Pediatric rheumatology

Evaluation of temporomandibular joint involvement in juvenile idiopathic arthritis patients

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

TMJ involvement is common in JIA patients and can occur at any stage of the disease.

Study context

Population
Juvenile idiopathic arthritis (JIA) patients followed at a Pediatric Rheumatology Clinic, January 2014–May 2017, with contrast-enhanced TMJ Magnetic Resonance Imaging (MRI)
Participants
41 patients
Exposure
JIA with vs without TMJ involvement on contrast-enhanced TMJ MRI
Outcome
Frequency and risk factors of TMJ involvement
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

TMJ involvement on contrast-enhanced MRI

TMJ involvement

51.2%

Asymptomatic among patients with TMJ involvement

71.5%

Chronic involvement among patients with TMJ involvement

71.5%

Observational data: associations, not effects.

Further findings

OutcomeP value
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · polyarticular onset subtype at a higher rateP = 0.005
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · earlier age of onsetP = 0.003
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · longer disease durationP = 0.037
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · more joints involvedP = 0.005
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · higher ESRP = 0.0001
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · worse treatment complianceP = 0.001
Factors associated with TMJ involvement (with vs without)TMJ involvement vs No TMJ involvement · worse treatment responseP = 0.0001

Original publication

Evaluation of temporomandibular joint involvement in juvenile idiopathic arthritis patients. Pediatr Rheumatol Online J. Published 25 November 2024. doi:10.1186/s12969-024-01031-w

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