{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T13:40:33Z","timestamp":1734529233166,"version":"3.30.2"},"reference-count":42,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOS"],"abstract":"<jats:p>Objective: Temporomandibular joint (TMJ) arthritis is a common finding in juvenile idiopathic arthritis (JIA) patients. TMJ arthritis can cause significant disturbances in TMJ function and growth without treatment. Our aim was to evaluate the effectiveness of medical treatments used to manage TMJ arthritis and how to evaluate the outcome of the treatment. Furthermore, this study aimed to ascertain the prevalence of TMJ arthritis in JIA patients and investigate the potential impact of specific factors.\nMaterial and methods: Between 2015 and 2019, a total of 194 JIA patients who received treatment at the Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Finland were included in the study. We retrospectively screened the patient records and imaging studies to find out how many patients had TMJ arthritis and what medication was used to treat it.\nResults: Maximal incisal mouth opening (MIO) increased significantly with patients whose TMJ arthritis was successfully treated with intra-articular corticosteroid injection (IACI). Almost all patients with TMJ arthritis were treated with an IACI at some point during their treatment. Overall, 99 patients (51%) had been diagnosed with TMJ arthritis. No statistical difference was found between the prevalence of TMJ arthritis and different JIA subtypes, JIA onset time, gender, or immunological factors.\nConclusion: MIO is an easy way to evaluate the treatment outcome and possible disease activation of TMJ arthritis. The prevalence of TMJ arthritis is high among JIA patients. In our study, we could not find any parameters that predict TMJ arthritis, and despite systemic medication, TMJ arthritis might occur.<\/jats:p>","DOI":"10.2340\/aos.v83.42438","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T13:05:31Z","timestamp":1734527131000},"page":"682-689","source":"Crossref","is-referenced-by-count":0,"title":["Maximal mouth opening is a simple method to evaluate the treatment outcome of temporomandibular joint arthritis in patients with juvenile idiopathic arthritis"],"prefix":"10.2340","volume":"83","author":[{"given":"Mia","family":"Huhtanen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katriina","family":"Mikola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anu","family":"Kiukkonen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuula","family":"Palotie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"91587","doi-asserted-by":"crossref","unstructured":"Ravelli A, Martini A. 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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\u201396. https:\/\/doi.org\/10.1002\/art.23401","DOI":"10.1002\/art.23401"},{"key":"91594","doi-asserted-by":"crossref","unstructured":"Twilt M, Schulten AJM, Verschure F, Wisse L, Prahl-Andersen B, van Suijlekom-Smit LWA. Long-term followup of temporomandibular joint involvement in juvenile idiopathic arthritis. Arthritis Rheum. 2008;59(4):546\u201352. https:\/\/doi.org\/10.1002\/art.23532","DOI":"10.1002\/art.23532"},{"key":"91595","unstructured":"Twilt M, Arends LR, Ten Cate R, Van Suijlekom-Smit LWA. Incidence of temporomandibular involvement in juvenile idiopathic arthritis. Scand J Rheumatol. 2004;31(7):1418\u201322."},{"key":"91596","doi-asserted-by":"crossref","unstructured":"R\u00f6nning O, Valiaho M-L, Laaksonen A-L. The involvement of the temporomandibular joint in juvenile rheumatoid arthritis. Scand J Rheumatol. 1974;3:89\u201396. https:\/\/doi.org\/10.3109\/03009747409115807","DOI":"10.3109\/03009747409115807"},{"key":"91597","doi-asserted-by":"crossref","unstructured":"Cannizzaro E, Schroeder S, M\u00fcller LM, Kellenberger CJ, Saurenmann RK. Temporomandibular joint involvement in children with juvenile idiopathic arthritis. J Rheumatol. 2011;38(3):510\u201315. https:\/\/doi.org\/10.3899\/jrheum.100325","DOI":"10.3899\/jrheum.100325"},{"key":"91598","doi-asserted-by":"crossref","unstructured":"Stoll ML, Sharpe T, Beukelman T, Good J, Young D, Cron RQ. Risk factors for temporomandibular joint arthritis in children with juvenile idiopathic arthritis. J Rheumatol. 2012;39(9):1880\u20137. https:\/\/doi.org\/10.3899\/jrheum.111441","DOI":"10.3899\/jrheum.111441"},{"key":"91599","doi-asserted-by":"crossref","unstructured":"von Schuckmann L, Klotsche J, Suling A, Kahl-Nieke B, Foeldvari I. 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Resorption of the temporomandibular condylar bone according to subtypes of juvenile chronic arthritis. J Rheumatol. 2001;28(9):2109\u201315."},{"key":"91605","doi-asserted-by":"crossref","unstructured":"Arabshahi B, Cron RQ. Temporomandibular joint arthritis in juvenile idiopathic arthritis: the forgotten joint. Curr Opin Rheumatol. 2006;18(5):490\u20135. https:\/\/doi.org\/10.1097\/01.bor.0000240360.24465.4c","DOI":"10.1097\/01.bor.0000240360.24465.4c"},{"key":"91606","doi-asserted-by":"crossref","unstructured":"Ravelli A, Consolaro A, Horneff G, Laxer RM, Lovell DJ, Wulffraat NM, et al. Treating juvenile idiopathic arthritis to target: recommendations of an international task force. Ann Rheum Dis. 2018;77(6):\u200b819\u201328. https:\/\/doi.org\/10.1136\/annrheumdis-2018-213030","DOI":"10.1136\/annrheumdis-2018-213030"},{"key":"91607","doi-asserted-by":"crossref","unstructured":"Tynjala P. Impact of anti-TNF treatment on growth in severe juvenile idiopathic arthritis. Ann Rheum Dis. 2006;65(8):1044\u20139. https:\/\/doi.org\/10.1136\/ard.2005.047225","DOI":"10.1136\/ard.2005.047225"},{"key":"91608","doi-asserted-by":"crossref","unstructured":"Giancane G, Muratore V, Marzetti V, Quilis N, Benavente BS, Bagnasco F, et al. Disease activity and damage in juvenile idiopathic arthritis: methotrexate era versus biologic era. Arthritis Res Ther. 2019;21(1):\u200b1\u201310. https:\/\/doi.org\/10.1186\/s13075-019-1950-7","DOI":"10.1186\/s13075-019-1950-7"},{"key":"91609","doi-asserted-by":"crossref","unstructured":"Stoustrup P, Twilt M. Therapy: intra-articular steroids for TMJ \u00adarthritis \u2013 caution needed. Nat Rev Rheumatol. 2015;11(10):566\u20137. https:\/\/doi.org\/10.1038\/nrrheum.2015.97","DOI":"10.1038\/nrrheum.2015.97"},{"key":"91610","doi-asserted-by":"crossref","unstructured":"Lochb\u00fchler N, Saurenmann RK, M\u00fcller L, Kellenberger CJ. 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Magnetic resonance imaging followup of temporomandibular joint inflammation, deformation, and mandibular growth in juvenile idiopathic arthritis patients receiving systemic treatment. J Rheumatol. 2020;47(6):909\u201316. https:\/\/doi.org\/10.3899\/jrheum.190168","DOI":"10.3899\/jrheum.190168"},{"key":"91628","doi-asserted-by":"crossref","unstructured":"Frid P, Augdal TA, Larheim TA, Halbig J, Rypdal V, Songstad NT, et al. Efficacy and safety of intraarticular corticosteroid injections in adolescents with juvenile idiopathic arthritis in the temporomandibular joint: a Norwegian 2-year prospective multicenter pilot study. 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