Hygiene principles LO1/2 (arthritis)

Arthritis

Inflammation of the joint. Rheumatic disease affects bones, joints, and muscles. More than 100 ————— (or rheumatic) diseases affect the body. These diseases can be disabling. Rheumatic and connective tissue disorders include multiple effects on the:M TMJ, salivary glands, oral mucosal tissues, organs, system involvement, drug therapy.

Rheumatoid arthritis (RA)

Autoimmune disease — unknown origin. Symmetric inflammation of joints, targers hands, feet, and knees. Onset is usually between 35 and 50 years. 1%-3% of the population, more prevalent in women. No cure, managed through drugs and excersise.

Rheumatoid arthritis

This type of arthritis involves destruction of synovial tissues, destruction of cartilage and underlying bone by enzymes, inner lining of the joint capsule becoming inflamed (edema of the synovium), thickening and folding; destruction of the cartilage and sychondral bone, capsule and ligaments distend and rupture, fusion of tissue and loss of mobility.

Rheumatoid

What kind of arthritis? Eyes that are dry, painful, red, and sensitive to light. Dry mouth and gum infection or irritation, small lumps under the skin at bony areas. Shortness of breath caused by lung inflammation. Nerve damage as a result of inflamed blood vessels. Anemia (lower than normal blood cell count). Joint deformity.

Morning

Rheumatoid arthritis is worse at what time of day?

3

To be diagnosed with RA, you must have arthritis of — or more joint areas.

Review

Prophylactic antibiotics

Of a patient has a prosthetic joint, there is a possible need for:

45%-75%

There is TMJ involvement in ——% to ——% of rheumatoid arthritis. May present as preauricular pain, tenderness, swelling, stiffness, decreased mobility of the TMJ.

Osteo arthritis

What kind of arthritis? Degenerative joint disease. Usually appears after 40, most people 60 or older develop this type of arthritis. Leading cause of disability among elderly. Usually affects the most used joints (including spine). 2:1 ration women:men. Men are affected at an earlier age.

Subchondral sclerosis

Pain and numbness due to increased bone density.

Acetaminophen

This is the 1st analgesic you should try for osteoarthritis.

8 months

Osteoarthritis pain in TMJ usually resolves within how long after the onset.

Aspirin or NSAIDs

If acetaminophen doesn't work for OA, you should try these analgesics: