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Informationen aus Orthodontie & Kieferorthopädie 2013; 45(03): 153-158
DOI: 10.1055/s-0033-1353148
Übersichtsartikel
© Georg Thieme Verlag KG Stuttgart · New York

Veränderungen der kraniofazialen Morphologie bei juveniler idiopathischer Arthritis – eine Literaturübersicht[*]

Craniofacial Morphology Changes in Patients with Juvenile Idiopathic Arthritis – a Literature Review
J. von Bremen
1   Poliklinik für Kieferorthopädie, Justus-Liebig-Universität, Gießen
,
S. Ruf
1   Poliklinik für Kieferorthopädie, Justus-Liebig-Universität, Gießen
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
19. September 2013 (online)

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Zusammenfassung

Ziel:

Ziel dieser Literaturübersicht war es, den Einfluss der Juvenilen Idiopathischen Arthritis (JIA) auf die kraniofaziale Gesichtsschädelmorphologie systematisch zu untersuchen.

Material und Methoden:

Mehrere elektronische Datenbanken (PubMed, Medpilot, Web of Science, DIMDI) sowie die kieferorthopädische und rheumatologische Fachliteratur wurde entsprechend der PRISMA-Richtlinien systematisch nach Studien durchsucht, die Hinweise auf die kraniofaziale Morphologie bei JIA-Kindern geben. Die ermittelten Artikel wurden unabhängig von 2 Untersuchern bewertet und nach einem 3-schrittigen Verfahren (Titel – Abstract – Volltext) ausgewählt.

Ergebnisse:

Nach Abschluss des Auswahlverfahrens standen 19 Artikel zur Verfügung, welche sich durch eine hohe Heterogenität auszeichneten. Im Großteil der Untersuchungen wurde keine differenzierte Analyse der verschiedenen JIA-Subtypen durchgeführt und auch eine differenzierte Auswertung nach Kiefergelenksbefall erfolgte selten. Auch weitere Angaben (Alter der Patienten, Erkrankungsdauer, Medikation, kieferorthopädische Vorbehandlung) sowie eine geeignete Kontrollgruppe waren in höchstem Maße uneinheitlich, was eine Metaanalyse der Daten nicht möglich machte. Es scheint jedoch, als sei die Kieferlagebeziehung bei JIA-Patienten in Richtung einer skelettalen Klasse II sowie einer hyperdivergenten Kieferrelation verändert.

Schlussfolgerung:

Somit ist derzeit aufgrund des inhomogenen Patientengutes keine differenzierte Aussage zum Einfluss verschiedener JIA-Arten auf die kraniofaziale Morphologie möglich.

Abstract

Aim:

The aim of this systematic literature review was to analyze the influence of Juvenile Idiopathic Arthritis (JIA) on the craniofacial morphology.

Material and methods:

According to the PRISMA guidelines, several electronic databases (PubMed, Medpilot, Web of Science, DIMDI) as well as the orthodontic and rheumatologic literature were systematically searched for studies describing the influence of JIA on the craniofacial morphology. The articles were screened and selected by 2 reviewers in a 3-step-procedure (title – abstract – full text).

Results:

19 articles, characterized by a great heterogeneity, were selected. In the majority of the papers there was no differentiation according to JIA-subtypes or temporomandibular joint involvement. Furthermore, the general necessary information (patient age, duration of JIA, general medication, orthodontic treatment, control group) was very inhomogeneous or lacking completely. Thus, it was not possible to perform a meta-analysis of the data. However, it seems, as if JIA-patients tend to develop a skeletal Class II as well as a hyperdivergent jaw base relation.

Conclusion:

Due to the very inhomogeneous patient samples, it is momentarily not possible to draw any differentiated conclusions on the influence of JIA on the craniofacial morphology of the affected patients.

Schlüsselwörter

Juvenile Idiopathische ­Arthritis (JIA) - kraniofaziale Morphologie

Key words

Juvenile Idiopathic Arthritis (JIA) - craniofacial morphology

* Diese Übersichtsarbeit beruht auf den Ergebnissen einer systematischen Literaturrecherche, erschienen in: J Orofac Orthop 2012; 73: 265–276.


 

  • Literatur

  • 1 Karhulahti T, Ylijoki H, Ronning O. Mandibular condyle lesions related to age at onset and subtypes of juvenile rheumatoid arthritis in 15-year-old children. Scand J Dent Res 1993; 101: 332-338
    PubMedGoogle Scholar
  • 2 Kreiborg S, Bakke M, Kirkeby S et al. Facial growth and oral function in a cases of juvenile rheumatoid arthritis during an 8-year period. Eur J Orthod 1990; 12: 119-134
    CrossrefPubMedGoogle Scholar
  • 3 Olson L, Eckerdal O, Hallonsten AL et al. Craniomandibular function in juvenile chronic arthritis. A clinical and radiographic study. Swed Dent J 1991; 15: 71-83
    PubMedGoogle Scholar
  • 4 Pearson MH, Ronning O. Lesions of the mandibular condyle in juvenile chronic arthritis. Br J Orthod 1996; 23: 49-56
    PubMedGoogle Scholar
  • 5 Bayar N, Kara SA, Keles I et al. Temporomandibular joint involvement in rheumatoid arthritis: a radiological and clinical study. Cranio 2002; 20: 105-110
    PubMedGoogle Scholar
  • 6 Hu YS, Schneiderman ED. The temporomandibular joint in juvenile rheumatoid arthritis: I. Computed tomographic findings. Pediatr Dent 1995; 17: 46-53
    PubMedGoogle Scholar
  • 7 Hu YS, Schneiderman ED, Harper RP. The temporomandibular joint in juvenile rheumatoid arthritis: Part II. Relations between computed tomographic and clinical findings. Pediatr Dent 1996; 18: 312-319
    PubMedGoogle Scholar
  • 8 Küseler A, Pedersen TK, Gelineck J et al. A 2 year follow up study of enhanced magnetic resonance imaging and clinical examination of the temporomandibular joint in children with juvenile chronic arthritis. J Rheumatol 2005; 32: 162-169
    PubMedGoogle Scholar
  • 9 Bache C. Mandibular growth and dental occlusion in juvenile rheumatoid arthritis. Acta Rheum Scand 1964; 10: 142-153
    CrossrefPubMedGoogle Scholar
  • 10 Engel MB, Richmond J, Brodie TG. Mandibular growth disturbances in rheumatoid arthritis of childhood. Am J Dis Chil 1949; 78: 728-743
    PubMedGoogle Scholar
  • 11 Hanna VE, Rider SF, Moore TL et al. Effects of systemic onset juvenile rheumatoid arthritis on facial morphology and temporomandibular joint form and function. J Rheumatol 1996; 23: 155-158
    PubMedGoogle Scholar
  • 12 Kjellberg H, Fasth A, Kiliaridis S et al. Craniofacial structure in children with juvenile chronic arthritis (JCA) compared with healthy children with ideal or postnormal occlusion. Am J Orthod Dentofac Orthop 1995; 107: 67-78
    CrossrefPubMedGoogle Scholar
  • 13 Kjellberg H. Craniofacial growth in juvenile chronic arthritis. Acta Odont Scand 1998; 56: 360-365
    CrossrefPubMedGoogle Scholar
  • 14 Larheim TA, Haanaes HR. Micrognathia, temporomandibular joint changes and dental occlusion in juvenile rheumatoid arthritis of adolescents and adults. Scand J Dent Res 1981; 89: 329-338
    PubMedGoogle Scholar
  • 15 Melsen B, Bjerregård J, Bundgård M. The effect of treatment with functional appliances on a pathologic growth pattern of the condyle. Am J Orthod Dentofac Orthop 1986; 90: 503-512
    CrossrefPubMedGoogle Scholar
  • 16 Odenrick L. Potential micrognathia in children with juvenile rheumatoid arthritis. Trans Eur Orthod Soc. 1977. 1977. 297-316
    Google Scholar
  • 17 Pedersen TK. Clinical aspects of orthodontic treatment for children with juvenile chronic arthritis. Acta Odontol Scand 1998; 56: 366-368
    CrossrefPubMedGoogle Scholar
  • 18 Pedersen TK, Grønhøj J, Melsen B et al. Condylar condition and mandibular growth during early functional treatment of children with juvenile chronic arthritis. Eur J Orthod 1995; 17: 385-394
    CrossrefPubMedGoogle Scholar
  • 19 Ronchezel MV, Hilário MO, Goldenberg J et al. Temporomandibular joint and mandibular alterations in patients with juvenile rheumatoid arthritis. J Rheumatol 1995; 22: 1956-1961
    PubMedGoogle Scholar
  • 20 von Bremen J, Ruf S. Juvenile idiopathic arthritis – and now? A systematic literature review of changes in craniofacial morphology. J Orofac Orthop 2012; 73: 265-276
    CrossrefPubMedGoogle Scholar
  • 21 Larheim TA, Haanaes HR, Dale K. Radiographic temporomandibular joint abnormality in adults with micrognathia and juvenile rheumatoid arthritis. Acta Radiol Diagn 1981; 22: 495-504
    PubMedGoogle Scholar
  • 22 Arvidsson LZ, Fjeld MG, Smith HJ et al. Craniofacial growth disturbance is related to temporomandibular joint abnormality in patients with juvenile idiopathic arthritis, but normal facial profile was also found at the 27-year follow-up. Scand J Rheumatol 2010; 39: 373-379
    CrossrefPubMedGoogle Scholar
  • 23 Barriga B, Lewis TM, Law DB. An investigation of the dental occlusion in children with juvenile rheumatoid arthritis. Angle Orthod 1974; 44: 329-335
    PubMedGoogle Scholar
  • 24 Billiau AD, Hu Y, Verdonck A et al. Temporomandibular joint arthritis in juvenile idiopathic arthritis: prevalence, clinical and radiological signs, and relation to dentofacial morphology. J Rheumatol 2007; 34: 1925-1934
    PubMedGoogle Scholar
  • 25 Hu Y, Billiau AD, Verdonck A et al. Variation in dentofacial morphology and occlusion in juvenile idiopathic arthritis subjects: a case-control study. Eur J Orthod 2009; 31: 51-58
    CrossrefPubMedGoogle Scholar
  • 26 Fjeld M, Arvidsson L, Smith HJ et al. Relationship between disease course in the temporomandibular joints and mandibular growth rotation in patients with juvenile idiopathic arthritis followed from childhood to adulthood. Pediatr Rheumatol Online J 2010; 22: 8-13
    PubMedGoogle Scholar
  • 27 Fjeld MG, Arvidsson LZ, Stabrun AE et al. Average craniofacial development from 6 to 35 years of age in a mixed group of patients with juvenile idiopathic arthritis. Acta Odontol Scand 2009; 67: 153-160
    CrossrefPubMedGoogle Scholar
  • 28 Twilt M, Schulten AJ, Nicolaas P et al. Facioskeletal changes in children with juvenile idiopathic arthritis. Ann Rheum Dis 2006; 65: 823-825
    CrossrefPubMedGoogle Scholar
  • 29 Twilt M, Schulten AJ, Prahl-Andersen B et al. Long-term follow-up of craniofacial alterations in juvenile idiopathic arthritis. Angle Orthod 2009; 79: 1057-1062
    CrossrefPubMedGoogle Scholar
  • 30 Sidiropoulou-Chatzigianni S, Papadopoulos MA, Kolokithas G. Dentoskeletal morphology in children with juvenile idiopathic arthritis compared with healthy children. J Orthod 2001; 28: 53-58
    CrossrefPubMedGoogle Scholar
  • 31 Farronato G, Carletti V, Maspero C et al. Craniofacial growth in children affected by JIA involving the TMJ: functional therapy. J Clin Pediatr Dent 2009; 33: 351-357
    PubMedGoogle Scholar
  • 32 Mandall NA, Gray R, O'Brien KD et al. Juvenile idiopathic arthritis (JIA): a screening study to measure class II skeletal pattern, TMJ PDS and use of systemic corticosteroids. J Orthod 2010; 37: 6-15
    CrossrefPubMedGoogle Scholar
  • 33 Stabrun A. Impaired mandibular growth and micrognathic development in children with juvenile rheumatoid arthritis. A longitudinal study of lateral cephalographs. Eur J Orthod 1991; 13: 423-434
    CrossrefPubMedGoogle Scholar
  • 34 Cannizzaro E, Schroeder S, Müller LM et al. Temporomandibular joint involvement in children with juvenile idiopathic arthritis. J Rheumatol 2011; 38: 510-515
    CrossrefPubMedGoogle Scholar
  • 35 Ince DO, Ince A, Moore TL. Effect of methotrexate on the temporomandibular joint and facial morphology in juvenile rheumatoid arthritis patients. Am J Orthod Dentofacial Orthop 2000; 118: 75-83
    CrossrefPubMedGoogle Scholar
  • 36 Mericle PM, Wilson VK, Moore TL et al. Effects of polyarticular and pauciarticular onset juvenile rheumatoid arthritis on facial and mandibular growth. J Rheumatol 1996; 23: 159-165
    PubMedGoogle Scholar
  • 37 Pedersen TK, Jensen JJ, Melsen B et al. Resorption of the temporomandibular condylar bone according to subtypes of juvenile chronic arthritis. J Rheumatol 2001; 28: 2109-2115
    PubMedGoogle Scholar
  • 38 Twilt M, Arends LR, Cate RT et al. Incidence of temporomandibular involvement in juvenile idiopathic arthritis. Scand J Rheumatol 2007; 36: 184-188
    CrossrefPubMedGoogle Scholar
  • 39 Jank S, Haase S, Strobl H et al. Sonographic investigation of the temporomandibular joint in patients with juvenile idiopathic arthritis: a pilot study. Arthritis Rheum 2007; 57: 213-218
    CrossrefPubMedGoogle Scholar
  • 40 Jank S, Schröder D, Haase S et al. Kiefergelenksbeschwerden bei juvenilen Patienten mit theumatischen Erkrankungen. Mund Kiefer Gesichtschir 2003; 7: 214-219
    CrossrefPubMedGoogle Scholar
  • 41 Sfondrini G, Schiavi A, Lalli A et al. L’ATM in soggetti affetti da artitite reumatoide giovanile: analisi funzionale e cefalometrica. Mondo Ortod 1991; 16: 287-297
    PubMedGoogle Scholar
  • 42 Stabrun AE, Larheim TA, Höyeraal HM et al. Reduced mandibular dimensions and asymmetry in juvenile rheumatoid arthritis. Pathogenetic factors. Arthritis Rheum 1988; 31: 602-611
    CrossrefPubMedGoogle Scholar
  • 43 Stoustrup P, Kristensen KD, Küseler A et al. Reduced mandibular growth in experimental arthritis in the temporomandibular joint treated with intra-articular corticosteroid. Eur J Orthod 2008; 30: 111-119
    CrossrefPubMedGoogle Scholar
  • 44 Twilt M, Mobers SM, Arends LR et al. Temporomandibular involvement in juvenile idiopathic arthritis. J Rheumatol 2004; 31: 1418-1422
    PubMedGoogle Scholar
  • 45 von Bremen J, Ruf S. Orthodontic and dentofacial orthopedic management of juvenile idiopathic arthritis: a systematic review of the literature. Orthod Craniofac Res 2011; 143: 107-115
    PubMedGoogle Scholar