Original scientific paper

Periodontal Condition and Tooth Loss in Rheumatoid Arthritis Patients

Leógenes Maia Santiago ; Post-Graduate Student, Federal University of Pernambuco, Recife, Brazil
José Mário Guimarães ; Physician, Rheumatologist, Municipal Health Department, Caruaru, Brazil
Juliano Busetti ; Eastman Dental Institute, Unit Periodontology, ITI Scholar, London, UK
Jair Carneiro Leão ; PhD, Federal University of Pernambuco, Recife, Brazil
Renata Cimões orcid.org/0000-0003-3673-8739 ; PhD, Federal University of Pernambuco, Recife, Brazil

Abstract

Aim: Periodontal disease and rheumatoid arthritis (RA) have similar underlying pathological processes. Chronic inflammation and immune dysfunction are central to both diseases, and both are modulated by cytokines, as mediators of inflammation. This study evaluated the periodontal condition and tooth loss in RA patients and compared them with systemically healthy patients. Material and Methods: In total, 106 subjects participated: 53 with RA and 53 healthy controls, paired by gender and age. We recorded socioeconomic data and information about oral and systemic health. Clinical examinations were performed at six sites per tooth. Bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), and total number of teeth were recorded. The diagnosis of the periodontal condition followed the American Academy of Periodontology criteria. RA was diagnosed according to the American College of Rheumatology guidelines. Results: The RA group exhibited a significantly higher percentage of BOP and a significantly higher CAL compared with the control group (p < 0.001 for each). There was no difference in tooth loss between the groups. Conclusion: The RA patients exhibited worse periodontal conditions than systemically healthy patients.

Keywords

Rheumatoid Arthritis; Periodontal Disease; Tooth Loss; Cytokines

Hrčak ID:

78639

URI

https://hrcak.srce.hr/78639

Publication date:

20.3.2012.

Article data in other languages: croatian

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