Clinical Investigations of the Temporomandibular Joint in Children and Adolescents with Rheumatoid Arthritis

Grosfeld, O; Czarnecka, B; Drecka-Kuzan, K; Szymańska-Jagiello, W; Zyszko, A

doi:10.3109/03009747309097080

Cited by 25 publications

(10 citation statements)

References 8 publications

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“…The clinical investigations followed a scheme devised earlier (Grosfeld et al, 1973a, b), in which account had been taken ofthe inter-relation among all the elements ofthe stomatognathic system. It involved (a) subjective examination ofthe TM joint, and (b) objective examination, comprising analysis of facial features, examination of teeth and mandibular function, palpation and auscultation.…”

Section: Methodsmentioning

confidence: 99%

Musculo‐articular disorders of the stomatoganthic system in school children examined according to clinical criteria

Grosfeld

Czarnecka

1977

J of Oral Rehabilitation

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The present investigations were undertaken for establishing the frequency of musculo-articular disorders of the stomatognathic system in healthy children as well as determining their features and degree. The study covered 500 children from Warsaw's primary schools--250 children aged 6-8 years and 250 aged 13-15 years. An incidence of disorder of 56-4 and 67-6% was found in the groups of younger and older children, respectively; their number and severity being significantly higher among the latter. The chi-square test showed no relation between the disorders of the temporomandibular joint and malocclusion or the premature loss of teeth in the group of younger children; in the older group the correlation was significant but of very low degree. The suggestion is made that the correlation between musculo-articular disorders, malocclusions and loss of teeth, is probably determined by the length of time during which the dysfunction is exerting its effect.

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Section: Methodsmentioning

confidence: 99%

Musculo‐articular disorders of the stomatoganthic system in school children examined according to clinical criteria

Grosfeld

Czarnecka

1977

J of Oral Rehabilitation

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“…Damage to the mandibular growth plate leads to asym-metric growth, micrognathia, retrognathia, malocclusion, and a decreased maximal incisal opening (MIO) (5,6). In addition, the presence of TMJ arthritis in childhood may predispose patients to jaw pain and dysfunction in adulthood.…”

mentioning

confidence: 99%

High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound

Weiss¹,

Arabshahi²,

Johnson³

et al. 2008

Arthritis & Rheumatism

242

250

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Objective. To determine the prevalence of temporomandibular joint (TMJ) disease in a cohort of children with new-onset juvenile idiopathic arthritis (JIA), and to compare magnetic resonance imaging (MRI) with ultrasound (US) for the detection of acute and chronic changes of TMJ arthritis.Methods. Between January 2005 and April 2007, children with newly diagnosed JIA were prospectively evaluated for TMJ arthritis. Prior to imaging, jaw pain and disability were assessed with questionnaires and physical examination. The TMJs of all patients were imaged with MRI and US within 8 weeks of diagnosis.Results. Of the 32 patients enrolled, 78% were female, and the median age was 8.6 years (range 1.5-17.2 years). Acute TMJ arthritis was diagnosed in 75% of the children by MRI and in none by US; chronic arthritis was diagnosed in 69% by MRI and in 28% by US. Findings of both acute and chronic TMJ disease were detected by MRI in 53% of the patients. Of those with acute TMJ arthritis, 71% were asymptomatic, and 63% had normal findings on jaw examination. Fifty-six percent of patients with acute disease had an improved maximal incisal opening after corticosteroid injection. Among these responders, 56% had been asymptomatic and had normal jaw examination findings.Conclusion. TMJ arthritis was present in the majority of patients with new-onset JIA. Findings on MRI along with responses to treatment among asymptomatic patients with normal jaw examination findings suggest that a history review and physical examination are not sufficient to screen for TMJ disease. Our results also suggest that MRI and US findings are not well correlated, and that MRI is preferable for the detection of TMJ disease in new-onset JIA.

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“…Eine entzündliche Destruktion des Gelenkknorpels kann zu kondylären Deformationen und einer Entwicklungsstörung der Mandibula führen. Gesichtsasymmetrien oder ein reduziertes Unterkieferwachstum in der Sagittalen sind die Folge [5,6]. Andere Komplikationen stellen unter anderem eine verminderte Fähigkeit, den Mund zu öffnen, Kauprobleme und Bewegungsschmerzen im Kiefergelenk dar [7].…”

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Vergleich magnetresonanztomografischer und klinischer Befunde von Follow-up-Untersuchungen bei Kindern und Jugendlichen mit rheumatischer Temporomandibulararthritis

Mußler¹,

Allozy²,

Landau³

et al. 2009

Fortschr Röntgenstr

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We found a discrepancy between the progressive or stable trends of pathological findings in follow-up MRI and the decrease in clinical symptoms over time. Therefore, follow-up examination by MRI shows important information for correct evaluation about the stage of TMJ arthritis and about the need for treatment. Consequently, follow-up examination by MRI is an appropriate addition to clinical examination in the therapeutic concept.

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Clinical Investigations of the Temporomandibular Joint in Children and Adolescents with Rheumatoid Arthritis

Cited by 25 publications

References 8 publications

Musculo‐articular disorders of the stomatoganthic system in school children examined according to clinical criteria

Musculo‐articular disorders of the stomatoganthic system in school children examined according to clinical criteria

High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound

Vergleich magnetresonanztomografischer und klinischer Befunde von Follow-up-Untersuchungen bei Kindern und Jugendlichen mit rheumatischer Temporomandibulararthritis

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