Fogorvosi szemle, 2013 (106. évfolyam, 1-4. szám)
2013-03-01 / 1. szám
31 FOGORVOSI SZEMLE ■ 106. évf. 1. sz. 2013. 7. Ganik R, Williams FA: Diagnosis and management of juvenile rheumatoid arthritis with TMJ involvement. Cranio 1986; 4 (3): 254-262. 8. Grosfeld O: The orthodontist in the team-treatment for children with rheumatoid arthritis. EurJOrthod 1989; 11 (2): 120-124. 9. Huntjens E, Kiss G, Wouters C, Carels C: Condylar asymmetry in children with juvenile idiopathic arthritis assessed by cone-beam computed tomography. EurJ Orthod2008; 30 (6): 545-551. 10. Ilowite NT: Current treatment of juvenile rheumatoid arthritis. Pediatrics 2002; 109 (1 ): 109-115. 11. Jacobson A, Jacobson RL: Radiographic Cephalometry: From Basics to 3-D Imaging. Quintessence, Hanover Park, IL, 2006. 12. Jank S, Haase S, Strobl H, Michels H, Häfner R, Missmann M és mtsai: Sonographic investigation of the temporomandibular joint in patients with juvenile idiopathic arthritis: a pilot study. Arthritis Rheum 2007; 57 (2): 213-218. 13. Karhulahti T, Ylijoki H, Rönning 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(5): 332-338. 14. Kreiborg S, Bakke M, Kirkeby S, Michler L, Vedtofte P, Seidler B, és mtsai: Facial growth and oral function in a case of juvenile rheumatoid arthritis during an 8-year period. Eur J Orthod 1990; 12 (2): 119-134. 15. Laskin DM, Greene CS, Hylander WL: Temporomandibular Disorders: An Evidence-based Approach to Diagnosis and Treatment. Quintessence Publishing, Hanover Park (IL), 2006. 16. Manners PJ, Bower C: Worldwide prevalence of juvenile arthritis why does it vary so much? J Rheumatol 2002; 29 (7): 1520-1530. 17. Müller L, Kellenberger CJ, Cannizzaro E, Ettlin D, Schraner T, Bolt IB és mtsai: Early diagnosis of temporomandibular joint involvement in juvenile idiopathic arthritis: a pilot study comparing clinical examination and ultrasound to magnetic resonance imaging. Rheumatology (Oxford) 2009; 48 (6): 680-685. 18. Pedersen TK, Gronhoj J, Melsen B, Herlin T: Condylar condition and mandibular growth during early functional treatment of children with juvenile chronic arthritis. EurJ Orthod 1995; 17 (5): 385-394. 19. Pedersen TK, Jensen JJ, Melsen B, Herlin T: Resorption of the temporomandibular condylar bone according to subtypes of juvenile chronic arthritis. J Rheumatol 2001 ; 28 (9): 2109-2115. 20. Pedersen TK, Küseler A, Gelineck J, Herlin T: A prospective study of magnetic resonance and radiographic imaging in relation to symptoms and clinical findings of the temporomandibular joint in children with juvenile idiopathic arthritis. J Rheumatol 2008; 35 (8): 1668-1675. 21. Petty RE, Southwood TR, Baum J, Bhettay E, Glass DN, Manners P és mtsai: Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, 1997. J Rheumatol 1998; 25 (10): 1991-1994. 22. Pirttiniemi P, Peltomäki T, Müller L, Luder HU: Abnormal mandibular growth and the condylar cartilage. Eur J Orthod2009; 31 (1): 1-11. 23. Rits IA: Declaration of Helsinki. Recommendations guiding doctors in clinical research. World Med J1964; 11: 281. 24. Rönning O, Barnes SA, Pearson MH, Pledger DM: Juvenile chronic arthritis: a cephalometric analysis of the facial skeleton. Eur J Orthod 1994\ 16(1): 53-62. 25. Stabrun AE: Impaired mandibular growth and micrognathic development in children with juvenile rheumatoid arthritis. A longitudinal study of lateral cephalographs. Eur J Orthod 1991 ; 13 (6): 423-434. 26. Stabrun AE: Mandibular morphology and position in juvenile rheumatoid arthritis. A study on postero-anterior radiographs. Eur J Or- Í/70GM985; 7 (4): 288-298. 27. Tsiklakis K, Syriopoulos K, Stamatakis HC: Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol 2004; 33: 196-201. 28. Twilt M, Mobers SM, Arends LR, ten Cate R, van Suijlekom- Smit L: Temporomandibular involvement in juvenile idiopathic arthritis. J Rheumatol2004; 31 (7): 1418-1422. 29. Walton AG, Welbury RR, Thomason JM, Foster HE: Oral health and juvenile idiopathic arthritis: a review. Rheumatology (Oxford) 2000; 39 (5): 550-555. 30. Weiss PF, Arabshahi B, Johnson A, Bilaniuk LT, Zarnow D, Cahill AM és mtsai: High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound. Arthritis Rheum 2008; 58 (4): 1189-1196. Dr. Garagiola U, Dr. Mercatali L, Dr. Cressoni P, Dr. Farronato G, Dr. Lőrincz Á: Change in Condylar and Mandibular Morphology in Juvenile Idiopathic Arthritis: Cone Beam Volumetric Imaging The aim of this study is to show the importance of Cone Beam Computerized Tomography to volumetrically quantify TMJ damage in patients with JIA, measuring condylar and mandibular real volumes. 34 children with temporomandibular involvement by Juvenile Idiopathic Arthritis were observed by Cone Beam Computerized Tomography. 4 were excluded because of several imaging noises. The mandible was isolated from others craniofacial structures; the whole mandibular volume and its components’ volumes (condyle, ramus, hemibody, hemisymphysis on right side and on left side) has been calculated by a 3D volume rendering technique. The results show a highly significant statistical difference between affected side volumetric values versus normal side volumetric values above all on condyle region (P<0.01), while they doesn’t show any statistical differences between right side versus left side. The Cone Beam Computerized Tomography represents a huge improvement in understanding of the condyle and mandibular morphological changes, even in the early stages of the Juvenile Idiopathic Arthritis. The JIA can lead in children to temporomandibular joint damage with facial development and growth alterations. Key words: Juvenile Idiopathic Arthritis, Cone Beam Computerized Tomography, temporomandibular joint damage
