Association of Periodontal Disease and Tooth Loss with Rheumatoid Arthritis in the US Population
Identifieur interne : 000376 ( PascalFrancis/Checkpoint ); précédent : 000375; suivant : 000377Association 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.
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- Pascal (Inist)
English descriptors
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.
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Mcalindon</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Rheumatology, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Division of Rheumatology, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of rheumatology</title><title level="j" type="abbreviated">J. rheumatol.</title><idno type="ISSN">0315-162X</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of rheumatology</title><title level="j" type="abbreviated">J. rheumatol.</title><idno type="ISSN">0315-162X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic</term><term>Edentulousness</term><term>Periodontal disease</term><term>Periodontitis</term><term>Rheumatoid arthritis</term><term>Tooth</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Polyarthrite rhumatoïde</term><term>Parodontite</term><term>Edentation</term><term>Parodontopathie</term><term>Dent</term><term>Chronique</term></keywords></textClass></profileDesc></teiHeader><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></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0315-162X</s0></fA01><fA02 i1="01"><s0>JRHUA9</s0></fA02><fA03 i2="1"><s0>J. rheumatol.</s0></fA03><fA05><s2>35</s2></fA05><fA06><s2>1</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Association of Periodontal Disease and Tooth Loss with Rheumatoid Arthritis in the US Population</s1></fA08><fA11 i1="01" i2="1"><s1>DE PABLO (Paola)</s1></fA11><fA11 i1="02" i2="1"><s1>DIETRICH (Thomas)</s1></fA11><fA11 i1="03" i2="1"><s1>MCALINDON (Timothy E.)</s1></fA11><fA14 i1="01"><s1>Division of Rheumatology, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Health Policy and Health Services Research, Boston University Goldman School of Dental Medicine</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Periodontology and Oral Biology, Boston University Goldman School of Dental Medicine</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>2 aut.</sZ></fA14><fA20><s1>70-76</s1></fA20><fA21><s1>2008</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>16024</s2><s5>354000173935890130</s5></fA43><fA44><s0>0000</s0><s1>© 2008 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>54 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>08-0091729</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of rheumatology</s0></fA64><fA66 i1="01"><s0>CAN</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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