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Oral health and orofacial function in patients with rheumatoid arthritis

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Abstract

The aim of the study was to describe the oral health and orofacial function of Mexican patients with rheumatoid arthritis (RA) and their association with clinical and radiological aspects of the disease. Patients with RA received a complete odontological exam, which also included a clinical and radiographic assessment of the temporomandibular joint (TMJ). The rheumatologic assessment included detailed profiling of the disease and serological and radiographic parameters. The study included 62 RA patients; the median (min–max) age was 51 (18–72) years old and 8.5 (1–39) years of disease duration. The 63.6% of the patients had DAS28 ≥ 3.2, and a median (min–max) of Sharp/van der Heijde score (SvdHS) of 41 (0–214). 98.3% of the patients presented caries, which were severe in 53.3% of the cases. The 73.8% of the patients were missing teeth due to caries, with a median (min–max) of 4 (0–32) teeth missing per patient. Oral hygiene was classified as bad in 49.1% of patients and only 15.3% of them had a healthy periodontium. The TMJ function was abnormal in 98.4% of the patients and 62.9% of them presented moderate or severe TMJ disorder (TMD). The radiographic damage of the TMJ correlated positively with the SvdHS. No correlations were found between disease activity or structural progression and orofacial variables, including periodontitis. There are severe oral and orofacial health problems in RA patients despite having medical attention for their disease. Multidisciplinary management remains an area of opportunity for both the medical specialists and the health system in our country.

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Authors and Affiliations

  1. Laboratorio PABIOM, Facultad de Medicina y Ciencias Biomédicas, Universidad Autónoma de Chihuahua, Circuito Universitario Campus II, 31125, Chihuahua, Chihuahua, Mexico

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

  2. Facultad de Odontología, Universidad Autónoma de Chihuahua, Chihuahua, Chihuahua, Mexico

    Teresita de Jesús Caraveo-Frescas & Rosa María Campos-Torres

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  1. Susana Aideé González-Chávez
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  2. César Pacheco-Tena
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  3. Teresita de Jesús Caraveo-Frescas
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Contributions

All co-authors are responsible for the integrity of all parts of the final version of the manuscript and approve it for publication. They also ensured that questions related to the accuracy or integrity of any part of the work were properly investigated and resolved.SAGC Participation in the coordination of the project, capture and analysis and interpretation of data and statistical analysis, writing of the manuscript and preparation of tables and figures, and critical review of the manuscript. CPT Mentor of the research idea, obtaining funding source, responsible for the Rheumatological examination including clinical and radiographic outcomes, interpretation of data, writing and critical review of the manuscript. TJCF Dental surgeon responsible for the orofacial examination and obtaining funding source, and critical review of the manuscript. CMQF Data analysis, manuscript preparation, and critical review of the manuscript. GRC Rheumatologist radiographic assessment, and critical review of the manuscript. RMCT Dental surgeon collaborator in the orofacial examination and obtaining funding source, and critical review of the manuscript.

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Correspondence to César Pacheco-Tena.

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González-Chávez, S.A., Pacheco-Tena, C., de Jesús Caraveo-Frescas, T. et al. Oral health and orofacial function in patients with rheumatoid arthritis. Rheumatol Int 40, 445–453 (2020). https://doi.org/10.1007/s00296-019-04440-3

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