Evaluation of a Tool to Enhance Training of the Physical Examination of the Temporomandibular Joint

Project Period:

Grant Category:
Small Grant

Disease Area:
Juvenile Idiopathic Arthritis (JIA)

Arthritis of the temporomandibular joint (TMJ) occurs in many juvenile idiopathic arthritis (JIA) patients. TMJ involvement in JIA can often be asymptomatic and difficult to detect. The effects of TMJ arthritis can have a severe impact on health-related quality of life that may persist into adulthood. Earlier detection and treatment should reduce joint damage and resulting facial deformity. Lack of standardization of the orofacial examination in JIA patients has made it difficult to study TMJ arthritis. Recently, a standardized orofacial physical examination protocol for JIA patients was published. We would like to study the impact of using this protocol and a video training tool to see if it improves pediatric rheumatology fellows’ knowledge of TMJ arthritis and orofacial physical examination. This has the potential to improve clinical care by increasing detection of TMJ involvement in JIA patients which would prompt early treatment and prevent long term joint damage and deformity.


Nancy Pan, MD

Hospital for Special Surgery

Tova Ronis, MDCM

Children's National Hospital

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