Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Vennelyst Blvd 9, 8000 Aarhus, Denmark.
Department of Pediatrics, Division of Rheumatology, Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
Rheum Dis Clin North Am. 2021 Nov;47(4):607-617. doi: 10.1016/j.rdc.2021.06.004. Epub 2021 Aug 21.
Patients with juvenile idiopathic arthritis (JIA) often have involvement of the temporomandibular joint (TMJ) during their disease course. Active arthritis of the TMJ remains difficult to assess. Clinical signs and symptoms alone are unreliable, and active TMJ arthritis needs confirmation by gadolinium-enhanced MRI. In recent years, changes in treatment approach have occurred. This article discusses the latest evidence on diagnosis and treatment of JIA-associated TMJ arthritis.
患有幼年特发性关节炎 (JIA) 的患者在疾病过程中常常累及颞下颌关节 (TMJ)。TMJ 的活动性关节炎仍然难以评估。仅凭临床体征和症状不可靠，需要通过钆增强 MRI 来确认活动性 TMJ 关节炎。近年来，治疗方法发生了变化。本文讨论了 JIA 相关 TMJ 关节炎的最新诊断和治疗证据。
