Assessment of dentofacial growth deviation in juvenile idiopathic arthritis: Reliability and validity of three-dimensional morphometric measures

Stoustrup, Peter; Iversen, Christian Kerting; Kristensen, Kasper Dahl; Resnick, Cory M.; Verna, Carlalberta; Nørholt, Sven Erik; Abramowicz, Shelly; Küseler, Annelise; Cattaneo, Paolo M.; Herlin, Troels; Pedersen, Thomas Klit

doi:10.1371/journal.pone.0194177

Cited by 27 publications

(34 citation statements)

References 35 publications

(43 reference statements)

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“…5 Panoramic radiograph in a healthy teenage girl showing normal condylar heads and normal bite Abb. 5 Panoramaröntgenaufnahme, gesunde Jugendliche mit normalen Kondylenköpfen und normalem Biss ment of dentofacial growth [30]. In the latter study, seven three-dimensional measurements were found to be the most significant for detecting impairment of facial growth; one of them was assessed in our two-dimensional study as well (ML/NSL) and found to be significant.…”

Section: Discussionmentioning

confidence: 57%

Condylar alterations and facial growth in children with juvenile idiopathic arthritis

et al. 2020

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The aim of this retrospective study was to evaluate facial growth in children with juvenile idiopathic arthritis (JIA) by means of lateral head cephalometric radiographs and relate the findings to temporomandibular joint (TMJ) condylar changes on panoramic radiographs. Methods Radiographic and medical records were evaluated in 65 children with JIA. Cephalometric and panoramic analyses were performed for the impact of condylar changes on facial growth. We compared children with condylar alterations, minor or major, with those without condylar alterations. Results Based on panoramic radiographs, no condylar alterations were seen in 27 of the 65 children and condylar alterations were seen in 38 children (i.e., 23 had minor and 15 major condylar alterations). The cephalometric analyses of the children with condylar changes showed significant growth disturbances with a more retrognathic mandible (SNB; p = 0.03), retruded chin position (SNPog; p = 0.02), larger mandibular angulation (ML/NSL; p = 0.009) and maxillary angulation (NL/NSL; p = 0.03) compared with children without condylar alterations. Children with minor condylar alterations had a significantly more retruded chin position (SNPog) than those with no condylar changes (p = 0.04). Conclusions Condylar changes in the TMJ, judged on panoramic radiography, in children with JIA, have impact on craniofacial growth. Even minor alterations seem to have an impact.

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Section: Discussionmentioning

confidence: 57%

Condylar alterations and facial growth in children with juvenile idiopathic arthritis

et al. 2020

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“…Dentofacial deformity refers to growth deviation that occurs as a result of TMJ arthritis in patients with JIA. Growth deviation may affect the morphology and position of the mandible, maxilla, and/or dental occlusion 12,13 . The recommended assessment of dentofacial deformity includes 3-D imaging, conventional radiography, clinical examination, and photographs.…”

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confidence: 99%

“…The recommended assessment of dentofacial deformity includes 3-D imaging, conventional radiography, clinical examination, and photographs. Recent recommendations are available 13 . TMJ deformity indicates arthritis-related alteration of the anatomy of the TMJ.…”

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confidence: 99%

Standardizing Terminology and Assessment for Orofacial Conditions in Juvenile Idiopathic Arthritis: International, Multidisciplinary Consensus-based Recommendations

et al. 2019

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Objective.To propose multidisciplinary, consensus-based, standardization of operational terminology and method of assessment for temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA).Methods.Using a sequential expert group–defined terminology and methods-of-assessment approach by (1) establishment of task force, (2) item generation, (3) working group consensus, (4) external expert content validity testing, and (5) multidisciplinary group of experts final Delphi survey consensus.Results.Seven standardized operational terms were defined: TMJ arthritis, TMJ involvement, TMJ arthritis management, dentofacial deformity, TMJ deformity, TMJ symptoms, and TMJ dysfunction.Conclusion.Definition of 7 operational standardized terms provides an optimal platform for communication across healthcare providers involved in JIA-TMJ arthritis management.

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“…Dentofacial morphology was assessed according to a validated protocol by Stoustrup et al for assessment of dentofacial deformity from JIA 21 . This original protocol consists of 21 outcome variables.…”

Section: Methodsmentioning

confidence: 99%

Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis

Stoustrup

Traberg

Matzen

et al. 2021

Sci Rep

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Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood and the temporomandibular joint (TMJ) is often involved. TMJ arthritis in growing individuals can cause deformation of facial skeleton (dentofacial deformity) and TMJ components (TMJ deformity). Treatment outcome hinges on early initiation of anti-inflammatory treatment and orthopaedic treatment with dental splints. The aim of the present study was to characterize the radiological signs of dentofacial deformity in patients with a JIA-induced need for orthopaedic treatment. We retrospectively studied 96 patients with JIA and 20 non-JIA controls to identify the initial radiological signs of JIA-induced dentofacial deformity leading to initiation of orthopaedic treatment. We found that initial radiological signs of dentofacial deformities were subtle and characterized by minor mandibular asymmetry and occlusal plane steepening. Radiological findings of TMJ deformity associated with initial dentofacial deformity were frequent and characterized by condylar articular surface flattening (OR 8.42), condylar subcortical cyst (OR 5.94), condylar surface erosion (OR 5.38) and condylar deviation in form (OR 25.39). Radiological signs of TMJ deformity were also documented in TMJs considered “healthy” during initial clinical and radiological examination. This study presents new knowledge of importance for early diagnosis of dentofacial deformity in JIA. Early diagnosis of dentofacial deformity is important as treatment outcome is greatly influenced by timely initiation.

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Assessment of dentofacial growth deviation in juvenile idiopathic arthritis: Reliability and validity of three-dimensional morphometric measures

Cited by 27 publications

References 35 publications

Condylar alterations and facial growth in children with juvenile idiopathic arthritis

Condylar alterations and facial growth in children with juvenile idiopathic arthritis

Standardizing Terminology and Assessment for Orofacial Conditions in Juvenile Idiopathic Arthritis: International, Multidisciplinary Consensus-based Recommendations

Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis

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