Author/Authors :
George، Bibin Thomas نويسنده Professor, Department of Periodontics, Darshan Dental College, Udaipur, Rajasthan. , , Janam، Presanthila نويسنده Professor, Department of Periodontics, Government Dental College, Trivandrum. , , V، Parvathy نويسنده Reader, Department of Conservative Dentistry and Endodontics, Noor Islam College of Dental Science, Neyatinkara, Trivandrum. , , M.S، Deepa نويسنده Reader, Department of Oral Medicine and Radiology, ACDSR, Kollam. , , George، Sheila نويسنده Professor, Department of Conservative Dentistry and Endodontics, Noor Islam College of Dental Science, Neyatinkara, Trivandrum. ,
Abstract :
Background: Periodontal disease and rheumatoid arthritis are both chronic inflammatory diseases which affect the connective tissue including bone. The present study was carried out to find the relationship between rheumatoid arthritis and periodontal disease. Materials and Methods: This study was conducted in rheumatology and surgical outpatient department, Medical college, Thiruvanathrapuram, Kerala. Fifty fulfilling and fifty not fulfilling ACR criteria patients aging 30-50 with no other diseases or under any other medication were matched for sex, age, oral hygiene status with AR patients were included and divided into two groups in this study. Periodontal status of two group patients was assessed by measuring the probing pocket depth, gingival recession, periodontal attachment loss, plaque index, calculus index and gingival index and blood sample was collected and subjected for estimation of erythrocyte sedimentation rate, C-reactive protein and rheumatoid factor. The observations was analyses by t-test for statistical significance. Results: In RA group have significant p value (P < 0.05) missing tooth (4.48±4.16), Probing pocket depth (2.46±0.66), Gingival recession (0.76±0.57), Clinical attachment level (3.15±1.11), Gingival index (1.81±0.48), oral hygiene index (3.96 ±1.01) and radiographic bone loss (0.96±0.23) compared to Non-RA group. Increased erythrocyte sedimentation rate (57.58±21.20), c-reactive protein (28.80±16.27) and rheumatoid factor levels (384.00±22.14) in RA group patients. Conclusion: The results of this study provide evidence of a significant relationship between rheumatoid arthritis and periodontal disease. This may be due to similar pathophysiology nature of the diseases. There is requirement of detailed clinical and immunological studies in a large population to confirm the present study conclusions.
