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dc.contributor.authorFischer, Johannes Maria
dc.contributor.authorAugdal, Thomas Angell
dc.contributor.authorAngenete, Oskar W
dc.contributor.authorGil, Elisabeth Grut
dc.contributor.authorSkeie, Marit Slåttelid
dc.contributor.authorÅstrøm, Anne-Kristine N
dc.contributor.authorTylleskär, Karin
dc.contributor.authorRosendahl, Karen
dc.contributor.authorShi, Xie-Qi
dc.contributor.authorRosén, A.
dc.date.accessioned2021-10-18T07:01:55Z
dc.date.available2021-10-18T07:01:55Z
dc.date.created2021-10-15T12:34:39Z
dc.date.issued2021
dc.identifier.issn1472-6831
dc.identifier.urihttps://hdl.handle.net/11250/2823546
dc.description.abstractBackground Children and adolescents with juvenile idiopathic arthritis (JIA) may suffer from temporomandibular disorder (TMD). Due to this, imaging diagnosis is crucial in JIA with non-symptomatic TM joint (TMJ) involvement. The aim of the study was to examine the association between clinical TMD signs/symptoms and cone-beam computed tomography (CBCT) findings of TMJ structural deformities in children and adolescents with JIA. Methods This cross-sectional study is part of a longitudinal prospective multi-centre study performed from 2015–2020, including 228 children and adolescents aged 4–16 years diagnosed with JIA, according to the International League of Associations for Rheumatology (ILAR). For this sub-study, we included the Bergen cohort of 72 patients (32 female, median age 13.1 years, median duration of JIA 4.5 years). Clinical TMD signs/symptoms were registered as pain on palpation, pain on jaw movement, and combined pain of those two. The severity of TMJ deformity was classified as sound (no deformity), mild, or moderate/severe according to the radiographic findings of CBCT. Results Of 72 patients, 21 (29.2%) had pain on palpation at and around the lateral pole, while 41 (56.9%) had TMJ pain upon jaw movement and 26 (36.1%) had pain from both. Of 141 TMJs, 18.4% had mild and 14.2% had moderate/severe structural deformities visible on CBCT. CBCT findings were not significantly associated with either the pain on palpation or the pain on jaw movement. A significant difference was found between structural deformities in CBCT and the combined pain outcome (pain at both palpation and movement) for both TMJs for the persistent oligoarticular subtype (p = 0.031). Conclusions There was no association between painful TMD and CBCT imaging features of the TMJ in patients with JIA, but the oligoarticular subtype of JIA, there was a significant difference associated with TMJ pain and structural CBCT deformities.en_US
dc.language.isoengen_US
dc.publisherBMCen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleIn children and adolescents with temporomandibular disorder assembled with juvenile idiopathic arthritis - no association were found between pain and TMJ deformities using CBCTen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright The Author(s) 2021en_US
dc.source.articlenumber518en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2
dc.identifier.doihttps://doi.org/10.1186/s12903-021-01870-z
dc.identifier.cristin1946188
dc.source.journalBMC Oral Healthen_US
dc.identifier.citationBMC Oral Health. 2021, 21, 518.en_US
dc.source.volume21en_US


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