Evidence map›Paper›PMID 36041065›Full record

SynthesisArthritis & rheumatology (Hoboken, N.J.)2023

Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations.

Peter Stoustrup, Cory M Resnick, Shelly Abramowicz, Thomas K Pedersen, Ambra Michelotti, Annelise Küseler, Bernd Koos, Carlalberta Verna, Ellen B Nordal, Eric J Granquist and 21 more

Open access · hybridAbstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in Arthritis & rheumatology (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% of its field
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  7. Decoding adolescent TMJ osteoarthritis with multimodal machine learning.Journal of oral & facial pain and headache · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 20 institutions in 9 countries.

Peter StoustrupSection of Orthodontics, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-0903-6718
Cory M ResnickDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts.
Shelly AbramowiczDivision of Oral and Maxillofacial Surgery, Departments of Surgery and Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Thomas K PedersenSection of Orthodontics and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
Ambra MichelottiUniversity of Naples Federico II, Naples, Italy.
Annelise KüselerSection of Orthodontics and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
Bernd KoosDepartment of Orthodontics, University Hospital Tübingen, Tübingen, Germany.
Carlalberta VernaDepartment of Pediatric Oral Health and Orthodontics, UZB University Center for Dentistry Basel, University of Basel, Basel, Switzerland.
Ellen B NordalDepartment of Pediatrics, University Hospital of North Norway and the Pediatric Research Group, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Eric J GranquistDepartment of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Pennsylvania, Philadelphia.
Josefine Mareile HalbigThe Public Dental Health Competence Centre of North Norway, and the Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Kasper D KristensenSection of Orthodontics, Aarhus University, Aarhus, Denmark.
Leonard B KabanMassachusetts General Hospital, Harvard School of Dental Medicine, Boston, Massachusetts.
Linda Z ArvidssonDepartment of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Lynn SpiegelThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Matthew L StollUniversity of Alabama at Birmingham.ORCID 0000-0002-6225-3690
Melissa A LermanChildren's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Mia GlerupDepartment of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-9128-9908
Patrizia DefabianisSection of Paediatric Dentistry, Dental School, University of Turin, Turin, Italy.ORCID 0000-0003-3796-3022
Paula FridDepartment of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital of North Norway, Public Dental Service Competence Centre of North Norway, and Department of Clinical Dentistry, UiT The Arctic University of Norway, Tromsø, Norway.
Per AlstergrenFaculty of Odontology, Orofacial Pain Unit, Malmö University, Malmö, Sweden.
Randy Q CronUniversity of Alabama at Birmingham.ORCID 0000-0003-2661-3086
Sarah RingoldSeattle Children's Hospital, Seattle, Washington.ORCID 0000-0001-8660-0207
Sven Erik NørholtSection of Orthodontics and Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
Timo PeltomakiFaculty of Medicine and Health Technology, and Department of Ear and Oral Diseases, Tampere University, Tampere, Finland, and Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland and Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.
Tore A LarheimDepartment of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Troels HerlinDepartment of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark.
Zachary S PeacockMassachusetts General Hospital, Harvard School of Dental Medicine, Boston, Massachusetts.
Christian J KellenbergerDepartment of Diagnostic Imaging, University Children's Hospital Zürich, Zürich, Switzerland.
Marinka TwiltAlberta Children's Hospital and University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-1954-2822
Temporomandibular Joint Juvenile Arthritis Working Group
Aarhus University Hospital · DKAarhus University · DKMassachusetts General Hospital · USUniversity Hospital of North Norway · NOUniversity of Alabama at Birmingham · USUniversity of Oslo · NOBoston Children's Hospital · USChildren's Hospital of Philadelphia · USEmory University · USMalmö University · SESeattle Children's Hospital · USTampere University · FIUiT The Arctic University of Norway · NOUniversity Children's Hospital Tübingen · DEUniversity Children's Hospital Zurich · CHUniversity of Basel · CHUniversity of Calgary · CAUniversity of Naples Federico II · ITUniversity of Pennsylvania · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Involvement of the temporomandibular joint (TMJ) is common in juvenile idiopathic arthritis (JIA). TMJ arthritis can lead to orofacial symptoms, orofacial dysfunction, and dentofacial deformity with negative impact on quality of life. Management involves interdisciplinary collaboration. No current recommendations exist to guide clinical management. We undertook this study to develop consensus-based interdisciplinary recommendations for management of orofacial manifestations of JIA, and to create a future research agenda related to management of TMJ arthritis in children with JIA. Recommendations were developed using online surveying of relevant stakeholders, systematic literature review, evidence-informed generation of recommendations during 2 consensus meetings, and Delphi study iterations involving external experts. The process included disciplines involved in the care of orofacial manifestations of JIA: pediatric rheumatology, radiology, orthodontics, oral and maxillofacial surgery, orofacial pain specialists, and pediatric dentistry. Recommendations were accepted if agreement was >80% during a final Delphi study. Three overarching management principles and 12 recommendations for interdisciplinary management of orofacial manifestations of JIA were outlined. The 12 recommendations pertained to diagnosis (n = 4), treatment of TMJ arthritis (active TMJ inflammation) (n = 2), treatment of TMJ dysfunction and symptoms (n = 3), treatment of arthritis-related dentofacial deformity (n = 2), and other aspects related to JIA (n = 1). Additionally, a future interdisciplinary research agenda was developed. These are the first interdisciplinary recommendations to guide clinical management of TMJ JIA. The 3 overarching principles and 12 recommendations fill an important gap in current clinical practice. They emphasize the importance of an interdisciplinary approach to diagnosis and management of orofacial manifestations of JIA.

Indexed as

Arthritis, JuvenileDentofacial DeformitiesTemporomandibular Joint DisordersChildHumansQuality of Life

Identifiers

PMID36041065
PMCPMC10100353
OpenAlexW4293702232

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.