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

Abstract

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.

Is early TMJ involvement in children with juvenile idiopathic arthritis clinically detectable? Clinical examination of the TMJ in comparison with contrast enhanced MRI in patients with juvenile idiopathic arthritis

“…The maximal mouth opening capacity (MOC) is probably the most common factor analysed in relation to TMJ involvement. A correlation between reduced MOC and TMJ arthritis is reported by several studies [ 2 , 16 , 18 – 20 ], while others did not find a clear association [ 5 , 21 ]. Moreover it is difficult to quantify the effect of TMJ involvement on the MOC in children with JIA as age matched controls are often missing in the literature.…”

TMJ pathomorphology in patients with JIA-radiographic parameters for early diagnosis-

“…Involvement of the TMJ in JIA is often difficult to detect, because this can be asymptomatic [ 10 , 16 ]. If symptoms occur, they often manifest as asymmetric mouth opening, joint noise, palpatory sensitivity of temporomandibular joints or associated muscles, rest pain in the temporomandibular joint, pain when chewing or limitation of jaw opening [ 17 , 18 ]. Functional orthodontic therapy can reduce the discomfort of patients with JIA manifested in the jaw joint.…”