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Dental Management in Juvenile Idiopathic Arthritis

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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.

Keywords: DENTAL MANAGEMENT; JUVENILE IDIOPATHIC ARTHRITIS; ORTHODONTICS; PEDIATRIC DENTISTRY; TEMPOROMANDIBULAR JOINT

Document Type: Case Report

Affiliations: 1: Dr. Sahni, Assistant Professor, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, University ofIllinois Chicago, Chicago,Ill., USA 2: Dr. Lamberghini, Assistant Professor, Department of Pediatric Dentistry, College of Dentistry, University ofIllinois Chicago, Chicago,Ill., USA

Publication date: January 1, 2022

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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