Are temporomandibular joint signs and symptoms associated with magnetic resonance imaging findings in juvenile idiopathic arthritis patients? A longitudinal study

The aims of this longitudinal study were to perform a comprehensive clinical evaluation of temporomandibular joint (TMJ) and to investigate the association between the clinical and magnetic resonance imaging (MRI) findings in the TMJs of patients with juvenile idiopathic arthritis (JIA). Seventy-fiv...

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Bibliographic Details
Published in:Clinical rheumatology 2015-12, Vol.34 (12), p.2057-2063
Main Authors: Zwir, Liete M. L. Figueiredo, Terreri, Maria Teresa R. A., Sousa, Soraia Ale, Fernandes, Artur Rocha Corrêa, Guimarães, Antônio Sérgio, Hilário, Maria Odete E
Format: Article
Language:English
Subjects:
Adolescent
Arthritis, Juvenile - epidemiology
Arthritis, Juvenile - pathology
Arthritis, Juvenile - physiopathology
Child
Child, Preschool
Female
Humans
Longitudinal Studies
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Original Article
Physical Examination
Prevalence
Rheumatology
Temporomandibular Joint - pathology
Temporomandibular Joint - physiopathology
Temporomandibular Joint Disorders - epidemiology
Temporomandibular Joint Disorders - pathology
Temporomandibular Joint Disorders - physiopathology
Young Adult
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Summary:The aims of this longitudinal study were to perform a comprehensive clinical evaluation of temporomandibular joint (TMJ) and to investigate the association between the clinical and magnetic resonance imaging (MRI) findings in the TMJs of patients with juvenile idiopathic arthritis (JIA). Seventy-five patients with JIA participated in this study. All patients underwent a rheumatological examination performed by a paediatric rheumatologist, a TMJ examination performed by a single dentist and an MRI with contrast of the TMJs. These examinations were scheduled on the same date. The patients were examined again 1 year later. Twenty-eight (37.3 %) patients reported symptoms at the first evaluation and 11 (14.7 %) patients at the second evaluation. In relation to signs, 35 (46.7 %) of the patients presented at least one sign at the first evaluation and 29 (38.7 %) at the second. Intense contrast enhancement of TMJ was significantly associated with disease activity ( p  
ISSN:0770-3198
1434-9949
DOI:10.1007/s10067-015-2925-y