Facioskeletal changes in children with juvenile idiopathic arthritis

Ann Rheum Dis. 2006 Jun;65(6):823-5. doi: 10.1136/ard.2005.042671.

Abstract

Objective: To investigate the facioskeletal morphology in patients with juvenile idiopathic arthritis (JIA) with and without temporomandibular joint (TMJ) involvement.

Methods: Eighty five patients were included. TMJ involvement was defined by orthopantomogram alterations. Lateral cephalograms were used to determine linear and angular measurements and occlusion.

Results: Patients regardless of their TMJ status had a 67% chance for retrognathia and a 52% chance for posterior rotation of the mandible and, respectively, 82% and 58% if TMJ involvement were present. Changes were not uniformly distributed among the different subtypes.

Conclusion: Patients with JIA have an altered facial morphology, especially in the presence of TMJ involvement.

MeSH terms

  • Adolescent
  • Arthritis, Juvenile / complications
  • Arthritis, Juvenile / diagnostic imaging*
  • Case-Control Studies
  • Cephalometry
  • Child
  • Female
  • Humans
  • Male
  • Mandible / diagnostic imaging
  • Maxillofacial Development
  • Radiography, Panoramic
  • Retrognathia / diagnostic imaging
  • Temporomandibular Joint / diagnostic imaging*
  • Temporomandibular Joint Disorders / complications
  • Temporomandibular Joint Disorders / diagnostic imaging*