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June 28, 1941


Author Affiliations

From the Robert Breck Brigham Hospital.

JAMA. 1941;116(26):2842-2845. doi:10.1001/jama.1941.02820260016005

The dental and medical professions have been interested simultaneously in the patient with rheumatoid arthritis only when a focus of infection in the mouth is thought to have an influence on the patient's systemic disease.1 However, the treatment of involvement of the temporomandibular joint in rheumatoid arthritis is another condition which requires the intelligent cooperation of the dentist and the physician as involvement occurs in more than one half of patients with this disease. The dentist who encounters patients in his practice with ill defined syndromes of "facial neuralgia" or "stiffness of the jaw" must consider the possibility of these symptoms being early prodromes of rheumatoid arthritis. The physician treating rheumatoid arthritis should understand the anatomy, pathology and treatment and be able to give the proper prognosis in this condition, as the patient with the temporomandibular joint involved is apprehensive and fears eventual complete limitation of motion, as may

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