Das Kiefergelenk bei juveniler idiopathischer Arthritis

Zusammenfassung

Bei der juvenilen idiopathischen Arthritis liegt die Prävalenz einer Erkrankung des Kiefergelenkes zwischen 29 % und 69 %. Der Verlauf der Arthritis im Kiefergelenk ist zunächst oft asymptomatisch. Wird diese nicht erkannt, können schwer wiegende morphologische und funktionelle Veränderungen entstehen. Daher ist eine frühe Diagnose und anschließende Therapie während des Wachstums erforderlich, und es sollte eine routinemäßige interdisziplinäre Zusammenarbeit zwischen Kinderrheumatologen und Kieferorthopäden erfolgen.

Summary

In the juvenile idiopathic arthritis the temporomandibular joint (TMJ) is affected by 29 %-69 %. The occurrence is often asymptomatic at first. If the involvement of the TMJ remains undiscovered it leads to severe morphological and functional changes. That is why an early diagnosis and a subsequent therapy are recommended during child's development. Routine interdisciplinary cooperation between the pediatric rheumatologist and the orthodontist should be performed.

Kiefergelenk - juvenile idiopathische Arthritis - Kieferorthopädie - Rheumatologie

Temporomandibular Joint - Juvenile Idiopathic Arthritis - Orthodontics - Rheumatology

Literatur

• 1 Agerberg G. Maximal mandibular movements in children.  Acta Odontol Scand. 1974;  32 147
• 2 Barriga B, Lewis TM, Law DB. An investigation of the dental occlusion in children with juvenile rheumatoid arthritis.  Angle Orthod. 1974;  44 329
• 3 Brewer Jr. EJ, Bass J, Baum J. et al. . Current proposed revision of JRA Criteria. JRA Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Section of The Arthritis Foundation.  Arthritis Rheum. 1977;  20 195
• 4 Bumann A, Lotzmann U. Funktionsdiagnostik und Therapieprinzipien. In: Rateitschak KH, Wolf HF (Hrsg.)  Farbatlanten der Zahnmedizin.  Stuttgart, New York: Thieme. 2000;  277
• 5 Grosfeld O. The orthodontist in the team-treatment for children with rheumatoid arthritis.  Eur J Orthod. 1989;  11 120
• 6 Hanna VE, Rider SF, Moore TL. et al. . Effects of systemic onset juvenile rheumatoid arthritis on facial morphology and temporomandibular joint form and function.  J Rheumatol. 1996;  23 155
• 7 Ince DO, Ince A, Moore TL. Effect of methotrexate on the temporomandibular joint and facial morphology in juvenile rheumatoid arthritis patients.  Am J Orthod Dentofacial Orthop. 2000;  118 155
• 8 Karhulahti T, Ronning O, Jamsa T. Mandibular condyle lesions, jaw movements, and occlusal status in 15-year-old children with juvenile rheumatoid arthritis.  Scand J Dent Res. 1990;  98 17
• 9 Karhulahti T, Ylijoki H, Ronning O. Mandibular condyle lesions related to age at onset and subtypes of juvenile rheumatoid arthritis in 15-year-old children.  Scand J Dent Res. 1993;  101 332
• 10 Kjellberg H. Craniofacial growth in juvenile chronic arthritis.  Acta Odontol Scand. 1998;  56 360
• 11 Kjellberg H. Dentofacial growth in orthodontically treated and untreated children with juvenile chronic arthritis (JCA).  A comparison with Angle Class II division 1 subjects.  Eur J Orthod. 1995;  174 357
• 12 Kuseler A, Pedersen TK, Herlin T, Gelineck J. Contrast enhanced magnetic resonance imaging as a method to diagnose early inflammatory changes in the temporomandibular joint in children with juvenile chronic arthritis.  J Rheumatol. 1998;  25 1406
• 13 Larheim TA, Haanaes HR. Micrognathia, temporomandibular joint changes and dental occlusion in juvenile rheumatoid arthritis of adolescents and adults.  Scand J Dent Res. 1981;  89 329
• 14 Larheim TA, Hoyeraal HM, Stabrun AE, Haanaes HR. The temporomandibular joint in juvenile rheumatoid arthritis. Radiographic changes related to clinical and laboratory parameters in 100 children.  Scand J Rheumatol. 1982;  11 5
• 15 Marini I, Vecchiet F, Spiazzi L, Capurso U. Stomatognathic function in juvenile rheumatoid arthritis and in developmental open-bite subjects.  ASDC J Dent Child. 1999;  66 30
• 16 Mericle PM, Wilson VK, Moore TL. et al. . Effects of polyarticular and pauciarticular onset juvenile rheumatoid arthritis on facial and mandibular growth.  J Rheumatol. 1996;  23 159
• 17 Ronchezel MV, Hilario MO, Goldenberg J. et al. . Temporomandibular joint and mandibular growth alterations in patients with juvenile rheumatoid arthritis.  J Rheumatol. 1995;  22 1956
• 18 Ronning O, Valiaho ML, Laaksonen AL. The involvement of the temporomandibular joint in juvenile rheumatoid arthritis.  Scand J Rheumatol. 1974;  3 89
• 19 Sidiropoulou-Chatzigianni S, Papadopoulos MA, Kolokithas G. Dentoskeletal morphology in children with juvenile idiopathic arthritis compared with healthy children.  J Orthod. 2001;  28 53
• 20 Stabrun AE, Larheim TA, Hoyeraal HM. Temporomandibular joint involvement in juvenile rheumatoid arthritis.  Clinical diagnostic criteria.  Scand J Rheumatol. 1989;  18 197
• 21 Svensson B, Adell R, Kopp S. Temporomandibular disorders in juvenile chronic arthritis patients.  A clinical study.  Swed Dent J. 2000;  24 83
• 22 Svensson B, Larsson A, Adell R. The mandibular condyle in juvenile chronic arthritis patients with mandibular hypoplasia:.  A clinical and histological study.  Int J Oral Maxillofac Surg. 2001;  30 300
• 23 Tanchyk A. Treating growth and TMJ abnormalities in juvenile rheumatoid arthritis.  J Am Dent Assoc. 1994;  125 1617
• 24 Taylor DB, Babyn P, Blaser S. et al. . MR evaluation of the temporomandibular joint in juvenile rheumatoid arthritis.  J Comput Assist Tomogr. 1993;  17 449
• 25 Zide MF, Carlton DM, Kent JN. Rheumatoid disease and related arthropathies.  I. Systemic findings, medical therapy, and peripheral joint surgery.  Oral Surg Oral Med Oral Pathol. 1986;  61 119

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