Relationship between juvenile idiopathic arthritis and temporomandibular disorders: a literature review
Keywords:Juvenile Idiopathic Arthritis; Temporomandibular Joint; Temporomandibular Joint Dysfunction Syndrome; Rehabilitation; Diagnosis.
The aim of this article was to conduct a review on Juvenile Idiopathic Arthritis (JIA), highlighting the impairment of the temporomandibular joints (TMJs) and the orofacial consequences of this pathology, including its possible relationship with signs and symptoms of Temporomandibular Disorders (TMDs), as well as the indicated therapeutic approaches. A search for articles was carried out in the “Pubmed” and “SciELO” databases from November 2018 to January 2019 using the following descriptors: «temporomandibular joint (TMJ) AND arthritis», «Juvenile idiopathic arthritis (JIA) AND treatment AND JIA »and« orofacial AND manifestations AND JIA »and their respective in Portuguese. Inclusion criteria were articles describing JIA in the TMJ, with an emphasis on diagnosis, consequences and treatment. The exclusion criteria were given by bibliographic relevance, articles with publications prior to 2012 and articles without full access to the content. Hundred complete articles were obtained, of which 21 were used as an appropriate scientific basis, after analysis and selection and obeying the inclusion and exclusion criteria. A book was considered relevant to the research. JIA constantly affects the temporomandibular joints causing various types of orofacial changes and dysfunctions in that joint. Early diagnosis is difficult, but of paramount importance, as it aims to minimize future complications, both at the occlusal level, as well as interfering with the normal growth of the mandible. The differential and early diagnosis between TMD and JIA is extremely important, as it will serve as a basis for choosing the most appropriate treatment for these patients.
Abramowicz, S., Levy, J. M., Prahalad, S., Travers, C. D., & Angeles-Han, S. T. (2019). Temporomandibular joint involvement in children with juvenile idiopathic arthritis: a preliminary report. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 127(1), 19–23.
Carvalho, R. T. de, Braga, F. S. F. F., Brito, F., Capelli Junior, J., Figueredo, C. M., & Sztajnbok, F. R. (2012). Alterações da articulação temporomandibular e suas repercussões orofaciais em pacientes portadores de artrite idiopática juvenil. Revista Brasileira de Reumatologia, 52(6), 907–911.
Chatzigianni, A., Kyprianou, C., Papadopoulos, M. A., & Sidiropoulou, S. (2018). Dentoalveolar characteristics in children with juvenile idiopathic arthritis. Journal of Orofacial Orthopedics/Fortschritte Der Kieferorthopadie, 79(2), 133–139.
Del Giudice, E., Swart, J. F., & Wulffraat, N. M. (2017). Juvenile Idiopathic Arthritis. In Comorbidity in Rheumatic Diseases (Vol. 69, pp. 265–288). Cham: Springer International Publishing.
dos Santos Silveira, O., Cristina Santos Silva, F., Eduardo Neves de Almeida, C., Mesquita Tuji, F., Isaias Seraidarian, P., & Ricardo Manzi, F. (2014). Use of ct for diagnosing temporomandibular joint. Revista CEFAC, 16(6), 2053–2059.
Farronato, G., Carletti, V., Maspero, C., Farronato, D., Giannini, L., & Bellintani, C. (2009). Craniofacial growth in children affected by juvenile idiopathic arthritis involving the temporomandibular joint: Functional therapy management. Journal of Clinical Pediatric Dentistry, 33(4), 351–357.
Granquist, E. J. (2018). Treatment of the Temporomandibular Joint in a Child with Juvenile Idiopathic Arthritis. Oral and Maxillofacial Surgery Clinics of North America, 30(1), 97–107.
Hügle, B., Spiegel, L., Hotte, J., Wiens, S., Herlin, T., Cron, R. Q., … Twilt, M. (2017). Isolated arthritis of the temporomandibular joint as the initial manifestation of juvenile idiopathic arthritis. Journal of Rheumatology, 44(11), 1632–1635.
Klenke, D., Quast, A., Prelog, M., Holl-Wieden, A., Riekert, M., Stellzig-Eisenhauer, A., & Meyer-Marcotty, P. (2018). TMJ pathomorphology in patients with JIA-radiographic parameters for early diagnosis. Head and Face Medicine, 14(1), 1–9.
Kovalko, I., Stoustrup, P., & Twilt, M. (2018). Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis: Challenges in Diagnosis, Treatment, and Outcomes. Current Treatment Options in Rheumatology, 4(1), 44–54.
Leksell, E., Hallberg, U., Horne, A., Ernberg, M., & Hedenberg-Magnusson, B. (2017). Parenting a Child with Juvenile Idiopathic Arthritis, Orofacial Pain, and Dysfunction: A Qualitative Study. Journal of Oral & Facial Pain and Headache, 31(4), 353–361.
Maliki, A. D., & Sztajnbok, F. R. (2016). Artrite Idiopática Juvenil: Atualização. Revista Hospital Universitário Pedro Ernesto, 15(2), 140–145.
Montesinos, G. A., Agudo, R. C. P., Oliveira, A. C. de, James, A. A., Oliveira, J. X., & Araujo, J. P. (2018). Magnetic resonance imaging changes in pediatric temporomandibular joint: literature review. Clinical and Laboratorial Research in Dentistry, 1–8.
Niibo, P., Pruunsild, C., Voog-Oras, Ü., Nikopensius, T., Jagomägi, T., & Saag, M. (2016). Contemporary management of TMJ involvement in JIA patients and its orofacial consequences. EPMA Journal, 7(1), 12. https://doi.org/10.1186/s13167-016-0061-7
Okeson, J. P. (2011). Tratamento das desordens temporomandibulares e oclusão. Rio de Janeiro: Elsevier.
Pereira, A.S., Shitsuka, D.M., Parreira, F.J., & Shitsuka, R. (2018). Methodology of cientific research. Santa Maria: UAB / NTE / UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Piancino, M. G., Cannavale, R., Dalmasso, P., Tonni, I., Garagiola, U., Perillo, L., & Olivieri, A. N. (2018). Cranial structure and condylar asymmetry of patients with juvenile idiopathic arthritis: a risky growth pattern. Clinical Rheumatology, 37(10), 2667–2673.
Pinto, J. R. R., Pedron, I. G., Utumi, E. R., Miranda, M. E., Pinto, E. C. P., & Nucci, L. P. (2018). Temporomandibular joint disorders as the only manifestation of juvenile idiopathic arthritis: a case report. Einstein (São Paulo), 16(3), 1–4.
Rigante, D., Bosco, A., & Esposito, S. (2015). The Etiology of Juvenile Idiopathic Arthritis. Clinical Reviews in Allergy and Immunology, 49(2), 253–261.
Rongo, R., Alstergren, P., Ammendola, L., Bucci, R., Alessio, M., D’Antò, V., & Michelotti, A. (2019). Temporomandibular joint damage in juvenile idiopathic arthritis: Diagnostic validity of diagnostic criteria for temporomandibular disorders. Journal of Oral Rehabilitation, 46(5), 450–459.
Stoll, M. L., Amin, D., Powell, K. K., Poholek, C. H., Strait, R. H., Aban, I., … Waite, P. D. (2018). Risk factors for intraarticular heterotopic bone formation in the temporomandibular joint in Juvenile idiopathic arthritis. Journal of Rheumatology, 45(9), 1301–1307.
Stoor, P., Hodzic, Z., & Arte, S. (2018). Surgical Treatment of Dentofacial Deformities Caused by Juvenile Idiopathic Arthritis. Journal of Craniofacial Surgery, 29(1), e51–e57.
Stoustrup, P., Kristensen, K. D., Verna, C., Küseler, A., Herlin, T., & Pedersen, T. K. (2012). Orofacial symptoms related to temporomandibular joint arthritis in juvenile idiopathic arthritis: Smallest detectable difference in self-reported pain intensity. Journal of Rheumatology, 39(12), 2352–2358.
How to Cite
Copyright (c) 2021 Lucas Oliveira Macêdo; Ery Jeverson Tolentino Severo; Josinaldo Maria da Silva Filho; Rejane Targino Soares Beltrão; Robinson Viégas Montenegro; André Ulisses Dantas Batista
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.