Association of Periodontal Disease and Tooth Loss with Rheumatoid Arthritis in the US Population
Identifieur interne : 006559 ( Main/Exploration ); précédent : 006558; suivant : 006560Association of Periodontal Disease and Tooth Loss with Rheumatoid Arthritis in the US Population
Auteurs : Paola De Pablo [États-Unis] ; Thomas Dietrich [États-Unis] ; Timothy E. Mcalindon [États-Unis]Source :
- Journal of rheumatology [ 0315-162X ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bouche édentée (), Bouche édentée (épidémiologie), Enquêtes nutritionnelles, Femelle, Humains, Maladies parodontales (), Maladies parodontales (épidémiologie), Mâle, Odds ratio, Perte dentaire (), Perte dentaire (épidémiologie), Polyarthrite rhumatoïde (), Polyarthrite rhumatoïde (épidémiologie), Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, États-Unis d'Amérique (épidémiologie).
- MESH :
- épidémiologie : Bouche édentée, Maladies parodontales, Perte dentaire, Polyarthrite rhumatoïde, États-Unis d'Amérique.
- Pascal (Inist)
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Arthritis, Rheumatoid (complications), Arthritis, Rheumatoid (epidemiology), Chronic, Edentulousness, Female, Humans, Male, Middle Aged, Mouth, Edentulous (complications), Mouth, Edentulous (epidemiology), Nutrition Surveys, Odds Ratio, Periodontal Diseases (complications), Periodontal Diseases (epidemiology), Periodontal disease, Periodontitis, Prevalence, Rheumatoid arthritis, Tooth, Tooth Loss (complications), Tooth Loss (epidemiology), United States (epidemiology).
- MESH :
- geographic , epidemiology : United States.
- complications : Arthritis, Rheumatoid, Mouth, Edentulous, Periodontal Diseases, Tooth Loss.
- epidemiology : Arthritis, Rheumatoid, Mouth, Edentulous, Periodontal Diseases, Tooth Loss.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Nutrition Surveys, Odds Ratio, Prevalence.
Abstract
Objective. To test for an association of periodontitis and tooth loss with rheumatoid arthritis (RA). Methods. The third National Health and Nutrition Examination Survey (NHANES III) is a nationally representative cross-sectional survey of noninstitutionalized civilians. We included participants aged ≥ 60 years who had undergone both musculoskeletal and dental examinations. RA was defined based on American College of Rheumatology criteria. Dental examinations quantified decayed and filled surfaces, missing teeth, and periodontitis. Periodontitis was defined as at least 1 site exhibiting both attachment loss and a probing depth of ≥ 4 mm. We classified dental health status as (1) no periodontitis, (2) periodontitis, or (3) edentulous (i.e., complete tooth loss). We performed multivariate multinomial logistic regression models with dental health status as the dependent and RA as the independent variables. Results. The sample consisted of 4461 participants, of whom 103 were classified as having RA. Participants with RA had more missing teeth (20 vs 16 teeth; p < 0.001), but less decay (2% vs 4%; p < 0.001) than participants without RA. After adjusting for age, sex, race/ethnicity, and smoking, subjects with RA were more likely to be edentulous [odds ratio (OR) 2.27, 95% confidence interval (CI) 1.56-3.31] and have periodontitis (OR 1.82, 95% CI 1.04-3.20) compared with non-RA subjects. In participants with seropositive RA there was a stronger association with dental health status, in particular with edentulism (OR 4.5, 95% CI 1.2-17). Conclusion. RA may be associated with tooth loss and periodontitis.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arthritis, Rheumatoid (complications)</term>
<term>Arthritis, Rheumatoid (epidemiology)</term>
<term>Chronic</term>
<term>Edentulousness</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Nutrition Surveys</term>
<term>Odds Ratio</term>
<term>Periodontal Diseases (complications)</term>
<term>Periodontal Diseases (epidemiology)</term>
<term>Periodontal disease</term>
<term>Periodontitis</term>
<term>Prevalence</term>
<term>Rheumatoid arthritis</term>
<term>Tooth</term>
<term>Tooth Loss (complications)</term>
<term>Tooth Loss (epidemiology)</term>
<term>United States (epidemiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Bouche édentée ()</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Enquêtes nutritionnelles</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies parodontales ()</term>
<term>Maladies parodontales (épidémiologie)</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Perte dentaire ()</term>
<term>Perte dentaire (épidémiologie)</term>
<term>Polyarthrite rhumatoïde ()</term>
<term>Polyarthrite rhumatoïde (épidémiologie)</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arthritis, Rheumatoid</term>
<term>Mouth, Edentulous</term>
<term>Periodontal Diseases</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Arthritis, Rheumatoid</term>
<term>Mouth, Edentulous</term>
<term>Periodontal Diseases</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Maladies parodontales</term>
<term>Perte dentaire</term>
<term>Polyarthrite rhumatoïde</term>
<term>États-Unis d'Amérique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nutrition Surveys</term>
<term>Odds Ratio</term>
<term>Prevalence</term>
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<term>Bouche édentée</term>
<term>Enquêtes nutritionnelles</term>
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<term>Humains</term>
<term>Maladies parodontales</term>
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<term>Polyarthrite rhumatoïde</term>
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<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en">Objective. To test for an association of periodontitis and tooth loss with rheumatoid arthritis (RA). Methods. The third National Health and Nutrition Examination Survey (NHANES III) is a nationally representative cross-sectional survey of noninstitutionalized civilians. We included participants aged ≥ 60 years who had undergone both musculoskeletal and dental examinations. RA was defined based on American College of Rheumatology criteria. Dental examinations quantified decayed and filled surfaces, missing teeth, and periodontitis. Periodontitis was defined as at least 1 site exhibiting both attachment loss and a probing depth of ≥ 4 mm. We classified dental health status as (1) no periodontitis, (2) periodontitis, or (3) edentulous (i.e., complete tooth loss). We performed multivariate multinomial logistic regression models with dental health status as the dependent and RA as the independent variables. Results. The sample consisted of 4461 participants, of whom 103 were classified as having RA. Participants with RA had more missing teeth (20 vs 16 teeth; p < 0.001), but less decay (2% vs 4%; p < 0.001) than participants without RA. After adjusting for age, sex, race/ethnicity, and smoking, subjects with RA were more likely to be edentulous [odds ratio (OR) 2.27, 95% confidence interval (CI) 1.56-3.31] and have periodontitis (OR 1.82, 95% CI 1.04-3.20) compared with non-RA subjects. In participants with seropositive RA there was a stronger association with dental health status, in particular with edentulism (OR 4.5, 95% CI 1.2-17). Conclusion. RA may be associated with tooth loss and periodontitis.</div>
</front>
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<name sortKey="Dietrich, Thomas" sort="Dietrich, Thomas" uniqKey="Dietrich T" first="Thomas" last="Dietrich">Thomas Dietrich</name>
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