Particularities of the edentulous patients with rheumatoid arthritis treated with complete dentures

Abstract

Background and aim. This study aims at emphasizing specific aspects of prosthetic treatment for rheumatoid arthritis patients that are completely edentulous. Material and method. In December 2023, a search was conducted through three medical databases: PubMed, Scopus, and Web of Science. Results. Concerning their unique signs and symptoms, the management of edentulous patients with rheumatoid arthritis with removable dentures has several unique features throughout the clinical stages. Some patients have difficulty keeping dental appointments from the initial phase of treatment due to mobility issues, particularly in severe forms where several joints are impacted, resulting in stiffness that can restrict the ability to move. In such situations, the dental professional must insist on a thorough examination of the oral tissues that are going to sustain the prosthetic device or come into its proximity. In cases in which temporomandibular joint damage limits mouth opening, it can also be challenging to examine the denture’s supporting tissues and take impressions because rheumatoid arthritis patients have been shown to have modifications in the joint’s elements and function. Conclusion. To improve the outcomes and overall well-being of rheumatoid arthritis patients who are completely edentulous, it is essential to thoroughly consider the options for treatment when utilizing prosthetic devices and additional therapies.

Keywords

• rheumatoid arthritis
• complete edentulism
• temporomandibular joint osteoarthritis
• complete dentures