z-logo
Premium
Orthodontic and dentofacial orthopedic management of juvenile idiopathic arthritis: a systematic review of the literature
Author(s) -
von Bremen J,
Ruf S
Publication year - 2011
Publication title -
orthodontics and craniofacial research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.664
H-Index - 55
eISSN - 1601-6343
pISSN - 1601-6335
DOI - 10.1111/j.1601-6343.2011.01514.x
Subject(s) - medicine , orthopedic surgery , dentistry , orthodontics , dentofacial deformity , osteotomy , genioplasty , physical therapy , surgery , orthognathic surgery
To cite this article:
von Bremen J, Ruf S:
Orthodontic and dentofacial orthopedic management of juvenile idiopathic arthritis: a systematic review of the literature
 Orthod Craniofac Res  2011; 14 :107–115 Structured Abstract Authors –  von Bremen J, Ruf S To systematically review the literature published on orthodontic treatment principles in patients with juvenile idiopathic arthritis (JIA). Several electronic databases (PubMed, Medpilot, Web of Science, and DIMDI) and orthodontic and rheumatologic literature were systematically searched for studies published until May 2010. The articles were rated by two independent reviewers and included after three selection steps (title–abstract–full text). Articles had to be studies performed on ≥ 5 patients with a disease onset before the age of 16. The selection process resulted in the inclusion of three publications on dentofacial orthopedics and six on combined surgical orthodontic therapy. The three studies on dentofacial orthopedics aimed to improve the mandibular retrusion by means of removable functional appliances (activator). Whereas these orthodontic approaches comprised relatively large and homogeneous patient samples (14, 22, and 72 subjects, aged 6–16), the surgical studies were basically case series with a large age span of the patients (5–12 subjects, aged 10–44). In these surgical treatment approaches, orthodontics was limited to pre‐surgical leveling and post‐surgical finishing, while the skeletal discrepancy was treated surgically by a variety of techniques (costochondral grafts, bilateral sagittal spilt osteotomy, Le Fort I, and genioplasty). The treatment goals of both approaches were improvement of esthetics and function and/or pain reduction, and both approaches showed satisfactory results. Because of the heterogeneity of the subject material and the low level of evidence of the papers, it is difficult to draw any conclusions on the orthodontic/dentofacial orthopedic management of JIA. It appears as if removable functional appliances may be beneficial in adolescent patients with JIA.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here