Temporomandibular joint and mandibular growth alterations in patients with juvenile rheumatoid arthritis

Temporomandibular joint and mandibular growth alterations in patients with juvenile rheumatoid arthritis

Author Ronchezel, M. V. Google Scholar
Hilario, MOE Google Scholar
Goldenberg, J. Google Scholar
Lederman, H. M. Google Scholar
Faltin, K. Google Scholar
Deazevedo, M. F. Google Scholar
Naspitz, Charles Kirov Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective. To determine the frequency and type of lesions of the temporomandibular joints (TMJ) as well as orthodontic alterations present in patients with juvenile rheumatoid arthritis (JRA).Methods. Twenty-six patients had their TMJ evaluated clinically and by high resolution computer tomography. The patients were also submitted to orthodontic evaluation. Children with isolated mal-occlusion were used as a control group.Results. Computer tomography detected TMJ alterations in 13 (50%) patients with JRA. Bilateral mild lesions were the most frequent. TMJ alterations were especially observed in young patients with JRA with the systemic and polyarticular type of onset. Worse functional class and corticosteroid therapy were also related to TMJ involvement. We observed orthodontic alterations in 18 patients with JRA (69%): midline deviation, convex facial profile, Class II molar relation, crowded lower anterior teeth, anterior open bite, and reduction in the maximum opening of the mouth. Severe TMJ lesions were correlated to cephalometric alterations, suggesting decreased mandibular growth.Conclusion. TMJ involvement is very frequent in JRA and requires special care.
Keywords JUVENILE RHEUMATOID ARTHRITIS
COMPUTER TOMOGRAPHY
TEMPOROMANDIBULAR JOINT
ORTHODONTIC ASSESSMENT
Language English
Date 1995-10-01
Published in Journal Of Rheumatology. Toronto: J Rheumatol Publ Co, v. 22, n. 10, p. 1956-1961, 1995.
ISSN 0315-162X (Sherpa/Romeo, impact factor)
Publisher J Rheumatol Publ Co
Extent 1956-1961
Access rights Closed access
Type Article
Web of Science ID WOS:A1995RX86300026
URI http://repositorio.unifesp.br/11600/44646

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