Association of Periodontitis With Rheumatoid Arthritis: A Pilot Study
Identifieur interne : 005552 ( Main/Exploration ); précédent : 005551; suivant : 005553Association of Periodontitis With Rheumatoid Arthritis: A Pilot Study
Auteurs : Addie Dissick [États-Unis] ; Robert S. Redman [États-Unis] ; Miata Jones [États-Unis] ; Bavana V. Rangan [États-Unis] ; Andreas Reimold [États-Unis] ; Garth R. Griffiths [États-Unis] ; Ted R. Mikuls [États-Unis] ; Richard L. Amdur [États-Unis] ; John S. Richards [États-Unis] ; Gail S. Kerr [États-Unis]Source :
- Journal of periodontology [ 0022-3492 ] ; 2010.
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- Pascal (Inist)
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- topic : Association.
English descriptors
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Abstract
Background: Similarities exist in the epidemiology and immuno-pathogenesis of periodontitis and rheumatoid arthritis (RA), but the associations between their respective disease activities and severities are less well documented. We evaluated the prevalence and severity of periodontitis in United States (U.S.) veterans with RA and their relationship to RA disease activity and severity. Methods: Patients with RA from an outpatient rheumatology clinic were eligible, and patients with osteoarthritis (OA) served as controls. Dentists, masked to the rheumatologic diagnoses, performed periodontal probing and examined dental panoramic radiographs to assess the presence and severity of periodontitis. Associations of periodontitis with RA were examined using multi-variate regression, whereas the association of periodontitis with disease-severity measures in RA was examined using the χ2 test. Results: Sixty-nine patients with RA (57 males and 12 females) and 35 patients with OA (30 males and five females) were studied. Moderate to severe periodontitis was more prevalent in patients with RA (51 %) than controls (26%) (P= 0.03), an association independent of age, race, smoking, diabetes mellitus, and gender. Patients with RA who were seropositive for rheumatoid factor (RF) were more likely to have moderate to severe periodontitis (59%) than patients who were RF negative (15%) (P= 0.02). Likewise, patients with RA who were positive for the anti-cyclic citrullinated peptide (CCP) antibodies were more likely to have moderate to severe periodontitis (56%) than patients who were anti-CCP negative (22%) (P= 0.01). There were no associations of periodontitis status with other measures of RA disease activity or severity. Conclusions: In a cohort of U.S. veterans, periodontitis was more common and severe in patients with RA compared to patients with OA. Although unrelated to disease activity, the presence of periodontitis in patients with RA was associated with seropositivity for RF and the anti-CCP antibody, which was highly relevant given the associations of these autoantibodies with poor outcomes and disease pathogenesis in RA.
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Redman</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Dental Section, Veterans Affairs Medical Center</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Jones, Miata" sort="Jones, Miata" uniqKey="Jones M" first="Miata" last="Jones">Miata Jones</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Dental Section, Veterans Affairs Medical Center</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Rangan, Bavana V" sort="Rangan, Bavana V" uniqKey="Rangan B" first="Bavana V." last="Rangan">Bavana V. Rangan</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Rheumatology Section, Veterans Affairs Medical Center</s1><s2>Dallas, TX</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Reimold, Andreas" sort="Reimold, Andreas" uniqKey="Reimold A" first="Andreas" last="Reimold">Andreas Reimold</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Rheumatology Section, Veterans Affairs Medical Center</s1><s2>Dallas, TX</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Rheumatology Section, University of Texas Southwestern Medical Center</s1><s2>Dallas, TX</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Griffiths, Garth R" sort="Griffiths, Garth R" uniqKey="Griffiths G" first="Garth R." last="Griffiths">Garth R. Griffiths</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Dental Section, Veterans Affairs Medical Center</s1><s2>Dallas, TX</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Mikuls, Ted R" sort="Mikuls, Ted R" uniqKey="Mikuls T" first="Ted R." last="Mikuls">Ted R. Mikuls</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Rheumatology Section, Veterans Affairs Medical Center</s1><s2>Omaha, NE</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Nebraska</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department of Medicine, University of Nebraska</s1><s2>Omaha, NE</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Nebraska</region></placeName></affiliation></author><author><name sortKey="Amdur, Richard L" sort="Amdur, Richard L" uniqKey="Amdur R" first="Richard L." last="Amdur">Richard L. Amdur</name><affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Statistic, Veterans Affairs Medical Center</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Richards, John S" sort="Richards, John S" uniqKey="Richards J" first="John S." last="Richards">John S. Richards</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Rheumatology Section, Veterans Affairs Medical Center</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rheumatology Section, Georgetown University Hospital</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Kerr, Gail S" sort="Kerr, Gail S" uniqKey="Kerr G" first="Gail S." last="Kerr">Gail S. Kerr</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Rheumatology Section, Veterans Affairs Medical Center</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Rheumatology Section, Georgetown University Hospital</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Rheumatology Section, Howard University Hospital</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of periodontology</title><title level="j" type="abbreviated">J. periodontol.</title><idno type="ISSN">0022-3492</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of periodontology</title><title level="j" type="abbreviated">J. periodontol.</title><idno type="ISSN">0022-3492</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Association</term><term>Chronic</term><term>Dentistry</term><term>Edentulousness</term><term>Peptides</term><term>Periodontitis</term><term>Rheumatoid arthritis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parodontite</term><term>Polyarthrite rhumatoïde</term><term>Edentation</term><term>Association</term><term>Peptide</term><term>Dentisterie</term><term>Chronique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Association</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Similarities exist in the epidemiology and immuno-pathogenesis of periodontitis and rheumatoid arthritis (RA), but the associations between their respective disease activities and severities are less well documented. We evaluated the prevalence and severity of periodontitis in United States (U.S.) veterans with RA and their relationship to RA disease activity and severity. Methods: Patients with RA from an outpatient rheumatology clinic were eligible, and patients with osteoarthritis (OA) served as controls. Dentists, masked to the rheumatologic diagnoses, performed periodontal probing and examined dental panoramic radiographs to assess the presence and severity of periodontitis. Associations of periodontitis with RA were examined using multi-variate regression, whereas the association of periodontitis with disease-severity measures in RA was examined using the χ<sup>2</sup> test. Results: Sixty-nine patients with RA (57 males and 12 females) and 35 patients with OA (30 males and five females) were studied. Moderate to severe periodontitis was more prevalent in patients with RA (51 %) than controls (26%) (P= 0.03), an association independent of age, race, smoking, diabetes mellitus, and gender. Patients with RA who were seropositive for rheumatoid factor (RF) were more likely to have moderate to severe periodontitis (59%) than patients who were RF negative (15%) (P= 0.02). Likewise, patients with RA who were positive for the anti-cyclic citrullinated peptide (CCP) antibodies were more likely to have moderate to severe periodontitis (56%) than patients who were anti-CCP negative (22%) (P= 0.01). There were no associations of periodontitis status with other measures of RA disease activity or severity. Conclusions: In a cohort of U.S. veterans, periodontitis was more common and severe in patients with RA compared to patients with OA. Although unrelated to disease activity, the presence of periodontitis in patients with RA was associated with seropositivity for RF and the anti-CCP antibody, which was highly relevant given the associations of these autoantibodies with poor outcomes and disease pathogenesis in RA.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li><li>Nebraska</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="District de Columbia"><name sortKey="Dissick, Addie" sort="Dissick, Addie" uniqKey="Dissick A" first="Addie" last="Dissick">Addie Dissick</name></region><name sortKey="Amdur, Richard L" sort="Amdur, Richard L" uniqKey="Amdur R" first="Richard L." last="Amdur">Richard L. Amdur</name><name sortKey="Dissick, Addie" sort="Dissick, Addie" uniqKey="Dissick A" first="Addie" last="Dissick">Addie Dissick</name><name sortKey="Griffiths, Garth R" sort="Griffiths, Garth R" uniqKey="Griffiths G" first="Garth R." last="Griffiths">Garth R. Griffiths</name><name sortKey="Jones, Miata" sort="Jones, Miata" uniqKey="Jones M" first="Miata" last="Jones">Miata Jones</name><name sortKey="Kerr, Gail S" sort="Kerr, Gail S" uniqKey="Kerr G" first="Gail S." last="Kerr">Gail S. Kerr</name><name sortKey="Kerr, Gail S" sort="Kerr, Gail S" uniqKey="Kerr G" first="Gail S." last="Kerr">Gail S. Kerr</name><name sortKey="Kerr, Gail S" sort="Kerr, Gail S" uniqKey="Kerr G" first="Gail S." last="Kerr">Gail S. Kerr</name><name sortKey="Mikuls, Ted R" sort="Mikuls, Ted R" uniqKey="Mikuls T" first="Ted R." last="Mikuls">Ted R. Mikuls</name><name sortKey="Mikuls, Ted R" sort="Mikuls, Ted R" uniqKey="Mikuls T" first="Ted R." last="Mikuls">Ted R. Mikuls</name><name sortKey="Rangan, Bavana V" sort="Rangan, Bavana V" uniqKey="Rangan B" first="Bavana V." last="Rangan">Bavana V. Rangan</name><name sortKey="Redman, Robert S" sort="Redman, Robert S" uniqKey="Redman R" first="Robert S." last="Redman">Robert S. Redman</name><name sortKey="Reimold, Andreas" sort="Reimold, Andreas" uniqKey="Reimold A" first="Andreas" last="Reimold">Andreas Reimold</name><name sortKey="Reimold, Andreas" sort="Reimold, Andreas" uniqKey="Reimold A" first="Andreas" last="Reimold">Andreas Reimold</name><name sortKey="Richards, John S" sort="Richards, John S" uniqKey="Richards J" first="John S." last="Richards">John S. Richards</name><name sortKey="Richards, John S" sort="Richards, John S" uniqKey="Richards J" first="John S." last="Richards">John S. Richards</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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