Aim. Juvenile idiopathic arthritis (JIA) is a term used to indicate a disease of childhood onset characterized primarily by arthritis starting before 16th birthday. The gold standard in early diagnosis of temporomandibular involvement in JIA is the Magnetic Resonance Imaging (MRI), but it can’t be used as screening exam. Only clinical parameters can be used as screening exam. The purpose of this study is the analysis of the clinical parameters in literature, their evaluation in a group of patient (n=25) and the comparison with MRI. Methods. 25 patients of the Pediatric Rheumatology Department of Padua’s Hospital were referred for orthodontic and gnatologic evaluation. In 21 patients was available a MRI evaluation. Results. All the patients had almost one clinical symptom. Decreased mouth opening (less than 40mm) and pain occur in the early stage of disease and the most common are laterodeviation, click/crepitation and decreased mouth opening. Conclusions. All the parameters analyzed are good for detecting pathology, every child affected by JIA would get an odontostomatologic examination in order to reveal as soon as possible temporomandibular involvement.
TEMPOROMANDIBULAR JOINT INVOLVEMENT IN JUVENILE IDIOPATHIC ARTHRITIS. CLINICAL DIAGNOSIS AND MRI
FAVERO, LORENZO;STELLINI, EDOARDO;
2011
Abstract
Aim. Juvenile idiopathic arthritis (JIA) is a term used to indicate a disease of childhood onset characterized primarily by arthritis starting before 16th birthday. The gold standard in early diagnosis of temporomandibular involvement in JIA is the Magnetic Resonance Imaging (MRI), but it can’t be used as screening exam. Only clinical parameters can be used as screening exam. The purpose of this study is the analysis of the clinical parameters in literature, their evaluation in a group of patient (n=25) and the comparison with MRI. Methods. 25 patients of the Pediatric Rheumatology Department of Padua’s Hospital were referred for orthodontic and gnatologic evaluation. In 21 patients was available a MRI evaluation. Results. All the patients had almost one clinical symptom. Decreased mouth opening (less than 40mm) and pain occur in the early stage of disease and the most common are laterodeviation, click/crepitation and decreased mouth opening. Conclusions. All the parameters analyzed are good for detecting pathology, every child affected by JIA would get an odontostomatologic examination in order to reveal as soon as possible temporomandibular involvement.
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