Juvenile Idiopathic Arthritis Overview and Involvement of the Temporomandibular Joint

Carrasco, Ruy

doi:10.1016/j.coms.2014.09.001

Cited by 37 publications

(27 citation statements)

References 36 publications

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“…Magnetic resonance imaging (MRI) allows a better assessment of articular and periarticular soft tissues, and both qualitative and quantitative evaluations of synovial fluid effusion, bone marrow edema, erosions, cartilage damage, and articular disc and ligamentous involvement. The use of gadolinium contrast improves the visualization of synovial tissue (which appears enhanced due to its vascularization), erosions and cartilage changes [117]. Ultrasonography may help to identify active synovitis and guide intra-articular injections [118].…”

Section: Oral Manifestations In Rheumatic Diseasesmentioning

confidence: 99%

Main Oral Manifestations in Immune-Mediated and Inflammatory Rheumatic Diseases

Gualtierotti

Marzano

Spadari

et al. 2018

JCM

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Oral manifestations are frequent in patients with rheumatic diseases. The aim of this review is to offer readers practical advice concerning the onset, diagnosis and treatment of the main oral manifestations encountered in rheumatological and dental clinics. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, periodontal disease, and dysphagia may be the first expression of a number of rheumatic diseases. Some of these manifestations are aspecific and very frequent, such as oral aphthosis, which can be the first manifestation in patients with systemic lupus erythematosus; some are potentially dangerous, such as jaw claudication during the course of giant cell arteritis; and some are very rare but peculiar, such as strawberry-like gingivitis in patients with granulomatosis with polyangiitis. Other oral manifestations are due to adverse reactions to disease-modifying anti-rheumatic drugs. Oral alterations in rheumatic diseases are frequently overlooked in clinical practice, but their prompt recognition not only allows the local lesions to be appropriately treated, but also makes it possible to identify an underlying systemic disease.

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Section: Oral Manifestations In Rheumatic Diseasesmentioning

confidence: 99%

Main Oral Manifestations in Immune-Mediated and Inflammatory Rheumatic Diseases

Gualtierotti

Marzano

Spadari

et al. 2018

JCM

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“…Among the synovial joints affected by this chronic disease, the temporomandibular joint (TMJ) can also be involved, causing substantial jaw dysfunctions in daily oral activities [5]. The TMJ can be the first joint affected both uni-and bi-laterally, or it may be affected during the course of JIA [6].…”

Section: Introductionmentioning

confidence: 99%

The Psychological Impact of Dental Aesthetics in Patients with Juvenile Idiopathic Arthritis Compared with Healthy Peers: A Cross-Sectional Study

et al. 2019

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This study aimed to assess whether dental aesthetics had a different impact on the psychosocial domains of adolescents with juvenile idiopathic arthritis (JIA) as compared with healthy peers. Fifty JIA patients and eighty controls aged between 13 and 17 years were enrolled. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) was administered along with tools for the self-assessment of malocclusion and self-esteem. An objective evaluation of malocclusion severity was performed through a clinical evaluation with the Dental Aesthetic Index (DAI). The sample was divided according to the DAI stages of malocclusion severity; a two-way analysis of variance (ANOVA) was performed to assess whether there was a difference in the studied variables according to the malocclusion and the presence of JIA. The results showed no interaction between the malocclusion severity and the presence of JIA in all analyzed variables (all p > 0.05). According to the DAI stages, the Dental Self-Confidence domain of the PIDAQ and the Perception of Occlusion Scale showed statistically significant differences only within the controls (p = 0.027 and p = 0.014, respectively). Therefore, JIA adolescents seem to be less concerned about their dental aesthetics compared with healthy peers, and clinicians should take particular care when proposing orthodontic treatments aiming only to improve dental aesthetics.

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“…The respective catabolic changes can cause muscle pain on chewing, and limited jaw movement. The TMJ is one of the many joints involved in the inflammatory arthritides, being particularly predominant in juvenile arthritis (Carrasco, ). Understanding the underlying molecular mechanisms is difficult, particularly with respect to the various situations of chronic inflammation.…”

Section: Introductionmentioning

confidence: 99%