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  • Stoustrup, PeterSection of Orthodontics, Aarhus University, Aarhus, Denmark (author)

Management of orofacial manifestations of juvenile idiopathic arthritis : Interdisciplinary consensus-based recommendations.

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2022-11-25
  • John Wiley & Sons,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:mau-55211
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-55211URI
  • https://doi.org/10.1002/art.42338DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • OBJECTIVES: Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, dysfunction and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management.OBJECTIVES: 1) To develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA. 2) To create a future research agenda related to management of TMJ arthritis in children with JIA.METHODS: The recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during two consensus-meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: Pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study.RESULTS: Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to: diagnosis (n=4), treatment of TMJ arthritis (active TMJ inflammation) (n=2), treatment of TMJ dysfunction and symptoms (n=3), treatment of arthritis-related dentofacial deformity (n=2), and other related aspects to JIA (n=1). Additionally, a future interdisciplinary research agenda was developed.CONCLUSIONS: These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA. This article is protected by copyright. All rights reserved.

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  • Resnick, Cory MDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts (author)
  • Abramowicz, ShellyDivision of Oral and Maxillofacial Surgery, Departments of Surgery and Pediatrics, Emory University School of Medicine, Atlanta, Georgia (author)
  • Pedersen, Thomas KSection of Orthodontics and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark (author)
  • Michelotti, AmbraUniversity of Naples Federico II, Naples, Italy (author)
  • Küseler, AnneliseSection of Orthodontics and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark (author)
  • Koos, BerndDepartment of Orthodontics, University Hospital Tübingen, Tübingen, Germany (author)
  • Verna, CarlalbertaDepartment of Pediatric Oral Health and Orthodontics, UZB University Center for Dentistry Basel, University of Basel, Basel, Switzerland (author)
  • Nordal, Ellen BDepartment of Pediatrics, University Hospital of North Norway and the Pediatric Research Group, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway (author)
  • Granquist, Eric JDepartment of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Pennsylvania, Philadelphia (author)
  • Halbig, Josefine MareileThe Public Dental Health Competence Centre of North Norway, and the Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway (author)
  • Kristensen, Kasper DSection of Orthodontics, Aarhus University, Aarhus, Denmark (author)
  • Kaban, Leonard BMassachusetts General Hospital, Harvard School of Dental Medicine, Boston, Massachusetts (author)
  • Arvidsson, Linda ZDepartment of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway (author)
  • Spiegel, LynnThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada (author)
  • Stoll, Matthew LUniversity of Alabama at Birmingham (author)
  • Lerman, Melissa AChildren's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (author)
  • Glerup, MiaDepartment of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark (author)
  • Defabianis, PatriziaSection of Paediatric Dentistry, Dental School, University of Turin, Turin, Italy (author)
  • Frid, PaulaDepartment of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital of North Norway, Public Dental Service Competence Centre of North Norway, and Department of Clinical Dentistry, UiT The Arctic University of Norway, Tromsø, Norway (author)
  • Alstergren, PerMalmö universitet,Odontologiska fakulteten (OD)(Swepub:mau)odpeal (author)
  • Cron, Randy QUniversity of Alabama at Birmingham (author)
  • Ringold, SarahSeattle Children's Hospital, Seattle, Washington (author)
  • Nørholt, Sven ErikSection of Orthodontics and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark (author)
  • Peltomaki, TimoFaculty of Medicine and Health Technology, and Department of Ear and Oral Diseases, Tampere University, Tampere, Finland, and Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland and Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland (author)
  • Larheim, Tore ADepartment of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway (author)
  • Herlin, TroelsDepartment of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark (author)
  • Peacock, Zachary SMassachusetts General Hospital, Harvard School of Dental Medicine, Boston, Massachusetts (author)
  • Kellenberger, Christian JDepartment of Diagnostic Imaging, University Children's Hospital Zürich, Zürich, Switzerland (author)
  • Twilt, MarinkaAlberta Children's Hospital and University of Calgary, Calgary, Alberta, Canada (author)
  • Section of Orthodontics, Aarhus University, Aarhus, DenmarkDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts (creator_code:org_t)

Related titles

  • In:Arthritis & Rheumatology: John Wiley & Sons75:1, s. 4-142326-51912326-5205

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