Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations

the Temporomandibular Joint Juvenile Arthritis Working Group; Peter Stoustrup; Cory M. Resnick; Shelly Abramowicz; Thomas K. Pedersen; Ambra Michelotti; Annelise Küseler; Bernd Koos; Carlalberta Verna; Ellen B. Nordal; Eric J. Granquist; Josefine Mareile Halbig; Kasper D. Kristensen; Leonard B. Kaban; Linda Z. Arvidsson; Lynn Spiegel; Matthew L. Stoll; Melissa A. Lerman; Mia Glerup; Patrizia Defabianis; Paula Frid; Per Alstergren; Randy Q. Cron; Sarah Ringold; Sven Erik Nørholt; Timo Peltomaki; Tore A. Larheim; Troels Herlin; Zachary S. Peacock; Christian J. Kellenberger; Marinka Twilt

doi:10.1002/art.42338

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations

the Temporomandibular Joint Juvenile Arthritis Working Group, Peter Stoustrup, Cory M. Resnick, Shelly Abramowicz, Thomas K. Pedersen, Ambra Michelotti, Annelise Küseler, Bernd Koos, Carlalberta Verna, Ellen B. Nordal, Eric J. Granquist, Josefine Mareile Halbig, Kasper D. Kristensen, Leonard B. Kaban, Linda Z. Arvidsson, Lynn Spiegel, Matthew L. Stoll, Melissa A. Lerman, Mia Glerup, Patrizia DefabianisPaula Frid, Per Alstergren, Randy Q. Cron, Sarah Ringold, Sven Erik Nørholt, Timo Peltomaki, Tore A. Larheim, Troels Herlin, Zachary S. Peacock, Christian J. Kellenberger, Marinka Twilt

Research output: Contribution to journal › Review Article › peer-review

21 Citations (Scopus)

10 Downloads (Pure)

Abstract

Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, orofacial dysfunction, and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management. We undertook this study to develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA, and to create a future research agenda related to management of TMJ arthritis in children with JIA. Recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during 2 consensus meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists, and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study. Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to diagnosis (n = 4), treatment of TMJ arthritis (active TMJ inflammation) (n = 2), treatment of TMJ dysfunction and symptoms (n = 3), treatment of arthritis-related dentofacial deformity (n = 2), and other aspects related to JIA (n = 1). Additionally, a future interdisciplinary research agenda was developed. These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA.

Original language	English
Pages (from-to)	4-14
Number of pages	11
Journal	Arthritis and Rheumatology
Volume	75
Issue number	1
Early online date	2022
DOIs	https://doi.org/10.1002/art.42338
Publication status	Published - Jan 2023
Publication type	A2 Review article in a scientific journal

Publication forum classification

Publication forum level 2

ASJC Scopus subject areas

Immunology and Allergy
Rheumatology
Immunology

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Arthritis Rheumatology - 2022 - Stoustrup - Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis -1Final published version, 509 KBLicence: CC BY-NC

https://urn.fi/URN:NBN:fi:tuni-202302062062Licence: CC BY-NC

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the Temporomandibular Joint Juvenile Arthritis Working Group, Stoustrup, P., Resnick, C. M., Abramowicz, S., Pedersen, T. K., Michelotti, A., Küseler, A., Koos, B., Verna, C., Nordal, E. B., Granquist, E. J., Halbig, J. M., Kristensen, K. D., Kaban, L. B., Arvidsson, L. Z., Spiegel, L., Stoll, M. L., Lerman, M. A., Glerup, M., ... Twilt, M. (2023). Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations. Arthritis and Rheumatology, 75(1), 4-14. https://doi.org/10.1002/art.42338

@article{84f6cc6ca25642ed82b6776cf758cd40,

title = "Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations",

abstract = "Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, orofacial dysfunction, and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management. We undertook this study to develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA, and to create a future research agenda related to management of TMJ arthritis in children with JIA. Recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during 2 consensus meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists, and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study. Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to diagnosis (n = 4), treatment of TMJ arthritis (active TMJ inflammation) (n = 2), treatment of TMJ dysfunction and symptoms (n = 3), treatment of arthritis-related dentofacial deformity (n = 2), and other aspects related to JIA (n = 1). Additionally, a future interdisciplinary research agenda was developed. These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA.",

author = "{the Temporomandibular Joint Juvenile Arthritis Working Group} and Peter Stoustrup and Resnick, {Cory M.} and Shelly Abramowicz and Pedersen, {Thomas K.} and Ambra Michelotti and Annelise K{\"u}seler and Bernd Koos and Carlalberta Verna and Nordal, {Ellen B.} and Granquist, {Eric J.} and Halbig, {Josefine Mareile} and Kristensen, {Kasper D.} and Kaban, {Leonard B.} and Arvidsson, {Linda Z.} and Lynn Spiegel and Stoll, {Matthew L.} and Lerman, {Melissa A.} and Mia Glerup and Patrizia Defabianis and Paula Frid and Per Alstergren and Cron, {Randy Q.} and Sarah Ringold and N{\o}rholt, {Sven Erik} and Timo Peltomaki and Larheim, {Tore A.} and Troels Herlin and Peacock, {Zachary S.} and Kellenberger, {Christian J.} and Marinka Twilt",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors. Arthritis & Rheumatology published by Wiley Periodicals LLC on behalf of American College of Rheumatology.",

year = "2023",

month = jan,

doi = "10.1002/art.42338",

language = "English",

volume = "75",

pages = "4--14",

number = "1",

}

the Temporomandibular Joint Juvenile Arthritis Working Group, Stoustrup, P, Resnick, CM, Abramowicz, S, Pedersen, TK, Michelotti, A, Küseler, A, Koos, B, Verna, C, Nordal, EB, Granquist, EJ, Halbig, JM, Kristensen, KD, Kaban, LB, Arvidsson, LZ, Spiegel, L, Stoll, ML, Lerman, MA, Glerup, M, Defabianis, P, Frid, P, Alstergren, P, Cron, RQ, Ringold, S, Nørholt, SE, Peltomaki, T, Larheim, TA, Herlin, T, Peacock, ZS, Kellenberger, CJ & Twilt, M 2023, 'Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations', Arthritis and Rheumatology, vol. 75, no. 1, pp. 4-14. https://doi.org/10.1002/art.42338

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations. / the Temporomandibular Joint Juvenile Arthritis Working Group; Stoustrup, Peter; Resnick, Cory M. et al.
In: Arthritis and Rheumatology, Vol. 75, No. 1, 01.2023, p. 4-14.

Research output: Contribution to journal › Review Article › peer-review

TY - JOUR

T1 - Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis

T2 - Interdisciplinary Consensus-Based Recommendations

AU - the Temporomandibular Joint Juvenile Arthritis Working Group

AU - Stoustrup, Peter

AU - Resnick, Cory M.

AU - Abramowicz, Shelly

AU - Pedersen, Thomas K.

AU - Michelotti, Ambra

AU - Küseler, Annelise

AU - Koos, Bernd

AU - Verna, Carlalberta

AU - Nordal, Ellen B.

AU - Granquist, Eric J.

AU - Halbig, Josefine Mareile

AU - Kristensen, Kasper D.

AU - Kaban, Leonard B.

AU - Arvidsson, Linda Z.

AU - Spiegel, Lynn

AU - Stoll, Matthew L.

AU - Lerman, Melissa A.

AU - Glerup, Mia

AU - Defabianis, Patrizia

AU - Frid, Paula

AU - Alstergren, Per

AU - Cron, Randy Q.

AU - Ringold, Sarah

AU - Nørholt, Sven Erik

AU - Peltomaki, Timo

AU - Larheim, Tore A.

AU - Herlin, Troels

AU - Peacock, Zachary S.

AU - Kellenberger, Christian J.

AU - Twilt, Marinka

PY - 2023/1

Y1 - 2023/1

N2 - Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, orofacial dysfunction, and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management. We undertook this study to develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA, and to create a future research agenda related to management of TMJ arthritis in children with JIA. Recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during 2 consensus meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists, and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study. Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to diagnosis (n = 4), treatment of TMJ arthritis (active TMJ inflammation) (n = 2), treatment of TMJ dysfunction and symptoms (n = 3), treatment of arthritis-related dentofacial deformity (n = 2), and other aspects related to JIA (n = 1). Additionally, a future interdisciplinary research agenda was developed. These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA.

AB - Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, orofacial dysfunction, and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management. We undertook this study to develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA, and to create a future research agenda related to management of TMJ arthritis in children with JIA. Recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during 2 consensus meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists, and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study. Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to diagnosis (n = 4), treatment of TMJ arthritis (active TMJ inflammation) (n = 2), treatment of TMJ dysfunction and symptoms (n = 3), treatment of arthritis-related dentofacial deformity (n = 2), and other aspects related to JIA (n = 1). Additionally, a future interdisciplinary research agenda was developed. These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA.

U2 - 10.1002/art.42338

DO - 10.1002/art.42338

M3 - Review Article

C2 - 36041065

AN - SCOPUS:85139428988

SN - 2326-5191

VL - 75

SP - 4

EP - 14

JO - Arthritis and Rheumatology

JF - Arthritis and Rheumatology

IS - 1

ER -

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations

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