Role of alloplastic reconstruction of the temporomandibular joint in the juvenile idiopathic arthritis population

A review of the literature on the stages of the formation of temporary and permanent occlusion has been performed. This stages play an important role not only for the full development of the maxillofacial apparatus, temporomandibular joint, but also the whole organism. The role of early tooth extraction in the formation of the physiological state of the dentoalveolar system is considered. The conclusion is drawn about the need for a deeper study of this problem in the structure of general dental morbidity.

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I Know What I Should Do and Shouldn't Do Because I Tried: The Role of Children's Lay Knowledge of Juvenile Idiopathic Arthritis in Treatment Adherence. Results of the RUMAJI Study

SSRN Electronic Journal ◽

10.2139/ssrn.3409299 ◽

2019 ◽

Author(s):

Jean-David Cohen ◽

Guillaume Montagu ◽

Ellie Mevel ◽

Linda Rossi Semerano ◽

William Fahy ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Treatment Adherence ◽

Lay Knowledge

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Mandibular range of motion in children with juvenile idiopathic arthritis with and without clinically established temporomandibular joint involvement and in healthy children; a cross-sectional study

Pediatric Rheumatology ◽

10.1186/s12969-021-00583-5 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Willemijn F. C. de Sonnaville ◽

Caroline M. Speksnijder ◽

Nicolaas P. A. Zuithoff ◽

Daan R. C. Verkouteren ◽

Nico W. Wulffraat ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Range Of Motion ◽

Temporomandibular Joint ◽

Cross Sectional Study ◽

Joint Involvement ◽

Healthy Children ◽

Sectional Study ◽

Cross Sectional ◽

Explanatory Factors ◽

Left And Right

Abstract Background Recognition of temporomandibular joint (TMJ) involvement in children with juvenile idiopathic arthritis (JIA) has gained increasing attention in the past decade. The clinical assessment of mandibular range of motion characteristics is part of the recommended variables to detect TMJ involvement in children with JIA. The aim of this study was to explore explanatory variables for mandibular range of motion outcomes in children with JIA, with and without clinically established TMJ involvement, and in healthy children. Methods This cross-sectional study included children with JIA and healthy children of age 6–18 years. Mandibular range of motion variables included active and passive maximum interincisal opening (AMIO and PMIO), protrusion, laterotrusion, dental midline shift in AMIO and in protrusion. Additionally, the TMJ screening protocol and palpation pain were assessed. Adjusted linear regression analyses of AMIO, PMIO, protrusion, and laterotrusion were performed to evaluate the explanatory factors. Two adjusted models were constructed: model 1 to compare children with JIA and healthy children, and model 2 to compare children with JIA with and without TMJ involvement. Results A total of 298 children with JIA and 169 healthy children were included. Length was an explanatory variable for the mandibular range of motion excursions. Each centimeter increase in length increased AMIO (0.14 mm), PMIO (0.14 mm), and protrusion (0.02 mm). Male gender increased AMIO by 1.35 mm. Having JIA negatively influenced AMIO (3.57 mm), PMIO (3.71 mm), and protrusion (1.03 mm) compared with healthy children, while the discrepancy between left and right laterotrusion raised 0.68 mm. Children with JIA and TMJ involvement had a 8.27 mm lower AMIO, 7.68 mm lower PMIO and 0.96 mm higher discrepancy in left and right laterotrusion compared to healthy children. Conclusion All mandibular range of motion items were restricted in children with JIA compared with healthy children. In children with JIA and TMJ involvement, AMIO, PMIO and the discrepancy between left and right laterotrusion were impaired more severely. The limitation in protrusion and laterotrusion was hardly clinically relevant. Overall, AMIO is the mandibular range of motion variable with the highest restriction (in millimeters) in children with JIA and clinically established TMJ involvement compared to healthy children.

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