Clinical trials of temporomandibular joint involvement of juvenile idiopathic arthritis

Kinard, Brian; Goldberg, Baruch; Kau, Chung How; Abramowicz, Shelly

doi:10.1016/j.oooo.2021.02.009

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Encouraging outcomes included both symptom control and mandibular growth. Fortunately, more studies are forthcoming to better understand the effects of systemic therapy on the TMJ, in particular, including clinical trials [ 49 ]. It is unclear if this has more to do with the overall incidence of temporomandibular disorders (TMDs) casting a confounding shadow over concurrent JIA or if there is something different about the TMJ that causes the TMJ to be less responsive to systemic treatment.…”

Section: Juvenile Idiopathic Arthritis Of the Temporomandibular Jointmentioning

confidence: 99%

Recent Advances in Temporomandibular Joint Surgery

Wroclawski,

Mediratta,

Fillmore

2023

Medicina

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Temporomandibular disorders (TMDs) affect a high percentage of children and adults worldwide. Surgery may be indicated in severe or recalcitrant cases. Several recent advancements in TMD and temporomandibular joint (TMJ) surgery have elevated understanding and the ability to treat affected patients. We discuss recent advances in TMD epidemiology, juvenile idiopathic arthritis (JIA) of the TMJ, and surgical techniques and technologies. Technical advancements have been identified in TMJ arthroscopy, the treatment of TMJ subluxation and dislocation, and extended prosthetic total TMJ reconstruction (eTMJR). Overall, this review provides valuable insights into significant recent advancements in TMJ disorders and their surgical management.

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Section: Juvenile Idiopathic Arthritis Of the Temporomandibular Jointmentioning

confidence: 99%

Recent Advances in Temporomandibular Joint Surgery

Wroclawski,

Mediratta,

Fillmore

2023

Medicina

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“…Several predisposing factors associated with temporomandibular joint degenerative diseases are gender (females), nutrition, genetics, oral habits (bruxism) and acute and chronic overload. Juvenile idiopathic condylar resorption has also been recently reported to cause significant destruction of the joint in the adolescent years [2][3][4][5][6]. The diagnosis of patients with TMJ disorders is performed by clinical and radiographic investigation [7].…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of Jaw Tracking Movements in Patients with Total Joint Replacements versus a Control Group

et al. 2022

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Background and Objectives: One form of treatment for degenerative temporomandibular joint diseases such as osteoarthritis, rheumatic arthritis, TMJ ankylosis, and condylar resorption is total joint replacement. The aim of this study was to examine the function of the temporomandibular joint after total joint replacement. Materials and methods: Fifteen patients with unilateral or bilateral TMJ total joint replacements and 15 healthy controls were evaluated via a SICAT JMT+ device. This non-invasive system measures 3D position and linear movements in all degrees of freedom and allows undisturbed functional mandibular movements to provide a quantitative evaluation. In addition, a TMJ questionnaire consisting of the subjective symptoms was also obtained. To date, no similar studies have been cited in the literature. Results: Mandibular movements after total joint replacement were recorded during opening, closing, protrusion, and lateral excursive movements and were all significantly decreased compared to those of controls. In the treatment group, the maximum incisal opening was 33.46 ± 5.47 mm, left lateral movement was 1.91 ± 2.7 mm, right lateral movement was 1.74 ± 1.74 mm, and protrusive movement was 2.83 ± 2.05 mm. The p-value comparison study and control group indicated significant difference (p < 0.0001) between the two groups. The study group stated a high level of satisfaction with the total joint replacement. Conclusion: Within the limitations of the study, the following conclusions can be drawn: (1) TMJ replacement patients showed significantly limited jaw movements compared to the control group; (2) a small percentage of TMJ replacement patients still present low levels of pain but improved chewing ability and quality of life.

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