Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations

Peter Stoustrup; Cory M Resnick; Shelly Abramowicz; Thomas K Pedersen; Ambra Michelotti; Annelise Küseler; Bernd Koos; Carlalberta Verna; Ellen B Nordal; Eric J Granquist; Josefine Mareile Halbig; Kasper D Kristensen; Leonard B Kaban; Linda Z Arvidsson; Lynn Spiegel; Matthew L Stoll; Melissa A Lerman; Mia Glerup; Patrizia Defabianis; Paula Frid; Per Alstergren; Randy Q Cron; Sarah Ringold; Sven Erik Nørholt; Timo Peltomaki; Tore A Larheim; Troels Herlin; Zachary S Peacock; Christian J Kellenberger; Marinka Twilt; The Temporomandibular Joint Juvenile Arthritis Working Group

doi:10.1002/art.42338

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations

Peter Stoustrup^*, Cory M Resnick, Shelly Abramowicz, Thomas K Pedersen, Ambra Michelotti, Annelise Küseler, Bernd Koos, Carlalberta Verna, Ellen B Nordal, Eric J Granquist, Josefine Mareile Halbig, Kasper D Kristensen, Leonard B Kaban, Linda Z Arvidsson, Lynn Spiegel, Matthew L Stoll, Melissa A Lerman, Mia Glerup, Patrizia Defabianis, Paula FridPer Alstergren, Randy Q Cron, Sarah Ringold, Sven Erik Nørholt, Timo Peltomaki, Tore A Larheim, Troels Herlin, Zachary S Peacock, Christian J Kellenberger, Marinka Twilt, The Temporomandibular Joint Juvenile Arthritis Working Group

^*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Review › Forskning › peer review

Abstract

OBJECTIVES: Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, dysfunction and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management.

OBJECTIVES: 1) To develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA. 2) To create a future research agenda related to management of TMJ arthritis in children with JIA.

METHODS: The recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during two consensus-meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: Pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study.

RESULTS: Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to: diagnosis (n=4), treatment of TMJ arthritis (active TMJ inflammation) (n=2), treatment of TMJ dysfunction and symptoms (n=3), treatment of arthritis-related dentofacial deformity (n=2), and other related aspects to JIA (n=1). Additionally, a future interdisciplinary research agenda was developed.

CONCLUSIONS: These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA. This article is protected by copyright. All rights reserved.

Originalsprog	Engelsk
Artikelnummer	42338
Tidsskrift	Arthritis & Rheumatology
Vol/bind	75
Nummer	1
Sider (fra-til)	4-14
Antal sider	11
ISSN	2326-5205
DOI	https://doi.org/10.1002/art.42338
Status	Udgivet - jan. 2023

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10.1002/art.42338Licens: CC BY-NC

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Stoustrup, P., Resnick, C. M., Abramowicz, S., Pedersen, T. K., Michelotti, A., Küseler, A., Koos, B., Verna, C., Nordal, E. B., Granquist, E. J., Halbig, J. M., Kristensen, K. D., Kaban, L. B., Arvidsson, L. Z., Spiegel, L., Stoll, M. L., Lerman, M. A., Glerup, M., Defabianis, P., ... The Temporomandibular Joint Juvenile Arthritis Working Group (2023). Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations. Arthritis & Rheumatology, 75(1), 4-14. Artikel 42338. https://doi.org/10.1002/art.42338

@article{17039bd34cfb4226a1d706041db60d12,

title = "Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations",

abstract = "OBJECTIVES: Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, dysfunction and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management.OBJECTIVES: 1) To develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA. 2) To create a future research agenda related to management of TMJ arthritis in children with JIA.METHODS: The recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during two consensus-meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: Pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study.RESULTS: Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to: diagnosis (n=4), treatment of TMJ arthritis (active TMJ inflammation) (n=2), treatment of TMJ dysfunction and symptoms (n=3), treatment of arthritis-related dentofacial deformity (n=2), and other related aspects to JIA (n=1). Additionally, a future interdisciplinary research agenda was developed.CONCLUSIONS: These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA. This article is protected by copyright. All rights reserved.",

keywords = "Arthritis, Juvenile/complications, Child, Consensus, Dentofacial Deformities, Humans, Quality of Life, Temporomandibular Joint Disorders/etiology",

author = "Peter Stoustrup and Resnick, {Cory M} and Shelly Abramowicz and Pedersen, {Thomas K} and Ambra Michelotti and Annelise K{\"u}seler and Bernd Koos and Carlalberta Verna and Nordal, {Ellen B} and Granquist, {Eric J} and Halbig, {Josefine Mareile} and Kristensen, {Kasper D} and Kaban, {Leonard B} and Arvidsson, {Linda Z} and Lynn Spiegel and Stoll, {Matthew L} and Lerman, {Melissa A} and Mia Glerup and Patrizia Defabianis and Paula Frid and Per Alstergren and Cron, {Randy Q} and Sarah Ringold and N{\o}rholt, {Sven Erik} and Timo Peltomaki and Larheim, {Tore A} and Troels Herlin and Peacock, {Zachary S} and Kellenberger, {Christian J} and Marinka Twilt and {The Temporomandibular Joint Juvenile Arthritis Working Group}",

year = "2023",

month = jan,

doi = "10.1002/art.42338",

language = "English",

volume = "75",

pages = "4--14",

journal = "Arthritis & Rheumatology",

issn = "2326-5205",

publisher = "Wiley",

number = "1",

}

Stoustrup, P, Resnick, CM, Abramowicz, S, Pedersen, TK, Michelotti, A, Küseler, A, Koos, B, Verna, C, Nordal, EB, Granquist, EJ, Halbig, JM, Kristensen, KD, Kaban, LB, Arvidsson, LZ, Spiegel, L, Stoll, ML, Lerman, MA, Glerup, M, Defabianis, P, Frid, P, Alstergren, P, Cron, RQ, Ringold, S, Nørholt, SE, Peltomaki, T, Larheim, TA, Herlin, T, Peacock, ZS, Kellenberger, CJ, Twilt, M & The Temporomandibular Joint Juvenile Arthritis Working Group 2023, 'Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations', Arthritis & Rheumatology, bind 75, nr. 1, 42338, s. 4-14. https://doi.org/10.1002/art.42338

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations. / Stoustrup, Peter; Resnick, Cory M; Abramowicz, Shelly et al.
I: Arthritis & Rheumatology, Bind 75, Nr. 1, 42338, 01.2023, s. 4-14.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Review › Forskning › peer review

TY - JOUR

T1 - Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis

T2 - Interdisciplinary consensus-based recommendations

AU - Stoustrup, Peter

AU - Resnick, Cory M

AU - Abramowicz, Shelly

AU - Pedersen, Thomas K

AU - Michelotti, Ambra

AU - Küseler, Annelise

AU - Koos, Bernd

AU - Verna, Carlalberta

AU - Nordal, Ellen B

AU - Granquist, Eric J

AU - Halbig, Josefine Mareile

AU - Kristensen, Kasper D

AU - Kaban, Leonard B

AU - Arvidsson, Linda Z

AU - Spiegel, Lynn

AU - Stoll, Matthew L

AU - Lerman, Melissa A

AU - Glerup, Mia

AU - Defabianis, Patrizia

AU - Frid, Paula

AU - Alstergren, Per

AU - Cron, Randy Q

AU - Ringold, Sarah

AU - Nørholt, Sven Erik

AU - Peltomaki, Timo

AU - Larheim, Tore A

AU - Herlin, Troels

AU - Peacock, Zachary S

AU - Kellenberger, Christian J

AU - Twilt, Marinka

AU - The Temporomandibular Joint Juvenile Arthritis Working Group

PY - 2023/1

Y1 - 2023/1

N2 - OBJECTIVES: Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, dysfunction and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management.OBJECTIVES: 1) To develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA. 2) To create a future research agenda related to management of TMJ arthritis in children with JIA.METHODS: The recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during two consensus-meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: Pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study.RESULTS: Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to: diagnosis (n=4), treatment of TMJ arthritis (active TMJ inflammation) (n=2), treatment of TMJ dysfunction and symptoms (n=3), treatment of arthritis-related dentofacial deformity (n=2), and other related aspects to JIA (n=1). Additionally, a future interdisciplinary research agenda was developed.CONCLUSIONS: These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA. This article is protected by copyright. All rights reserved.

AB - OBJECTIVES: Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, dysfunction and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management.OBJECTIVES: 1) To develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA. 2) To create a future research agenda related to management of TMJ arthritis in children with JIA.METHODS: The recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during two consensus-meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: Pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study.RESULTS: Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to: diagnosis (n=4), treatment of TMJ arthritis (active TMJ inflammation) (n=2), treatment of TMJ dysfunction and symptoms (n=3), treatment of arthritis-related dentofacial deformity (n=2), and other related aspects to JIA (n=1). Additionally, a future interdisciplinary research agenda was developed.CONCLUSIONS: These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA. This article is protected by copyright. All rights reserved.

KW - Arthritis, Juvenile/complications

KW - Child

KW - Consensus

KW - Dentofacial Deformities

KW - Humans

KW - Quality of Life

KW - Temporomandibular Joint Disorders/etiology

UR - http://www.scopus.com/inward/record.url?scp=85139428988&partnerID=8YFLogxK

U2 - 10.1002/art.42338

DO - 10.1002/art.42338

M3 - Review

C2 - 36041065

SN - 2326-5205

VL - 75

SP - 4

EP - 14

JO - Arthritis & Rheumatology

JF - Arthritis & Rheumatology

IS - 1

M1 - 42338

ER -

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary consensus-based recommendations

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