Anesthesia/facial painArthroscopy of the Temporomandibular Joint in Patients With Juvenile Idiopathic Arthritis
Section snippets
Report of Cases
Consecutive patients referred to the Emory Oral and Maxillofacial Surgery Service from the Children's Healthcare of Atlanta Pediatric Rheumatology Service (Atlanta, GA) were enrolled in this study. Institutional review board exemption was obtained from Emory University. All patients were treated with anti-rheumatologic systemic medications and had recalcitrant TMJ symptoms. Patients underwent a thorough history and physical examination and preoperative magnetic resonance imaging (MRI) of their
Discussion
Approximately 300,000 children in the United States are diagnosed with JIA every year.6 There are 7 JIA subgroups distinguished by clinical characteristics, laboratory values, and patient history: 1) systemic onset, 2) oligoarthritis, 3) polyarthritis rheumatoid factor positive, 4) polyarthritis rheumatoid factor negative, 5) psoriatic arthritis, 6) enthesitis-related arthritis, and 7) undifferentiated arthritis. Additional classification of arthritis is beyond the scope of this report and has
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Cited by (10)
Pediatric Temporomandibular Joint Pathology
2024, Oral and Maxillofacial Surgery Clinics of North AmericaJuvenile idiopathic arthritis of the temporomandibular joint – no longer the forgotten joint
2022, British Journal of Oral and Maxillofacial SurgeryCitation Excerpt :Arthrocentesis can be carried out as a lavage procedure with or without injection of additional therapies and arthroscopy allows for direct examination of the tissues.40 Kinard et al found that treatment with arthroscopic lysis and lavage with triamcinolone hexacetonide injections, had positive outcomes, with patients reporting a decrease in pain and improvements in mouth opening.40 Olsen-Bergem et al compared TMJ arthrocentesis alone and arthrocentesis with concurrent administration of triamcinolone hexacetonide in JIA patients.
Alloplastic Temporomandibular Joint Replacement in Patients With Systemic Inflammatory Arthritis and Connective Tissue Disorders
2021, Journal of Oral and Maxillofacial SurgeryTemporomandibular joint involvement in children with juvenile idiopathic arthritis: a preliminary report
2019, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyCitation Excerpt :Nevertheless, in a symptomatic (pain, limited maximal incisal opening) patient with otherwise well-controlled disease where MPD has been eliminated, TMJ lysis and lavage, perhaps with steroid injections as a temporary measure to decrease symptoms, should be considered. Another option is TMJ arthroscopy, which allows for direct examination of the synovium.19 This is part of an ongoing investigation, which will serve as a follow-up to the present study.
Temporomandibular joint arthritis: Clinical, orthodontic, orthopaedic and surgical approaches
2018, International OrthodonticsBenefit of Temporomandibular Joint Lavage With Intra-Articular Steroids Versus Lavage Alone in the Management of Temporomandibular Joint Involvement in Juvenile Idiopathic Arthritis
2018, Journal of Oral and Maxillofacial SurgeryCitation Excerpt :Surgeons in the great majority of previous studies performed IACS injection without prior lavage,10,12-16,25-27 which makes the technique used in the present study stand out. Only 1 case report,20 1 case series,17 and 2 studies18,21 have looked at patients who received a TMJ lavage with or without IACS. Moreover, only 1 study to date has compared lavage with versus lavage without IACS injections,21 with results showing an improvement in pain at mouth opening for the 2 groups but no difference between groups.