebna pažnja na njeno rano prepoznavanje kao veoma teškog oboljenja koje uzrokuje velike probleme pri mastikaciji, gutanju, govoru, izgledu i lošoj oralnoj higijeni s pojavom karijesa. Prikaz bolesnika. Muškarac, star 54 godine, potražio je medicinsku pomoć u Odeljenju za bolesti usta i zuba na Stomatološkoj klinici Vojnomedicin-ske Akademije u Beogradu, Srbija, zbog bola u gornjem levom očnjaku uz smanjenu mogućnost otvaranja usta. Terapijski plan se sastojao od konzervativno-endodntskog zbrinjavanja gornjeg levog očnjaka, i ostalih zuba frontalnog, kao i premolarnog područja gornje i donje vilice. Iako je i molarno područje bilo za zbrinjavanje, to je usled napredovanja oboljenja (ankiloze TMZ) bilo nemoguće sprovesti. Zaključak. Stomatološko zbrinjavanje bolesnika sa AS-uzrokovanom ankilozom TMZ smatra se pravim izazovom za rad u svakodnevnoj stomatološkoj praksi. Stoga, trebalo bi naglasiti izuzetnu važnost postavljanja rane dijagnoze oboljenja, kao i multidisciplinarni pristup u lečenju AS bolesnika u cilju unapređenja toka i ishoda samog oboljenja.

Biografije autora

Zlata Ilija Brkić, Clinic for Dentistry, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Clinic of Stomatology
Nikola Bogosav Pijevčević, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Clinic of stomatology
Milan Petronijević, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic for Rheumatology, Military Medical Academy, Belgrade, Serbia
Clinic of rheumatology

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Objavljeno
2017/06/28
Broj časopisa
Vol. 74 Br. 4 (2017)
Rubrika
Prikaz bolesnika