Macedo de Menezes Luciane, Deon Rizzatto Susana Maria, Martinelli Santayana de Lima Eduardo, Baccarin Matje Paulo Ricardo, Picarelli Maria Mercedes
Department of Orthodontics, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Department of Orthodontics, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Am J Orthod Dentofacial Orthop. 2017 Feb;151(2):384-396. doi: 10.1016/j.ajodo.2015.12.032.
Juvenile idiopathic arthritis is a childhood disease that causes joint swelling and pain, and limitation in the range of joint movements. It is characterized by progressive destruction of the joints. Juvenile idiopathic arthritis is the most frequent systemic inflammatory disease of the temporomandibular joint. When the temporomandibular joint is involved, orthodontic treatment becomes more challenging. This case report shows the treatment of a young patient with a Class II subdivision malocclusion and juvenile idiopathic arthritis. Excellent results were achieved and maintained at the 6-year follow-up, when neither clinical symptoms nor radiographic changes in the temporomandibular joint were seen.
青少年特发性关节炎是一种儿童疾病，会导致关节肿胀、疼痛以及关节活动范围受限。其特征是关节进行性破坏。青少年特发性关节炎是颞下颌关节最常见的全身性炎症性疾病。当颞下颌关节受累时，正畸治疗变得更具挑战性。本病例报告展示了一名患有安氏II类亚类错牙合畸形和青少年特发性关节炎的年轻患者的治疗情况。在6年随访时取得并维持了极佳的效果，此时未观察到颞下颌关节的临床症状或影像学改变。
