Surgical-orthodontic disimpaction in Juvenile Arthritis patients

Aim: The purpose of this work is to evaluate the possibility of treating orthodontic patients with Juvenile Idiopathic Arthritis (JIA) with the same therapeutic aids in use for healthy patients in maximum security and precautions. Materials and Methods: The inclusion of the teeth is a frequent clinical occurrence with different prevalence of the two dental arches. The finding of this clinical aspect is generated by the fact that dental eruption is a complex series of genetically controlled events and during this period many pathogenic noxae can interfere with the normal developmental process. Results: The surgical treatment involves both the prevention of the clinical retention consequences and the possible recovery of the impacted element for orthodontic purposes. The choice of therapy is sometimes complicated by possible systemic diseases that involve the orofacial district. We present some clinical cases with surgical and orthodontic problems with dental retentions. Also highlighted is the treatment protocol adopted for these young patients affected by rare diseases such as systemic JIA. Conclusion: Following a particular diagnostic and therapeutic protocol at an interdisciplinary level, in these dental patients, it is possible to recover impacted dental elements in these JIA patients.