Juvenile idiopathic arthritis overview and involvement of the temporomandibular joint: prevalence, systemic therapy

Ruy Carrasco1

  • 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.

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