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Juvenile idiopathic arthritis overview and involvement of the temporomandibular joint: prevalence, systemic therapy
1Division of Rheumatology, Rheumatology, Dell Children's Medical Center of Central Texas, 1301 Barbara Jordan Boulevard, #200, Austin, TX 78723, USA.
Insights
Juvenile idiopathic arthritis frequently affects the temporomandibular joint (TMJ). This review covers TMJ classification, treatment, and its prevalence in children with inflammatory arthritis.
Area of Science:
- Rheumatology
- Orthodontics
- Pediatric Medicine
Background:
- Temporomandibular joint (TMJ) involvement is a recognized complication of inflammatory arthritides.
- TMJ disease is notably prevalent in juvenile arthritis cases.
- Research on TMJ arthritis predominantly focuses on pediatric populations.
Purpose of the Study:
- To review the classification of temporomandibular joint involvement in juvenile idiopathic arthritis.
- To discuss current treatment strategies for TMJ arthritis in children.
- To highlight the prevalence and significance of TMJ disease in juvenile idiopathic arthritis.
Main Methods:
- Literature review of studies on TMJ arthritis in juvenile idiopathic arthritis.
- Analysis of data on the prevalence and extent of TMJ involvement.
- Synthesis of information on classification and treatment approaches.
Main Results:
- Juvenile idiopathic arthritis (JIA) shows a high prevalence of temporomandibular joint (TMJ) involvement.
- Significant differences exist between adult and pediatric inflammatory arthritides affecting the TMJ.
- Existing research emphasizes TMJ arthritis within the context of JIA.
Conclusions:
- Temporomandibular joint (TMJ) arthritis is a critical aspect of juvenile idiopathic arthritis (JIA) management.
- Understanding TMJ involvement is essential for effective treatment of pediatric inflammatory arthritis.
- Further research is warranted to fully elucidate TMJ pathophysiology in JIA.
Abstract:
The temporomandibular joint (TMJ) is one of the many joints involved in the inflammatory arthritides. As imaging of joints has developed, so have the data regarding extent and prevalence of TMJ involvement in these diseases. TMJ disease is especially prevalent in juvenile arthritis. The adult and pediatric inflammatory arthritides share common pathophysiology but are still markedly different. The preponderance of TMJ arthritis research exists in juvenile arthritis. This article discusses classification, treatment, and TMJ involvement in juvenile idiopathic arthritis.
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