Standardizing Terminology and Assessment for Orofacial Conditions in Juvenile Idiopathic Arthritis: International, Multidisciplinary Consensus-based Recommendations

Peter Stoustrup; Cory M Resnick; Thomas Klit Pedersen; Shelly Abramowicz; Ambra Michelotti; Annelise Küseler; Carlalberta Verna; Christian J Kellenberger; Ellen Berit Nordal; Giuliana Caserta; Iveta Jankovska; Josefine Mareile Halbig; Kasper Dahl Kristensen; Linda Z Arvidsson; Lynn Spiegel; Mathew L Stoll; Melissa Lerman; Mia Glerup; Patrizia Defabianis; Paula Frid; Per Alstergren; Randy Q Cron; Sarah Ringold; Sven Erik Nørholt; Timo Peltomäki; Troels Herlin; Zachary S Peacock; Marinka Twilt; TMJ Juvenile Arthritis Working Group

doi:10.3899/jrheum.180785

Standardizing Terminology and Assessment for Orofacial Conditions in Juvenile Idiopathic Arthritis: International, Multidisciplinary Consensus-based Recommendations

J Rheumatol. 2019 May;46(5):518-522. doi: 10.3899/jrheum.180785. Epub 2019 Jan 15.

Authors

Peter Stoustrup^{1

2}, Cory M Resnick^{3

4}, Thomas Klit Pedersen^{3

4}, Shelly Abramowicz^{3

4}, Ambra Michelotti^{3

4}, Annelise Küseler^{3

4}, Carlalberta Verna^{3

4}, Christian J Kellenberger^{3

4}, Ellen Berit Nordal^{3

4}, Giuliana Caserta^{3

4}, Iveta Jankovska^{3

4}, Josefine Mareile Halbig^{3

4}, Kasper Dahl Kristensen^{3

4}, Linda Z Arvidsson^{3

4}, Lynn Spiegel^{3

4}, Mathew L Stoll^{3

4}, Melissa Lerman^{3

4}, Mia Glerup^{3

4}, Patrizia Defabianis^{3

4}, Paula Frid^{3

4}, Per Alstergren^{3

4}, Randy Q Cron^{3

4}, Sarah Ringold^{3

4}, Sven Erik Nørholt^{3

4}, Timo Peltomäki^{3

4}, Troels Herlin^{3

4}, Zachary S Peacock^{3

4}, Marinka Twilt^{3

4}; TMJ Juvenile Arthritis Working Group

Affiliations

¹ From the Department of Dentistry and Oral Health, Aarhus University; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital; Department of Orthodontics, Aarhus University; Department of Pediatrics, Aarhus University Hospital; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; Section of Oral Surgery and Oral Pathology, Aarhus University, Aarhus, Denmark; Harvard School of Dental Medicine and Harvard Medical School; Department of Plastic and Oral Surgery, Boston Children's Hospital; Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts; Oral and Maxillofacial Surgery and Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia; University of Alabama at Birmingham, Birmingham, Alabama; Perelman School of Medicine, University of Pennsylvania; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Seattle Children's Hospital, Seattle, Washington, USA; Department of Neuroscience, Reproductive Sciences and Oral Sciences, Section of Orthodontics, University of Naples Federica II, Naples; Dental School, Section of Paediatric Dentistry, University of Turin, Turin, Italy; Department of Orthodontics and Pediatric Dentistry, UZB, University Center for Dental Medicine, Basel; Department of Diagnostic Imaging, University Children's Hospital Zurich, Switzerland; Department of Pediatrics, University of North Norway and Department of Clinical Medicine, UiT the Arctic University of Norway, Tromso; Section of Orthodontics, Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo; Department of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital North Norway; The Public Dental Service Competence Centre of North Norway; Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromso, Norway; Department of Orthodontics, Faculty of Dentistry, Rigas Stradins University, Riga, Latvia; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary; Alberta Children's Hospital, Calgary, Alberta, Canada; Malmo University, Faculty of Odontology, Orofacial Pain Unit, Malmo and Skane University Hospital, Specialized Pain Rehabilitation, Lund, Sweden; Department of Ear and Oral Diseases, Tampere University Hospital; Faculty of Medicine and Life Sciences, University of Tampere; Institute of Dentistry and University of Eastern Finland, Kuopio, Finland. pstoustrup@dent.au.dk.
² P. Stoustrup, Associate Professor, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; C.M. Resnick, Assistant Professor, Oral and Maxillofacial Surgery, Harvard School of Dental Medicine and Harvard Medical School, and Department of Plastic and Oral Surgery, Boston Children's Hospital; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; S. Abramowicz, DMD, MPH, FACS, Associate Professor, Oral and Maxillofacial Surgery and Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta; A. Michelotti, DDS, Orthodontist, Department of Neuroscience, Reproductive Sciences and Oral Sciences, Section of Orthodontics, University of Naples Federica II; A. Küseler, DDS, PhD, Department of Orthodontics, Aarhus University Hospital; C. Verna, DDS, PhD, Professor, Head, Department of Orthodontics and Pediatric Dentistry, UZB, University Center for Dental Medicine; C.J. Kellenberger, MD, Prof., Dr. med., Department of Diagnostic Imaging, University Children's Hospital Zurich; E. Berit Nordal, MD, PhD, Department of Pediatrics, University of North Norway, and Department of Clinical Medicine, UiT the Arctic University of Norway; G. Caserta, DDS, Lecturer, CIR - Dental School, Section of Paediatric Dentistry, University of Turin; I. Jankovska, DDS, PhD, Assistant Professor, Department of Orthodontics, Faculty of Dentistry, Rigas Stradins University; J.M. Halbig, Dr. med. Dent., DDS, The Public Dental Service Competence Centre of North Norway; K.D. Kristensen, DDS, PhD, Guest Researcher, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; L.Z. Arvidsson, DDS, PhD, Associate Professor, Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; M.L. Stoll, MD, PhD, MSCS, University of Alabama at Birmingham; M. Lerman, MD, MSc, PhD, Assistant Professor of Clinical Pediatrics, Perelman School of Medicine, University of Pennsylvania, and Children's Hospital of Philadelphia; M. Glerup, MD, Department of Pediatrics, Aarhus University Hospital; P. Defabianis, MD, DDS, Associate Professor, Chairman and Program Director of Pediatric Dentistry, Section of Pediatric Dentistry, CIR-Dental School, University of Turin; P. Frid, DDS, Department of Otorhino-laryngology, Division of Oral and Maxillofacial Surgery, University Hospital North Norway, and Public Dental Service Competence Centre of North Norway, and Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway; P. Alstergren, DDS, PhD, Malmo University, Faculty of Odontology, Orofacial Pain Unit, and Skane University Hospital, Specialized Pain Rehabilitation; R.Q. Cron, MD, PhD, University of Alabama at Birmingham; S. Ringold, MD, MS, Seattle Children's Hospital; S.E. Nørholt, DDS, PhD, Clinical Professor, Consultant Surgeon, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, and Section of Oral Surgery and Oral Pathology, Aarhus University; T. Peltomäki, DDS, PhD, Department of Ear and Oral Diseases, Tampere University Hospital, and Faculty of Medicine and Life Sciences, University of Tampere, and Institute of Dentistry and University of Eastern Finland; T. Herlin, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; Z.S. Peacock, DMD, MD, Assistant Professor, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, and Harvard School of Dental Medicine; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary, and Alberta Children's Hospital. pstoustrup@dent.au.dk.
³ From the Department of Dentistry and Oral Health, Aarhus University; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital; Department of Orthodontics, Aarhus University; Department of Pediatrics, Aarhus University Hospital; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; Section of Oral Surgery and Oral Pathology, Aarhus University, Aarhus, Denmark; Harvard School of Dental Medicine and Harvard Medical School; Department of Plastic and Oral Surgery, Boston Children's Hospital; Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts; Oral and Maxillofacial Surgery and Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia; University of Alabama at Birmingham, Birmingham, Alabama; Perelman School of Medicine, University of Pennsylvania; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Seattle Children's Hospital, Seattle, Washington, USA; Department of Neuroscience, Reproductive Sciences and Oral Sciences, Section of Orthodontics, University of Naples Federica II, Naples; Dental School, Section of Paediatric Dentistry, University of Turin, Turin, Italy; Department of Orthodontics and Pediatric Dentistry, UZB, University Center for Dental Medicine, Basel; Department of Diagnostic Imaging, University Children's Hospital Zurich, Switzerland; Department of Pediatrics, University of North Norway and Department of Clinical Medicine, UiT the Arctic University of Norway, Tromso; Section of Orthodontics, Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo, Oslo; Department of Otorhinolaryngology, Division of Oral and Maxillofacial Surgery, University Hospital North Norway; The Public Dental Service Competence Centre of North Norway; Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromso, Norway; Department of Orthodontics, Faculty of Dentistry, Rigas Stradins University, Riga, Latvia; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary; Alberta Children's Hospital, Calgary, Alberta, Canada; Malmo University, Faculty of Odontology, Orofacial Pain Unit, Malmo and Skane University Hospital, Specialized Pain Rehabilitation, Lund, Sweden; Department of Ear and Oral Diseases, Tampere University Hospital; Faculty of Medicine and Life Sciences, University of Tampere; Institute of Dentistry and University of Eastern Finland, Kuopio, Finland.
⁴ P. Stoustrup, Associate Professor, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; C.M. Resnick, Assistant Professor, Oral and Maxillofacial Surgery, Harvard School of Dental Medicine and Harvard Medical School, and Department of Plastic and Oral Surgery, Boston Children's Hospital; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; S. Abramowicz, DMD, MPH, FACS, Associate Professor, Oral and Maxillofacial Surgery and Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta; A. Michelotti, DDS, Orthodontist, Department of Neuroscience, Reproductive Sciences and Oral Sciences, Section of Orthodontics, University of Naples Federica II; A. Küseler, DDS, PhD, Department of Orthodontics, Aarhus University Hospital; C. Verna, DDS, PhD, Professor, Head, Department of Orthodontics and Pediatric Dentistry, UZB, University Center for Dental Medicine; C.J. Kellenberger, MD, Prof., Dr. med., Department of Diagnostic Imaging, University Children's Hospital Zurich; E. Berit Nordal, MD, PhD, Department of Pediatrics, University of North Norway, and Department of Clinical Medicine, UiT the Arctic University of Norway; G. Caserta, DDS, Lecturer, CIR - Dental School, Section of Paediatric Dentistry, University of Turin; I. Jankovska, DDS, PhD, Assistant Professor, Department of Orthodontics, Faculty of Dentistry, Rigas Stradins University; J.M. Halbig, Dr. med. Dent., DDS, The Public Dental Service Competence Centre of North Norway; K.D. Kristensen, DDS, PhD, Guest Researcher, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; L.Z. Arvidsson, DDS, PhD, Associate Professor, Department of Maxillofacial Radiology, Institute of Clinical Dentistry, University of Oslo; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; M.L. Stoll, MD, PhD, MSCS, University of Alabama at Birmingham; M. Lerman, MD, MSc, PhD, Assistant Professor of Clinical Pediatrics, Perelman School of Medicine, University of Pennsylvania, and Children's Hospital of Philadelphia; M. Glerup, MD, Department of Pediatrics, Aarhus University Hospital; P. Defabianis, MD, DDS, Associate Professor, Chairman and Program Director of Pediatric Dentistry, Section of Pediatric Dentistry, CIR-Dental School, University of Turin; P. Frid, DDS, Department of Otorhino-laryngology, Division of Oral and Maxillofacial Surgery, University Hospital North Norway, and Public Dental Service Competence Centre of North Norway, and Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway; P. Alstergren, DDS, PhD, Malmo University, Faculty of Odontology, Orofacial Pain Unit, and Skane University Hospital, Specialized Pain Rehabilitation; R.Q. Cron, MD, PhD, University of Alabama at Birmingham; S. Ringold, MD, MS, Seattle Children's Hospital; S.E. Nørholt, DDS, PhD, Clinical Professor, Consultant Surgeon, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, and Section of Oral Surgery and Oral Pathology, Aarhus University; T. Peltomäki, DDS, PhD, Department of Ear and Oral Diseases, Tampere University Hospital, and Faculty of Medicine and Life Sciences, University of Tampere, and Institute of Dentistry and University of Eastern Finland; T. Herlin, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; Z.S. Peacock, DMD, MD, Assistant Professor, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, and Harvard School of Dental Medicine; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary, and Alberta Children's Hospital.

PMID: 30647179
DOI: 10.3899/jrheum.180785

Abstract

Objective: To propose multidisciplinary, consensus-based, standardization of operational terminology and method of assessment for temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA).

Methods: Using a sequential expert group-defined terminology and methods-of-assessment approach by (1) establishment of task force, (2) item generation, (3) working group consensus, (4) external expert content validity testing, and (5) multidisciplinary group of experts final Delphi survey consensus.

Results: Seven standardized operational terms were defined: TMJ arthritis, TMJ involvement, TMJ arthritis management, dentofacial deformity, TMJ deformity, TMJ symptoms, and TMJ dysfunction. CONCLUSION: Definition of 7 operational standardized terms provides an optimal platform for communication across healthcare providers involved in JIA-TMJ arthritis management.

Keywords: CHILDHOOD; JUVENILE IDIOPATHIC ARTHRITIS; TEMPOROMANDIBULAR JOINT.

Publication types

Review

MeSH terms

Adolescent
Arthritis, Juvenile / diagnosis*
Arthritis, Juvenile / epidemiology*
Arthritis, Juvenile / therapy
Child
Comorbidity
Consensus
Female
Humans
Incidence
Male
Maxillofacial Abnormalities / diagnosis*
Maxillofacial Abnormalities / epidemiology*
Practice Guidelines as Topic / standards*
Prevalence
Prognosis
Reference Standards
Risk Assessment
Severity of Illness Index
Temporomandibular Joint Disorders / diagnosis
Temporomandibular Joint Disorders / epidemiology*
Temporomandibular Joint Disorders / therapy
Terminology as Topic
Treatment Outcome