FREQUENCY AND SEVERITY OF PERIODONTITIS AMONG PATIENTS WITH RHEUMATOID ARTHRITIS

Evaluación de presencia y severidad de periodontitis en pacientes chilenos con artritis reumatoide atendidos en el Hosital Padre Hurtado.

Author
Ibáñez V, Sebastián; Hospital Padre Hurtado Clínica Alemana de Santiago Universidad del Desarrollo

Ferreiro, Cristina; Universidad del Desarrollo

Contreras, Andrés; Universidad del Desarrollo

Valenzuela, Omar; Hospital Padre Hurtado Clínica Alemana de Santiago Universidad del Desarrollo

Giadalah, Nicolás; Universidad del Desarrollo

Jara, Vicente; Facultad de medicina Clínica Alemana- Universidad del Desarrollo Hospital Padre Hurtado

Jaime, Francisca; Pontificia Universidad Católica de Chile

Jarpa, Elena

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/4388
Abstract
Background: Periodontitis may have a triggering and aggravating role of various medical conditions, including rheumatoid arthritis. Aim: To evaluate the periodontal status in Chilean patients with rheumatoid arthritis (RA), treated in a public hospital. Patients and methods: A trained professional conducted a periodontal examination in 40 patients with RA aged 23 to 73 years (85% women). When present, the severity of periodontitis and its relationship with gender, smoking, age, corticosteroids dose and AR activity were assessed. AR activity was evaluated using the Disease Activity Score Calculator for Rheumatoid Arthritis (DAS 28). Results: Thirty five of the 40 patients had periodontitis and in 13, it was severe. Men, smokers, and older patients had more severe stages. Patients using higher doses of corticosteroids had lower severity of periodontitis. No relationship between the severity of periodontitis and AR activity was found. Conclusions: Periodontitis is common and severe in patients with RA, and is influenced by gender, age, smoking and corticosteroid dose.
 
Background: Periodontitis may have a triggering and aggravating role of various medical conditions, including rheumatoid arthritis. Aim: To evaluate the periodontal status in Chilean patients with rheumatoid arthritis (RA), treated in a public hospital. Patients and methods: A trained professional conducted a periodontal examination in 40 patients with RA aged 23 to 73 years (85% women). When present, the severity of periodontitis and its relationship with gender, smoking, age, corticosteroids dose and AR activity were assessed. AR activity was evaluated using the Disease Activity Score Calculator for Rheumatoid Arthritis (DAS 28). Results: Thirty five of the 40 patients had periodontitis and in 13, it was severe. Men, smokers, and older patients had more severe stages. Patients using higher doses of corticosteroids had lower severity of periodontitis. No relationship between the severity of periodontitis and AR activity was found. Conclusions: Periodontitis is common and severe in patients with RA, and is influenced by gender, age, smoking and corticosteroid dose.
 
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