Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis: Challenges in Diagnosis, treatment, and Outcomes

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  • Ilya Kovalko, Queens University, Kingston, ON, Canada
  • Peter Bangsgaard Stoustrup
  • Marinka Twilt, Division of Rheumatology, Department of Pediatrics, Alberta Children’s Hospital, University of Calgary, Canada
Purpose of the review Juvenile idiopathic arthritis (JIA) is the most common arthritis in the
pediatric population. Manifestation of arthritis in the temporomandibular joint (TMJ)
presents unique challenges in diagnosis and treatment. This review critically analyzes
recent literature, emphasizes new findings, and offers guidance on controversial clinical
practices.
Recent findings Imaging: Magnetic resonance imaging with gadolinium contrast (Gd-MRI)
is the current gold standard for diagnosis. A new TMJ-MRI scoring system has been
developed by the Omeract JIA interest group. Clinical examination: Consensus-based
clinical orofacial examination recommendations for monitoring patients have been developed
and are currently validated. Treatment: Treatment of TMJ arthritis includes local and
systemic drug therapy, treatment with orthodontic devices, and potentially maxilla-facial
surgery.
Summary A novel Gd-MRI scoring system and clinical examination recommendations for
evaluating TMJ arthritis in JIA patients are available, enabling physicians to compare
patients and treatment responses. Intra-articular injections should only be used in certain
Original languageEnglish
Article number4
JournalCurrent Treatment Options in Rheumatology
Pages (from-to)44-54
Number of pages11
ISSN2198-6002
DOIs
Publication statusPublished - Jan 2018

Bibliographical note

This article is part of the Topical Collection on Pediatric Rheumatology

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