Osteonecrose de mandíbula em pacientes com lúpus eritematoso sistêmico juvenil observada em exame de imagem

Fernandes, Elisabeth Gonzaga Canova; Guissa, Vanessa Ramos; Saviolli, Cynthia; Siqueira, José Tadeu Tesseroli de; Valente, Mariana Lima da Costa; Silva, Clóvis A.

doi:10.1590/s0482-50042010000100002

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…In the polyarticular type, these alterations are more prominent when compared to other subtypes. 21,22 The time of disease onset also has a strong infl uence on abnormal mandibular growth, 23 as the earlier the disease starts, the greater the likelihood of occurrence of adverse effects caused by the treatment and the degenerative effects of the underlying disease on the normal development of the mandible, as described above.…”

Section: Tmj Impairment and Orofacial Effectsmentioning

confidence: 99%

“…MRI is considered the best form of early diagnosis, as it can detect alterations in muscle, synovial cartilage, and bone, even in early phases. 24,21 The only disadvantage of MRI is the fact that very young patients need to be sedated for the examination. 12,22,25 Panoramic radiography has advantages such as low cost, low radiation, and reliability, but it only allows the visualization of lesions at a later phase, when the condylar erosions are already established.…”

Section: Diagnosis Of Alterations In the Tmjmentioning

confidence: 99%

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Alterações da articulação temporomandibular e suas repercussões orofaciais em pacientes portadores de artrite idiopática juvenil

Carvalho¹,

Braga²,

Brito³

et al. 2012

Rev. Bras. Reumatol.

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Patients with juvenile idiopathic arthritis (JIA) can have alterations in bone metabolism and skeletal growth, as well as damage to the temporomandibular joint (TMJ), which can generate extra and/or intraoral alterations, resulting in craniofacial disorders. Our goal is to carry out a review of the literature on orofacial alterations in patients with JIA. Among the orofacial disorders in patients with JIA, alterations in mandibular growth, caused by dysfunctions in the TMJ region, seem highly prevalent in these patients. The most often found alterations are: retrognathia, micrognathia, anterior open bite, dental crowding, facial asymmetry and mouth opening limitation. Thus, the rheumatologist becomes a key agent in the early detection of these disorders, helping with patient referral to a dentist. The diagnosis, in turn, should be performed by the orthodontist, using clinical examination and imaging methods, allowing early treatment and a favorable prognosis. TMJ disorders should be treated by a multidisciplinary team, including pharmacological treatment for pain control and dental care through functional appliance and/or orthodontic therapy, physical therapy and sometimes, speech therapy. We conclude that among the orofacial disorders in patients with JIA, alterations in mandibular growth generated by dysfunctions in the TMJ region seem highly prevalent. Such dysfunctions can cause mainly open bite, mandibular retrusion, micrognathia, dental crowding and facial asymmetry. The rheumatologist can detect these alterations at an early stage, with immediate patient referral to a team that should preferably be a multidisciplinary one, consisting of an orthodontist, physical therapist and speech therapist, to reduce future occlusal and mandibular growth complications.

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Section: Tmj Impairment and Orofacial Effectsmentioning

confidence: 99%

Section: Diagnosis Of Alterations In the Tmjmentioning

confidence: 99%

Alterações da articulação temporomandibular e suas repercussões orofaciais em pacientes portadores de artrite idiopática juvenil

Carvalho¹,

Braga²,

Brito³

et al. 2012

Rev. Bras. Reumatol.

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Ocular, Aural, and Oral Manifestations

Rosenbaum

Trune²,

Barkhuizen³

2013

Dubois' Lupus Erythematosus and Related Syndromes

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Assessment of condyle, masseter and temporal muscles volumes in patients with juvenile systemic lupus erythematosus: A cross-sectional study

Golin

Sinicato

Valle-Corotti³

et al. 2017

Journal of Oral Biology and Craniofacial Research

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A B S T R A C TAims: The purpose of this study was to evaluate the effect of the corticosteroid therapy for both treatment of juvenile systemic lupus erythematosus and disease activity on two masticatory muscles and condyle of the temporomandibular joint. Methods: A total of 21 controls and 48 juvenile systemic lupus erythematosus patients were investigated. Volumes of the temporal and masseter muscles and condyle of the subjects were assessed by using a 3D reconstruction in magnetic resonance imaging. The ITK-SNAP, a medical imaging software, was used for 3D reconstruction. A dental examination with registration of occlusion was performed in subjects. Data were statistically analyzed by means of the Dahlberg's test associated with paired t-test, Fisher's exact test and Chi-square. Results: There was a positive correlation between temporalis muscle and age (p = 0.032), masseter volume (p = 0.029) and condyle volume (p = 0.013). The mean volume measurements of temporal and masseter muscles and condyle were not statistically associated with juvenile systemic lupus erythematosus regarding disease activity and corticosteroid therapy (p > 0.05). There were no significant differences between malocclusion and volume of muscles and condyle. Conclusion: This study suggested that volume of the target structures has no correlation with cumulative corticosteroid dose, disease activity, and malocclusion.

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Osteonecrose de mandíbula em pacientes com lúpus eritematoso sistêmico juvenil observada em exame de imagem

Cited by 6 publications

References 17 publications

Alterações da articulação temporomandibular e suas repercussões orofaciais em pacientes portadores de artrite idiopática juvenil

Alterações da articulação temporomandibular e suas repercussões orofaciais em pacientes portadores de artrite idiopática juvenil

Ocular, Aural, and Oral Manifestations

Assessment of condyle, masseter and temporal muscles volumes in patients with juvenile systemic lupus erythematosus: A cross-sectional study

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