Region Jnkpings ln Odontologiska Institutionen
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Juvenile idiopathic arthritis, dental management protocol – report from a workshop

Norderyd J*, Bergendal B, Olson L, Andersson-Gäre B
 

Background

Juvenile idiopathic arthritis (JIA) is an umbrella term used to denote arthritis in children that persists for at least 6 weeks and has no known cause. In a Swedish population study, the incidence was estimated to be 11/100,000 children and adolescents up to 16 years of age (Andersson-Gäre 1992). A dental management protocol concerning juvenile chronic arthritis (JCA) was established in 1992, but new knowledge and clinical experience have now made a revision of the protocol necessary.

Aim

The aim of the workshop was to agree on a new Swedish JIA dental management protocol.

Material and methods

Scandinavian dental and medical specialists on JIA were invited to a workshop in April 2003 to establish new guidelines for dental supervision and care of children with JIA.

Results

A dental management protocol concerning young patients with JIA was agreed upon. The aim of the protocol is to enable the early diagnosis and treatment of temporomandibular disorders to prevent pain, decreased function, destruction, and growth disturbances. Since the course of JIA is non-linear with periods of no symptoms and periods of flare-ups, the guidelines are not based on chronological age but instead focused on early recognition of disease activity. Temporomandibular disorders are common in JIA, and the dental diagnostics often has an impact on whether medical intervention is to be performed. The protocol can be found at plus.rjl.se/oi, Kompetenscenter.

Conclusions

Consensus between the workshop participants was reached on the following statements:

  • A co-ordinator for dental management and care should be established in each Swedish county council.
  • All children and adolescents with JIA should be examined by a dental specialist.
  • Early active treatment of arthritis is important.
  • Scientific data is sparse, and more studies are needed.
Uppdaterad: 2013-04-03
Anna Thofelt, Avdelningen för odontologisk radiologi Jönköping, Folktandvården