Condylar neoformations in Juvenile Idiopathic Arthritis: CBCT vs conventional RX

Aim: The aim of this work was to show the role of CBCT versus conventional radiographs for accurate and reliable detection of osteophytic neoformations on mandibular condyle in Juvenile Idiopathic Arthritis (JIA). Materials and Methods: JIA is a common disease of childhood is causes joint inflammation, typically before 16 years of age. When the TMJ is affected, there is often no pain, which delays the diagnosis and treatment. The condylar abnormalities can range from slight erosion and flattening of the articular surfaces to severe destruction of the condyle head or osteophytic neoformations. Results: The CBCT showed a mandibular condyle’s morphological and surface changes as cortical erosion, flattening, sclerosis, osteophyte formation and a reduced inter-articular space. Conclusion: CBCT represents an improvement in quantifying the morphological changes of the condyle and mandible. The accurate and early diagnosis of JIA and the sensitive monitoring of the disease process are essential.