Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1395
10
1
gregorian
2017
1
1
31
1
online
1
fulltext
en
Periodontitis in rheumatoid arthritis patients, abundance and association with disease activity
Rheumatology
Rheumatology
Original Research
Original Research
<p><strong>Background: </strong>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.<br>
<strong> Methods:</strong> 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 t-test and Mann-Whitney U test for quantitative, and chi square and OR for qualitative variables and evaluation of RA activity and periodontitis severity.<br>
<strong> Results: </strong>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).<br>
<strong> Conclusion:</strong> 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.<br>
<br>
</p>
Rheumatoid arthritis, Periodontal diseases, Disease activity score
252
255
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1667-3&slc_lang=en&sid=1
Maryam
Mobini
mmobini50@yahoo.com
200319475328460035733
200319475328460035733
Yes
Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Avideh
Maboudi
avideh48188@yahoo.com
200319475328460035734
200319475328460035734
No
Dental Faculty, Diabetes Research Center, Mazandaran University of Medical Scienc-es, Sari, Iran.
Reza Ali
Mohammadpour
mohammadpour2002@yahoo.com
200319475328460035735
200319475328460035735
No
Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.