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

Stoustrup, Peter; Resnick, Cory M; Pedersen, Thomas Klit; Abramowicz, Shelly; Michelotti, Ambra; Küseler, Annelise; Verna, Carlalberta; Kellenberger, Christian J et al. · J Rheumatol · 2019

expert_opinion · Level V

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Abstract

To propose multidisciplinary, consensus-based, standardization of operational terminology and method of assessment for temporomandibular joint (TMJ) involvement in juvenile idiopathic arthritis (JIA). 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. Seven standardized operational terms were defined: <i>TMJ arthritis, TMJ involvement, TMJ arthritis management, dentofacial deformity, TMJ deformity, TMJ symptoms,</i> and <i>TMJ dysfunction.</i> CONCLUSION: Definition of 7 operational standardized terms provides an optimal platform for communication across healthcare providers involved in JIA-TMJ arthritis management.

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