Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report

Introduction: Like any other synovial joint, the temporomandibular joint (TMJ) can be involved in juvenile idiopathic arthritis. TMJ can be affected unilaterally and bilaterally at the beginning or during the course of the disease, and can also often be affected by the first and only affected joint...

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Autores principales:	Lúbia Cerqueira Costa, Maurílio Araújo Pêgas, Rodolfo Gonçalves Lima, Josemar Parreira Guimarães
Formato:	article
Lenguaje:	EN PT
Publicado:	Universidade Federal de Juiz de Fora 2021
Materias:	Temporomandibular Joint Disorders Juvenile arthritis Signs and Symptoms Therapeutics Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1df8f15c283845d9bf57f61d5769173b
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spelling	oai:doaj.org-article:1df8f15c283845d9bf57f61d5769173b2021-11-15T13:30:35ZApproach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report10.34019/1982-8047.2021.v47.347040103-31231982-8047https://doaj.org/article/1df8f15c283845d9bf57f61d5769173b2021-11-01T00:00:00Zhttps://periodicos.ufjf.br/index.php/hurevista/article/view/34704https://doaj.org/toc/0103-3123https://doaj.org/toc/1982-8047 Introduction: Like any other synovial joint, the temporomandibular joint (TMJ) can be involved in juvenile idiopathic arthritis. TMJ can be affected unilaterally and bilaterally at the beginning or during the course of the disease, and can also often be affected by the first and only affected joint. Objective: To describe the clinical case of the patient diagnosed with temporomandibular disorder due to juvenile idiopathic arthritis, emphasizing the need for professionals to address the temporomandibular joint even in the absence of clinical symptoms. Case Report: Child, male, 10 years old, diagnosed with juvenile idiopathic arthritis, complained of pain in the region of the temporomandibular joint and limited mouth opening. During the clinical examination, he did not report pain on accessory muscles palpation, masticatory and cervical muscles. However, during palpation of the temporomandibular joint, it was found the presence of bilateral pain and decreased mouth opening, the maximum forced opening, with pain, marked 18 mm. The examination by cone beam computed tomography was requested and images out of the normal range were observed in both heads of the mandible, with the left side being more affected, showing flattening and erosion. After examining the exams, a diagnosis suggestive of type 3 internal derangement was reached. Thus, the proposed treatment consisted of using an occlusal splint and physiotherapeutic follow-up to reduce painful symptoms and increase mouth opening. After two weeks, an increase of 4 mm in the mouth opening was noted, with no effort or pain. After 3 months of proservation, an opening of 32 mm was observed with a stable patient regarding the initial complaints. Conclusion: The approach of the temporomandibular joint is extremely important in patients with juvenile idiopathic arthritis, since this association occurs quietly in most cases. Early recognition is essential in favor of favorable conducts and prognoses. Lúbia Cerqueira CostaMaurílio Araújo PêgasRodolfo Gonçalves LimaJosemar Parreira GuimarãesUniversidade Federal de Juiz de ForaarticleTemporomandibular Joint DisordersJuvenile arthritisSigns and SymptomsTherapeuticsMedicine (General)R5-920ENPTHU Revista, Vol 47 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Temporomandibular Joint Disorders Juvenile arthritis Signs and Symptoms Therapeutics Medicine (General) R5-920
spellingShingle	Temporomandibular Joint Disorders Juvenile arthritis Signs and Symptoms Therapeutics Medicine (General) R5-920 Lúbia Cerqueira Costa Maurílio Araújo Pêgas Rodolfo Gonçalves Lima Josemar Parreira Guimarães Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report
description	Introduction: Like any other synovial joint, the temporomandibular joint (TMJ) can be involved in juvenile idiopathic arthritis. TMJ can be affected unilaterally and bilaterally at the beginning or during the course of the disease, and can also often be affected by the first and only affected joint. Objective: To describe the clinical case of the patient diagnosed with temporomandibular disorder due to juvenile idiopathic arthritis, emphasizing the need for professionals to address the temporomandibular joint even in the absence of clinical symptoms. Case Report: Child, male, 10 years old, diagnosed with juvenile idiopathic arthritis, complained of pain in the region of the temporomandibular joint and limited mouth opening. During the clinical examination, he did not report pain on accessory muscles palpation, masticatory and cervical muscles. However, during palpation of the temporomandibular joint, it was found the presence of bilateral pain and decreased mouth opening, the maximum forced opening, with pain, marked 18 mm. The examination by cone beam computed tomography was requested and images out of the normal range were observed in both heads of the mandible, with the left side being more affected, showing flattening and erosion. After examining the exams, a diagnosis suggestive of type 3 internal derangement was reached. Thus, the proposed treatment consisted of using an occlusal splint and physiotherapeutic follow-up to reduce painful symptoms and increase mouth opening. After two weeks, an increase of 4 mm in the mouth opening was noted, with no effort or pain. After 3 months of proservation, an opening of 32 mm was observed with a stable patient regarding the initial complaints. Conclusion: The approach of the temporomandibular joint is extremely important in patients with juvenile idiopathic arthritis, since this association occurs quietly in most cases. Early recognition is essential in favor of favorable conducts and prognoses.
format	article
author	Lúbia Cerqueira Costa Maurílio Araújo Pêgas Rodolfo Gonçalves Lima Josemar Parreira Guimarães
author_facet	Lúbia Cerqueira Costa Maurílio Araújo Pêgas Rodolfo Gonçalves Lima Josemar Parreira Guimarães
author_sort	Lúbia Cerqueira Costa
title	Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report
title_short	Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report
title_full	Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report
title_fullStr	Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report
title_full_unstemmed	Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report
title_sort	approach to temporomandibular disorders in a patient with internal derangement type iii associated with the presence of juvenile idiopathic arthritis: a case report
publisher	Universidade Federal de Juiz de Fora
publishDate	2021
url	https://doaj.org/article/1df8f15c283845d9bf57f61d5769173b
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Approach to temporomandibular disorders in a patient with internal derangement type III associated with the presence of juvenile idiopathic arthritis: a case report

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