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[Juvenile idiopathic arthritis].

E J H Schatorjé, A van Royen-Kerkhof

    Nederlands Tijdschrift Voor Tandheelkunde
    |February 21, 2018
    PubMed
    Summary

    Juvenile idiopathic arthritis (JIA) can cause dental issues, including temporomandibular joint (TMJ) arthritis. Early detection by dentists is crucial for managing this common childhood inflammatory joint disease.

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    Area of Science:

    • Pediatric Rheumatology
    • Pediatric Dentistry
    • Oral Medicine

    Background:

    • Juvenile idiopathic arthritis (JIA) is a leading cause of chronic childhood joint inflammation.
    • JIA presents with 7 subtypes based on early symptoms, influencing treatment.
    • Dental complications are common in JIA patients.

    Purpose of the Study:

    • To highlight the dental complications associated with JIA.
    • To emphasize the diagnostic challenges of temporomandibular joint (TMJ) arthritis in JIA.
    • To explore the potential role of dentists in identifying TMJ arthritis in children with JIA.

    Main Methods:

    • Review of existing literature on JIA and its oral manifestations.
    • Analysis of common dental problems in JIA patients, including caries, stomatitis, and candidiasis.
    • Discussion of the clinical presentation and diagnostic difficulties of TMJ arthritis in JIA.

    Main Results:

    • JIA patients are at increased risk for dental caries.
    • Methotrexate use can lead to stomatitis, and immunosuppressants may cause oral candidiasis.
    • Temporomandibular joint (TMJ) arthritis is a challenging complication to detect in routine JIA care.

    Conclusions:

    • Dental health monitoring is essential for children with JIA.
    • Dentists are well-positioned to identify early signs of TMJ arthritis in JIA patients.
    • Interdisciplinary collaboration between rheumatologists and dentists can improve JIA management.

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