Panoramic imaging may detect morphologically abnormal temporomandibular joints in children with juvenile idiopathic arthritis

Collin, Malin; Christidis, Nikolaos; Ernberg, Malin; Wiklander, Laila; Arvidsson, Linda Z.; Larheim, Tore A.; Hedenberg-Magnusson, Britt

doi:10.1016/j.pdj.2023.01.004

Cited by 2 publications

(2 citation statements)

References 44 publications

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“…TMJ deformity was assessed using a grading system 60 , which is a modification of the grading system developed by Arvidsson et al 30 . The classification for osseous TMJ deformities take in to account bone structures, shape and size of condyle and fossa/eminence In addition to the grading of TMJ deformity findings such as erosions, condylar sclerosis and condylar osteophytes were also recorded 60 . Any discrepancies between the three observers in the grading or in the assessment of additional findings were resolved by consensus discussions.…”

Section: Methodsmentioning

confidence: 99%

Temporomandibular involvement in children and adolescents with juvenile idiopathic arthritis: a 2-year prospective cohort study

Collin,

Christidis,

Hagelberg

et al. 2024

Sci Rep

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This study aimed to clinically evaluate temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA) and the ability to identify and/or predict development of TMJ-deformities over time using cone beam computed tomography (CBCT). The predictive value of self-reported TMJ pain was also assessed. A prospective longitudinal cohort study comprising 54 children with JIA, 39 girls and 15 boys, was performed. All children had active disease at baseline, 50% with the subtype oligoarthritis. Repeated clinical orofacial and CBCT examinations were performed over a two-year period. At baseline, 39% had radiographic TMJ deformities (24% unilateral, 15% bilateral), at 2-year follow-up, 42% (p > 0.05). Both progressing and improving TMJ deformities were observed. An association was found between TMJ-deformities and self-reported TMJ pain at baseline (p = 0.01). Maximum unassisted mouth opening (MUO) was smaller for children with TMJ-deformities (p < 0.05). The prevalence of palpatory muscle pain was high (48–59%) but not predictive of development of TMJ-deformities. TMJ noises increased over time and crepitations were associated with TMJ-deformities (p < 0.05). In conclusion, in children with JIA, self-reported TMJ pain and dysfunction were common and predictive of TMJ deformities. TMJ deformities were associated with smaller MUO and palpatory TMJ pain as well as crepitations. Trial registration. ClinicalTrials.gov Protocol id: 2010/2089-31/2.

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Section: Methodsmentioning

confidence: 99%

Temporomandibular involvement in children and adolescents with juvenile idiopathic arthritis: a 2-year prospective cohort study

Collin,

Christidis,

Hagelberg

et al. 2024

Sci Rep

Self Cite

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“…Nos estudos de Pinto et al 10 e Jung et al 14 , há uma predominância média de 12% de DTM em pacientes juvenis classificados por exames de imagem. Já no estudo de Diaz et al 12 e Collin et al 18 , os autores relataram uma prevalência de 40% de envolvimento unilateral de DTM nos pacientes infantis. A qualidade de vida, sinais e sintomas da AIJ associados à DTM serão discutidos com mais detalhes na discussão.…”

Section: Recima21 -Revistaunclassified

Prevalência E Características Clínicas Da Disfunção Temporomandibular Em Pacientes Com Artrite Idiopática Juvenil Poliarticular

Omena,

Sousa,

Omena

et al. 2024

RECIMA21

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A Artrite Idiopática Juvenil (AIJ) é uma doença autoimune crônica que afeta crianças e adolescentes, sendo a mais comum na infância. A disfunção da articulação temporomandibular (DTM) ocorre em até 87% dos casos de AIJ, independentemente do subtipo da doença. O diagnóstico tardio da DTM contribui para deformidades articulares, resultando em crescimento mandibular anormal e deformidades dento faciais, prejudicando a qualidade de vida. Esta revisão integrativa qualitativa, conduzida em 2023, adotou a estratégia PICO para explorar a prevalência da DTM em pacientes com artrite idiopática juvenil poliarticular (AIJ) e seu impacto no manejo clínico e qualidade de vida. A busca incluiu periódicos nacionais e internacionais indexados em Science Direct, PubMed®, LILACS e Cochrane, utilizando descritores MeSH. Estudos revelaram uma prevalência média de 12% de DTM em pacientes juvenis, outros apontaram uma prevalência de 40% de DTM unilateral em pacientes infantis. Os estudos enfatizaram a necessidade de abordagens multidisciplinares, envolvendo profissionais médicos e odontológicos. A discussão posterior abordará detalhes sobre qualidade de vida, sinais e sintomas da AIJ associados à DTM. Os resultados destacam não apenas a alta prevalência dessas disfunções, mas também a influência significativa dessa associação no manejo clínico e qualidade de vida dos pacientes com AIJ.

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Panoramic imaging may detect morphologically abnormal temporomandibular joints in children with juvenile idiopathic arthritis

Cited by 2 publications

References 44 publications

Temporomandibular involvement in children and adolescents with juvenile idiopathic arthritis: a 2-year prospective cohort study

Temporomandibular involvement in children and adolescents with juvenile idiopathic arthritis: a 2-year prospective cohort study

Prevalência E Características Clínicas Da Disfunção Temporomandibular Em Pacientes Com Artrite Idiopática Juvenil Poliarticular

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