Gianna Dipalma, Alessio Danilo Inchingolo, Mariafrancesca Guglielmo, Roberta Morolla, Irene Palumbo, Lilla Riccaldo, Daniela Di Venere, Andrea Palermo, Angelo Michele Inchingolo, Francesco Inchingolo
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引用次数: 0
摘要
目的：青少年特发性关节炎（JIA）包括一组影响儿童和青少年的慢性炎症性疾病，其特征是病因不明的持续性关节炎。其发病机制是多因素的，涉及遗传、环境和免疫因素。本系统综述评估了目前用于检测JIA颞下颌关节（TMJ）受累的诊断方法。材料和方法：遵循PRISMA指南并在PROSPERO注册（CRD 529873），在PubMed， Scopus和Web of Science中进行了全面检索，检索2013年1月1日至2024年8月1日之间发表的研究。搜索词包括：（影像或CBCT或锥束或MRI或超声或磁共振成像）和（青少年特发性关节炎或JIA）和（颞下颌关节或TMJ）。纳入了JIA患者TMJ诊断技术的研究。结果：528篇文献中，有18篇符合纳入标准。研究结果强调了先进的成像技术——尤其是磁共振成像（MRI）、锥束计算机断层扫描（CBCT）和超声（US）——在检测早期颞下颌关节变化中的关键作用。虽然MRI仍然是评估软组织和炎症活动的金标准，但CBCT和US提供了互补的见解。该综述强调了标准化诊断方案和进一步研究的必要性，以改进JIA的成像策略和改善临床结果。
Imaging techniques for evaluating temporomandibular joint involvement in juvenile idiopathic arthritis: a systematic review.
Objective: Juvenile idiopathic arthritis (JIA) encompasses a group of chronic inflammatory disorders affecting children and adolescents, characterized by persistent arthritis of unknown etiology. Its pathogenesis is multifactorial, involving genetic, environmental, and immunological factors. This systematic review evaluates current diagnostic approaches for detecting temporomandibular joint (TMJ) involvement in JIA.
Materials and methods: Following PRISMA guidelines and registered in PROSPERO (CRD 529873), a comprehensive search was conducted in PubMed, Scopus, and Web of Science for studies published between January 1, 2013, and August 1, 2024. SEARCH TERMS INCLUDED: (Imaging OR CBCT OR cone beam OR MRI OR ultrasound OR magnetic resonance imaging) AND (juvenile idiopathic arthritis OR JIA) AND (temporomandibular joint OR TMJ). Studies focusing on TMJ diagnostic techniques in JIA patients were included.
Results: Out of 528 records, 18 studies met the inclusion criteria. The results emphasize the critical role of advanced imaging-particularly magnetic resonance imaging (MRI), cone beam computed tomography (CBCT), and ultrasound (US)-in detecting early TMJ changes. While MRI remains the gold standard for evaluating soft tissue and inflammatory activity, CBCT and US offer complementary insights. The review highlights the need for standardized diagnostic protocols and further studies to refine imaging strategies and improve clinical outcomes in JIA.
期刊介绍：
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.
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