Zoekopdracht:
faculteit: "ACTA" en publicatiejaar: "2008"
| Auteurs | M. Twilt, A.J.M. Schulten, F. Verschure, L. Wisse, B. Prahl-Andersen, L.W.A. van Suijlekom-Smit | | Titel | Long-term followup of temporomandibular joint involvement in juvenile idiopathic arthritis |
| Tijdschrift | Arthritis and Rheumatism |
| Jaargang | 59 |
| Jaar | 2008 |
| Nummer | 4 |
| Pagina's | 546-552 |
| ISSN | 00043591 |
| Faculteit | ACTA |
| Samenvatting | Objective. Temporomandibular joint (TMJ) involvement is a frequent feature in cross-sectional prevalence studies among patients with juvenile idiopathic arthritis (JIA). In this followup study, patients were reviewed after 5 years to study the course of TMJ involvement in relation to disease characteristics.
Methods. Children with JIA from a previous study on TMJ involvement were included. A rheumatologic evaluation including the 6 parameters of the JIA core set and an orthodontic evaluation including an orthopantomogram (OPT) were performed. OPTs were scored according to Rohlin's grading system (grades 0-5).
Results. The overall prevalence of patients with condylar alterations decreased from 49% to 40%. Improvement of the alterations was seen in 69% of the initially affected condyles, and consequently improvement was seen in 83% of the initially affected patients. Normalization of the alterations was seen in 67% of the improved condyles, and consequently in 44% of the patients. This proves that the condyle has a regenerative capacity. Improvement was related to low disease activity and a less extensive therapeutic regimen.
Conclusion. In patients with JIA, condylar alterations can improve and even regenerate. Condylar improvement is associated with a low disease activity. |
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