1887
Volume 2007, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Periodontal conditions in 100 dentate adults with rheumatoid arthritis (RA) were compared with those of age and gender matched individuals without rheumatoid arthritis. The clinical parameters for periodontitis included probing pocket depths, attachment loss, gingival inflammation scores, plaque scoresand radiographic bone loss scores. The rheumatoid arthritis group had more missing teeth than the control group and a higher percentage of them had deeper pocketing and loss of periodontal attachment There were no significant differences between the two groups for gingival inflammation and bleeding. There was a tendency to adverse periodontal conditions amongst the rheumatoid arthritis patients with severe periodontal bone loss occurring more frequently than in the controls. The rheumatoid arthritis patients had more dental plaque deposits than the control group, a finding which could indicate a difference in periodontal care. It is suggested that this study provides evidence of a significant association between periodontitis and rheumatoid arthritis.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2007.2.9
2007-11-01
2024-11-01
Loading full text...

Full text loading...

References

  1. Zvaifler , Nathan J. New perspective on the pathogenesis of rheumatoid arthritis. The American Journal of Medicine Update in rheumatology. 1988;:112117.
    [Google Scholar]
  2. Arnett F, Edworthy S, Bloch D. The American Rheumatism Association 1987 revised criteria for the Classification of rheumatoid arthritis. Arthritis And Rheumatism. 1988; 31::315324.
    [Google Scholar]
  3. Harris ED Jr. Clinical features of rheumatoid arthritis. In: Kelly WNHarris EDSledge CB, eds. Textbook of rheumatology. 5th edition. Philadelphia: WB Saunders 1997:p.898.
    [Google Scholar]
  4. Snyderman R, McCarty GA. Analogous mechanism of tissue destruction in rheumatoid arthritis and periodontal disease. In: Genco RJMergenhagen SE, eds. Host-parasite interaction in periodontal disease. Washington, DC: American Society for Microbiology 1982;:354362.
    [Google Scholar]
  5. Mercado , Marshall RL, Kletov AC, Bartold PM. Is there a relationship between rheumatoid arthritis and Periodontal disease? J. din. Periodontol. 2000; 27::267272.
    [Google Scholar]
  6. Feldman M, Brennan F, Maini R. Role of cytokines in rheumatoid arthritis. Annual Review of Immunology. 1996; 14::397440.
    [Google Scholar]
  7. Miyasaka N, Sato K, Goto M, Natsuyama M, Inoue K, Nishioka K. Augmented 11-1 production and HLA-DR Expression in the synovium of rheumatoid arthritis patients: possible involvement in joint destruction. Arthritis and Rheumatism. 1988; 31::480486.
    [Google Scholar]
  8. Greenwald R, Kirkwood K. Adult periodontitis as a model for rheumatoid arthritis. Journal of Rheumatology. 1999; 26::16501653.
    [Google Scholar]
  9. Hart T, Shapira L, Van Dyke T. Neutrophil defects as risk factor for periodontal diseases. Journal of Periodontology. 1994; 65::521525.
    [Google Scholar]
  10. Katz R, Goutschin J, Benoliel P, Brautbar C. Human leukocyte antigen (HLA) DR4 positive association with rapidly progressive periodontitis. Journal of Periodontology. 1987b; 58::607610.
    [Google Scholar]
  11. Albandar JM. Some predictors of radiograph ic alveolar bone height reduction over 6 years. Journal of Periodontal Research. 1990; 25::186192.
    [Google Scholar]
  12. Mercado F, Marshal R, Klestov A, Bartold P. A relationship between rheumatoid arthritis and periodontal disease. Journal of Periodontology. 2001; 72::779787.
    [Google Scholar]
  13. Siliiess J, Loe H. Periodontal disease in pregnancy, II correlation between oral hygiene and periodontal conditions. Acta Odontologica Scandinavica. 1964; 22::121135.
    [Google Scholar]
  14. Loe H, Silness J. Periodontal disease in pregnancy, I Prevalence and severity. Acta Odontologica Scandinvica. 1963; 21::533551.
    [Google Scholar]
  15. Helminen-Pakkalam E. Periodontal conditions in rheumatoid arthritis. A clinical and roentgenological investigation. Part two. The study in rheumatoids. Proceedings of the Finnish Dental Society. 1971; IV.
    [Google Scholar]
  16. Blair GS, Chalmers JN. The dental status of a chronically disabled section of the community. A study of 139 patients suffering from rheumatic diseases. Journal of the Dental Association of South Africa, 976. 31::329336.
    [Google Scholar]
  17. Kasser UR, Gleissner C, Dehne F, Mitchell A, Willerhausen-Zonnchen B, Bolten VYW. Risk for Periodontal disease in patients with longstanding Rheumatoid arthritis. Arthritis and Rheumatism. 1997; 40::22482251.
    [Google Scholar]
  18. Tolo K, Jorkend L. Serum antibodies and loss of periodontal bone in patients with rheumatoid arthritic. Journal of Clinical Periodontology. 1990; 17::288291.
    [Google Scholar]
  19. Malmstrom M, Calonius P. Tooth loss and inflammation of teeth-supporting tissues in rheumatoid disease. Scand. J. Rheumatology. 1975; 4::4955.
    [Google Scholar]
  20. Sjostrom L, Laurell L, Hugoson A, Hakansson J. Periodontal conditions in adults with rheumatoid Arthritis. Community Dental Oral Epidemiology. 1989; 7::234236.
    [Google Scholar]
  21. Feldman RS, Szeto B, Chauncey HH, Goldhaber P. Nonsteroidal anti-inflammatory drugs in the reduction of human alveolar bone loss. Journal of Clinical Periodontology. 1983; 10::131136.
    [Google Scholar]
  22. Williams RC. Non-steroidal anti-inflammatory drugs for altering periodontal bone loss. Journal of Dental Research. 1999; 78::638641.
    [Google Scholar]
  23. Jeffcoat MK, Page R, Reddy M, Wannawisute A, Waite , Palcanis K, Cogen R, Williams RC, Basch C. Use of digital radiography to demonstrate the potential of naproxen as an adjunct in the treatment of rapidly progressive periodontitis. Journal of Periodontal Research. 1991; 26::415421.
    [Google Scholar]
  24. Mercado FB, Marshall LL, Bartold PM. Inter-relationships between rheumatoid arthritis and periodontal disease. Journal of Clinical Periodontology. 2003; 30::761772.
    [Google Scholar]
/content/journals/10.5339/qmj.2007.2.9
Loading
  • Article Type: Research Article
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error