Clinical evaluation of patients affected by Juvenile Idiopathic Arthritis : proposal of a new diagnostic protocol

Aim The purpose of this study is to realize a data collection chart in order to individuate the oral recurrent clinic signs in patients with juvenile idiopathic arthritis (JIA). Materials and methods The data collection chart for the oral cavity mapping individuates: 1. Dental formula 2. IP Silness and Löe of 6 surfaces (3 vestibular/palatal) 3. Bleeding index of 6 surfaces, assigning 4 codes: • Code 0: absence of bleeding • Code 1: bleeding by probing • Code 2: bleeding by probing with redness and edema • Code 3: spontaneous bleeding 4. PSR of sextants 5. Division of each tooth in more areas (A): 21 for molars (6 vestibular, 6 lingual/palatal and 9 occlusal), 18 for premolars ( 6 vestibular/palatal and 6 occlusal) and 13 for canines and incisors (6 vestibular, 6 lingual/palatal and 1 occlusal) 6. Tongue and soft tissue lesions. Results The compilation of all protocol allows to mark down uniquely the anomalies of the oral cave, facilitates the reading of the data for more calculations (DMFT/dmft, FMPS and FMBS) and evidences recurrent signs of JIA. It is also possible to indicate the presence of caries, demineralizations, fillings and seals with an easier individuation. Conclusions A bond between oral health and JIA, due to some factors, surely exists. The proposal of this protocol allow to clinically and specifically individuate clinical signs.