An algorithm for management of dentofacial deformity resulting from juvenile idiopathic arthritis: Results of a multinational consensus conference

Publication date: Available online 21 February 2019

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Cory M. Resnick, Paula Frid, Sven Erik Norholt, Peter Stoustrup, Zachary S. Peacock, Leonard B. Kaban, Thomas Klit Pedersen, Shelly Abramowicz, Temporomandibular Joint Juvenile Arthritis Working group (TMJaw)

ABSTRACT

Purpose

Juvenile idiopathic arthritis (JIA) frequently affects the temporomandibular joints (TMJ) and may cause dentofacial deformity and dysfunction. The adverse effects of JIA on dentofacial growth, morphology and function may be due to erosion of the existing mandibular condyle(s), the inhibitory effect of the arthritis on the growing mandible, or both. No algorithm exists for management of JIA-induced skeletal and dental abnormalities; treatment varies widely.

Methods

Based on available literature and expert opinion obtained by a consensus conference held by the TMJaw group, a multidisciplinary and multi-national clinical and research network dedicated to diagnosis and management of TMJ arthritis caused by JIA, we present an algorithm to be used as a conceptual framework for management of dentofacial deformity resulting from JIA.

Results

An algorithm for management of dentofacial deformity resulting from JIA is presented and exemplified by 5 clinical cases.

Conclusion

A standardized algorithm will improve clinical decision making and facilitate outcomes research by allowing valid comparisons between published research studies. We emphasize the importance of multidisciplinary evaluation, management and long-term follow-up.

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