In children and adolescents with temporomandibular disorder assembled with juvenile idiopathic arthritis - no association were found between pain and TMJ deformities using CBCT

Autor: Annika Rosén, Marit Slåttelid Skeie, Karen Rosendahl, Thomas A. Augdal, Oskar W Angenete, Anne Nordrehaug Åstrøm, Elisabeth Grut Gil, Xie-Qi Shi, J. Fischer, Karin B. Tylleskär
Rok vydání: 2021
Předmět:
musculoskeletal diseases
medicine.medical_specialty
Adolescent
Temporomandibular disorder
Radiography
Pain
Arthritis
Odontologi
Palpation
stomatognathic system
Internal medicine
medicine
Deformity
Humans
Prospective Studies
Child
General Dentistry
Orthodontics
Temporomandibular Joint
medicine.diagnostic_test
business.industry
Cone-beam computed tomography
RK1-715
Spiral Cone-Beam Computed Tomography
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Rheumatology: 759
Temporomandibular Joint Disorders
Juvenile idiopathic arthritis
Temporomandibular joint deformity
medicine.disease
Magnetic Resonance Imaging
VDP::Medisinske Fag: 700::Klinisk odontologiske fag: 830
Temporomandibular joint arthritis
Arthritis
Juvenile
VDP::Medical disciplines: 700::Clinical dentistry disciplines: 830
Rheumatology
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Reumatologi: 759
stomatognathic diseases
Cross-Sectional Studies
Dentistry
Cohort
Oral and maxillofacial surgery
Female
medicine.symptom
business
Research Article
Zdroj: BMC Oral Health
BMC Oral Health, Vol 21, Iss 1, Pp 1-9 (2021)
ISSN: 1472-6831
Popis: Background Children and adolescents with juvenile idiopathic arthritis (JIA) may suffer from temporomandibular disorder (TMD). Due to this, imaging diagnosis is crucial in JIA with non-symptomatic TM joint (TMJ) involvement. The aim of the study was to examine the association between clinical TMD signs/symptoms and cone-beam computed tomography (CBCT) findings of TMJ structural deformities in children and adolescents with JIA. Methods This cross-sectional study is part of a longitudinal prospective multi-centre study performed from 2015–2020, including 228 children and adolescents aged 4–16 years diagnosed with JIA, according to the International League of Associations for Rheumatology (ILAR). For this sub-study, we included the Bergen cohort of 72 patients (32 female, median age 13.1 years, median duration of JIA 4.5 years). Clinical TMD signs/symptoms were registered as pain on palpation, pain on jaw movement, and combined pain of those two. The severity of TMJ deformity was classified as sound (no deformity), mild, or moderate/severe according to the radiographic findings of CBCT. Results Of 72 patients, 21 (29.2%) had pain on palpation at and around the lateral pole, while 41 (56.9%) had TMJ pain upon jaw movement and 26 (36.1%) had pain from both. Of 141 TMJs, 18.4% had mild and 14.2% had moderate/severe structural deformities visible on CBCT. CBCT findings were not significantly associated with either the pain on palpation or the pain on jaw movement. A significant difference was found between structural deformities in CBCT and the combined pain outcome (pain at both palpation and movement) for both TMJs for the persistent oligoarticular subtype (p = 0.031). Conclusions There was no association between painful TMD and CBCT imaging features of the TMJ in patients with JIA, but the oligoarticular subtype of JIA, there was a significant difference associated with TMJ pain and structural CBCT deformities.
Databáze: OpenAIRE
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