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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Published in:

01-03-2018 | Original Article

Dentoalveolar characteristics in children with juvenile idiopathic arthritis

Authors: Dr.med.dent. Athina Chatzigianni, DDS, MSc, Chrystalla Kyprianou, Moschos A. Papadopoulos, Sossani Sidiropoulou

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 2/2018

Abstract

Purpose

Juvenile idiopathic arthritis (JIA) is an autoimmune disease with multiple potential causal factors. In case of temporomandibular joint (TMJ) affection, the inflammatory reaction can result in restricted mandibular growth with implied skeletal and facial deformities. Aim of the present study was to examine dentoalveolar and occlusion characteristics in children with JIA.

Patients and methods

The sample consisted of 66 children (27 boys, 39 girls) with JIA. Thirty-three of them showed unilateral or bilateral condylar destruction, while the other half did not manifest any TMJ involvement. Corresponding dental casts of these patients were evaluated and Angle classification, overjet, overbite, crossbite, crowding, and ectopic teeth were registered. All dental casts were subsequently scanned and digitized to analyze 26 additional variables. Subgroups according to sex and condylar affection were formed. Statistical analysis was performed using Fisher’s least significant difference (LSD) post hoc test of analysis of variance (ANOVA).

Results

The prevalence of Class II, division 1 malocclusion in this JIA sample was high (28.8%). Compared to girls, boys had significantly greater dental arch widths and lengths. The group with bilateral condylar affection had significantly decreased lower arch length and increased irregularity index (p < 0.035) compared to the non-affected group.

Conclusions

Bilateral condylar involvement in children with JIA seems to reduce the lower arch length, while increasing the irregularity index of the lower front teeth.

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Title: Dentoalveolar characteristics in children with juvenile idiopathic arthritis
Authors: Dr.med.dent. Athina Chatzigianni, DDS, MSc
Chrystalla Kyprianou
Moschos A. Papadopoulos
Sossani Sidiropoulou
Publication date: 01-03-2018
Publisher: Springer Medizin
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 2/2018
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-018-0121-9

At a glance: The STEP trials

Springer Medicine

Dentoalveolar characteristics in children with juvenile idiopathic arthritis

Abstract

Purpose

Patients and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Patients and methods

Results

Conclusions

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