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Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity

Background: There are some discrepancy in association between activity of rheumatoid arthritis (RA) and periodontitis. The aim of this study was to evaluate the periodontal status of outpatients with RA. Methods: The study was conducted in 2013-14 in a rheumatology clinic in Sari, north of Iran on 7...

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Autores principales: Mobini, Maryam, Maboudi, Avideh, Ali Mohammadpour, Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804465/
https://www.ncbi.nlm.nih.gov/pubmed/29445673
http://dx.doi.org/10.14196/mjiri.31.44
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author Mobini, Maryam
Maboudi, Avideh
Ali Mohammadpour, Reza
author_facet Mobini, Maryam
Maboudi, Avideh
Ali Mohammadpour, Reza
author_sort Mobini, Maryam
collection PubMed
description Background: There are some discrepancy in association between activity of rheumatoid arthritis (RA) and periodontitis. The aim of this study was to evaluate the periodontal status of outpatients with RA. Methods: The study was conducted in 2013-14 in a rheumatology clinic in Sari, north of Iran on 74 patients with RA. Evaluation of RA disease activity was according to disease activity score 28 (DAS28). Periodontitis was evaluated by probing depth (PD), gingival index (GI), clinical attachment level (CAL index), plaque index (PI), and panoramic X-ray. Statistical analysis included independent ttest and Mann-Whitney U test for quantitative, and chi square and OR for qualitative variables and evaluation of RA activity and periodontitis severity. Results: The mean±SD of age and disease duration were 47.01±8.1 and 8.93±8.6 years, respectively and the mean±SD number of teeth was 20.70±6.8. Twenty-seven (36.5%) patients had moderate to severe disease. Forty-seven cases (63.5%) were found with periodontitis and 14 (12.2%) were identified to have moderate to severe periodontitis, unrelated to disease activity (p=0.22). For active/inactive periodontitis OR =1.33 (95% CI: 0.46 - 3.87) was computed. There was no association between RA disease activity and number of teeth, CAL, PI, PD, and GI, (p>0.05). Conclusion: About 60% of RA patients suffered from periodontitis, but there was not any significant relation between RA disease activity and severity of periodontitis. Periodontitis may interfere with management and follow up of RA, so periodic periodontal examination is suggested in these patients.
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spelling pubmed-58044652018-02-14 Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity Mobini, Maryam Maboudi, Avideh Ali Mohammadpour, Reza Med J Islam Repub Iran Original Article Background: There are some discrepancy in association between activity of rheumatoid arthritis (RA) and periodontitis. The aim of this study was to evaluate the periodontal status of outpatients with RA. Methods: The study was conducted in 2013-14 in a rheumatology clinic in Sari, north of Iran on 74 patients with RA. Evaluation of RA disease activity was according to disease activity score 28 (DAS28). Periodontitis was evaluated by probing depth (PD), gingival index (GI), clinical attachment level (CAL index), plaque index (PI), and panoramic X-ray. Statistical analysis included independent ttest and Mann-Whitney U test for quantitative, and chi square and OR for qualitative variables and evaluation of RA activity and periodontitis severity. Results: The mean±SD of age and disease duration were 47.01±8.1 and 8.93±8.6 years, respectively and the mean±SD number of teeth was 20.70±6.8. Twenty-seven (36.5%) patients had moderate to severe disease. Forty-seven cases (63.5%) were found with periodontitis and 14 (12.2%) were identified to have moderate to severe periodontitis, unrelated to disease activity (p=0.22). For active/inactive periodontitis OR =1.33 (95% CI: 0.46 - 3.87) was computed. There was no association between RA disease activity and number of teeth, CAL, PI, PD, and GI, (p>0.05). Conclusion: About 60% of RA patients suffered from periodontitis, but there was not any significant relation between RA disease activity and severity of periodontitis. Periodontitis may interfere with management and follow up of RA, so periodic periodontal examination is suggested in these patients. Iran University of Medical Sciences 2017-08-10 /pmc/articles/PMC5804465/ /pubmed/29445673 http://dx.doi.org/10.14196/mjiri.31.44 Text en © 2017 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Mobini, Maryam
Maboudi, Avideh
Ali Mohammadpour, Reza
Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
title Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
title_full Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
title_fullStr Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
title_full_unstemmed Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
title_short Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
title_sort periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804465/
https://www.ncbi.nlm.nih.gov/pubmed/29445673
http://dx.doi.org/10.14196/mjiri.31.44
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