Evaluation of Dental Status and Temporomandibular Joint in Children With Generalized Joint Hypermobility.


Journal

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases
ISSN: 1536-7355
Titre abrégé: J Clin Rheumatol
Pays: United States
ID NLM: 9518034

Informations de publication

Date de publication:
01 Dec 2021
Historique:
pubmed: 10 3 2020
medline: 26 11 2021
entrez: 10 3 2020
Statut: ppublish

Résumé

The aim of this study was to evaluate the dental status and temporomandibular diseases (TMDs)-related symptoms in children with generalized joint hypermobility (GJH) and compare them with healthy controls (HCs). This is a cross-sectional, observational study carried out between September 2016 and April 2017. A total of 124 children with GJH (n = 62) and HC (n = 62) were enrolled. The GJH was assessed with the Beighton hypermobility score. The subjects were screened for dental status and TMD-related symptoms. The assessment included the index for "decayed," "missing," and "filled teeth" (DMFT, dmft); plaque; gingival bleeding; tooth mobility; and temporomandibular joint (TMJ) evaluation. The mean Beighton hypermobility score was 6.3 ± 1.2 in the GJH group. Visible plaque index and gingival bleeding index scores were found to be significantly higher in children with GJH then in the HC (p = 0.031, p = 0.023). No differences were found regarding the DMFT scores between the groups (p = 0.16). Temporomandibular disorder-related symptom frequencies were significantly higher in children with GJH (p < 0.001). The most common clinically determined sign of TMD was clicking with a maximum active mouth-opening. Combined TMJ symptoms and TMD were observed in approximately one third of the children with GJH. The presence of GJH in a child may be indicative of future dental or TMJ problems, and it may cause dental problems due to increased gingival bleeding index and visible plaque index scores. Therefore, children with GJH require preventive dental and TMJ care.

Identifiants

pubmed: 32149927
pii: 00124743-202112000-00010
doi: 10.1097/RHU.0000000000001356
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

e312-e316

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

Murray KJ, Woo P. Benign joint hypermobility in childhood. Rheumatology (Oxford) . 2001;40:489–491.
Bravo JF, Wolff C. Clinical study of hereditary disorders of connective tissues in a Chilean population: joint hypermobility syndrome and vascular Ehlers-Danlos syndrome. Arthritis Rheum . 2006;54:515–523.
Klemp P, Williams SM, Stansfield SA. Articular mobility in Maori and European New Zealanders. Rheumatology (Oxford) . 2002;41:554–557.
Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis . 1973;32:413–418.
Van der Giessen LJ, Liekens D, Rutgers KJ, et al. Validation of beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol . 2001;28:2726–2730.
De Coster PJ, Martens LC, De Paepe A. Oral health in prevalent types of Ehlers-Danlos syndromes. J Oral Pathol Med . 2005;34:298–307.
De Coster PJ, Martens LC, De Paepe A. Oral manifestations of patients with Marfan syndrome: a case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2002;93:564–572.
Straub AM, Grahame R, Scully C, et al. Severe periodontitis in Marfan's syndrome: a case report. J Periodontol . 2002;73:823–826.
Hirsch C, John MT, Stang A. Association between generalized joint hypermobility and signs and diagnoses of temporomandibular disorders. Eur J Oral Sci . 2008;116:525–530.
Barrera-Mora JM, Espinar Escalona E, Abalos Labruzzi C, et al. The relationship between malocclusion, benign joint hypermobility syndrome, condylar position and TMD symptoms. Cranio . 2012;30:121–130.
Pasinato F, Souza JA, Corrêa EC, et al. Temporomandibular disorder and generalized joint hypermobility: application of diagnostic criteria. Braz J Otorhinolaryngol . 2011;77:418–425.
Winocur E, Gavish A, Halachmi M, et al. Generalized joint laxity and its relation with oral habits and temporomandibular disorders in adolescent girls. J Oral Rehabil . 2000;27:614–622.
Gokalp SG, Dogan BG, Tekcicek MT, et al. National survey of oral health status of children and adults in Turkey. Community Dent Health . 2010;27:12–17.
Carter C, Wilkinson J. Persistent joint laxity and congenital dislocation of the hip. J Bone Joint Surg Br . 1964;46:40–45.
Rani S, Pawah S, Gola S, et al. Analysis of Helkimo index for temporomandibular disorder diagnosis in the dental students of Faridabad city: a cross-sectional study. J Indian Prosthodont Soc . 2017;17:48–52.
Azodo CC, Erhabor P. Management of tooth mobility in the periodontology clinic: an overview and experience from a tertiary healthcare setting. Afr J Med Health Sci . 2016;15:50–57.
Staufenbiel I, Hauschild C, Kahl-Nieke B, et al. Periodontal conditions in patients with Marfan syndrome—a multicenter case control study. BMC Oral Health . 2013;13:59.
Grahame R. Pain, distress and joint hyperlaxity. Joint Bone Spine . 2000;67:157–163.
Prockop DJ, Kivirikko KI. Collagens: molecular biology, diseases, and potentials for therapy. Annu Rev Biochem . 1995;64:403–434.
Jaffe M, Tirosh E, Cohen A, et al. Joint mobility and motor development. Arch Dis Child . 1988;63:158–161.
Kirby A, Davies R. Developmental coordination disorder and joint hypermobility syndrome–overlapping disorders? Implications for research and clinical practice. Child Care Health Dev . 2007;33:513–519.
Engelbert RH, Kooijmans FT, Van Riet AM, et al. The relationship between generalized joint hypermobility and motor development. Pediatr Phys Ther . 2005;17:258–263.
Chang TH, Yuh DY, Wu YT, et al. The association between temporomandibular disorders and joint hypermobility syndrome: a nationwide population-based study. Clin Oral Investig . 2015;19:2123–2132.

Auteurs

Ferhat Demir (F)

From the Department of Pediatric Rheumatology, Faculty of Medicine.

Tamer Tüzüner (T)

Department of Pediatric, Dentistry Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.

Özgül Baygın (Ö)

Department of Pediatric, Dentistry Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.

Mukaddes Kalyoncu (M)

From the Department of Pediatric Rheumatology, Faculty of Medicine.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH