Juvenile idiopathic arthritis—and now?

Bremen, Julia von; Ruf, Sabine

doi:10.1007/s00056-012-0091-2

Cited by 20 publications

(7 citation statements)

References 35 publications

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“…The working group identified 21 unique dentofacial morphometric measures based on traditional 2D cephalometric standards [ 8 – 15 ]. Anatomic landmarks and reference planes were defined based on current literature [ 6 , 16 , 19 – 26 ]. These measures were defined with the aim to describe dentofacial symmetry and skeletal relationships in sagittal, vertical and transverse dimensions.…”

Section: Methodsmentioning

confidence: 99%

“…Involvement of the temporomandibular joint (TMJ) occurs in up to 75–92% of patients with JIA [ 2 , 3 ]. In growing individuals, arthritis of the TMJ may affect the intra-articular mandibular growth site situated in the condylar cartilage, leading to dentofacial deformity [ 4 – 6 ]. The resulting deformity is dependent on the duration, timing, extent and distribution (unilateral or bilateral) of arthritic involvement [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Dentofacial growth deviation in JIA with TMJ involvement has been well-described using two-dimensional (2D) cephalometric analyses [ 6 ]. However, three-dimensional (3D) imaging provides superior visualization of dentofacial structures compared to 2D techniques [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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IntroductionPatients with juvenile idiopathic arthritis (JIA) and involvement of the temporomandibular joint (TMJ) often experience abnormal facial growth. Three-dimensional (3D) assessment of dentofacial growth deviation has become more common with advancement and commercialization of imaging technologies. However, no standardized guidelines exist for interpretation of 3D imaging in patients with JIA. The aim of this study was to propose and validate morphometric measures for the 3D radiographic assessment of dentofacial growth deviation in patients with JIA to enhance: 1) Description of dentofacial growth deviation; 2) Treatment planning; 3) Longitudinal follow-up.MethodsThe study was conducted in a standardized sequential-phased approach involving: 1) Preliminary decision-making; 2) Item generation; 3) Test of content-validity; 4) Test of reliability; 5) Test of construct validity; 6) Establishment of final recommendations.ResultsTwenty-one morphometric measures were evaluated. Based on results of reliability and validity-testing including subjects with JIA (n = 70) and non-JIA controls (n = 19), seven measures received a “high recommendation” score. Those measures were associated with posterior mandibular height, occlusal cant, mandibular asymmetry, mandibular inclination, and anterior/posterior lower face height. Nine other measures were “moderately recommended” and five received a “somewhat recommendation” score.ConclusionSeven morphometric measures were considered very useful in the 3D assessment of growth deviation in patients with TMJ disease associated with JIA. These variables can be used to standardize the description of dentofacial deformities and to plan corrective interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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“…KG-Arthritis im Kindesalter beeinträchtigt die normale Entwicklung des Gesichtsschädels [1][2][3][4][5]34].…”

Section: Kraniofaziale Morphologie Von Patienten Mit Jiaunclassified

“…Werden die Gelenkknorpel, und insbesondere diese Schicht polymorpher Zellen als Basis endochondraler Knochenbildung, durch entzündliche Prozesse beeinträchtigt, so kann das im Wachstum eine abnorme Entwicklung des Untergesichts mit sich bringen [37][38][39]. Bei länger anhaltender KG-Arthritis während des Wachstums kann das mandibuläre Wachstumsdefizit in Kombination mit der Gelenkdegeneration zu einer hyperdivergenten Stellung der Kieferbasen führen und tendenziell eher zu einer skelettalen Klasse II [34]. Therapie der JIA Das Ziel der Therapie ist eine rasche Kontrolle der entzündlichen Aktivität sowie eine Remissionsinduktion.…”

Section: Kraniofaziale Morphologie Von Patienten Mit Jiaunclassified

Juvenile idiopathische Arthritis (JIA) und das Kiefergelenk – Ein Update

Bechtold

Magunia

Kümmerle-Deschner

et al. 2017

Inf Orthod Kieferorthop

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ZusammenfassungDie juvenile idiopathische Arthritis (JIA), als häufigste rheumatische Erkrankung im Kindesalter, ist vielfach durch eine mögliche Kiefergelenkbeteiligung für das Fachgebiet der Kieferorthopädie relevant. Eine Kiefergelenkarthritis kann – wie nachfolgend ausgeführt – mitunter negativen Einfluss auf die orofaziale Entwicklung und Ausbildung von kraniofazialen Anomalien haben. Eine frühzeitige Erstdiagnose kann die Qualität des Behandlungsergebnisses deutlich begünstigen. Die in diesem Update zur JIA im Weiteren vorgestellten Empfehlungen fassen die interdisziplinären Arbeiten der internationalen Expertengruppe euroTMjoint der letzten Jahre zusammen. Im Vordergrund steht dabei auch die erstmalige internationale und interdisziplinäre Konsensusempfehlung für die orofaziale Untersuchung und Überwachung von Patienten mit JIA zur Vereinheitlichung klinischer und wissenschaftlicher Parameter sowie Früherkennung einer Kiefergelenkbeteiligung.Neben der Kieferorthopädie umfasst die Therapie der JIA weitere Säulen, wie die medikamentöse Therapie durch Kinderrheumatologen, Physiotherapie, psychosoziale Begleitung sowie weitere Therapieverfahren. Eine enge interdisziplinäre Zusammenarbeit ist hier notwendig.

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Cumulative Incidence of Orofacial Manifestations in Early Juvenile Idiopathic Arthritis: A Regional, Three‐Year Cohort Study

Stoustrup

Glerup

Bilgrau

et al. 2020

Arthritis Care & Research

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Objectives: To estimate the cumulative incidence of arthritis-induced orofacial symptoms, dysfunctions, and dentofacial deformities in growing individuals with juvenile idiopathic arthritis (JIA) in a 36 month regional cohort study, and to identify predictors for the development of arthritis-induced dentofacial deformities.Methods: Data was retrieved from the Aarhus JIA TMJ cohort register, which contains standardized, longitudinal, observational data regarding orofacial conditions in patients with JIA (n=1040). This regional cohort represents the majority of all subjects with JIA from the western part of Denmark between 1990 and 2016, regardless of temporomandibular joint (TMJ) arthritis status. Cumulative incidences of orofacial conditions were reported using Kaplan-Meier methods and predictors for dentofacial deformity was identified using Cox proportional hazard analysis.Results: Follow-up data from 351 subjects over thirty-six months was included in this study.Median age at first clinical examination was 6.6 years (25/75 centiles: 4.9 and 9.9 years).Orofacial symptoms and dysfunction were common findings at 36 months after the first clinical examination and approximately five years after JIA onset, with a cumulative incidence of 38% and 53%, respectively. Dentofacial deformities were found in 35% of

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Juvenile idiopathic arthritis—and now?

Abstract: Due to the heterogeneous patient samples, it is currently not possible to draw a differentiated conclusion on the influence of various types of JIA on craniofacial morphology.

Cited by 20 publications

References 35 publications

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

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

Juvenile idiopathische Arthritis (JIA) und das Kiefergelenk – Ein Update

Cumulative Incidence of Orofacial Manifestations in Early Juvenile Idiopathic Arthritis: A Regional, Three‐Year Cohort Study

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