An Algorithm for Management of Dentofacial Deformity Resulting From Juvenile Idiopathic Arthritis: Results of a Multinational Consensus Conference

Resnick, Cory M.; Frid, Paula; Nørholt, Sven Erik; Stoustrup, Peter; Kaban, Leonard B.; Pedersen, Thomas Klit; Abramowicz, Shelly

doi:10.1016/j.joms.2019.02.014

Cited by 38 publications

(24 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Resnick et al reported the results of an international consensus conference that took place in 2019 stating that in developing patients with no or minimal active TMJ disease, interceptive functional orthodontic treatment is recommended. This therapeutic choice may help in avoiding orthognathic surgical therapy at the end of growth or at least in reducing the complexity of surgical intervention [44].…”

Section: Discussionmentioning

confidence: 99%

Effects on the Facial Growth of Rapid Palatal Expansion in Growing Patients Affected by Juvenile Idiopathic Arthritis with Monolateral Involvement of the Temporomandibular Joints: A Case-Control Study on Posteroanterior and Lateral Cephalograms

Maspero

Cavagnetto

Abate

et al. 2020

JCM

View full text Add to dashboard Cite

Background: Juvenile idiopathic arthritis (JIA) affecting temporomandibular joints (TMJ) in growing patients results in maxillofacial deformities, especially if only one condyle has been affected by the rheumatic disease. Mandibular hypoplasia is the most common issue and it may be associated with maxillary hypoplasia. The aim of this retrospective case-control study is to evaluate the effects of rapid maxillary expansion (RME) in these patients. Methods: 25 growing patients affected by maxillary hypoplasia, currently in a quiescent phase of JIA for at least one year and monolateral involvement of the TMJs, were treated with RME. Data gathered from posteroanterior and lateral cephalograms before and after 1 year from RME were compared to those of 25 non-JIA controls. Results: Nasal cavity width, maxillary width and upper and lower intermolar width statistically increased. Maxillary and mandibular symmetry indexes presented a statistically significant increase, so did the skeletal class. No signs or symptoms of TMJ activity of JIA occurred according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) criteria. No difference was found when comparing JIA and non-JIA patients apart from the better improvement of several mandibular symmetry indexes in the affected TMJ side of JIA patients. This event is allegedly due to a worse baseline asymmetry in JIA patients that underwent a bigger relative improvement after treatment. Conclusions: Results suggest that solving maxillary hypoplasia and, therefore, premature contacts are likely to have allowed mandibular repositioning and condylar growth. RME is a safe and effective solution that can substantially improve maxillary and mandibular symmetry in growing patients affected by JIA with TMJ involvement.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects on the Facial Growth of Rapid Palatal Expansion in Growing Patients Affected by Juvenile Idiopathic Arthritis with Monolateral Involvement of the Temporomandibular Joints: A Case-Control Study on Posteroanterior and Lateral Cephalograms

Maspero

Cavagnetto

Abate

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…Functional impairment and dentofacial deformity due to condylar erosion and destruction or the arthritis-induced inhibitory effect on mandibular growth may lead to the need for surgical intervention. Resnick et al [6] describe an algorithm for management of facial growth disturbances resulting from JIA. The algorithm was developed by the TMJaw surgical task force during a multinational consensus conference involving surgeons and orthodontists with special expertise in this area.…”

Section: Management Of Temporomandibular Joint Involvementmentioning

confidence: 99%

“…Surgical interventions consist of orthognatic surgery including distraction osteogenesis or autologous or alloplastic joint replacement. The success of the implementation of distraction osteogenesis in growing patients with TMJ involvement and dentofacial asymmetry has been studied [6]. Most studies on autologous or alloplastic joint replacements are case reports or very small case series.…”

Section: Management Of Temporomandibular Joint Involvementmentioning

confidence: 99%

“…Most studies on autologous or alloplastic joint replacements are case reports or very small case series. The algorithm by Resnick et al does not only include surgical interventions but also the need to optimize the systemic and or orthopedic treatments demonstrating the multidisciplinary approach of JIA associated TMJ arthritis with the help of five cases [6].…”

Section: Management Of Temporomandibular Joint Involvementmentioning

confidence: 99%

“…For decades the TMJ has been an underrecognized joint in juvenile arthritis. However, in the last 2 decades research in JIA associated TMJ arthritis has increased significantly and most recently the TMJ juvenile arthritis working (TMJaw) group (formerly known as euroTMjoint) has published some landmark papers in this area and according to the authors have increased the awareness of the importance of the TMJ in JIA [4][5][6]. The terminology around JIA associated TMJ arthritis has been confusing and has led to the inability to compare studies due to the inclusion of different stages of JIA associated TMJ arthritis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Improving treatment of the temporomandibular joint in juvenile idiopathic arthritis: let’s face it

Stoustrup

Twilt

2019

Expert Review of Clinical Immunology

Self Cite

View full text Add to dashboard Cite

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

Michelotti,

Farella,

Rongo

2023

Integrated Clinical Orthodontics

View full text Add to dashboard Cite

An Algorithm for Management of Dentofacial Deformity Resulting From Juvenile Idiopathic Arthritis: Results of a Multinational Consensus Conference

Cited by 38 publications

References 63 publications

Effects on the Facial Growth of Rapid Palatal Expansion in Growing Patients Affected by Juvenile Idiopathic Arthritis with Monolateral Involvement of the Temporomandibular Joints: A Case-Control Study on Posteroanterior and Lateral Cephalograms

Effects on the Facial Growth of Rapid Palatal Expansion in Growing Patients Affected by Juvenile Idiopathic Arthritis with Monolateral Involvement of the Temporomandibular Joints: A Case-Control Study on Posteroanterior and Lateral Cephalograms

Improving treatment of the temporomandibular joint in juvenile idiopathic arthritis: let’s face it

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

Contact Info

Product

Resources

About