PMID- 30126808
OWN - NLM
STAT- MEDLINE
DCOM- 20200113
LR  - 20200113
IS  - 2212-4411 (Electronic)
VI  - 127
IP  - 1
DP  - 2019 Jan
TI  - Temporomandibular joint involvement in children with juvenile idiopathic 
      arthritis: a preliminary report.
PG  - 19-23
LID - S2212-4403(18)31043-5 [pii]
LID - 10.1016/j.oooo.2018.07.008 [doi]
AB  - OBJECTIVE: Children with juvenile idiopathic arthritis (JIA) are at risk for 
      temporomandibular joint (TMJ) arthritis. This can lead to pain, limited mouth 
      opening, facial asymmetry, and malocclusion. Our objective was to characterize 
      patients with JIA and TMJ involvement in a single center. STUDY DESIGN: This was 
      a retrospective study of children with JIA evaluated at Children's Healthcare of 
      Atlanta. Inclusion criteria were confirmed JIA and jaw complaints. Medical 
      records were reviewed to document demographics, JIA information, age at first TMJ 
      complaint, and involvement of other joints. Descriptive statistics were computed. 
      RESULTS: Majority of patients were white (mean age 13 years; range 5-18 years) 
      with polyarticular rheumatoid factor (RF) negative or oligoarticular persistent 
      JIA. Some were antinuclear antibody (ANA) positive, RF positive, or human 
      leukocyte antigen (HLA)-B27 positive. Patients had involvement of other joints 
      (e.g., fingers, knees, wrists). Of those with TMJ symptoms, 6 (10%) had TMJ 
      arthritis. CONCLUSIONS: In our cohort, 60 (10%) of patients were diagnosed with 
      TMJ arthritis. In this population, patients who are female, white, RF negative, 
      HLA-B27 negative, ANA negative, and polyarticular RF-negative subtype and have 
      involvement of other joints have a higher likelihood of having TMJ symptoms. If a 
      patient meets these criteria, careful evaluation of TMJs should take place.
CI  - Copyright (c) 2019 Elsevier Inc. All rights reserved.
FAU - Abramowicz, Shelly
AU  - Abramowicz S
AD  - Division of Oral and Maxillofacial Surgery, Departments of Surgery and 
      Pediatrics, Emory University School of Medicine and Associate Chief, Section of 
      Dentistry/Oral and Maxillofacial Surgery, Children's Healthcare of Atlanta, 
      Atlanta, GA, USA. Electronic address: sabram5@emory.edu.
FAU - Levy, Joshua M
AU  - Levy JM
AD  - Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory 
      University School of Medicine, Atlanta, GA, USA.
FAU - Prahalad, Sampath
AU  - Prahalad S
AD  - Emory University School of Medicine and Chief, Division of pediatric 
      rheumatology, Children's Healthcare of Atlanta, Atlanta, GA, USA.
FAU - Travers, Curtis D
AU  - Travers CD
AD  - Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
FAU - Angeles-Han, Sheila T
AU  - Angeles-Han ST
AD  - Department of Pediatrics, University of Cincinnati, Cincinnati Children's 
      Hospital Medical Center, Cincinnati, OH, USA.
LA  - eng
PT  - Journal Article
DEP - 20180724
PL  - United States
TA  - Oral Surg Oral Med Oral Pathol Oral Radiol
JT  - Oral surgery, oral medicine, oral pathology and oral radiology
JID - 101576782
SB  - IM
MH  - Adolescent
MH  - *Arthritis, Juvenile/complications/immunology
MH  - Child
MH  - Child, Preschool
MH  - Facial Asymmetry
MH  - Female
MH  - Humans
MH  - Male
MH  - Retrospective Studies
MH  - Temporomandibular Joint/pathology
MH  - *Temporomandibular Joint Disorders/complications
EDAT- 2018/08/22 06:00
MHDA- 2020/01/14 06:00
CRDT- 2018/08/22 06:00
PHST- 2018/03/26 00:00 [received]
PHST- 2018/06/29 00:00 [revised]
PHST- 2018/07/09 00:00 [accepted]
PHST- 2018/08/22 06:00 [pubmed]
PHST- 2020/01/14 06:00 [medline]
PHST- 2018/08/22 06:00 [entrez]
AID - S2212-4403(18)31043-5 [pii]
AID - 10.1016/j.oooo.2018.07.008 [doi]
PST - ppublish
SO  - Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Jan;127(1):19-23. doi: 
      10.1016/j.oooo.2018.07.008. Epub 2018 Jul 24.