Facioskeletal changes in children with juvenile idiopathic arthritis

Twilt, Marinka; Schulten, A.J.M.; Nicolaas, P; Dulger, Arzu; Suijlekom-Smit, Lisette W. A. van

doi:10.1136/ard.2005.042671

Cited by 99 publications

(74 citation statements)

References 10 publications

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“…The LCs were examined by one reviewer, but intraobserver and interobserver and intraclass correlation coefficients of the LCs showed good reproducibility and a low error of method in a previous study. 20 …”

Section: Cephalometric Standardsmentioning

confidence: 99%

“…21 We used these angles to describe retrognathia and posterior rotation to enhance comparability with various surveys on craniofacial alterations in JIA. 8,11,12,[16][17][18][19][20] TMJ involvement was defined as condylar alterations seen on OPT and was diagnosed according to the six categories of Rohlin and Petersson as follows 22 : grade 0, normal conditions; grade 1, slight abnormality; grade 2, definite early abnormality; grade 3, moderate destructive abnormality; grade 4, severe destructive abnormality; and grade 5, mutilating abnormality. The OPTs were scored by two individual reviewers, who were blinded to information on the patient and to results of the other reviewer.…”

Section: Radiographic Examinationmentioning

confidence: 99%

“…5 Craniofacial morphology was altered in patients with JIA regardless of TMJ status, although this occurred more commonly in patients with TMJ involvement. 20 TRIP 1 (1 year later) reported a yearly incidence of TMJ involvement of 7%. 6 A drastic decrease in the prevalence of OPT alterations was observed during follow-up.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10] Alterations in the craniofacial structure of patients with JIA were described in several studies. 11,[16][17][18][19][20] These patients demonstrated retrognathia and increased mandibular posterior rotation. Usually, the characteristic facial morphology has been associated with condylar destruction.…”

Section: Introductionmentioning

confidence: 99%

“…Usually, the characteristic facial morphology has been associated with condylar destruction. 11,[16][17][18][19][20] Most studies were performed in the oligoarticular and polyarticular subtypes, with a greater number of retrognathia and posterior rotated mandibles noted in the polyarticular subtype. 11,16,17 Only one study reported mild downward and backward rotation of the mandible in the systemic subtype.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

Twilt

Schulten

Prahl-Andersen

et al. 2009

The Angle Orthodontist

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Objective: To investigate changes in the craniofacial skeleton in relation to the changes in condylar alterations that occur during long-term follow-up in patients with juvenile idiopathic arthritis. Materials and Methods: Temporomandibular joint (TMJ) involvement is defined as a condylar alteration that is observed on the orthopantomogram. Lateral cephalograms were used to determine linear and angular measurements. Results: Seventy of 97 patients from the initial study cohort were included, with a mean followup of 68 months. The overall prevalence of condylar alterations and posterior rotation of the mandible decreased; however, the prevalence of retrognathia remained the same. Patients showed improvement in the degree of retrognathia and posterior rotation (40% ANB, 51% OP-SN, and 44% GO-GN-SN). Improvement in the degree of retrognathia was seen more often in patients with improved condylar alterations than in patients with persistent alterations and in those without alterations (50%, 33%, and 28%, respectively). The degree of posterior rotation improved almost equally in patients without TMJ involvement and in patients with improved condylar alterations (57% and 50% by OP-SN, and 67% and 38% GO-GN-SN, respectively) and did not improve in patients with stable persistent alterations. Conclusion: Both condylar and craniofacial alterations can improve in patients with juvenile idiopathic arthritis.

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Section: Cephalometric Standardsmentioning

confidence: 99%

Section: Radiographic Examinationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

Twilt

Schulten

Prahl-Andersen

et al. 2009

The Angle Orthodontist

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The Role of the Orthodontist in Managing Disorders of the Temporomandibular Joint

Michelotti,

Farella,

Rongo

2023

Integrated Clinical Orthodontics

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Imaging of the Temporomandibular Joint in Juvenile Idiopathic Arthritis

Vaid

Dunnavant

Royal

et al. 2013

Arthritis Care & Research

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Objective. Temporomandibular joint (TMJ) arthritis in children with juvenile idiopathic arthritis (JIA) is extremely common but frequently asymptomatic. Magnetic resonance imaging (MRI) with contrast remains the gold standard for identifying TMJ arthritis in JIA. A reliable scoring system with published MRI examples of typical acute and chronic TMJ arthritis changes will be invaluable for future prospective treatment trials of TMJ arthritis in JIA. Methods. MRIs were collected from routine clinical studies assessing TMJ arthritis in JIA. Representative images were selected for publication to depict acute (synovial fluid, bone marrow edema, and synovial enhancement) and chronic (pannus, disc derangement, and condylar head flattening and erosions) TMJ arthritis findings. A preliminary MRI-based scoring system for assessing degrees of acute and chronic TMJ arthritis was developed and tested for inter-and intrareader reliability. Results. TMJ MRIs representative of acute and chronic TMJ arthritis in JIA were selected from among thousands taken (>500 TMJ MRI studies annually at Children's of Alabama) since September 2007. Moreover, computed tomography scans depicting select bony changes (osteophyte formation, micrognathia) were chosen for publication. A description of the MRI protocol for assessing TMJ arthritis is included. A preliminary scoring system weighted for degree of acute and chronic TMJ arthritis MRI findings was found to have substantial inter-and intrareader reliability. Conclusion. A published set of MRIs depicting representative acute and chronic changes will help establish a standardized scoring system to assess TMJ arthritis in children with JIA. Future validation will aid in assessing improvement during treatment trials of TMJ arthritis.

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Facioskeletal changes in children with juvenile idiopathic arthritis

Cited by 99 publications

References 10 publications

Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

The Role of the Orthodontist in Managing Disorders of the Temporomandibular Joint

Imaging of the Temporomandibular Joint in Juvenile Idiopathic Arthritis

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