Periodontal disease and influence of periodontal treatment on disease activity in patients with rheumatoid arthritis and spondyloarthritis
| Autor: | Jerzy Świerkot, Katarzyna Białowąs, Lucyna Korman, Małgorzata Radwan-Oczko, Irena Duś-Ilnicka |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Gingival and periodontal pocket Periodontal examination Immunology Bleeding on probing Comorbidity Oral hygiene Gastroenterology Severity of Illness Index Root Planing Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Rheumatology Internal medicine Spondylarthritis medicine Prevalence Immunology and Allergy Humans Porphyromonas gingivalis Periodontal Diseases Aged 030203 arthritis & rheumatology Periodontitis Aged 80 and over biology business.industry 030206 dentistry Middle Aged medicine.disease biology.organism_classification Treatment Outcome Rheumatoid arthritis Female medicine.symptom business |
| Zdroj: | Rheumatology international. 40(3) |
| ISSN: | 1437-160X |
| Popis: | The aim of this study was to assess the prevalence of periodontal disease and the effect of periodontal treatment in patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA). Forty-four RA patients, thirty SpA patients and thirty-nine healthy volunteers were recruited to the study. Periodontal examination included the approximal plaque index (API), bleeding on probing (BoP), probing depth (PD) and number of teeth. Samples from the deepest periodontal pockets were taken for the detection of Porphyromonas gingivalis DNA with the use of the polymerase chain reaction. All subjects with periodontitis, who completed the study, received periodontal treatment consisting of scaling/root planing and oral hygiene instructions. Disease activity scores, clinical and laboratory parameters were assessed before and 4–6 weeks after periodontal treatment. No significant difference in the prevalence of periodontal disease and the presence of P. gingivalis DNA were found in RA and SpA patients compared to healthy controls. Significantly higher API (80% vs 63%; p = 0.01) and a lower number of teeth (20 vs 25, p = 0.001) were found in RA patients. BoP was significantly elevated in SpA patients (51% vs 33%, p = 0.02). Disease activity measured by the DAS28(CRP) was significantly reduced in RA patients after periodontal treatment (p = 0.002). Clinical and biochemical parameters were not improved in SpA patients. Nonsurgical periodontal treatment had an impact on the decrease in RA activity. Periodontal examination is necessary in patients with RA to detect and treat periodontitis at an early stage. |
| Databáze: | OpenAIRE |
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