RESUMO
BACKGROUND: Treatment of patients with temporomandibular joint pathology in the presence of systemic diseases should include a number of additional methods. OBJECTIVE: The aim of the study to consider an algorithm for providing care to a growing patient with TMJ arthritis on the background of juvenile rheumatoid arthritis complicated by distalization of the mandible. MATERIAL AND METHODS: A growing patient with temporomandibular joint pathology and juvenile rheumatoid arthritis is undergoing complex treatment by a rheumatologist and dentist in order to prevent pronounced degenerative changes in the TMJ bone structures, significant asymmetries of the facial skeleton and the postural component of the patient's body. RESULTS: The patient underwent rehabilitation in order to activate the growth zones, reduce the skeletal asymmetry of the maxillofacial region due to directed growth using conservative techniques. The growth of the branches of the lower jaw was obtained, the optical density of the cortical bone of both condyles improved to the age norm. CONCLUSION: A significant improvement in the prognosis of TMJ rheumatoid arthritis disease in growing patients is possible while creating conditions for adequate interaction of all structures of the maxillofacial region.
