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Home Juvenile idiopathic arthritis and the temporomandibular joint: a case-control study of magnetic...

Juvenile idiopathic arthritis and the temporomandibular joint: a case-control study of magnetic resonance imaging findings in relation to clinical and psychosocial factors

Authors:

  • A. Dimitrijevic Carlsson
    Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden. Center for Oral Rehabilitation, in Linköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden
  • K. Wahlund
    Department of Orofacial Pain and Jaw Function, Kalmar County Hospital, Kalmar, Sweden
  • E. Klintstrom
    Center for Medical Image Science and Visualization (CMIV) and Department of Radiology in Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
  • H. Salé
    Department of Neuroradiology, Center of Medical imaging and Physiology, Skåne University Hospital, Lund, Sweden
  • E. Kindgren
    Department of Pediatrics, Västervik Hospital, Västervik, Sweden. Division of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden. Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden
  • C. Starkhammar Johansson
    Center for Oral Rehabilitation, in Linköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
  • P. Alstergren
    Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden. Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden. Skåne University Hospital, Specialized Pain Rehabilitation, Lund, Sweden. Orofacial Pain Unit, Malmö University, Malmö, Sweden

DOI:

https://doi.org/10.23804/ejpd.2023.24.01.12

ABSTRACT


Aim

In juvenile idiopathic arthritis (JIA), the temporomandibular joint (TMJ) is a particularly challenging joint to assess both clinically and with imaging. The aim of this article is to investigate TMJ magnetic resonance imaging (MRI) findings in relation to clinical and psychosocial factors in patients with JIA and healthy individuals related to TMJ arthritis in JIA.

Material and methods

In total, 45 patients (6–16 years) with JIA and 16 healthy age- and sex-matched controls were examined according to the diagnostic criteria for temporomandibular disorders (DC/TMD). The subjects answered questionnaires about psychosocial factors (pain intensity, pain-related disability, depression, stress, catastrophising, pain locations, and jaw function) and underwent bilateral MRI of the TMJ.

Results

There were no significant differences between JIA patients and healthy individuals in any of the TMJ MRI findings. Moderate/severe changes among JIA patients were found only for effusion, synovial thickening, condylar flattening, and erosion, with no moderate/severe changes in healthy individuals. In JIA patients, orofacial pain intensity was related to TMJ bone marrow oedema, and pain in jaw muscles during jaw function was related to TMJ bone marrow oedema and erosion. There were no significant correlations between psychosocial aspects and MRI findings.

Conclusion

This study indicates a substantial overlap of TMJ MRI findings in both the inflammatory domain and the damage domain between JIA patients and healthy individuals. In JIA patients, the inflammatory MRI sign of bone marrow oedema seems to influence orofacial pain intensity.

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Publication date:

February /2023

Keywords:

Orofacial pain, Psychosocial factors, juvenile idiopathic arthritis, magnetic resonance imaging, temporomandibular joint

Issue:

Vol.24 – n.1/2023

Page:

69 – 76

Publisher:

Ariesdue

Topic:

Children with special health care needs

Cite:


Harvard: A. Dimitrijevic Carlsson, K. Wahlund, E. Klintstrom, H. Salé, E. Kindgren, C. Starkhammar Johansson, P. Alstergren (2023) "Juvenile idiopathic arthritis and the temporomandibular joint: a case-control study of magnetic resonance imaging findings in relation to clinical and psychosocial factors", European Journal of Paediatric Dentistry, 24(1), pp69-76. doi: 10.23804/ejpd.2023.24.01.12
Vancouver: A. Dimitrijevic Carlsson, K. Wahlund, E. Klintstrom, H. Salé, E. Kindgren, C. Starkhammar Johansson, P. Alstergren. Juvenile idiopathic arthritis and the temporomandibular joint: a case-control study of magnetic resonance imaging findings in relation to clinical and psychosocial factors. European Journal of Paediatric Dentistry [Internet]. 2023Feb.24 [cited 2023Mar.21];24(1):69-76. Available from: https://www.ejpd.eu/abstract-pubmed/juvenile-idiopathic-arthritis-and-the-temporomandibular-joint-a-case-control-study-of-magnetic-resonance-imaging-findings-in-relation-to-clinical-and-psychosocial-factors/
MLA: A. Dimitrijevic Carlsson, K. Wahlund, E. Klintstrom, H. Salé, E. Kindgren, C. Starkhammar Johansson, P. Alstergren Juvenile idiopathic arthritis and the temporomandibular joint: a case-control study of magnetic resonance imaging findings in relation to clinical and psychosocial factors. European Journal of Paediatric Dentistry. 2023;24(1):69-76

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    Editor in chief: dott. Luigi Paglia
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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