Advisor(s)

Chung How Kau

Committee Member(s)

Ejvis Lamani
Kathlyn Powell
Matthew Stoll

Document Type

Thesis

Date of Award

1-27-2026

Degree Name

Master of Science (MS)

School

School of Dentistry

Department

Dentistry

Abstract

Introduction: Juvenile Idiopathic Arthritis (JIA) is the most common chronic pediatric arthritis, frequently involving the temporomandibular joint (TMJ) and resulting in facial growth disturbances, functional impairment, and complex multidisciplinary treatment needs. Despite its clinical relevance, limited awareness and inconsistent management strategies exist among specialists who are involved in the care of these patients including orthodontists, oral and maxillofacial surgeons and rheumatologists. This study aimed to evaluate the understanding, knowledge and interdisciplinary management practices between board-certified orthodontists and oral and maxillofacial surgeons (OMSs) across the United States regarding JIA. Materials and Methods: A cross-sectional survey was distributed electronically via Qualtrics to orthodontists and OMSs nationwide, assessing demographics, education, clinical experience, interdisciplinary collaboration, and awareness of JIA management guidelines. Results: A total of 109 complete responses (64 orthodontists, 45 OMSs) were included. Results revealed statistically significant differences between orthodontists and OMSs in formal JIA education (p < 0.0001), clinical involvement in JIA care (p = 0.01), belief in multidisciplinary management (p < 0.0001), and awareness of both guidelines (p = 0.001) and outcome measures (p = 0.0008).OMSs demonstrated greater educational exposure, more clinical involvement in JIA care and familiarity with guidelines and outcome measures, while orthodontists expressed stronger endorsement of craniofacial team-based care. Conclusion: This study identifies critical differences in knowledge translation and clinical preparedness between orthodontists and OMSs, emphasizing the need for integrated educational curricula, greater collaboration between specialties, and the use of evidence-based clinical guidelines. Improved interprofessional communication, national data repositories, and continuing education programs could bridge existing gaps, promote earlier diagnosis, and improve functional and esthetic outcomes for children affected by JIA.

Keywords

consensus;interdisciplinary collaboration;Juvenile Idiopathic arthritis;national survey

ProQuest Publication Number

32282306

ISBN

9798273349537

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