Javier Silvestre-Rangil1,2, Leticia Bagán3, Francisco Javier Silvestre4, José Vicente Bagán5. 1. Department of Stomatology, University of Valencia, Valencia, Spain. javisilvestre@hotmail.com. 2. Clínica Odontológica de la Universidad de Valencia, c/Gascó Oliag 1, 46021, Valencia, Spain. javisilvestre@hotmail.com. 3. European University of Valencia, Valencia, Spain. 4. Faculty of Medicine and Odontology, University of Valencia, Valencia, Spain. 5. Valencia University Medical and Dental School. Chairman Service of Stomatology and Maxillofacial Surgery, University General Hospital, Valencia, Spain.
Abstract
OBJECTIVE: A study is made of the main oral manifestations of patients with rheumatoid arthritis (RA), particularly salivary flow, and of its possible association to periodontal disease. MATERIAL AND METHODS: A prospective comparative study was made of 146 patients (73 with RA and 73 controls), recording pocket depth, clinical attachment loss, bleeding index, plaque index, and the DMFT index to assess periodontal and dental alterations. Sialometric measurements were also made to determine resting, stimulated, and parotid salivary flow. RESULTS: The patients with RA had greater periodontal pocket depths (with moderate depths in most cases), as well as greater attachment loss and more bacterial plaque. The resting whole saliva and stimulated parotid saliva rates were also clearly decreased in the RA group compared with the controls. CONCLUSIONS: Patients with RA are more likely to present periodontal disease, poorer oral hygiene manifesting as an increased accumulation of bacterial plaque, and decreased salivary flow rates. CLINICAL RELEVANCE: Vulnerability to periodontitis is confirmed in one of the largest samples ever studied of patients with rheumatoid arthritis (RA). Also, there is evidence of hyposialia (decrease in salivary rate) in RA patients without Sjögren's syndrome.
RCT Entities:
OBJECTIVE: A study is made of the main oral manifestations of patients with rheumatoid arthritis (RA), particularly salivary flow, and of its possible association to periodontal disease. MATERIAL AND METHODS: A prospective comparative study was made of 146 patients (73 with RA and 73 controls), recording pocket depth, clinical attachment loss, bleeding index, plaque index, and the DMFT index to assess periodontal and dental alterations. Sialometric measurements were also made to determine resting, stimulated, and parotid salivary flow. RESULTS: The patients with RA had greater periodontal pocket depths (with moderate depths in most cases), as well as greater attachment loss and more bacterial plaque. The resting whole saliva and stimulated parotid saliva rates were also clearly decreased in the RA group compared with the controls. CONCLUSIONS:Patients with RA are more likely to present periodontal disease, poorer oral hygiene manifesting as an increased accumulation of bacterial plaque, and decreased salivary flow rates. CLINICAL RELEVANCE: Vulnerability to periodontitis is confirmed in one of the largest samples ever studied of patients with rheumatoid arthritis (RA). Also, there is evidence of hyposialia (decrease in salivary rate) in RApatients without Sjögren's syndrome.
Authors: Anna Zalewska; Małgorzata Knaś; Napoleon Waszkiewicz; Danuta Waszkiel; Stanisław Sierakowski; Krzysztof Zwierz Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Date: 2013-01-09
Authors: Rita E Martinez-Martinez; Carlos Abud-Mendoza; Nuria Patiño-Marin; Juan C Rizo-Rodríguez; James W Little; Juan Pablo Loyola-Rodríguez Journal: J Clin Periodontol Date: 2009-12 Impact factor: 8.728
Authors: Diego Prieto; Camila González; Laura Weber; Ornella Realini; Karina Pino-Lagos; Maria José Bendek; Ignacio Retamal; Víctor Beltrán; Juan Pablo Riedemann; Francisco Espinoza; Alejandra Chaparro Journal: J Oral Biol Craniofac Res Date: 2021-02-22
Authors: Mateusz Maciejczyk; Julita Szulimowska; Katarzyna Taranta-Janusz; Anna Wasilewska; Anna Zalewska Journal: J Clin Med Date: 2020-04-29 Impact factor: 4.241