Juvenile Idiopathic Arthritis
Conditions
Brief summary
The aim of the study was to determine the changes in Oral Health-Related Quality of Life (OHRQoL) in patients with juvenile idiopathic arthritis (JIA) and temporomandibular joint (TMJ) disorders who underwent functional therapy for 24 months to assess the age and sex group in which the functional therapy was most effective.
Detailed description
This prospective interventional study included 93 patients with JIA and TMJ disorders at the start of functional orthodontic therapy. Children were prospectively followed in the 24 months of treatment and completed the Oral Health Impact Profile (OHIP-14) before treatment (T0), and at 6 months (T1), 12 months (T2), and 24 months (T3) after the start of therapy.
Interventions
Included patients were treated for 24 months with a Functional removable orthodontic appliance, the Andresen activator. The initial checks were performed after 6 weeks with subsequent checks being carried out every 8th week, with the final follow-up at 24 months. The patient underwent functional treatment using the activator described in the protocol with midlines coincidence.
Sponsors
Study design
Eligibility
Inclusion criteria
The inclusion criteria were: * JIA with unilateral or bilateral TMJ arthritis treated with a functional appliance; * Clear signs or symptoms of TMJ arthritis based on clinical and radiological examination. * No administration of intra-articular TMJ steroid injections throughout the course of the orthopaedic functional treatment.
Exclusion criteria
* previous orthodontic treatment; * history of maxillofacial surgery; * genetic diseases, syndromes, other congenital deformities or any concurrent medical condition.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TMJ disorder cessation | 24 months | TMJ disorder and clinical mandibular symmetry was achieved or if mandibular growth was estimated as ceased. |
Countries
Italy