Oral health and orofacial function in patients with rheumatoid arthritis

González-Chávez, Susana Aideé; Pacheco‐Tena, César; Caraveo-Frescas, Teresita de Jesús; Quiñonez-Flores, Celia María; Reyes-Cordero, Greta; Campos-Torres, Rosa María

doi:10.1007/s00296-019-04440-3

Cited by 14 publications

(8 citation statements)

References 42 publications

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“…For example, González-Chávez, Susana Aideé, et al, reported a high frequency of caries (98.3%) in patients diagnosed with RA with an average evolution time of 8 years of the disease. In both studies, a high frequency of caries was observed for the recently diagnosed subjects and for the subjects with an average of 8 years of evolution of the disease, however, González-Chávez, Susana Aideé, et al, Identified a 53% of cases with severe dental caries and a 73% of tooth loss due to the presence of dental caries (14).…”

Section: Dental Caries and Rheumatoid Arthritis (Ra)mentioning

confidence: 90%

“…Osteoarthritis in fingers and hands and 8. General osteoarthritis causing severe immobility in the patient (5)(6)(7)(8)(9)10,12,(31)(32)(33)(34).…”

Section: Dental Caries and Rheumatoid Arthritis (Ra)mentioning

confidence: 99%

“…Nowadays it is accepted that early diagnosis and early treatment of Rheumatoid Arthritis can improve the prognosis in most of patients (2,12,13). Several researchers identified a high frequency of caries in recently diagnosed subjects and in subjects with several years of evolution of RA, however, in subjects with chronic RA was observed a high frequency of severe caries and an increase in tooth loss due to the presence of dental caries (12)(13)(14)(15). Probably, the increase in the frequency of dental caries in recently diagnosed patients could explain the relationship between chronic RA and early tooth loss.…”

Section: Introductionmentioning

confidence: 99%

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Association Between Subjects with Newly Diagnosed Rheumatoid Arthritis and Dental Caries

Sánchez-Medrano

Martínez-Gutiérrez

Martínez-Martínez

et al. 2021

Odovtos - Int J Dent Sc

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Alterations in saliva, temporomandibular joint disorders, dysphagia, Sjogren's syndrome, dental caries, periodontal disease, and tooth loss have been identified in patients with Rheumatoid Arthritis. The aims of this research were 1) to study the association between newly diagnosed rheumatoid arthritis and dental caries and 2) to identify most frequent teeth with caries in study groups. A descriptive pilot study was performed. A total of 620 participants were evaluated, 29 met the selection criteria. The subjects were divided into 2 groups: 13 subjects with newly diagnosed rheumatoid arthritis and 16 subjects without rheumatoid arthritis. Salivary parameters, DMFT index, care index, FS-T index and Treatment Needs Index were evaluated in all participants. The Fisher’s Exact test and Mann-Whitney U test we used to establish the differences between groups. Low mean in all salivary parameters and a high caries frequency were observed in subjects with newly diagnosed rheumatoid arthritis compared to a control group (p<0.01). The right maxillary second premolar (n=6, 46%, p=0.0100); right mandibular second premolar (n=7,54%, p=0.0462) and left mandibular second molar (n=10,77%, p=0.0001) were the most frequent teeth with caries. Early diagnosis and early treatment of rheumatoid arthritis can improve the prognosis in most of patients. The development of new public health policies and care based on the prevention are necessary to improve the quality of patient's lives.

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Section: Dental Caries and Rheumatoid Arthritis (Ra)mentioning

confidence: 90%

“…Osteoarthritis in fingers and hands and 8. General osteoarthritis causing severe immobility in the patient (5)(6)(7)(8)(9)10,12,(31)(32)(33)(34).…”

Section: Dental Caries and Rheumatoid Arthritis (Ra)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association Between Subjects with Newly Diagnosed Rheumatoid Arthritis and Dental Caries

Sánchez-Medrano

Martínez-Gutiérrez

Martínez-Martínez

et al. 2021

Odovtos - Int J Dent Sc

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“…Second, the symptoms of patients with RA are usually controlled by immunosuppressive drugs and non-steroidal anti-inflammatory drugs (NSAIDs). The use of these drugs and the increased bone resorption due to RA could induce a significant deterioration of the anatomic structures, such as the TMJ [3]. Third, even if the TMJ was not directly influenced by RA, masticatory muscles might be affected by the clenching and bruxism, due to the psychological aspect of RA, which is a chronic disease [54].…”

Section: Discussionmentioning

confidence: 99%

“…RA is one of the most prevalent chronic inflammatory diseases [2]. It is a destructive, progressive, and disabling condition affecting over 1% of the world's population [3]. Females are affected approximately three times more than the males, with a peak prevalence between 35 and 50 years of age [4,5].…”

Section: Introductionmentioning

confidence: 99%

Increased Risk of Temporomandibular Joint Disorder in Patients with Rheumatoid Arthritis: A Longitudinal Follow-Up Study

Byun

Min

Choi

2020

JCM

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We evaluated the incidence of temporomandibular disorder (TMD) in patients with rheumatoid arthritis (RA) and examined the association between TMD and RA, through longitudinal follow-up. Population data from the Korean National Health Insurance Service-Health Screening Cohort from 2002 to 2015 was used. From 514,866 subjects, 3122 with RA were matched with 12,488 controls in a 1:4 ratio. The crude and adjusted models (for obesity, smoking, alcohol consumption, blood pressure, blood glucose, total cholesterol, and Charlson Comorbidity Index scores) were calculated. Chi-square tests, Kaplan-Meier (KM) analysis, and two-tailed analyses were used for statistical analysis. Stratified Cox proportional hazard models were used to assess the hazard ratios (HR) and 95% confidence intervals (CI) for TMD in the RA group, compared to those in the control group. The adjusted HR for TMD in RA was 2.52 (95% CI = 1.70–3.74), compared to the control group. The results were consistent with the subgroup analyses, according to age and sex, except in men older than 60 years of age. KM analysis showed similar results. Hence, we found that patients with RA have a higher risk of TMD, and should be observed for symptoms of the initial stage of TMD to prevent the risk of aggravation.

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