Abstract
Introduction. Juvenile idiopathic arthritis (JIA) is a common autoimmune rheumatologic
heterogenic disease group with markedly high prevalence of temporomandibular joint (TMJ) involvement –
17–87%. Magnetic resonance imaging (MRI) is considered the optimal methods for the evaluation of TMJ.
Along with systemic therapy, intra-articular steroid injections and night splints are used in case of
TMJ arthritis.
Objectives. The objectives of the respective research is to evaluate radiologic findings using MRI
in children with JIA and clinical signs of TMJ involvement, as well as to define what local therapy methods
are used most often in case of TMJ arthritis.
Methods and materials. The retrospective study was performed with 65 JIA patients, treated at
Children’s Clinical University Hospital and Institute of Stomatology (Riga, Latvia) with clinical signs of
TMJ involvement, who were examined with MRI for TMJ between 2010–2012. For data processing, MS
Excel 2007, SPSS 17.0 version was used.
Results. There were 65 JIA patients with mean age of 15.8 (range 7–17) years. JIA patients
were divided by type as follows: seronegative polyarthritis – 39 (60%), seropositive polyarthritis 6.2%,
oligoarthritis 12.3%, arthritis with enthesitis 9.2%, undifferentiated 9.2% and 1.5% for both systemic and
heterogenic disease group with markedly high prevalence of temporomandibular joint (TMJ) involvement –
17–87%. Magnetic resonance imaging (MRI) is considered the optimal methods for the evaluation of TMJ.
Along with systemic therapy, intra-articular steroid injections and night splints are used in case of
TMJ arthritis.
Objectives. The objectives of the respective research is to evaluate radiologic findings using MRI
in children with JIA and clinical signs of TMJ involvement, as well as to define what local therapy methods
are used most often in case of TMJ arthritis.
Methods and materials. The retrospective study was performed with 65 JIA patients, treated at
Children’s Clinical University Hospital and Institute of Stomatology (Riga, Latvia) with clinical signs of
TMJ involvement, who were examined with MRI for TMJ between 2010–2012. For data processing, MS
Excel 2007, SPSS 17.0 version was used.
Results. There were 65 JIA patients with mean age of 15.8 (range 7–17) years. JIA patients
were divided by type as follows: seronegative polyarthritis – 39 (60%), seropositive polyarthritis 6.2%,
oligoarthritis 12.3%, arthritis with enthesitis 9.2%, undifferentiated 9.2% and 1.5% for both systemic and
| Translated title of the contribution | Diagnostics and Therapy of Temporomandibular Joint Arthritis in Children with Juvenile Idiopathic Arthritis |
|---|---|
| Original language | Latvian |
| Title of host publication | Rīgas Stradiņa universitātes Zinātniskie raksti |
| Subtitle of host publication | 2013. gada medicīnas nozares pētnieciskā darba publikācijas |
| Place of Publication | Rīga |
| Publisher | Rīgas Stradiņa universitāte |
| Pages | 7-11 |
| ISBN (Print) | 978-9984-793-56-6 |
| Publication status | Published - 2014 |
Keywords*
- temporomandibular joint arthritis (TJA)
- juvenile idiopathic arthritis (JIA)
- magnetic resonance imaging (MRI)
Field of Science*
- 3.2 Clinical medicine
Publication Type*
- 3.2. Articles or chapters in other proceedings other than those included in 3.1., with an ISBN or ISSN code