Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis

Abstract Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood and the temporomandibular joint (TMJ) is often involved. TMJ arthritis in growing individuals can cause deformation of facial skeleton (dentofacial deformity) and TMJ components (TMJ deformity). Treatment...

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Autores principales:	Peter Stoustrup, Michelle Sys Traberg, Louise Hauge Matzen, Mia Glerup, Annelise Küseler, Troels Herlin, Thomas Klit Pedersen
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3f291f80061d49acb55e58517a1c20e8
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spelling	oai:doaj.org-article:3f291f80061d49acb55e58517a1c20e82021-12-02T17:14:29ZInitial radiological signs of dentofacial deformity in juvenile idiopathic arthritis10.1038/s41598-021-92575-42045-2322https://doaj.org/article/3f291f80061d49acb55e58517a1c20e82021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92575-4https://doaj.org/toc/2045-2322Abstract Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood and the temporomandibular joint (TMJ) is often involved. TMJ arthritis in growing individuals can cause deformation of facial skeleton (dentofacial deformity) and TMJ components (TMJ deformity). Treatment outcome hinges on early initiation of anti-inflammatory treatment and orthopaedic treatment with dental splints. The aim of the present study was to characterize the radiological signs of dentofacial deformity in patients with a JIA-induced need for orthopaedic treatment. We retrospectively studied 96 patients with JIA and 20 non-JIA controls to identify the initial radiological signs of JIA-induced dentofacial deformity leading to initiation of orthopaedic treatment. We found that initial radiological signs of dentofacial deformities were subtle and characterized by minor mandibular asymmetry and occlusal plane steepening. Radiological findings of TMJ deformity associated with initial dentofacial deformity were frequent and characterized by condylar articular surface flattening (OR 8.42), condylar subcortical cyst (OR 5.94), condylar surface erosion (OR 5.38) and condylar deviation in form (OR 25.39). Radiological signs of TMJ deformity were also documented in TMJs considered “healthy” during initial clinical and radiological examination. This study presents new knowledge of importance for early diagnosis of dentofacial deformity in JIA. Early diagnosis of dentofacial deformity is important as treatment outcome is greatly influenced by timely initiation.Peter StoustrupMichelle Sys TrabergLouise Hauge MatzenMia GlerupAnnelise KüselerTroels HerlinThomas Klit PedersenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Peter Stoustrup Michelle Sys Traberg Louise Hauge Matzen Mia Glerup Annelise Küseler Troels Herlin Thomas Klit Pedersen Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
description	Abstract Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood and the temporomandibular joint (TMJ) is often involved. TMJ arthritis in growing individuals can cause deformation of facial skeleton (dentofacial deformity) and TMJ components (TMJ deformity). Treatment outcome hinges on early initiation of anti-inflammatory treatment and orthopaedic treatment with dental splints. The aim of the present study was to characterize the radiological signs of dentofacial deformity in patients with a JIA-induced need for orthopaedic treatment. We retrospectively studied 96 patients with JIA and 20 non-JIA controls to identify the initial radiological signs of JIA-induced dentofacial deformity leading to initiation of orthopaedic treatment. We found that initial radiological signs of dentofacial deformities were subtle and characterized by minor mandibular asymmetry and occlusal plane steepening. Radiological findings of TMJ deformity associated with initial dentofacial deformity were frequent and characterized by condylar articular surface flattening (OR 8.42), condylar subcortical cyst (OR 5.94), condylar surface erosion (OR 5.38) and condylar deviation in form (OR 25.39). Radiological signs of TMJ deformity were also documented in TMJs considered “healthy” during initial clinical and radiological examination. This study presents new knowledge of importance for early diagnosis of dentofacial deformity in JIA. Early diagnosis of dentofacial deformity is important as treatment outcome is greatly influenced by timely initiation.
format	article
author	Peter Stoustrup Michelle Sys Traberg Louise Hauge Matzen Mia Glerup Annelise Küseler Troels Herlin Thomas Klit Pedersen
author_facet	Peter Stoustrup Michelle Sys Traberg Louise Hauge Matzen Mia Glerup Annelise Küseler Troels Herlin Thomas Klit Pedersen
author_sort	Peter Stoustrup
title	Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
title_short	Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
title_full	Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
title_fullStr	Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
title_full_unstemmed	Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
title_sort	initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3f291f80061d49acb55e58517a1c20e8
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Initial radiological signs of dentofacial deformity in juvenile idiopathic arthritis

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