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一名青少年特发性关节炎患者的正畸治疗：病例报告

Orthodontic Management of a Patient With Juvenile Idiopathic Arthritis: A Case Report.

作者信息

Ruslan Ahmad Hashridz, Roslan Mohamad Afiq Farhan

机构信息

Orthodontics, School of Dental Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MYS.

Orthodontics, Edinburgh Dental Institute, The University of Edinburgh, Edinburgh, GBR.

出版信息

Cureus. 2024 Aug 15;16(8):e66918. doi: 10.7759/cureus.66918. eCollection 2024 Aug.

DOI:10.7759/cureus.66918
PMID:39280533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11401343/
Abstract

Juvenile idiopathic arthritis (JIA) is a childhood condition marked by joint inflammation, pain, and restricted movement. It often leads to progressive joint damage. Among systemic inflammatory diseases, JIA most commonly affects the temporomandibular joint (TMJ), posing challenges for orthodontic treatment. This case report presents the successful orthodontic treatment of a 15-year-old patient with Class II malocclusion and JIA. The treatment outcome was excellent and remained stable at the one-year follow-up, with no clinical symptoms or radiographic changes in the TMJ observed.

摘要

青少年特发性关节炎（JIA）是一种儿童疾病，其特征为关节炎症、疼痛和活动受限。它常导致进行性关节损伤。在全身性炎症性疾病中，JIA最常累及颞下颌关节（TMJ），给正畸治疗带来挑战。本病例报告介绍了一名患有II类错牙合和JIA的15岁患者的成功正畸治疗。治疗效果极佳，在一年的随访中保持稳定，未观察到TMJ的临床症状或影像学改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/d56b637bbad2/cureus-0016-00000066918-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/bca946a8d530/cureus-0016-00000066918-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/e9e920790807/cureus-0016-00000066918-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/e4c7af66bda0/cureus-0016-00000066918-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/67b92f87ef7f/cureus-0016-00000066918-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/aec9a1036864/cureus-0016-00000066918-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/c9402022530c/cureus-0016-00000066918-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/d56b637bbad2/cureus-0016-00000066918-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/bca946a8d530/cureus-0016-00000066918-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/e9e920790807/cureus-0016-00000066918-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/e4c7af66bda0/cureus-0016-00000066918-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/67b92f87ef7f/cureus-0016-00000066918-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/aec9a1036864/cureus-0016-00000066918-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/c9402022530c/cureus-0016-00000066918-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/11401343/d56b637bbad2/cureus-0016-00000066918-i07.jpg

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本文引用的文献

1
Temporomandibular involvement in children and adolescents with juvenile idiopathic arthritis: a 2-year prospective cohort study.儿童和青少年幼年特发性关节炎的颞下颌关节累及：一项为期 2 年的前瞻性队列研究。
Sci Rep. 2024 Mar 6;14(1):5512. doi: 10.1038/s41598-024-56174-3.
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Long-Term Follow-Up of Orthognathic Surgery in 19 Patients with Juvenile Idiopathic Arthritis.19例幼年特发性关节炎患者正颌外科手术的长期随访
J Oral Maxillofac Res. 2023 Dec 31;14(4):e4. doi: 10.5037/jomr.2023.14404. eCollection 2023 Oct-Dec.
3
Comparison between ultrasound and magnetic resonance imaging of the temporomandibular joint in juvenile idiopathic arthritis: A systematic review.
颞下颌关节在幼年特发性关节炎中的超声和磁共振成像比较：系统评价。
J Oral Rehabil. 2023 Oct;50(10):1082-1092. doi: 10.1111/joor.13529. Epub 2023 Jun 23.
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Management of temporomandibular joint arthritis in children and adolescents: An introduction for orthodontists.儿童和青少年颞下颌关节炎的管理：正畸医生的入门介绍。
Orthod Craniofac Res. 2023 Dec;26 Suppl 1:151-163. doi: 10.1111/ocr.12676. Epub 2023 May 24.
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Genetic Background and Molecular Mechanisms of Juvenile Idiopathic Arthritis.幼年特发性关节炎的遗传背景和分子机制。
Int J Mol Sci. 2023 Jan 17;24(3):1846. doi: 10.3390/ijms24031846.
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Juvenile idiopathic arthritis.幼年特发性关节炎
Nat Rev Dis Primers. 2022 Jan 27;8(1):5. doi: 10.1038/s41572-021-00332-8.
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Juvenile idiopathic arthritis: from aetiopathogenesis to therapeutic approaches.幼年特发性关节炎：从发病机制到治疗方法。
Pediatr Rheumatol Online J. 2021 Aug 23;19(1):135. doi: 10.1186/s12969-021-00629-8.
8
Efficacy and Safety of Tocilizumab for Polyarticular-Course Juvenile Idiopathic Arthritis in the Open-Label Two-Year Extension of a Phase III Trial.托珠单抗治疗多关节病程幼年特发性关节炎的疗效和安全性：III 期临床试验的开放标签 2 年扩展研究。
Arthritis Rheumatol. 2021 Mar;73(3):530-541. doi: 10.1002/art.41528. Epub 2021 Feb 9.
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Review of environmental factors and juvenile idiopathic arthritis.环境因素与青少年特发性关节炎综述
Open Access Rheumatol. 2019 Nov 6;11:253-267. doi: 10.2147/OARRR.S165916. eCollection 2019.
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Medically compromised patients in orthodontic practice: Review of evidence and recommendations.正畸治疗中的医学并发症患者：证据回顾与建议
Int Orthod. 2019 Dec;17(4):776-788. doi: 10.1016/j.ortho.2019.08.015. Epub 2019 Aug 27.