Surgical correction of dentofacial deformities in juvenile idiopathic arthritis: a systematic literature review

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

DOI

  • P. Frid, University Hospital of North Norway
  • ,
  • C. Resnick, Harvard School of Dental Medicine and Harvard Medical School, Boston Children's Hospital
  • ,
  • S. Abramowicz, Emory University School of Medicine
  • ,
  • P. Stoustrup
  • S. E. Nørholt

The aim of this study was to assess current evidence for the surgical correction of dentofacial deformities in patients with temporomandibular joint (TMJ) involvement from juvenile idiopathic arthritis (JIA). A systematic literature review, according to the PRISMA guidelines, was conducted. Meta-analyses, randomized controlled trials, cohort studies, observational studies, and case reports were eligible for inclusion. Exclusion criteria were no JIA diagnosis, no clearly defined outcomes, dual publications (except meta-analyses), non peer-reviewed studies, non English language publications, and animal studies. The outcome measures assessed were TMJ function, skeletal alignment, and morbidity. The database search identified 255 citations, of which 28 met the eligibility criteria. Of these, 24 were case reports or case series with a low level of evidence that did not allow for meta-analysis. Extrapolated evidence supports orthognathic surgery in skeletally mature patients with controlled or quiescent JIA and a stable dentofacial deformity. Distraction osteogenesis was recommended for severe deformities. Some authors demonstrated unpredictable postoperative mandibular growth with costochondral grafts. Alloplastic TMJ reconstruction was efficacious, but should be used cautiously in skeletally immature patients. TMJ function and skeletal alignment was improved with reconstruction by any technique and morbidity was low. The surgical correction of arthritis-induced dentofacial deformities is indicated but the level of evidence is low. Prospective multicenter studies are needed.

OriginalsprogEngelsk
TidsskriftInternational Journal of Oral and Maxillofacial Surgery
Vol/bind48
Nummer8
Sider (fra-til)1032-1042
Antal sider11
ISSN0901-5027
DOI
StatusUdgivet - 2019

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