Linda Z Arvidsson1, Berit Flatø, Tore A Larheim. 1. Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway. lindaza@odont.uio.no
Abstract
OBJECTIVE: The objective of this study was to assess temporomandibular joint (TMJ) abnormalities in juvenile idiopathic arthritis (JIA) by longitudinal radiographic examinations from childhood to adulthood. STUDY DESIGN: Radiographic TMJ evaluations of 60 JIA patients were obtained at baseline (mean age 8.6 years, mean disease duration 3.2 years) and 1 to 3 times thereafter, with the final examination on average 27 years after baseline. A radiographic grading system for severity of TMJ abnormality was applied. RESULTS: Cumulative radiographic TMJ abnormalities increased from baseline to final examination (42% to 75%, P < .001), as did bilateral TMJ involvement (60% to 82%, P < .001). Of patients with TMJ abnormalities, 53% showed progression, and 16% revealed signs of improvement. TMJ abnormalities were associated with physical limitations at baseline and reduced well-being and more extensive joint involvement at the final examination. CONCLUSION: The frequency of TMJ abnormalities in JIA was high and increased from childhood to adulthood. Although progression of TMJ abnormalities was the general rule, near normalization also occurred on occasion.
OBJECTIVE: The objective of this study was to assess temporomandibular joint (TMJ) abnormalities in juvenile idiopathic arthritis (JIA) by longitudinal radiographic examinations from childhood to adulthood. STUDY DESIGN: Radiographic TMJ evaluations of 60 JIA patients were obtained at baseline (mean age 8.6 years, mean disease duration 3.2 years) and 1 to 3 times thereafter, with the final examination on average 27 years after baseline. A radiographic grading system for severity of TMJ abnormality was applied. RESULTS: Cumulative radiographic TMJ abnormalities increased from baseline to final examination (42% to 75%, P < .001), as did bilateral TMJ involvement (60% to 82%, P < .001). Of patients with TMJ abnormalities, 53% showed progression, and 16% revealed signs of improvement. TMJ abnormalities were associated with physical limitations at baseline and reduced well-being and more extensive joint involvement at the final examination. CONCLUSION: The frequency of TMJ abnormalities in JIA was high and increased from childhood to adulthood. Although progression of TMJ abnormalities was the general rule, near normalization also occurred on occasion.
Authors: Elka Miller; Emilio J Inarejos Clemente; Nikolay Tzaribachev; Saurabh Guleria; Mirkamal Tolend; Arthur B Meyers; Thekla von Kalle; Jennifer Stimec; Bernd Koos; Simone Appenzeller; Linda Z Arvidsson; Eva Kirkhus; Andrea S Doria; Christian J Kellenberger; Tore A Larheim Journal: Pediatr Radiol Date: 2018-05-08
Authors: Daniela Klenke; Anja Quast; Martina Prelog; Annette Holl-Wieden; Maximilian Riekert; Angelika Stellzig-Eisenhauer; Philipp Meyer-Marcotty Journal: Head Face Med Date: 2018-09-17 Impact factor: 2.151