Association between rheumatoid arthritis and periodontitis in an adult population – A cross sectional study

• Varshney, S. ^[1] ; Sharma, M. ^[2] ; Kapoor, S. ^[3] ; Siddharth, M. ^[4]
  1. [1] Department of Periodontology, School of Dental Sciences, Greater Noida
  2. [2] Post Graduate Student, Department of Periodontology , School of Dental Sciences, Greater Noida
  3. [3] Rheumatologist, MD, DM, Maharaj Agrasen Hospital, Punjabi Bagh, Arthritis Unit, Department of Rheumatology, New Delhi
  4. [4] Periodontist, MDS, Department of Periodontology, School of Dental Sciences, Greater Noida

  Mostrar afiliaciones +
• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 13, Nº. 10 (October), 2021, págs. 980-986
• Idioma: inglés
• Enlaces
  • Texto Completo Ejemplar
• Resumen

  • Background: This investigation was aimed to analyse the existence of an association between rheumatoid arthritis and periodontitis among Indian subjects.

    Material and Methods: This observational study included a total of 110 individuals between 18-78 years of age, which were divided equally into RA (Rheumatoid Arthritis) and NRA (Non-Rheumatoid Arthritis) groups. General, Oral and a complete Periodontal examination included recording of Gingival Index (GI), Plaque index (PI), Pocket Probing Depth (PPD), Clinical attachment level (CAL) in a questionnaire form.

    Laboratory and rheumatologcal parameters like C-reactive protein (CRP), Erythrocyte sedimentation rate (ESR) and Disease Activity Score 28(DAS 28), Health Assessment Questionnaire–Disability Index (HAQ), Rheumatoid factor (RF) were also respectively estimated.

    Results: Prevalence of moderate or severe periodontitis was higher in RA than in NRA group. (41.8% vs 23.6%, p= 0.047). Periodontal structural damage represented by clinical attachment level was more in RA patients (2.89 mm v/s 2.54mm, p=0.261). Mean score of HAQ was co-related significantly in patients with CAL ≥ 2mm than with CAL < 2mm (0.69 v/s 0.455, p=0.0415). Through logistic regression analysis, periodontitis and CAL were related to RA with OR (Odds Ratio) of 2.1 and 2.89 respectively.

    Conclusions: Indian RA patients have higher odds for periodontitis and CAL may act as a risk indicator for RA.