- AutorIn
- Christopher Schmidt
- Rudolf Reich
- Bernd Koos
- Taila Ertel
- Marcus Oliver Ahlers
- Martin Arbogast
- Ima Feurer
- Mario Habermann-Krebs
- Tim Hilgenfeld
- Christian Hirsch
- Boris Hügle
- Thekla von Kalle
- Johannes Kleinheinz
- Andreas Kolk
- Peter Ottl
- Christopher Pautke
- Merle Riechmann
- Andreas Schön
- Linda Skroch
- Marcus Teschke
- Titel
- Controversial Aspects of Diagnostics and Therapy of Arthritis of the Temporomandibular Joint in Rheumatoid and Juvenile Idiopathic Arthritis
- Untertitel
- An Analysis of Evidence- and Consensus-Based Recommendations Based on an Interdisciplinary Guideline Project
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:15-qucosa2-859998
- Quellenangabe
- Journal of Clinical Medicine
Erscheinungsjahr: 2022
Jahrgang: 11
Artikelnummer: 1761 - Erstveröffentlichung
- 2022
- Abstract (EN)
- Introduction: Due to potentially severe sequelae (impaired growth, condylar resorption, and ankylosis) early diagnosis of chronic rheumatic arthritis of the temporomandibular joint (TMJ) and timely onset of therapy are essential. Aim: Owing to very limited evidence the aim of the study was to identify and discuss controversial topics in the guideline development to promote further focused research. Methods: Through a systematic literature search, 394 out of 3771 publications were included in a German interdisciplinary guideline draft. Two workgroups (1: oral and maxillofacial surgery, 2: interdisciplinary) voted on 77 recommendations/statements, in 2 independent anonymized and blinded consensus phases (Delphi process). Results: The voting results were relatively homogenous, except for a greater proportion of abstentions amongst the interdisciplinary group (p < 0.001). Eighty four percent of recommendations/statements were approved in the first round, 89% with strong consensus. Fourteen recommendations/statements (18.2%) required a prolonged consensus phase and further discussion. Discussion: Contrast-enhanced MRI was confirmed as the method of choice for the diagnosis of TMJ arthritis. Intraarticular corticosteroid injection is to be limited to therapy refractory cases and single injection only. In adults, alloplastic joint replacement is preferable to autologous replacement. In children/adolescents, autologous reconstruction may be performed lacking viable alternatives. Alloplastic options are currently still considered experimental.
- Andere Ausgabe
- Link zur Erstveröffentlichung
Link: https://doi.org/10.3390/jcm11071761 - Freie Schlagwörter (EN)
- chronic rheumatic arthritis of the temporomandibular joint, rheumatoid arthritis, juvenile idiopathic arthritis, guideline, Delphi method, consensus
- Klassifikation (DDC)
- 610
- Verlag
- MDPI, Basel
- Förder- / Projektangaben
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:15-qucosa2-859998
- Veröffentlichungsdatum Qucosa
- 13.06.2023
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
- CC BY 4.0