Abstract || Annals of Clinical Case Reports

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Abstract

Citation: Ann Clin Case Rep. 2016;1(1):1112.DOI: 10.25107/2474-1655.1112

Temporomandibular Joint Involvement in a Juvenile Idiopathic Rheumatoid Arthritis Patient

Patterson CW

Midwestern University College of Dental Medicine Illinois, USA

^*Correspondance to: Charles W. Patterson

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Abstract:

Background: Juvenile idiopathic arthritis, formally known as juvenile rheumatoid arthritis, is the most common type of arthritis affecting children in the United States. There are 3 subtypes, each with their own characteristics. TMJ involvement varies from 25-70% depending on inclusion criteria. These patients may or may not be symptomatic as the course of the disease may be aggressive or go into remission.Case
Presentation: 9-year old female without current symptoms presented for a routine oral examination. After a medical history review, a panoramic image was taken, revealing resorption of both condyles. A conservative approach is being taken at this time, as she has been asymptomatic for several years with maintenance dose of 200mg/day naproxen sodium.Practical Implications: This case underscores the value of a complete medical history and imaging to discover symptomless pathology and establish a future course of action.