Diagnostic criteria reported in the expanded taxonomy for temporomandibular disorders include a standardised clinical examination and diagnosis (DC/TMD 3.B) of temporomandibular joint (TMJ) damage in patients with juvenile idiopathic arthritis (JIA); however, their validity is unknown

Berntson L

Billiau AD

Cedströmer AL

Dworkin SF

Helkimo M

Küseler A

Pedersen TK

Petty RE

Steenks MH

Truelove E

Twilt M

Wahlund K

Crossref

Temporomandibular joint damage in juvenile idiopathic arthritis: Diagnostic validity of diagnostic criteria for temporomandibular disorders

BackgroundDiagnostic criteria reported in the expanded taxonomy for temporomandibular disorders include a standardised clinical examination and diagnosis (DC/TMD 3.B) of temporomandibular joint (TMJ) damage in patients with juvenile idiopathic arthritis (JIA); however, their validity is unknown.  ObjectivesTo assess the validity of DC/TMD 3.B for the identification of TMJ damage in JIA-patients, using magnetic resonance imaging (MRI) as gold standard, and to investigate the relation between clinical findings and TMJ damage.  MethodsFifty consecutive JIA patients (9-16years) were recruited. DC/TMD 3.B were compared with TMJs MRI (100TMJs) performed maximum at 1month from the visit. The severity of TMJ damage was scored in four grades. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), logistic regression models with odds ratio of DC/TMD 3.B and clinical findings respect to MRI were calculated.  ResultsThe DC/TMD 3.B were inadequate in the identification of TMJ damage (sensitivity=0.15, specificity=0.92, PPV=0.85, NPV=0.28, P=0.350). Chin deviation and TMJ crepitus were associated with worse TMJ damage (P=0.006; P=0.034). Reduced mouth opening (OR=3.91, P=0.039) and chin deviation (OR=13.7, P=0.014) were associated with the presence of TMJ damage. Combining pain (history of pain, TMJ pain, pain during movements) and function (TMJ crepitus, reduced mouth opening, chin deviation) clinical findings, the sensitivity and the specificity were 0.88 and 0.54.  ConclusionDC/TMD 3.B present a low sensitivity to diagnose TMJ damage. Chin deviation, reduced mouth opening and TMJ crepitus are associated with TMJ damage. We suggest combining pain and function findings for the evaluation of TMJ damage in JIA patients

Rongo, Roberto

Alstergren, Per

Ammendola, Lucia

Bucci, Rosaria

Alessio, Maria

D'Anto, Vincenzo

Michelotti, Ambra

Malmö University Electronic Publishing

Temporomandibular joint damage in juvenile idiopathic arthritis : Diagnostic validity of diagnostic criteria for temporomandibular disorders

Background
: Diagnostic Criteria reported in the expanded taxonomy for
Temporomandibular Disorders include a standardised clinical examination and diagnosis
(DC/TMD 3.B) of temporomandibular joint (TMJ) damage in patients with juvenile idiopathic
arthritis (JIA), however their validity is unknown.
Objectives: to assess the validity of DC/TMD 3.B for the identification of TMJ damage in JIA
-
patients, using magnetic resonance imaging (MRI) as gold standard; to investigate the
relation between clinical findings and TMJ damage.
Methods: 50 consecutive JIA
-patients, (9
-16 years) were recruited. DC/TMD 3.B were
compared with TMJs MRI (100 TMJs) performed maximum at 1 month from the visit. The
severity of TMJ damage was scored in 4 grades. Sensitivity, specificity, positive predictive
value (PPV), negative predictive value (NPV), logistic regression models with Odds Ratio of
DC/TMD 3.B and clinical findings respect to MRI were calculated. Results: The DC/TMD 3.B were inadequate in the identification of TMJ damage
(sensitivity=0.15, specificity=0.92, PPV=0.85, NPV=0.28, P=0.350). Chin deviation and TMJ
crepitus were associated with worse TMJ damage (P=0.006; P=0.034). Reduced mouth
opening (OR=3.91, P=0.039) and chin deviation (OR=13.7, P=0.014) were associated with the
presence of TMJ damage. Combining
“Pain
” (History of pain, TMJ pain, Pain during
movements) and
“Function
” (TMJ crepitus, Reduced mouth opening, Chin deviation) clinical
findings the sensitivity and the specificity were 0.88 and 0.54.
Conclusion: DC/TMD 3.B present a low sensitivity to diagnose TMJ damage. Chin deviation,
reduced mouth opening and TMJ crepitus are associated with TMJ damage. We suggest
combining “Pain” and“Function” findings for the evaluation of TMJ damage in JIA-patients

D'Antò, Vincenzo

MICHELOTTI, AMBROSINA

Archivio della ricerca - Università degli studi di Napoli Federico II

BackgroundDiagnostic criteria reported in the expanded taxonomy for temporomandibular disorders include a standardised clinical examination and diagnosis (DC/TMD 3.B) of temporomandibular joint (TMJ) damage in patients with juvenile idiopathic arthritis (JIA); however, their validity is unknown. ObjectivesTo assess the validity of DC/TMD 3.B for the identification of TMJ damage in JIA-patients, using magnetic resonance imaging (MRI) as gold standard, and to investigate the relation between clinical findings and TMJ damage. MethodsFifty consecutive JIA patients (9-16years) were recruited. DC/TMD 3.B were compared with TMJs MRI (100TMJs) performed maximum at 1month from the visit. The severity of TMJ damage was scored in four grades. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), logistic regression models with odds ratio of DC/TMD 3.B and clinical findings respect to MRI were calculated. ResultsThe DC/TMD 3.B were inadequate in the identification of TMJ damage (sensitivity=0.15, specificity=0.92, PPV=0.85, NPV=0.28, P=0.350). Chin deviation and TMJ crepitus were associated with worse TMJ damage (P=0.006; P=0.034). Reduced mouth opening (OR=3.91, P=0.039) and chin deviation (OR=13.7, P=0.014) were associated with the presence of TMJ damage. Combining pain (history of pain, TMJ pain, pain during movements) and function (TMJ crepitus, reduced mouth opening, chin deviation) clinical findings, the sensitivity and the specificity were 0.88 and 0.54. ConclusionDC/TMD 3.B present a low sensitivity to diagnose TMJ damage. Chin deviation, reduced mouth opening and TMJ crepitus are associated with TMJ damage. We suggest combining pain and function findings for the evaluation of TMJ damage in JIA patients.</p

Rongo, Roberto,

Alstergren, Per,

Ammendola, Lucia,

Bucci, Rosaria,

Alessio, Maria,

D'Anto, Vincenzo,

Michelotti, Ambra,

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https://www.iris.unina.it/retrieve/handle/11588/753131/252152/Rongo_et_al-2019-Journal_of_Oral_Rehabilitation.pdf

Temporomandibular joint damage in juvenile idiopathic arthritis: Diagnostic validity of diagnostic criteria for temporomandibular disorders

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Malmö University Electronic Publishing

Archivio della ricerca - Università degli studi di Napoli Federico II

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