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The association between rheumatoid arthritis and periodontal disease in a population-based cross-sectional case-control study
Blekinge Institute of Technology, Faculty of Engineering, Department of Health. Kristianstad University, SWE ; School of Dental Science, IRL ; University of Hong Kong, HKG.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-4312-2246
Kristianstad University, SWE.
Lund University, SWE.
2020 (English)In: BMC Rheumatology, ISSN 2520-1026, Vol. 4, no 1, article id 31Article in journal (Refereed) Published
Abstract [en]

Background: The association between rheumatoid arthritis (RA) and periodontitis remains unclear. Methods: We studied oral health and periodontitis in a population-based case-control study of individuals with ≥10 remaining teeth ≥61 years of age and either with, or without a diagnosis of RA. 126 dentate individuals with RA were recruited together with age-matched control individuals without RA. The control individuals were recruited from the general population from the same city (n = 249). A dental examination including a panoramic radiograph was performed on all participants. All individuals with RA were examined and medical records were reviewed by a rheumatologist. In the control group, none of the participants presented with symptoms of RA and their medical records were also negative. Results: The RA group included more women (66.7% vs. 55.8%) (p < 0.01). Individuals in the RA group had a higher body mass index (BMI) (p < 0.001). A diagnosis of periodontitis was more common in the RA group (61.1%) than in the control group (33.7%) (p = 0.001). Binary logistic regression analysis identified that a BMI > 25 (OR 6.2, 95% CI 3.6, 10.5, p = 0.000), periodontitis (OR 2.5 95% CI 1.5, 4.2 p = 0.000), and female gender (OR 2.3, 95% CI 1.3-4.0, p = 0.003) were associated with RA. Conclusion: RA was associated a diagnosis of periodontitis. © 2020 The Author(s).

Place, publisher, year, edition, pages
BioMed Central , 2020. Vol. 4, no 1, article id 31
Keywords [en]
Epidemiology, Periodontitis, Rheumatoid arthritis, Smoking, biological product, disease modifying antirheumatic drug, glucocorticoid, methotrexate, nonsteroid antiinflammatory agent, age, aged, Article, biological therapy, body mass, case control study, cohort analysis, controlled study, corticosteroid therapy, cross-sectional study, dental health, disease association, female, gender, human, major clinical study, male, medical record review, onset age, panoramic radiography, periodontal examination, population based case control study, priority journal, rheumatologist
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:bth-20286DOI: 10.1186/s41927-020-00129-4ISI: 000648516200029Scopus ID: 2-s2.0-85088381665OAI: oai:DiVA.org:bth-20286DiVA, id: diva2:1458112
Note

 Open access

Available from: 2020-08-14 Created: 2020-08-14 Last updated: 2021-12-02Bibliographically approved

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Renvert, StefanSanmartin Berglund, Johan

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