Mandibular Condyle Lesions in Children with Juvenile Idiopathic Arthritis

Sidiropoulou-Chatzigianni, Sossani; Papadopoulos, Moschos A.; Kolokithas, G

doi:10.1597/07-014.1

Cited by 22 publications

(21 citation statements)

References 23 publications

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“…In the present study, clear abnormalities in the cephalometric examination (above Grade 2 according to the Rohlin and Petersson grading system) were observed in 39.9% of the patients. The findings of the present study confirm the findings of other authors [2,29] that relate the inflammatory process in TMJ to bigger changes, which may include a retrognathic mandible and impaired maximal mouth opening; the range of maximal mouth opening was significantly lower in patients who had suffered from JIA for over 5 years (p < 0.02, Fig. 2).…”

Section: Discussionsupporting

confidence: 92%

“…These differences may result either from the degree of severity of the symptoms and articular surface damage, or from the different populations examined the use of different methods of assessing the affected area of the joint [2,7,[18][19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

“…Condylar erosions, flattening or defects, which are formed simultaneously, may be detected radiographically [2]. Chronic inflammation causes permanent complications including micrognathia, posterior rotation of the mandible, anterior open bite malocclusion or crowding and protrusion of the lower incisors [3][4][5].…”

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confidence: 99%

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Temporomandibular Joint Dysfunction and Disorders in the Development of the Mandible in Patients with Juvenile Idiopathic Arthritis – Preliminary Study

et al. 2014

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Background. The temporomandibular joint (TMJ) may be affected unilaterally or bilaterally in the course of juvenile idiopathic arthritis (JIA). Permanent complications involve joint damage or stiffness and disorders in the development of the mandible, such as micrognathia, posterior rotation of the mandible, crowding and protrusion of the front teeth and malocclusion. Objectives. The aim of the study was the clinical and radiological assessment of TMJ dysfunctions and disorders in the development of the mandible in patients suffering from JIA, depending on the duration of the disease. Material and Methods. The research involved 46 patients with JIA, recognized according to the criteria established by the International League of Associations for Rheumatology (ILAR). Among the patients, 20 suffered from polyarticular JIA and 26 from pauciarticular JIA. The clinical assessment included determination of the facial profile according to Ricketts, intraoral assessment according to Angle's classification and canine class. There were 15 patients (9 with polyarticular and 6 with pauciarticular JIA) qualified for radiological examination. The location of the mandible was determined with the use of a lateral cephalometric image on the basis of a compilation of various analyses. Results. Out of the 46 patients, 15 individuals (32.6%) displayed clinical features of TMJ dysfunction (pain, clicking, crepitus). Of these, 6 patients (40.0%) reported disorders in mandibular development typical of JIA in the form of retrognathia and posterior rotation of the mandible. According to the grading system developed by Rohlin and Petersson, articular surface damage was considerably higher in the patients with a longer history of the disease (p < 0.01) and positively correlated with the deficit in mandible growth (r = 0.66, p < 0.008). Conclusions. Early detection of temporomandibular joint damage, even in the case of juvenile idiopathic arthritis with a low level of inflammation, may prevent permanent and significant facial deformities when combined with orthodontic treatment of disorders in the development of the mandible (Adv Clin Exp Med 2014, 23, 5, 797-804).

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Temporomandibular Joint Dysfunction and Disorders in the Development of the Mandible in Patients with Juvenile Idiopathic Arthritis – Preliminary Study

et al. 2014

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“…The reported frequency of TMJ involvement ranges in the literature from 17% to 87%, depending on the population investigated, the subtypes represented, and the radiologic method by which involvement is diagnosed. [5][6][7][8][9][10][11][12][13][14] Only one study reported the incidence of TMJ involvement in all subtypes of JIA. 6 The most important site of growth of the mandible in the vertical and sagittal direction is located on the articular surface of the condylar head.…”

Section: Introductionmentioning

confidence: 99%

“…6 The most important site of growth of the mandible in the vertical and sagittal direction is located on the articular surface of the condylar head. [12][13][14][15] During nor- mal growth of the dentomaxillary complex, the vertical dimension increases more than the sagittal dimension does. Arthritis of the TMJ results in reduced mandibular growth and subsequent alteration in dental occlusion and may even affect total craniofacial growth.…”

Section: Introductionmentioning

confidence: 99%

Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

Twilt

Schulten

Prahl-Andersen

et al. 2009

The Angle Orthodontist

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Objective: To investigate changes in the craniofacial skeleton in relation to the changes in condylar alterations that occur during long-term follow-up in patients with juvenile idiopathic arthritis. Materials and Methods: Temporomandibular joint (TMJ) involvement is defined as a condylar alteration that is observed on the orthopantomogram. Lateral cephalograms were used to determine linear and angular measurements. Results: Seventy of 97 patients from the initial study cohort were included, with a mean followup of 68 months. The overall prevalence of condylar alterations and posterior rotation of the mandible decreased; however, the prevalence of retrognathia remained the same. Patients showed improvement in the degree of retrognathia and posterior rotation (40% ANB, 51% OP-SN, and 44% GO-GN-SN). Improvement in the degree of retrognathia was seen more often in patients with improved condylar alterations than in patients with persistent alterations and in those without alterations (50%, 33%, and 28%, respectively). The degree of posterior rotation improved almost equally in patients without TMJ involvement and in patients with improved condylar alterations (57% and 50% by OP-SN, and 67% and 38% GO-GN-SN, respectively) and did not improve in patients with stable persistent alterations. Conclusion: Both condylar and craniofacial alterations can improve in patients with juvenile idiopathic arthritis.

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The Young Dental Patient with Systemic Disease

Arhakis

Kotsanos

2022

Pediatric Dentistry

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Mandibular Condyle Lesions in Children with Juvenile Idiopathic Arthritis

Abstract: Children with juvenile idiopathic arthritis presented a remarkable prevalence of condylar destruction, which was correlated to the type and duration of the disease.

Cited by 22 publications

References 23 publications

Temporomandibular Joint Dysfunction and Disorders in the Development of the Mandible in Patients with Juvenile Idiopathic Arthritis – Preliminary Study

Temporomandibular Joint Dysfunction and Disorders in the Development of the Mandible in Patients with Juvenile Idiopathic Arthritis – Preliminary Study

Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

The Young Dental Patient with Systemic Disease

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