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Open AccessCraniofacial Growth in Children Affected by Juvenile Idiopathic Arthritis Involving the Temporomandibular Joint: Functional Therapy Management
Craniofacial Growth in Children Affected by Juvenile Idiopathic Arthritis Involving the Temporomandibular Joint: Functional Therapy Management
- Giampietro Farronato1,*,
- Vera Carletti1
- Cinzia Maspero1
- Davide Farronato1
- Lucia Giannini1
- Claudio Bellintani1
1Department of Orthodontics, The University of Milan, Italy
DOI: 10.17796/jcpd.33.4.05287m400q508772 Vol.33,Issue 4,July 2009 pp.351-358
Published: 01 July 2009
*Corresponding Author(s): Giampietro Farronato E-mail: giampietro.farronato@unimi.it
Abstract
The aim of this study was twofold: 1) to asses the effects of a functional appliance on condyles damaged by juvenile idiopathic arthritis (JIA). and 2) to evaluate its ability to reduce alterations in craniofacial development.Study design: Seventy-two JIA patients with temporomandibular involvement, ages ranging between 4 and 16 years, were treated. All of them presented temporomandibular joint involvement. They were treated with an activator and followed for 4 years. Results: At the second examination, it was possible to observe a reduction in mandibular retrusion and in the sagittal discrepancy between mandible and maxilla, a reduction in the angle of divergence, a counterclockwise rotation of the mandible, a reduction of the gonial angle, a longer mandibular ramus, a reduction in the discrepancy between anterior and posterior height caused by an increase in posterior height and a forward positioning of the chin. Conclusion: The functional appliance reduces the severity of facial alterations improving mandibular and condylar growth.
Keywords
juvenile idiopathic arthritis, functional appliance, temporomandibular involvement
Cite and Share
Giampietro Farronato,Vera Carletti,Cinzia Maspero,Davide Farronato,Lucia Giannini,Claudio Bellintani. Craniofacial Growth in Children Affected by Juvenile Idiopathic Arthritis Involving the Temporomandibular Joint: Functional Therapy Management. Journal of Clinical Pediatric Dentistry. 2009. 33(4);351-358.
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