Temporomandibular joint alterations and their orofacial complications in patients with juvenile idiopathic arthritis.
Identifieur interne : 000277 ( Main/Exploration ); précédent : 000276; suivant : 000278Temporomandibular joint alterations and their orofacial complications in patients with juvenile idiopathic arthritis.
Auteurs : Renata Teixeira De Carvalho [Brésil] ; Flávia Silva Farah Ferreira Braga ; Fernanda Brito ; Jonas Capelli Junior ; Carlos Marcelo Figueredo ; Flávio Roberto SztajnbokSource :
- Revista brasileira de reumatologia [ 1809-4570 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- étiologie : Asymétrie faciale, Maladies de la bouche, Maladies des dents, Troubles de l'articulation temporomandibulaire.
- complications : Adolescent, Arthrite juvénile, Enfant, Enfant d'âge préscolaire, Humains.
English descriptors
- KwdEn :
- MESH :
- complications : Arthritis, Juvenile.
- etiology : Facial Asymmetry, Mouth Diseases, Temporomandibular Joint Disorders, Tooth Diseases.
- Adolescent, Child, Child, Preschool, Humans.
Abstract
Patients with juvenile idiopathic arthritis (JIA) can have alterations in bone metabolism and skeletal growth, as well as damage to the temporomandibular joint (TMJ), which can generate extra and/or intraoral alterations, resulting in craniofacial disorders. Our goal is to carry out a review of the literature on orofacial alterations in patients with JIA. Among the orofacial disorders in patients with JIA, alterations in mandibular growth, caused by dysfunctions in the TMJ region, seem highly prevalent in these patients. The most often found alterations are: retrognathia, micrognathia, anterior open bite, dental crowding, facial asymmetry and mouth opening limitation. Thus, the rheumatologist becomes a key agent in the early detection of these disorders, helping with patient referral to a dentist. The diagnosis, in turn, should be performed by the orthodontist, using clinical examination and imaging methods, allowing early treatment and a favorable prognosis. TMJ disorders should be treated by a multidisciplinary team, including pharmacological treatment for pain control and dental care through functional appliance and/or orthodontic therapy, physical therapy and sometimes, speech therapy. We conclude that among the orofacial disorders in patients with JIA, alterations in mandibular growth generated by dysfunctions in the TMJ region seem highly prevalent. Such dysfunctions can cause mainly open bite, mandibular retrusion, micrognathia, dental crowding and facial asymmetry. The rheumatologist can detect these alterations at an early stage, with immediate patient referral to a team that should preferably be a multidisciplinary one, consisting of an orthodontist, physical therapist and speech therapist, to reduce future occlusal and mandibular growth complications.
PubMed: 23223701
Affiliations:
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Fernanda" sort="Brito, Fernanda" uniqKey="Brito F" first="Fernanda" last="Brito">Fernanda Brito</name></author><author><name sortKey="Capelli Junior, Jonas" sort="Capelli Junior, Jonas" uniqKey="Capelli Junior J" first="Jonas" last="Capelli Junior">Jonas Capelli Junior</name></author><author><name sortKey="Figueredo, Carlos Marcelo" sort="Figueredo, Carlos Marcelo" uniqKey="Figueredo C" first="Carlos Marcelo" last="Figueredo">Carlos Marcelo Figueredo</name></author><author><name sortKey="Sztajnbok, Flavio Roberto" sort="Sztajnbok, Flavio Roberto" uniqKey="Sztajnbok F" first="Flávio Roberto" last="Sztajnbok">Flávio Roberto Sztajnbok</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23223701</idno><idno type="pmid">23223701</idno><idno type="wicri:Area/Main/Corpus">000263</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000263</idno><idno 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sort="Braga, Flavia Silva Farah Ferreira" uniqKey="Braga F" first="Flávia Silva Farah Ferreira" last="Braga">Flávia Silva Farah Ferreira Braga</name></author><author><name sortKey="Brito, Fernanda" sort="Brito, Fernanda" uniqKey="Brito F" first="Fernanda" last="Brito">Fernanda Brito</name></author><author><name sortKey="Capelli Junior, Jonas" sort="Capelli Junior, Jonas" uniqKey="Capelli Junior J" first="Jonas" last="Capelli Junior">Jonas Capelli Junior</name></author><author><name sortKey="Figueredo, Carlos Marcelo" sort="Figueredo, Carlos Marcelo" uniqKey="Figueredo C" first="Carlos Marcelo" last="Figueredo">Carlos Marcelo Figueredo</name></author><author><name sortKey="Sztajnbok, Flavio Roberto" sort="Sztajnbok, Flavio Roberto" uniqKey="Sztajnbok F" first="Flávio Roberto" last="Sztajnbok">Flávio Roberto Sztajnbok</name></author></analytic><series><title level="j">Revista brasileira de reumatologia</title><idno type="eISSN">1809-4570</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Arthritis, Juvenile (complications)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Facial Asymmetry (etiology)</term><term>Humans (MeSH)</term><term>Mouth Diseases (etiology)</term><term>Temporomandibular Joint Disorders (etiology)</term><term>Tooth Diseases (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Arthrite juvénile (complications)</term><term>Asymétrie faciale (étiologie)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Humains (MeSH)</term><term>Maladies de la bouche (étiologie)</term><term>Maladies des dents (étiologie)</term><term>Troubles de l'articulation temporomandibulaire (étiologie)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arthritis, Juvenile</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Facial Asymmetry</term><term>Mouth Diseases</term><term>Temporomandibular Joint Disorders</term><term>Tooth Diseases</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Asymétrie faciale</term><term>Maladies de la bouche</term><term>Maladies des dents</term><term>Troubles de l'articulation temporomandibulaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Humans</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adolescent</term><term>Arthrite juvénile</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with juvenile idiopathic arthritis (JIA) can have alterations in bone metabolism and skeletal growth, as well as damage to the temporomandibular joint (TMJ), which can generate extra and/or intraoral alterations, resulting in craniofacial disorders. Our goal is to carry out a review of the literature on orofacial alterations in patients with JIA. Among the orofacial disorders in patients with JIA, alterations in mandibular growth, caused by dysfunctions in the TMJ region, seem highly prevalent in these patients. The most often found alterations are: retrognathia, micrognathia, anterior open bite, dental crowding, facial asymmetry and mouth opening limitation. Thus, the rheumatologist becomes a key agent in the early detection of these disorders, helping with patient referral to a dentist. The diagnosis, in turn, should be performed by the orthodontist, using clinical examination and imaging methods, allowing early treatment and a favorable prognosis. TMJ disorders should be treated by a multidisciplinary team, including pharmacological treatment for pain control and dental care through functional appliance and/or orthodontic therapy, physical therapy and sometimes, speech therapy. We conclude that among the orofacial disorders in patients with JIA, alterations in mandibular growth generated by dysfunctions in the TMJ region seem highly prevalent. Such dysfunctions can cause mainly open bite, mandibular retrusion, micrognathia, dental crowding and facial asymmetry. The rheumatologist can detect these alterations at an early stage, with immediate patient referral to a team that should preferably be a multidisciplinary one, consisting of an orthodontist, physical therapist and speech therapist, to reduce future occlusal and mandibular growth complications.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23223701</PMID><DateCompleted><Year>2013</Year><Month>12</Month><Day>19</Day></DateCompleted><DateRevised><Year>2012</Year><Month>12</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1809-4570</ISSN><JournalIssue CitedMedium="Internet"><Volume>52</Volume><Issue>6</Issue><PubDate><Year>2012</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Revista brasileira de reumatologia</Title><ISOAbbreviation>Rev Bras Reumatol</ISOAbbreviation></Journal><ArticleTitle>Temporomandibular joint alterations and their orofacial complications in patients with juvenile idiopathic arthritis.</ArticleTitle><Pagination><MedlinePgn>907-11</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0482-50042012000600009</ELocationID><Abstract><AbstractText>Patients with juvenile idiopathic arthritis (JIA) can have alterations in bone metabolism and skeletal growth, as well as damage to the temporomandibular joint (TMJ), which can generate extra and/or intraoral alterations, resulting in craniofacial disorders. Our goal is to carry out a review of the literature on orofacial alterations in patients with JIA. Among the orofacial disorders in patients with JIA, alterations in mandibular growth, caused by dysfunctions in the TMJ region, seem highly prevalent in these patients. The most often found alterations are: retrognathia, micrognathia, anterior open bite, dental crowding, facial asymmetry and mouth opening limitation. Thus, the rheumatologist becomes a key agent in the early detection of these disorders, helping with patient referral to a dentist. The diagnosis, in turn, should be performed by the orthodontist, using clinical examination and imaging methods, allowing early treatment and a favorable prognosis. TMJ disorders should be treated by a multidisciplinary team, including pharmacological treatment for pain control and dental care through functional appliance and/or orthodontic therapy, physical therapy and sometimes, speech therapy. We conclude that among the orofacial disorders in patients with JIA, alterations in mandibular growth generated by dysfunctions in the TMJ region seem highly prevalent. Such dysfunctions can cause mainly open bite, mandibular retrusion, micrognathia, dental crowding and facial asymmetry. The rheumatologist can detect these alterations at an early stage, with immediate patient referral to a team that should preferably be a multidisciplinary one, consisting of an orthodontist, physical therapist and speech therapist, to reduce future occlusal and mandibular growth complications.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carvalho</LastName><ForeName>Renata Teixeira de</ForeName><Initials>RT</Initials><AffiliationInfo><Affiliation>Universidade Veiga de Almeida, Rio de Janeiro, RJ, Brazil. renatatcarvalho@terra.com.br</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Braga</LastName><ForeName>Flávia Silva Farah Ferreira</ForeName><Initials>FS</Initials></Author><Author ValidYN="Y"><LastName>Brito</LastName><ForeName>Fernanda</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Capelli Junior</LastName><ForeName>Jonas</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Figueredo</LastName><ForeName>Carlos Marcelo</ForeName><Initials>CM</Initials></Author><Author ValidYN="Y"><LastName>Sztajnbok</LastName><ForeName>Flávio Roberto</ForeName><Initials>FR</Initials></Author></AuthorList><Language>eng</Language><Language>por</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Brazil</Country><MedlineTA>Rev Bras Reumatol</MedlineTA><NlmUniqueID>0404256</NlmUniqueID><ISSNLinking>0482-5004</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001171" MajorTopicYN="N">Arthritis, Juvenile</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005146" MajorTopicYN="N">Facial Asymmetry</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009059" MajorTopicYN="N">Mouth Diseases</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013705" MajorTopicYN="N">Temporomandibular Joint Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014076" MajorTopicYN="N">Tooth Diseases</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>02</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>09</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>12</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>12</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>12</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23223701</ArticleId><ArticleId IdType="pii">S0482-50042012000600009</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country><region><li>État de Rio de Janeiro</li></region></list><tree><noCountry><name sortKey="Braga, Flavia Silva Farah Ferreira" sort="Braga, Flavia Silva Farah Ferreira" uniqKey="Braga F" first="Flávia Silva Farah Ferreira" last="Braga">Flávia Silva Farah Ferreira Braga</name><name sortKey="Brito, Fernanda" sort="Brito, Fernanda" uniqKey="Brito F" first="Fernanda" last="Brito">Fernanda Brito</name><name sortKey="Capelli Junior, Jonas" sort="Capelli Junior, Jonas" uniqKey="Capelli Junior J" first="Jonas" last="Capelli Junior">Jonas Capelli Junior</name><name sortKey="Figueredo, Carlos Marcelo" sort="Figueredo, Carlos Marcelo" uniqKey="Figueredo C" first="Carlos Marcelo" last="Figueredo">Carlos Marcelo Figueredo</name><name sortKey="Sztajnbok, Flavio Roberto" sort="Sztajnbok, Flavio Roberto" uniqKey="Sztajnbok F" first="Flávio Roberto" last="Sztajnbok">Flávio Roberto Sztajnbok</name></noCountry><country name="Brésil"><region name="État de Rio de Janeiro"><name sortKey="Carvalho, Renata Teixeira De" sort="Carvalho, Renata Teixeira De" uniqKey="Carvalho R" first="Renata Teixeira De" last="Carvalho">Renata Teixeira De Carvalho</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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