Clinical predictors of temporomandibular joint arthritis in juvenile idiopathic arthritis: A systematic literature review |
| |
| Affiliation: | 1. Section of Orthodontics, Aarhus University, Vennelyst Boulevard 9, Aarhus C DK-8000, Denmark;2. Specialist Oral Health Center for Western Norway, Stavanger, Rogaland, Norway;3. Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark;4. Department of Pediatrics, Aarhus University Hospital, Aarhus N, Denmark;1. Resident, Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China;2. Professor, Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China;3. Professor, Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China;4. Associate Professor, Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China;6. Associate Professor, Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China;5. Associate Professor, Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China;1. Assistant professor, Division of Orthodontics, Health Center, University of Connecticut, Farmington, Conn;2. Postgraduate student, School of Dental Medicine, Health Center, University of Connecticut, Farmington, Conn;3. Resident, Division of Oral and Maxillofacial Radiology, Health Center, University of Connecticut, Farmington, Conn;4. Assistant professor, Division of Oral and Maxillofacial Radiology, Health Center, University of Connecticut, Farmington, Conn;1. State Key Laboratory of Oral Disease, West China School of Stomatology, Sichuan University, Chengdu, China;2. Department of Prosthodontics, West China School of Stomatology, Sichuan University, Chengdu, China;3. Department of Oral and Maxillofacial Surgery, West China School of Stomatology, Sichuan University, Chengdu, China;4. Department of Orthodontics, West China School of Stomatology, Sichuan University, Chengdu, China;5. Department of Prosthodontics, School of Stomatology, Peking University, Beijing, China;1. Department of Orthodontics, University Hospital of Schleswig-Holstein, Arnold-Heller-Strasse 3, Haus 26, 24105 Kiel, Germany;2. Department of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel, Germany;3. Department of Orthodontics, University of Tübingen, Tübingen, Germany;4. Pediatric Research Institute Bad Bramstedt, Bad Bramstedt, Germany;5. Department of Oral Radiology, University of Tübingen, Tübingen, Germany;1. Field of Dentistry, School of Medicine, University of Tampere, P.O. Box 2000, FI-33521 Tampere, Finland;2. Oral and Maxillofacial Unit, Tampere University Hospital, Tampere, Finland;3. Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, University of Copenhagen, Panum Instituttet, Nørre Allé 20, 2200 Copenhagen, Denmark;4. Department of Maxillofacial Surgery, Aarhus University Hospital, Nørrebrogade 44, 8000 Aarhus C, Denmark;5. Department of Orthodontics, Faculty of Dentistry, University of Oslo, P.O. Box 1109 Blindern, 0317 Oslo, Norway;1. Assistant Professor, Harvard School of Dental Medicine and Harvard Medical School, Boston; Oral and Maxillofacial Surgeon, Department of Plastic and Oral Surgery, Boston Children''s Hospital, Boston, MA;2. Professor, Section of Orthodontics, Department of Odontology and Oral Health, Aarhus University, Aarhus; Consultant Orthodontist, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark;3. Associate Professor, Emory University School of Medicine, Atlanta; Oral and Maxillofacial Surgeon, Departments of Surgery and Pediatrics, Division of Oral and Maxillofacial Surgery, Children''s Healthcare of Atlanta, Atlanta, GA;4. Assistant Professor, University of Calgary, Calgary; Pediatric Rheumatologist, Division of Rheumatology, Department of Paediatrics, Alberta Children''s Hospital, Calgary, AB, Canada;6. Associate Professor, Section of Orthodontics, Department of Odontology and Oral Health, Aarhus University, Aarhus, Denmark |
| |
| Abstract: | AimTo assess the level of evidence for subjective and objective parameters in clinical orofacial examination and determine if predictors for temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA) patients exist in the current literature.MethodA comprehensive systematic electronic search strategy was performed in all major medical databases in June 2015. Studies were selected independently by two reviewers in accordance with a prespecified protocol and a risk of bias assessment for all included studies. Subjective examination outcome measures assessed were pain, decreased TMJ function, and TMJ sounds. The objective outcome measures assessed were maximal incisor opening, mandibular asymmetric opening, condylar translation, protrusion, myofascial pain on palpation, facial asymmetry, and micro- or retrognathism.ResultsThe electronic database search identified 345 unique citations. After application of our strict, predefined inclusion and exclusion criteria, 21 articles were included and data extracted. The study heterogeneity did not allow for meta-analyses. No singular outcome measure can be suggested as a predictor of TMJ involvement in JIA, as sensitivity and/or specificity is too low compared to contrast-enhanced magnetic resonance imaging.ConclusionThe current low level of evidence and study heterogeneity do not allow us to conclude on singular clinical outcome measures. To increase study comparability, we call for a standardized terminology and evidence-based guidelines for clinical orofacial examination parameters in JIA patients. |
| |
| Keywords: | Juvenile idiopathic arthritis Temporomandibular joint Clinical examination Systematic review Diagnosis |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
