Limited Mandibular Movements as a Consequence of Unilateral or Asymmetrical Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis Patients
Abstract
:1. Introduction
1.1. Background
1.2. The Aim of the Study
2. Material and Methods
2.1. Range of MMO
2.2. Mandibular Lateral Deviation During MMO
2.3. Range of Lateral Movements
2.4. Maximum Mandible Protrusion
2.5. Facial Asymmetry
2.6. CBCT Examination
2.7. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
- (1)
- In JIA children, unilateral or bilateral (with one of the two sides, TMJ is affected more severely concerning the other one) TMJ involvement, the asymmetry of the lower face, deviation of the mandible on maximum mouth opening, and reduced range of mandibular lateral movements deserve particular attention. These patients should be under control for dentofacial assessment development and TMJ function.
- (2)
- The obtained results do not show a relationship between the degree of condylar process deformity and the presence of asymmetry of the lower face and the presence and degree of mandibular motor dysfunction.
- (3)
- In JIA patients with severe condylar process destruction, there are no significant detectable clinically abnormalities; and facial asymmetry and/or impaired jaw movement may be noted with even slight damage to the condylar process.
Author Contributions
Acknowledgments
Conflicts of Interest
References
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Landmark | Description |
---|---|
Trichion | The point on the hairline in the midline of the forehead. |
Ophyron | The point at the mid-plane of a line tangent to the upper limits of the eyebrows. |
Pronasale | The most protruded point of the apex nose identified in a lateral view of the rest position of the head. |
Subnasale | The point at which the nasal septum merges, in the mid-sagittal plane, with the upper lip. |
Stomion | The median point of the mouth when the mouth is closed. |
Gnathion | The lowest median landmark on the lower border of the mandible. |
Incision superius | The incisal tip of the most labially placed maxillary incisor. |
Incision inferius | The incisal tip of the most labially placed mandibular incisor. |
Number of Patients | Mean ± SD (years) | Mix (years) | Max (years) | |||
---|---|---|---|---|---|---|
Age at Examination | 11.92 ± 4.01 | 7 | 17 | |||
Age at Onset of the Disease | 8.31 ± 3.9 | 3 | 15 | |||
JIA Duration at Time of Study Entry | 3.62 ± 1.76 | 1 | 8 | |||
JIA Subcategories | polyarticular | 9 | ||||
oligoarticular | 5 | |||||
Medication | NSAIDs | 6 | ||||
DMARDs | 5 | |||||
biologic | 3 |
Facial Asymmetry | Range of Mandibular Movement | Mandibular Lateral Deviation on MMO | ||||
---|---|---|---|---|---|---|
MMO | Laterotrusion to the Joint with the Higher Value of the Index | Laterotrusion to the Joint with the Lower Value of the Index | Protrusion | |||
% patients | 23.08 | ↓54.85 | ↓23.08 | ↓38.46 | ↓23.08 | 46.15 |
Mean ± SD (mm) | - | 37 ± 9.1 | 9.00 ± 2.67 | 6.08 ± 2.71 | 4.00 ± 2.03 | - |
Min (mm) | - | 20 | 5 | 1.5 | 1 | - |
Max (mm) | - | 48 | 13 | 10 | 8 | - |
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Pawlaczyk-Kamieńska, T.; Kulczyk, T.; Pawlaczyk-Wróblewska, E.; Borysewicz-Lewicka, M.; Niedziela, M. Limited Mandibular Movements as a Consequence of Unilateral or Asymmetrical Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis Patients. J. Clin. Med. 2020, 9, 2576. https://doi.org/10.3390/jcm9082576
Pawlaczyk-Kamieńska T, Kulczyk T, Pawlaczyk-Wróblewska E, Borysewicz-Lewicka M, Niedziela M. Limited Mandibular Movements as a Consequence of Unilateral or Asymmetrical Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis Patients. Journal of Clinical Medicine. 2020; 9(8):2576. https://doi.org/10.3390/jcm9082576
Chicago/Turabian StylePawlaczyk-Kamieńska, Tamara, Tomasz Kulczyk, Elżbieta Pawlaczyk-Wróblewska, Maria Borysewicz-Lewicka, and Marek Niedziela. 2020. "Limited Mandibular Movements as a Consequence of Unilateral or Asymmetrical Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis Patients" Journal of Clinical Medicine 9, no. 8: 2576. https://doi.org/10.3390/jcm9082576