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Home Temporomandibular joint involvement in a cohort of patients with Juvenile Idiopatic Arthritis...

Temporomandibular joint involvement in a cohort of patients with Juvenile Idiopatic Arthritis and evaluation of the effect induced by functional orthodontic appliance: clinical and radiographic investigation

Authors:

  • M. Portelli
    Department of Orthodontics and Paediatric Dentistry, Dental School, University of Messina, Italy
  • G. Matarese
    Department of Orthodontics and Paediatric Dentistry, Dental School, University of Messina, Italy
  • A. Militi
    Department of Orthodontics and Paediatric Dentistry, Dental School, University of Messina, Italy
  • G. LoGiudice
    Department of Orthodontics and Paediatric Dentistry, Dental School, University of Messina, Italy
  • R. Nucera
    Department of Orthodontics and Paediatric Dentistry, Dental School, University of Messina, Italy
  • A. Lucchese
    Department of Orthodontics, Dental School, Vita Salute University, San Raffaele Hospital, Milan, Italy

ABSTRACT


Aim

The aim of the study was to assess possible correlations between the clinical parameters of temporomandibular joint
(TMJ) arthritis and pathologic MRI findings of the TMJ in patients affected by juvenile idiopathic arthritis (JIA), and the effect of a
functional orthodontic therapy on the evolution of TMJ disorders.

Methods

A prospective clinical and nuclear
magnetic resonance (NMR) investigation was conducted on a sample of 53 patients (41 female, 12 male) with JIA, treated for 24
months with an Andresen appliance. The involvement of TMJ was defined by clinical and radiological signs. NMR assessments were
performed in closed and maximum opening mouth position before (T0) and at the end of functional orthodontic therapy (T1).

Results

Fifteeen patients showed physical and radiologic TMJ abnormalities. Changes were not uniformly distributed among the different JIA
subtypes. Patients with poliarticular JIA (5 peripheral joints affected) showed more destructive bony changes. No correlation existed
between clinical symptoms and NMR alterations. Approximately one half of the patients experienced significant improvement of the TMJ
and muscular pain using the Andresen appliance.

Conclusion

The prevalence of TMJ involvement in patients suffering of JIA, and
the improvement of TMJ and muscular pain associated with the use of functional appliance found in the present study, suggest an alert
for TMJ dysfunction in patients with JIA and demonstrate the utility of functional orthodontic therapy in preventing the morbidities
associated with TMJ arthritis in JIA.

PLUMX METRICS

Publication date:

Mar /2014

Keywords:

juvenile idiopathic arthritis, nuclear magnetic resonance, temporomandibular joint arthritis

Issue:

Vol.15 – n.1/2014

Page:

63 – 66

Publisher:

Ariesdue

Cite:


Harvard: M. Portelli, G. Matarese, A. Militi, G. LoGiudice, R. Nucera, A. Lucchese (2014) "Temporomandibular joint involvement in a cohort of patients with Juvenile Idiopatic Arthritis and evaluation of the effect induced by functional orthodontic appliance: clinical and radiographic investigation", European Journal of Paediatric Dentistry, 15(1), pp63-66. doi:
Vancouver: M. Portelli, G. Matarese, A. Militi, G. LoGiudice, R. Nucera, A. Lucchese. Temporomandibular joint involvement in a cohort of patients with Juvenile Idiopatic Arthritis and evaluation of the effect induced by functional orthodontic appliance: clinical and radiographic investigation. European Journal of Paediatric Dentistry [Internet]. 2014Mar.1 [cited 2025May.17];15(1):63-66. Available from: https://www.ejpd.eu/abstract-pubmed/temporomandibular-joint-involvement-in-a-cohort-of-patients-with-juvenile-idiopatic-arthritis-and-evaluation-of-the-effect-induced-by-functional-orthodontic-appliance-clinical-and-radiographic-inves/
MLA: M. Portelli, G. Matarese, A. Militi, G. LoGiudice, R. Nucera, A. Lucchese Temporomandibular joint involvement in a cohort of patients with Juvenile Idiopatic Arthritis and evaluation of the effect induced by functional orthodontic appliance: clinical and radiographic investigation. European Journal of Paediatric Dentistry. 2014;15(1):63-66

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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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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