Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment

Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment

Temporomandibular joint (TMJ) involvement is common but usually delayed in patients with juvenile idiopathic arthritis (JIA). We describe the case of a JIA patient with bilateral TMJ involvement, mandibular retrognathia, bone erosion, and severely restricted mouth opening. The use of cone beam compu...

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Main Authors: G. Farronato, C. Bellintani, U. Garagiola, P. Cressoni, P. Sarzi Puttini, F. Atzeni, M. Cazzola
Format: Article
Language:English
Published: PAGEPress Publications 2014-11-01
Series:Reumatismo
Subjects:
Temporomandibular joint, Juvenile idiopathic arthritis, Etanercept.
Online Access:http://www.reumatismo.org/index.php/reuma/article/view/725
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spelling doaj-3442d75d94164187b7ae41f6eb70a14d2020-11-24T21:56:56ZengPAGEPress PublicationsReumatismo0048-74492240-26832014-11-0166325425710.4081/reumatismo.2014.725665Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatmentG. Farronato0C. Bellintani1U. Garagiola2P. Cressoni3P. Sarzi Puttini4F. Atzeni5M. Cazzola6Department of Orthodontics, Dental Clinic, University of MilanImmunorheumatology Service, AO Sant’Antonio Abate, Gallarate (VA)Department of Orthodontics, Dental Clinic, University of MilanDepartment of Orthodontics, Dental Clinic, University of MilanRheumatology Unit, Luigi Sacco University Hospital, MilanRheumatology Unit, Luigi Sacco University Hospital, MilanUnit of Rehabilitation Medicine, “Ospedale di Circolo” Busto Arsizio, Presidio di Saronno, Saronno (VA)Temporomandibular joint (TMJ) involvement is common but usually delayed in patients with juvenile idiopathic arthritis (JIA). We describe the case of a JIA patient with bilateral TMJ involvement, mandibular retrognathia, bone erosion, and severely restricted mouth opening. The use of cone beam computed tomography and a 3D diagnostic protocol in young patients with JIA provides reliable, accurate and precise quantitative data and images of the condylar structures and their dimensional relationships. Analgesics and conventional disease modifying antirheumatic drugs were ineffective, but interdisciplinary treatment with etanercept and a Herbst functional appliance improved functional TMJ movement and bone resorption.http://www.reumatismo.org/index.php/reuma/article/view/725Temporomandibular joint, Juvenile idiopathic arthritis, Etanercept.
collection DOAJ
language English
format Article
sources DOAJ
author G. Farronato
C. Bellintani
U. Garagiola
P. Cressoni
P. Sarzi Puttini
F. Atzeni
M. Cazzola
spellingShingle G. Farronato
C. Bellintani
U. Garagiola
P. Cressoni
P. Sarzi Puttini
F. Atzeni
M. Cazzola
Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
Reumatismo
Temporomandibular joint, Juvenile idiopathic arthritis, Etanercept.
author_facet G. Farronato
C. Bellintani
U. Garagiola
P. Cressoni
P. Sarzi Puttini
F. Atzeni
M. Cazzola
author_sort G. Farronato
title Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
title_short Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
title_full Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
title_fullStr Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
title_full_unstemmed Three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
title_sort three-dimensional morphological condylar and mandibular changes in a patient with juvenile idiopathic arthritis: interdisciplinary treatment
publisher PAGEPress Publications
series Reumatismo
issn 0048-7449
2240-2683
publishDate 2014-11-01
description Temporomandibular joint (TMJ) involvement is common but usually delayed in patients with juvenile idiopathic arthritis (JIA). We describe the case of a JIA patient with bilateral TMJ involvement, mandibular retrognathia, bone erosion, and severely restricted mouth opening. The use of cone beam computed tomography and a 3D diagnostic protocol in young patients with JIA provides reliable, accurate and precise quantitative data and images of the condylar structures and their dimensional relationships. Analgesics and conventional disease modifying antirheumatic drugs were ineffective, but interdisciplinary treatment with etanercept and a Herbst functional appliance improved functional TMJ movement and bone resorption.
topic Temporomandibular joint, Juvenile idiopathic arthritis, Etanercept.
url http://www.reumatismo.org/index.php/reuma/article/view/725
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