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  • Title: Facioskeletal changes in children with juvenile idiopathic arthritis.
    Author: Twilt M, Schulten AJ, Nicolaas P, Dülger A, van Suijlekom-Smit LW.
    Journal: Ann Rheum Dis; 2006 Jun; 65(6):823-5. PubMed ID: 16699052.
    Abstract:
    OBJECTIVE: To investigate the facioskeletal morphology in patients with juvenile idiopathic arthritis (JIA) with and without temporomandibular joint (TMJ) involvement. METHODS: Eighty five patients were included. TMJ involvement was defined by orthopantomogram alterations. Lateral cephalograms were used to determine linear and angular measurements and occlusion. RESULTS: Patients regardless of their TMJ status had a 67% chance for retrognathia and a 52% chance for posterior rotation of the mandible and, respectively, 82% and 58% if TMJ involvement were present. Changes were not uniformly distributed among the different subtypes. CONCLUSION: Patients with JIA have an altered facial morphology, especially in the presence of TMJ involvement.
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