Juvenile idiopathic arthritis (JIA): a screening study to measure class II skeletal pattern, TMJ PDS and use of systemic corticosteroids.

Hdl Handle:
http://hdl.handle.net/10147/124047
Title:
Juvenile idiopathic arthritis (JIA): a screening study to measure class II skeletal pattern, TMJ PDS and use of systemic corticosteroids.
Authors:
Mandall, Nicky A; Gray, Robin; O'Brien, Kevin D; Baildam, Eileen; Macfarlane, Tatiana V; Davidson, Joyce; Sills, John; Foster, Helen; Gardner-Medwin, Janet; Garrahy, Ann; Millett, Declan; Mattick, Rye; Walsh, Tanya; Ward, Steven
Affiliation:
Orthodontic Department, Tameside General Hospital, Fountain Street, Ashton under Lyne, Lancashire OL6 9RW, UK. Nicky.Mandall@tgh.nhs.uk
Citation:
Juvenile idiopathic arthritis (JIA): a screening study to measure class II skeletal pattern, TMJ PDS and use of systemic corticosteroids. 2010, 37 (1):6-15 J Orthod
Journal:
Journal of orthodontics
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10147/124047
DOI:
10.1179/14653121042831
PubMed ID:
20439922
Abstract:
To screen patients with oligoarticular and polyarticular forms of Juvenile Idiopathic Arthritis (JIA) to determine (i) the severity of their class II skeletal pattern; (ii) temporomandibular joint signs and symptoms and (iii) use of systemic corticosteroids.; Cross-sectional screening.; Sixty-eight children with JIA aged between 9 and 16 years old who were screened at four regional treatment centres in the UK.; Patients were screened clinically and radiographically for the presence of class II skeletal pattern and temporomandibular (TMJ) pain dysfunction syndrome. In addition, the JIA sub-type and history of disease activity and medication were recorded.; Class II skeletal pattern, TMJ signs and symptoms, use of systemic corticosteroids.; The mean ANB values were 4.2 degrees (SD = 2.9 degrees) in the oligoarticular group and 5.1 degrees (SD = 3.8 degrees) in the polyarticular group. Just under one-third of children had a moderate or severe class II skeletal pattern and a further quarter of children had a mild class II skeletal pattern. Clinical signs and symptoms of temporomandibular joint pain dysfunction syndrome were low (<20%), except for crepitus and click which affected between 24 and 40% of JIA children. Radiographically, 57% of oligoarticular and 77% of polyarticular cases exhibited condylar erosion. Use of systemic corticosteroids varied between centres, but overall, was prescribed more in polyarticular cases (P = 0.001).; Just under one-third of oligoarticular and polyarticular JIA patients exhibited a moderate or severe class II skeletal pattern. It is, therefore, likely that any future clinical trial to investigate the effect of functional appliance treatment in JIA patients, will need multicentre co-operation to fulfil potential sample size requirements. Clinical signs and symptoms of temporomandibular joint pain dysfunction syndrome were low except for crepitus and click. However, radiographic evidence of condylar erosion was high particularly in the polyarticular group. Use of systemic corticosteroids was prescribed more in polyarticular cases and this is likely to reflect the severity of the disease.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adrenal Cortex Hormones; Arthritis, Juvenile Rheumatoid; Cephalometry; Child; Cross-Sectional Studies; Female; Glucocorticoids; Humans; Male; Malocclusion, Angle Class II; Mandibular Condyle; Temporomandibular Joint Dysfunction Syndrome
ISSN:
1465-3133

Full metadata record

DC FieldValue Language
dc.contributor.authorMandall, Nicky Aen
dc.contributor.authorGray, Robinen
dc.contributor.authorO'Brien, Kevin Den
dc.contributor.authorBaildam, Eileenen
dc.contributor.authorMacfarlane, Tatiana Ven
dc.contributor.authorDavidson, Joyceen
dc.contributor.authorSills, Johnen
dc.contributor.authorFoster, Helenen
dc.contributor.authorGardner-Medwin, Janeten
dc.contributor.authorGarrahy, Annen
dc.contributor.authorMillett, Declanen
dc.contributor.authorMattick, Ryeen
dc.contributor.authorWalsh, Tanyaen
dc.contributor.authorWard, Stevenen
dc.date.accessioned2011-03-09T14:54:48Z-
dc.date.available2011-03-09T14:54:48Z-
dc.date.issued2010-03-
dc.identifier.citationJuvenile idiopathic arthritis (JIA): a screening study to measure class II skeletal pattern, TMJ PDS and use of systemic corticosteroids. 2010, 37 (1):6-15 J Orthoden
dc.identifier.issn1465-3133-
dc.identifier.pmid20439922-
dc.identifier.doi10.1179/14653121042831-
dc.identifier.urihttp://hdl.handle.net/10147/124047-
dc.description.abstractTo screen patients with oligoarticular and polyarticular forms of Juvenile Idiopathic Arthritis (JIA) to determine (i) the severity of their class II skeletal pattern; (ii) temporomandibular joint signs and symptoms and (iii) use of systemic corticosteroids.-
dc.description.abstractCross-sectional screening.-
dc.description.abstractSixty-eight children with JIA aged between 9 and 16 years old who were screened at four regional treatment centres in the UK.-
dc.description.abstractPatients were screened clinically and radiographically for the presence of class II skeletal pattern and temporomandibular (TMJ) pain dysfunction syndrome. In addition, the JIA sub-type and history of disease activity and medication were recorded.-
dc.description.abstractClass II skeletal pattern, TMJ signs and symptoms, use of systemic corticosteroids.-
dc.description.abstractThe mean ANB values were 4.2 degrees (SD = 2.9 degrees) in the oligoarticular group and 5.1 degrees (SD = 3.8 degrees) in the polyarticular group. Just under one-third of children had a moderate or severe class II skeletal pattern and a further quarter of children had a mild class II skeletal pattern. Clinical signs and symptoms of temporomandibular joint pain dysfunction syndrome were low (<20%), except for crepitus and click which affected between 24 and 40% of JIA children. Radiographically, 57% of oligoarticular and 77% of polyarticular cases exhibited condylar erosion. Use of systemic corticosteroids varied between centres, but overall, was prescribed more in polyarticular cases (P = 0.001).-
dc.description.abstractJust under one-third of oligoarticular and polyarticular JIA patients exhibited a moderate or severe class II skeletal pattern. It is, therefore, likely that any future clinical trial to investigate the effect of functional appliance treatment in JIA patients, will need multicentre co-operation to fulfil potential sample size requirements. Clinical signs and symptoms of temporomandibular joint pain dysfunction syndrome were low except for crepitus and click. However, radiographic evidence of condylar erosion was high particularly in the polyarticular group. Use of systemic corticosteroids was prescribed more in polyarticular cases and this is likely to reflect the severity of the disease.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdrenal Cortex Hormones-
dc.subject.meshArthritis, Juvenile Rheumatoid-
dc.subject.meshCephalometry-
dc.subject.meshChild-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshFemale-
dc.subject.meshGlucocorticoids-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMalocclusion, Angle Class II-
dc.subject.meshMandibular Condyle-
dc.subject.meshTemporomandibular Joint Dysfunction Syndrome-
dc.titleJuvenile idiopathic arthritis (JIA): a screening study to measure class II skeletal pattern, TMJ PDS and use of systemic corticosteroids.en
dc.typeArticleen
dc.contributor.departmentOrthodontic Department, Tameside General Hospital, Fountain Street, Ashton under Lyne, Lancashire OL6 9RW, UK. Nicky.Mandall@tgh.nhs.uken
dc.identifier.journalJournal of orthodonticsen
dc.description.provinceMunster-

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