Magnetic resonance imaging assessment of juvenile idiopathic arthritis using OMERACT and EuroTMjoint classifications

Leite, D. de F.C.; Costa, André Luiz Ferreira; Appenzeller, Simone; Campos, P. S. F.; Soares, Mariana Quirino Silveira; Martins, Jaqueline Serra; Prado, GF; Panzarella, Francine Kühl

doi:10.1016/j.ijom.2022.04.009

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…The diagnosis of TMJ arthritis can be difficult since active inflammation of the TMJ is often asymptomatic early in the disease course 14,35 . The gold standard to diagnose TMJ arthritis is contrast‐enhanced magnetic resonance imaging (MRI) of the TMJs, even if in some cases an over diagnose of effusion might be done 36–38 . Furthermore, MRI is the only imaging that can provide information of the TMJ disc dislocation 39 .…”

Section: Diagnosis Of Tmj Arthritismentioning

confidence: 99%

Management of temporomandibular joint arthritis in children and adolescents: An introduction for orthodontists

Rongo

Michelotti

Pedersen

et al. 2023

Orthod Craniofacial Res

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Juvenile idiopathic arthritis (JIA) is the most common inflammatory rheumatic disease of childhood. JIA can affect any joint and the temporomandibular joint (TMJ) is one of the joints most frequently involved. TMJ arthritis impacts mandibular growth and development and can result in skeletal deformity (convex profile and facial asymmetry), and malocclusion. Furthermore, when TMJs are affected, patients may present with pain at joint and masticatory muscles and dysfunction with crepitus and limited jaw movement. This review aims to describe the role of orthodontists in the management of patients with JIA and TMJ involvement. This article is an overview of evidence for the diagnosis and treatment of patients with JIA and TMJ involvement. Screening for the orofacial manifestation of JIA is important for orthodontists to identify TMJ involvement and related dentofacial deformity. The treatment protocol of JIA with TMJ involvement requires an interdisciplinary collaboration including orthopaedic/orthodontic treatment and surgical interventions for the management of growth disturbances. Orthodontists are also involved in the management of orofacial signs and symptoms; behavioural therapy, physiotherapy and occlusal splints are the suggested treatments. Patients with TMJ arthritis require specific expertise from an interdisciplinary team with members knowledgeable in JIA care. Since disorders of mandibular growth often appear during childhood, the orthodontist could be the first clinician to see the patient and can play a crucial role in the diagnosis and management of JIA patients with TMJ involvement.

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Section: Diagnosis Of Tmj Arthritismentioning

confidence: 99%