Events

• Event: NEBEOP Web Academy webinar-36
• Topic: Juvenile Idiopathic Arthritis (JIA): diagnosis and management
• Erasmus course: B3, E6
• Speaker: Dr. Peter Stoustrup, University of Aarhus, Denmark
• Dates: 4 June 2024, 19:00 till 20:15 hr (CET)
• Mode: Zoom webinar. Registration through your program director

Abstract Juvenile idiopathic arthrits (JIA) is the most common rheumatic disease in children with an incidence of 14–15/100.000 children. JIA is defined by inflammation in one or more joints before the age of 16 and persisting for more than six weeks. Notably, JIA affects the temporomandibular joint (TMJ) in 30-43% of cases, potentially leading to significant condylar and mandibular growth impairments, TMJ degeneration, and resultant signs and symptoms, dentofacial deformities and malocclusions. JIA-related dentofacial deformities is present in approximately 1/5 of affected children and often begin subtly with changes such as a steepening occlusal plane and progressing mandibular asymmetry. In some instances, the TMJ may be the only joint affected, positioning orthodontists as the initial contact within the healthcare system for these patients. Effective management of JIA and the related orofacial manifestations requires a comprehensive interdisciplinary approach, combining systemic anti-inflammatory treatments with specific strategies to address mandibular growth deviations and other orofacial symptoms. As important members of the interdisciplinary team, orthodontists must be familiar with the nuances of JIA to effectively contribute to the management strategies. This also includes an understanding of differential diagnoses such as idiopathic condylar resorptions and disc displacements, which can clinically mimic TMJ arthritis. Objectives. The learning objectives of this webinar are: • The get a basic understanding of JIA and the orofacial manifestations that can occur when the TMJ is involved. • To elucidate aspects of diagnosis and orthodontic/orthopedic management of the orofacial manifestations of JIA. • To highlight the role of the orthodontist in the interdisciplinary treatment approach Short Speaker Bio Associate professor Peter Stoustrup graduated in Dentistry and specialized in orthodontics at Aarhus University, Denmark. He received his PhD in 2010 with a dissertation on dentofacial deformities resulting from juvenile idiopathic arthritis (JIA). Since 2013, Dr. Stoustrup has served as a board member of the Temporomandibular Joint Juvenile Arthritis Working Group (TMJaw) where he has held responsibility for 3 international, multicentre consensus projects including the first interdisciplinary recommendations for management of orofacial manifestations of JIA published in 2023. Since 2020 PS has been the director of postgraduate education and chair of the Section of Orthodontics, Aarhus University. References Stoustrup P, Resnick CM, Abramowicz S, Pedersen TK, Michelotti A, Küseler A, Koos B, Verna C, Nordal EB, Granquist EJ, Halbig JM, Kristensen KD, Kaban LB, Arvidsson LZ, Spiegel L, Stoll ML, Lerman MA, Glerup M, Defabianis P, Frid P, Alstergren P, Cron RQ, Ringold S, Nørholt SE, Peltomaki T, Larheim TA, Herlin T, Peacock ZS, Kellenberger CJ, Twilt M; Temporomandibular Joint Juvenile Arthritis Working Group. Management of Orofacial Manifestations of Juvenile Idiopathic Arthritis: Interdisciplinary Consensus-Based Recommendations. Arthritis Rheumatol 2023;75(1):4-14. doi: 10.1002/art.42338. Rongo R, Michelotti A, Pedersen TK, Resnick CM, Stoustrup PB. Management of temporomandibular joint arthritis in children and adolescents: An introduction for orthodontists. Orthod Craniofac Res 2023. Suppl 1:151-163. doi: 10.1111/ocr.12676.