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Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Jaw disorders in the pediatric population
Lauren M Horton1, Rita Marie John2, Hiroyuki Karibe3
1School of Nursing, Columbia University, New York, New York.
Journal of the American Association of Nurse Practitioners
|October 21, 2015
Summary
Temporomandibular joint disorders (TMDs) affect children and adolescents, increasing with age. Pediatric providers should diagnose and manage TMDs, but more research is needed for effective, child-specific care.
Area of Science:
- Pediatric Dentistry
- Oral and Maxillofacial Surgery
- Rheumatology
Background:
- Temporomandibular joint disorders (TMDs) are prevalent in adults but also occur in pediatric populations.
- TMD prevalence increases during adolescence.
- Limited research exists specifically on pediatric TMDs.
Purpose of the Study:
- To review the etiology, risk factors, history, and physical assessment of TMDs in children.
- To highlight the role of pediatric providers in diagnosing and initiating TMD treatment.
- To discuss controversies and research gaps in pediatric TMDs.
Main Methods:
- Computerized literature search of PubMed and Ovid Medline (2006-2012).
- Inclusion of seminal articles published before 2006.
- Hand searching of relevant articles (2012-2015).
Main Results:
- TMDs are found in pediatric patients, with increasing prevalence during adolescence.
- Adequate history and physical examination of the temporomandibular joint (TMJ) and masticatory muscles are crucial.
- Initial education and management, followed by appropriate referrals, are critical.
Conclusions:
- TMD is a relevant condition in the pediatric population.
- Further research is necessary to develop pediatric-specific diagnostic and treatment guidelines.
- Pediatric providers play a key role in early identification and management of TMDs.
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