Evidence map›Paper›PMID 30223858›Full record

ArticleHead & face medicine2018

TMJ pathomorphology in patients with JIA-radiographic parameters for early diagnosis.

Daniela Klenke, Anja Quast, Martina Prelog, Annette Holl-Wieden, Maximilian Riekert, Angelika Stellzig-Eisenhauer, Philipp Meyer-Marcotty

Abstract read
In one paragraph

Article in Head & face medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Prevalence of incidental findings in adult vs. adolescent patients in the course of orthodontic X-ray diagnostics.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daniela KlenkeDepartment of Orthodontics, University Medical Centre Göttingen, Poliklinik für Kieferorthopädie Robert-Koch-Str. 40 D-, 37075, Goettingen, Germany. daniela.witt@med.uni-goettingen.de.ORCID http://orcid.org/0000-0002-1494-880X
Anja QuastDepartment of Orthodontics, University Medical Centre Göttingen, Poliklinik für Kieferorthopädie Robert-Koch-Str. 40 D-, 37075, Goettingen, Germany.
Martina PrelogPaediatric Department, Paediatric Rheumatology, Würzburg University Hospital, Würzburg, Germany.
Annette Holl-WiedenPaediatric Department, Paediatric Rheumatology, Würzburg University Hospital, Würzburg, Germany.
Maximilian RiekertDepartment of Orthodontics, Würzburg University Hospital, Würzburg, Germany.
Angelika Stellzig-EisenhauerDepartment of Orthodontics, Würzburg University Hospital, Würzburg, Germany.
Philipp Meyer-MarcottyDepartment of Orthodontics, University Medical Centre Göttingen, Poliklinik für Kieferorthopädie Robert-Koch-Str. 40 D-, 37075, Goettingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile idiopathic arthritis (JIA) is often accompanied by pathomorphological changes to the temporomandibular joint (TMJ). By analyzing orthodontical orthopantomograms of JIA patients the aims of the study were a) classification of condyle changes, b) quantification of bony asymmetries of condylar destruction and c) detection of relationships between disease duration and TMJ-involvement. PATIENTS/

methods46 caucasian JIA-patients (28 female; 18 male; < 16.0 years) were enrolled, each joint (n = 92) was morphologically assessed by means of orthopantomogram, quantitatively analysed and compared with duration of general disease. Condyle morphology was assessed using the Billiau scale for severity of destruction [1]. The quantitative analysis was based on ratios of condyle, ramus and mandible height.

resultsPatients were divided into groups (Group I - slightly affected, n = 36; Billiau severity 0-2; condyle findings: X-ray normal, condyle erosions, condylar flattening; Group II - severely affected, N = 10; Billiau severity 3-4; condyle findings: condylar flattenings and erosions, unilateral/bilateral complete loss of condyles), based on morphological analysis of condylar destruction. Duration of disease was significantly longer in Group II (8.9 ± 5.2 years) than in Group I (4.6 ± 4.7 years). Asymmetries of condyle, ramus and mandible height, quantitatively analysed by contralateral comparison, were significantly more marked in patients of Group II than of Group I.

conclusionsOrthopantomogram imaging can be used in orthodontics clinical routine to detect TMJ-pathologies and is an important reference for monitoring progression of JIA. Classification into severe and slightly affected TMJ is possible by analysis of condylar pathomorphology. An association between degree of destruction, extent of lower jaw asymmetry and disease duration is suggested by the results.

Indexed as

Early DiagnosisAdolescentAge DistributionArthritis, JuvenileChildCohort StudiesComorbidityFemaleHumansMalePrevalencePrognosisProspective StudiesRadiography, PanoramicRisk AssessmentSeverity of Illness IndexAsymmetryCondyle pathomorphologyJuvenile idiopathic arthritisOPTTMJ

Identifiers

PMID30223858
PMCPMC6142390

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.