Clinically Established Temporomandibular Involvement in Adults With Juvenile Idiopathic Arthritis
Copyright © 2023 by the Journal of Rheumatology..
OBJECTIVE: To study clinical variables defining temporomandibular function in adults with juvenile idiopathic arthritis (JIA) and healthy controls.
METHODS: In this cross-sectional study, the temporomandibular joint (TMJ) screening protocol, mandibular range of motion (MROM), and anterior maximum voluntary bite force (AMVBF) were compared between adults with JIA and healthy controls. Unadjusted and adjusted models with corrections for sex and disease duration were constructed for active maximum interincisal mouth opening (AMIO) and AMVBF.
RESULTS: A total of 100 adults with JIA and 59 healthy adults were included in this study. In adults with JIA, 56% had clinically established TMJ involvement. AMIO was the MROM variable most reduced by TMJ involvement; AMIO was 8.8 mm (95% CI -11.40 to -6.12; P < 0.001) less in adults with JIA with TMJ involvement compared to JIA without TMJ involvement. No differences of AMIO were found between healthy adults and adults with JIA without TMJ involvement (-2.52, 95% CI -5.13 to 0.10; P = 0.06). Male sex was associated with a higher AMIO, and disease duration was associated with a decreased AMIO. Collinearity between the subtype prebiologic era and disease duration was found. AMVBF did not differ between adults with JIA and healthy adults.
CONCLUSION: The high prevalence of clinically established TMJ involvement in adults with JIA indicates the need for awareness of TMJ problems in adults with JIA. TMJ involvement negatively influenced AMIO and should therefore be part of the TMJ screening in adults with JIA. AMVBF seems to have less utility for TMJ screening in adult populations.
| Errataetall: |
CommentIn: J Rheumatol. 2023 Nov;50(11):1364-1366. - PMID 37714549 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:50 |
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| Enthalten in: |
The Journal of rheumatology - 50(2023), 11 vom: 01. Nov., Seite 1462-1470 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
de Sonnaville, Willemijn F C [VerfasserIn] |
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| Links: |
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| Themen: |
Bite force |
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| Anmerkungen: |
Date Completed 03.11.2023 Date Revised 09.11.2023 published: Print-Electronic CommentIn: J Rheumatol. 2023 Nov;50(11):1364-1366. - PMID 37714549 Citation Status MEDLINE |
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| doi: |
10.3899/jrheum.2023-0204 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359006639 |
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| 245 | 1 | 0 | |a Clinically Established Temporomandibular Involvement in Adults With Juvenile Idiopathic Arthritis |
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| 500 | |a Date Revised 09.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Rheumatol. 2023 Nov;50(11):1364-1366. - PMID 37714549 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 by the Journal of Rheumatology. | ||
| 520 | |a OBJECTIVE: To study clinical variables defining temporomandibular function in adults with juvenile idiopathic arthritis (JIA) and healthy controls | ||
| 520 | |a METHODS: In this cross-sectional study, the temporomandibular joint (TMJ) screening protocol, mandibular range of motion (MROM), and anterior maximum voluntary bite force (AMVBF) were compared between adults with JIA and healthy controls. Unadjusted and adjusted models with corrections for sex and disease duration were constructed for active maximum interincisal mouth opening (AMIO) and AMVBF | ||
| 520 | |a RESULTS: A total of 100 adults with JIA and 59 healthy adults were included in this study. In adults with JIA, 56% had clinically established TMJ involvement. AMIO was the MROM variable most reduced by TMJ involvement; AMIO was 8.8 mm (95% CI -11.40 to -6.12; P < 0.001) less in adults with JIA with TMJ involvement compared to JIA without TMJ involvement. No differences of AMIO were found between healthy adults and adults with JIA without TMJ involvement (-2.52, 95% CI -5.13 to 0.10; P = 0.06). Male sex was associated with a higher AMIO, and disease duration was associated with a decreased AMIO. Collinearity between the subtype prebiologic era and disease duration was found. AMVBF did not differ between adults with JIA and healthy adults | ||
| 520 | |a CONCLUSION: The high prevalence of clinically established TMJ involvement in adults with JIA indicates the need for awareness of TMJ problems in adults with JIA. TMJ involvement negatively influenced AMIO and should therefore be part of the TMJ screening in adults with JIA. AMVBF seems to have less utility for TMJ screening in adult populations | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a bite force | |
| 650 | 4 | |a juvenile idiopathic arthritis | |
| 650 | 4 | |a range of motion | |
| 650 | 4 | |a temporomandibular joint | |
| 700 | 1 | |a Speksnijder, Caroline M |e verfasserin |4 aut | |
| 700 | 1 | |a Zuithoff, Nicolaas P A |e verfasserin |4 aut | |
| 700 | 1 | |a Heijstek, Marloes W |e verfasserin |4 aut | |
| 700 | 1 | |a Wulffraat, Nico M |e verfasserin |4 aut | |
| 700 | 1 | |a Steenks, Michel H |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenberg, Antoine J W P |e verfasserin |4 aut | |
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