Abstract: Aim: The aim of this study is to show the importance of Cone Beam Computerized Tomography to volumetrically quantify TMJ damage in patients with Juvenile Idiopathic Arthritis (JIA), measuring condylar and mandibular real volumes. Material and Methods: 30 children with temporomandibular involvement by JIA were observed by Cone Beam Computerized Tomography. The mandible was isolated from others craniofacial structures; the whole mandibular volume and its components’ volumes (condyle, ramus, emibody, emisymphysis on right side and on left side) has been calculated by a 3D volume rendering technique. Results: The results show a highly significant statistical difference between affected side volumetric values versus normal side volumetric values above all on condyle region (P<0.01), while they doesn’t show any statistical differences between right side versus left side. Conclusion: The Cone Beam Computerized Tomography represents a huge improvement in understanding of the condyle and mandibular morphological changes, even in the early stages of the Juvenile Idiopathic Arthritis. Early initiation and optimal adjustment of aggressive therapy with disease-modifying anti-rheumatic drugs have been extremely successful in preventing irreversible joint damage. Therefore, the accurate and early diagnosis of JIA and the sensitive monitoring of the disease process are essential. Advanced imaging technology capable of identifying even the slightest trace of erosive joint damage may enable the prediction of future structural and functional deterioration.

Juvenile idiopathic arthritis : condylar and mandibular morphologic and volumetric changes / U. Garagiola, V. Carletti, C. Bellintani, G. Farronato. - In: INFLAMMATION RESEARCH. - ISSN 1023-3830. - 60:suppl. 1(2011), pp. 287-287. ((Intervento presentato al 10. convegno World congress on inflammation tenutosi a Paris nel 2011.

Juvenile idiopathic arthritis : condylar and mandibular morphologic and volumetric changes

U. Garagiola
Primo
;
V. Carletti
Secondo
;
C. Bellintani
Penultimo
;
G. Farronato
Ultimo
2011

Abstract

Abstract: Aim: The aim of this study is to show the importance of Cone Beam Computerized Tomography to volumetrically quantify TMJ damage in patients with Juvenile Idiopathic Arthritis (JIA), measuring condylar and mandibular real volumes. Material and Methods: 30 children with temporomandibular involvement by JIA were observed by Cone Beam Computerized Tomography. The mandible was isolated from others craniofacial structures; the whole mandibular volume and its components’ volumes (condyle, ramus, emibody, emisymphysis on right side and on left side) has been calculated by a 3D volume rendering technique. Results: The results show a highly significant statistical difference between affected side volumetric values versus normal side volumetric values above all on condyle region (P<0.01), while they doesn’t show any statistical differences between right side versus left side. Conclusion: The Cone Beam Computerized Tomography represents a huge improvement in understanding of the condyle and mandibular morphological changes, even in the early stages of the Juvenile Idiopathic Arthritis. Early initiation and optimal adjustment of aggressive therapy with disease-modifying anti-rheumatic drugs have been extremely successful in preventing irreversible joint damage. Therefore, the accurate and early diagnosis of JIA and the sensitive monitoring of the disease process are essential. Advanced imaging technology capable of identifying even the slightest trace of erosive joint damage may enable the prediction of future structural and functional deterioration.
juvenile idiopathic arthritis; condyle; mandible
Settore MED/28 - Malattie Odontostomatologiche
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/175607
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