Sahni Jasjot, Lamberghini Flavia
Dr. Sahni, Assistant Professor, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, University ofIllinois Chicago, Chicago,Ill., USA.
Dr. Lamberghini, Assistant Professor, Department of Pediatric Dentistry, College of Dentistry, University ofIllinois Chicago, Chicago,Ill., USA.
J Dent Child (Chic). 2022 Jan 15;89(1):18-23.
Juvenile idiopathic arthritis (JIA) is the most common childhood rheumatic disease. It can involve the temporomandibular joint (TMJ) at onset; however, this is frequently overlooked until later stages when pain and dysfunction occur. The purpose of this paper is to discuss the case of a 14-year-old female with malocclusion and TMJ pain who presented for orthodontic treatment. The orthodontist referred her to the orofacial pain specialist to rule out TMJ dysfunction before starting care. After a comprehensive evaluation, the patient was diagnosed with JIA. Dentists can play a key role in the initial detection of systemic diseases causing TMJ pathology. This case report outlines the main orofacial signs and symptoms a dentist needs to be familiar with for the prompt identification of JIA, further reiterating the importance of an early diagnosis for a better prognosis and quality of life of a young patient with JIA.
幼年特发性关节炎（JIA）是最常见的儿童风湿性疾病。它在发病时可累及颞下颌关节（TMJ）；然而，这一情况在疼痛和功能障碍出现的后期阶段之前常常被忽视。本文旨在讨论一名14岁女性患者的病例，该患者存在错牙合畸形和TMJ疼痛，前来接受正畸治疗。正畸医生在开始治疗前将她转诊至口面部疼痛专科医生处，以排除TMJ功能障碍。经过全面评估，该患者被诊断为JIA。牙医在引起TMJ病变的全身性疾病的初始检测中可发挥关键作用。本病例报告概述了牙医为及时识别JIA需要熟悉的主要口面部体征和症状，进一步重申了早期诊断对于改善JIA年轻患者的预后和生活质量的重要性。
