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- Title
Periodontitis in Italian patients with established rheumatoid arthritis: A cross‐sectional study.
- Authors
Karapetsa, Dimitra; Consensi, Arianna; Castagnoli, Giulia; Petrini, Morena; Tonelli, Matteo; Gennai, Stefano; Bazzichi, Laura; Graziani, Filippo
- Abstract
Objective: To assess the prevalence and severity of periodontitis (P) among Italian patients affected by rheumatoid arthritis (RA). Materials and methods: A full‐mouth periodontal examination and a rheumatologic examination were performed. RA disease activity was scored using the DAS28. Serum analyses investigated levels of rheumatoid factor, anti‐citrullinated protein antibodies (ACPAs), C‐reactive protein, erythrocyte sedimentation rate and fibrinogen. Information concerning smoking, body mass index and RA medical therapy was collected. Data were analysed by Student's t test, chi‐square test, binary logistic regression and Spearman's rank. Results: This cross‐sectional study included 120 subjects, 77 had both diseases while 43 only had RA. The number of teeth present was statistically lower in the RA‐P compared to the RA group (p <.05). There were statistically more subjects seropositive for ACPAs in the RA‐P group (62.3% vs. 32.6%, p <.05). RA‐P patients had an adjusted OR = 2.9 of presenting a moderate‐severe DAS28 score (DAS28 ≥ 3.2). Conclusions: Higher prevalence of severe P was noted among RA subjects. The clinical severity of RA was strongly correlated with the clinical periodontal parameters, and RA subjects also affected by P had an OR of 2.9 for presenting with a moderate‐severe RA (DAS28 score ≥ 3.2).
- Subjects
ITALY; AUTOANTIBODIES; C-reactive protein; STATISTICS; PERIODONTITIS; CROSS-sectional method; PERIODONTIUM examination; SEVERITY of illness index; T-test (Statistics); COMPARATIVE studies; RHEUMATOID arthritis; BLOOD sedimentation; FIBRINOGEN; CHI-squared test; DESCRIPTIVE statistics; DISEASE prevalence; LOGISTIC regression analysis; DATA analysis; ODDS ratio; DISEASE complications; EVALUATION
- Publication
Oral Diseases, 2022, Vol 28, Issue 6, p1715
- ISSN
1354-523X
- Publication type
Article
- DOI
10.1111/odi.13842