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Clinical Oral Investigations

, Volume 20, Issue 9, pp 2575–2580 | Cite as

Oral manifestations of rheumatoid arthritis. A cross-sectional study of 73 patients

  • Javier Silvestre-RangilEmail author
  • Leticia Bagán
  • Francisco Javier Silvestre
  • José Vicente Bagán
Original Article

Abstract

Objective

A study is made of the main oral manifestations of patients with rheumatoid arthritis (RA), particularly salivary flow, and of its possible association to periodontal disease.

Material and methods

A prospective comparative study was made of 146 patients (73 with RA and 73 controls), recording pocket depth, clinical attachment loss, bleeding index, plaque index, and the DMFT index to assess periodontal and dental alterations. Sialometric measurements were also made to determine resting, stimulated, and parotid salivary flow.

Results

The patients with RA had greater periodontal pocket depths (with moderate depths in most cases), as well as greater attachment loss and more bacterial plaque. The resting whole saliva and stimulated parotid saliva rates were also clearly decreased in the RA group compared with the controls.

Conclusions

Patients with RA are more likely to present periodontal disease, poorer oral hygiene manifesting as an increased accumulation of bacterial plaque, and decreased salivary flow rates.

Clinical relevance

Vulnerability to periodontitis is confirmed in one of the largest samples ever studied of patients with rheumatoid arthritis (RA). Also, there is evidence of hyposialia (decrease in salivary rate) in RA patients without Sjögren’s syndrome.

Keywords

Rheumatoid arthritis Periodontal disease Dental caries Salivary flow Oral manifestations 

Notes

Compliance with ethical standards

Conflict of interests

The authors declare that they have no competing interests.

Funding

The work was supported by the Unidad de Estomatología, Hospital Doctor Peset, Valencia.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, formal consent is not required.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of StomatologyUniversity of ValenciaValenciaSpain
  2. 2.European University of ValenciaValenciaSpain
  3. 3.Faculty of Medicine and OdontologyUniversity of ValenciaValenciaSpain
  4. 4.Valencia University Medical and Dental School. Chairman Service of Stomatology and Maxillofacial SurgeryUniversity General HospitalValenciaSpain
  5. 5.Clínica Odontológica de la Universidad de ValenciaValenciaSpain

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