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Informationen aus Orthodontie & Kieferorthopädie 2013; 45(03): 135-139
DOI: 10.1055/s-0033-1351294
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© Georg Thieme Verlag KG Stuttgart · New York

Die juvenile idiopathische Arthritis und das Kiefergelenk

Juvenile Idiopathic Arthritis and the Temporomandibular Joint
C. Tzaribachev
1   Abteilung für Pädiatrische Rheumatologie, PRI- Pediatric Rheumatology Research Institute, Klinikum Bad Bramstedt, Bad Bramstedt
,
N. Tzaribachev
1   Abteilung für Pädiatrische Rheumatologie, PRI- Pediatric Rheumatology Research Institute, Klinikum Bad Bramstedt, Bad Bramstedt
,
B. Koos
2   Universitätsklinik für Zahnheilkunde, Kieferorthopädie zu Kiel
,
M. Twilt
3   Pädiatrische und Adoleszente Rheumatologie, Birmingham Children’s Hospital, National Trust Foundation, Birmingham, England
› Author Affiliations
Further Information

Publication History

Publication Date:
19 September 2013 (online)

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Zusammenfassung

Die Juvenile idiopathische Arthritis (JIA) ist die häufigste rheumatische Erkrankung im Kindesalter. Sie wird in 7 Subtypen unterteilt. Die Langzeitprognose der Erkrankung hat sich in den letzten 20 Jahren aufgrund neuer Therapiemöglichkeiten erheblich verbessert.

Das Kiefergelenk ist in den letzten 10 Jahren als eines der am häufigsten betroffenen Gelenke zunehmend in das wissenschaftliche Interesse der Kinderrheumatologie gerückt. Die MRT-Diagnostik ist zurzeit die Untersuchungsmethode der Wahl.

Das Ziel dieses Reviews ist ein Update über die JIA sowie im Speziellen über die Beteiligung des ­Kiefergelenks, die Diagnostik, Epidemiologie und Behandlung zu geben.

Abstract

Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood. JIA is divided into 7 different subtypes based on different inclusion and exclusion criteria. The long-term prognosis has changed over the last 20 years due to new medical treatment approaches. Temporomandibular joint (TMJ) involvement has increasingly been recognized over the past decade. MRI evaluation is the gold standard at the moment. This review focuses on an update on TMJ involvement in JIA, diagnosis, epidemiology, and treatment.

Schlüsselwörter

juvenile idiopathische ­Arthritis (JIA) - Kiefergelenk - Arthritis - Kiefergelenksdysfunktion

Key words

juvenile idiopathic arthritis (JIA) - temporomandibular joint - arthritis - temporomandibular joint dysfunction
 

  • Literatur

  • 1 Saurenmann RK, Rose JB, Tyrrell P et al. Epidemiology of Juvenile Idiopathic Arthritis in a multiethnic cohort. Arthritis & Rheumatism 2007; 56: 1974-1984
    CrossrefPubMedGoogle Scholar
  • 2 Petty RE, Southwood TR, Manners P et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol 2004; 31: 390-392
    PubMedGoogle Scholar
  • 3 Gewanter HL, Roghmann KJ, Baum J. The prevalence of juvenile arthritis. Arthritis Rheum 1983; 26: 599-603
    CrossrefPubMedGoogle Scholar
  • 4 Laaksonen AL. A prognostic study of juvenile rheumatoid arthritis. Analysis of 544 cases. Acta Paediatr Scand 1966; 1-163
    PubMedGoogle Scholar
  • 5 Prieur AM, Le Gall E, Karman F et al. Epidemiologic survey of juvenile chronic arthritis in France. Comparison of data obtained from two different regions. Clin Exp Rheumatol 1987; 5: 217-223
    PubMedGoogle Scholar
  • 6 Schneider R, Lang BA, Reilly BJ et al. Prognostic indicators of joint destruction in systemic-onset juvenile rheumatoid arthritis. J Pediatr 1992; 120: 200-205
    PubMedGoogle Scholar
  • 7 Ravelli A, Grom AA, Behrens EM et al. Macrophage activation syndrome as part of systemic juvenile idiopathic arthritis: diagnosis, genetics, pathophysiology and treatment. Genes Immun 2012; 13: 289-298
    CrossrefPubMedGoogle Scholar
  • 8 Saurenmann RK, Levin AV, Feldman BM et al. Prevalence, risk factors, and outcome of uveitis in juvenile idiopathic arthritis: a long-term follow-up study. Arthritis Rheum 2007; 56: 647-657
    CrossrefPubMedGoogle Scholar
  • 9 Petty RE. Classification of childhood arthritis: a work in progress. Baillieres Clin Rheumatol 1998; 12: 181-190
    CrossrefPubMedGoogle Scholar
  • 10 Symmons DP, Jones M, Osborne J et al. Pediatric rheumatology in the United Kingdom: data from the British Pediatric Rheumatology Group National Diagnostic Register. J Rheumatol 1996; 23: 1975-1980
    PubMedGoogle Scholar
  • 11 Southwood TR, Petty RE, Malleson PN et al. Psoriatic arthritis in children. Arthritis Rheum 1989; 32: 1007-1013
    CrossrefPubMedGoogle Scholar
  • 12 Still GF. On a Form of Chronic Joint Disease in Children. Med Chir Trans 1897; 80: 47-59
    PubMedGoogle Scholar
  • 13 Sommer OJ, Aigner F, Rudisch A et al. Cross-sectional and functional imaging of the temporomandibular joint: radiology, pathology, and basic biomechanics of the jaw. Radiographics 2003; 23: e14
    CrossrefPubMedGoogle Scholar
  • 14 Twilt M, Mobers SM, Arends LR et al. Temporomandibular involvement in juvenile idiopathic arthritis. J Rheumatol 2004; 31: 1418-1422
    PubMedGoogle Scholar
  • 15 Pedersen TK, Kuseler A, Gelineck J et al. A prospective study of magnetic resonance and radiographic imaging in relation to symptoms and clinical findings of the temporomandibular joint in children with juvenile idiopathic arthritis. J Rheumatol 2008; 35: 1668-1675
    PubMedGoogle Scholar
  • 16 Arvidsson LZ, Flato B, Larheim TA. Radiographic TMJ abnormalities in patients with juvenile idiopathic arthritis followed for 27 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 114-123
    PubMedGoogle Scholar
  • 17 Billiau AD, Hu Y, Verdonck A et al. Temporomandibular joint arthritis in juvenile idiopathic arthritis: prevalence, clinical and radiological signs, and relation to dentofacial morphology. J Rheumatol 2007; 34: 1925-1933
    PubMedGoogle Scholar
  • 18 Twilt M, Arends LR, Cate RT et al. Incidence of temporomandibular involvement in juvenile idiopathic arthritis. Scand J Rheumatol 2007; 36: 184-188
    CrossrefPubMedGoogle Scholar
  • 19 Twilt M, Schulten AJ, Verschure F et al. Long-term follow-up of temporomandibular joint involvement in juvenile idiopathic arthritis. Arthritis Rheum 2008; 59: 546-552
    CrossrefPubMedGoogle Scholar
  • 20 Twilt M, Schulten AJ, Nicolaas P et al. Facioskeletal changes in children with juvenile idiopathic arthritis. Ann Rheum Dis 2006; 65: 823-825
    CrossrefPubMedGoogle Scholar
  • 21 Arvidsson LZ, Fjeld MG, Smith HJ et al. Craniofacial growth disturbance is related to temporomandibular joint abnormality in patients with juvenile idiopathic arthritis, but normal facial profile was also found at the 27-year follow-up. Scand J Rheumatol 2010; 39: 373-379
    CrossrefPubMedGoogle Scholar
  • 22 Twilt M, Schulten AJ, Prahl-Andersen B et al. Long-term follow-up of craniofacial alterations in juvenile idiopathic arthritis. Angle Orthod 2009; 79: 1057-1062
    CrossrefPubMedGoogle Scholar
  • 23 Ringold S, Tzaribachev N, Cron RQ. Management of temporomandibular joint arthritis in adult rheumatology practices: a survey of adult rheumatologists. Pediatr Rheumatol Online J 2012; 10: 26
    CrossrefPubMedGoogle Scholar
  • 24 Kuseler A, Pedersen TK, Gelineck J et al. A2 year follow-up study of enhanced magnetic resonance imaging and clinical examination of the temporomandibular joint in children with juvenile idiopathic arthritis. J Rheumatol 2005; 32: 162-169
    PubMedGoogle Scholar
  • 25 Prince FH, van Suijlekom-Smit LW. Cost of Biologics in the Treatment of Juvenile Idiopathic Arthritis: A Factor not to be Overlooked. Paediatr Drugs 2013;
    PubMedGoogle Scholar
  • 26 Tzaribachev N. CZP is effective in polyJIA patients not responsive to other TNF Alpha antagonists. Ann Rheum Dis 2011; 71: 435
    PubMedGoogle Scholar
  • 27 Stoll ML, Good J, Sharpe T et al. Intra-articular corticosteroid injections to the temporomandibular joints are safe and appear to be effective therapy in children with juvenile idiopathic arthritis. J Oral Maxillofac Surg 2012; 70: 1802-1807
    CrossrefPubMedGoogle Scholar
  • 28 Stoustrup P, Kristensen KD, Verna C et al. Intra-articular steroid injection for temporomandibular joint arthritis in juvenile idiopathic arthritis: A systematic review on efficacy and safety. Semin Arthritis Rheum 2012;
    PubMedGoogle Scholar
  • 29 Stoll ML, Morlandt AB, Teerawattanapong S et al. Safety and efficacy of intra-articular infliximab therapy for treatment-resistant temporomandibular joint arthritis in children: a retrospective study. Rheumatology (Oxford) 2013; 52: 554-559
    CrossrefPubMedGoogle Scholar
  • 30 Stoustrup P, Kristensen KD, Kuseler A et al. Condylar lesions in relation to mandibular growth in untreated and intra-articular corticosteroid-­treated experimental temporomandibular joint arthritis. Clin Exp Rheumatol 2010; 28: 576-583
    PubMedGoogle Scholar
  • 31 Stoustrup P, Kristensen KD, Kuseler A et al. Intra-articular vs. systemic administration of etanercept in antigen-induced arthritis in the temporomandibular joint. Part II: mandibular growth. Pediatr Rheumatol Online J 2009; 7: 6
    CrossrefPubMedGoogle Scholar
  • 32 Kristensen KD, Stoustrup P, Kuseler A et al. Intra-articular vs. systemic administration of etanercept in antigen-induced arthritis in the temporomandibular point. Part I: histological effects. Pediatr Rheumatol Online J 2009; 7: 5
    CrossrefPubMedGoogle Scholar