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.

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