An Evaluation of Non-Surgical Periodontal Therapy in Patients with Rheumatoid Arthritis
Identifieur interne : 001036 ( Pmc/Checkpoint ); précédent : 001035; suivant : 001037An Evaluation of Non-Surgical Periodontal Therapy in Patients with Rheumatoid Arthritis
Auteurs : Caio V. G Roman-Torres [Brésil] ; José S. Neto [Brésil] ; Marcio A. Souza [Brésil] ; Humberto O. Schwartz-Filho [Brésil] ; William C. Brandt [Brésil] ; Ricardo E. A. S Diniz [Brésil]Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2015.
Abstract
aim of this study was to evaluate the efficacy of periodontal scaling and oral hygiene instruction for patients with mild chronic periodontitis and rheumatoid arthritis through clinical periodontal parameters and laboratory tests for CRP (C- reactive protein) and ESR (erythrocyte sedimentation rate). Twelve individuals with rheumatoid arthritis and 12 healthy individuals were evaluated, with a mean age of 45.38 and 46.75 respectively, all female and with mild, chronic periodontitis. The participants were evaluated clinically and periapical radiographs were taken (T1), after which periodontal treatment was instituted. After ninety days (T2), new clinical and laboratory data were obtained. Probing depth, bleeding index, and plaque indexes were observed in both groups, and the results demonstrated reductions but no statistical differences. Laboratory tests for CRP and ESR produced higher values for the rheumatoid arthritis group with T1- T2 reductions on the average, but the values were still higher than in the health group. We conclude that periodontal therapy in patients with rheumatoid arthritis and mild chronic periodontitis showed a improvement in the periodontal clinical parameters and laboratory tests that were evaluated.
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DOI: 10.2174/1874210601509010150
PubMed: 26140059
PubMed Central: 4484346
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">An Evaluation of Non-Surgical Periodontal Therapy in Patients with Rheumatoid Arthritis</title><author><name sortKey="Roman Torres, Caio V G" sort="Roman Torres, Caio V G" uniqKey="Roman Torres C" first="Caio V. G" last="Roman-Torres">Caio V. G Roman-Torres</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Dentistry, University of Santo Amaro, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, University of Santo Amaro, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Periodontology, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Periodontology, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Neto, Jose S" sort="Neto, Jose S" uniqKey="Neto J" first="José S" last="Neto">José S. Neto</name><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Periodontology, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Periodontology, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Souza, Marcio A" sort="Souza, Marcio A" uniqKey="Souza M" first="Marcio A" last="Souza">Marcio A. Souza</name><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Periodontology, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Periodontology, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Schwartz Filho, Humberto O" sort="Schwartz Filho, Humberto O" uniqKey="Schwartz Filho H" first="Humberto O" last="Schwartz-Filho">Humberto O. Schwartz-Filho</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Dentistry, University of Santo Amaro, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, University of Santo Amaro, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Brandt, William C" sort="Brandt, William C" uniqKey="Brandt W" first="William C" last="Brandt">William C. Brandt</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Dentistry, University of Santo Amaro, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, University of Santo Amaro, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Diniz, Ricardo E A S" sort="Diniz, Ricardo E A S" uniqKey="Diniz R" first="Ricardo E. A. S" last="Diniz">Ricardo E. A. S Diniz</name><affiliation wicri:level="2"><nlm:aff id="aff3">Department of Medicine, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Medicine, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26140059</idno><idno type="pmc">4484346</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484346</idno><idno type="RBID">PMC:4484346</idno><idno type="doi">10.2174/1874210601509010150</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000403</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000403</idno><idno type="wicri:Area/Pmc/Curation">000403</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000403</idno><idno type="wicri:Area/Pmc/Checkpoint">001036</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001036</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">An Evaluation of Non-Surgical Periodontal Therapy in Patients with Rheumatoid Arthritis</title><author><name sortKey="Roman Torres, Caio V G" sort="Roman Torres, Caio V G" uniqKey="Roman Torres C" first="Caio V. G" last="Roman-Torres">Caio V. G Roman-Torres</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Dentistry, University of Santo Amaro, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, University of Santo Amaro, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Periodontology, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Periodontology, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Neto, Jose S" sort="Neto, Jose S" uniqKey="Neto J" first="José S" last="Neto">José S. Neto</name><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Periodontology, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Periodontology, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Souza, Marcio A" sort="Souza, Marcio A" uniqKey="Souza M" first="Marcio A" last="Souza">Marcio A. Souza</name><affiliation wicri:level="2"><nlm:aff id="aff2">Department of Periodontology, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Periodontology, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Schwartz Filho, Humberto O" sort="Schwartz Filho, Humberto O" uniqKey="Schwartz Filho H" first="Humberto O" last="Schwartz-Filho">Humberto O. Schwartz-Filho</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Dentistry, University of Santo Amaro, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, University of Santo Amaro, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Brandt, William C" sort="Brandt, William C" uniqKey="Brandt W" first="William C" last="Brandt">William C. Brandt</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Dentistry, University of Santo Amaro, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dentistry, University of Santo Amaro, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Diniz, Ricardo E A S" sort="Diniz, Ricardo E A S" uniqKey="Diniz R" first="Ricardo E. A. S" last="Diniz">Ricardo E. A. S Diniz</name><affiliation wicri:level="2"><nlm:aff id="aff3">Department of Medicine, Metropolitan University of Santos, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Medicine, Metropolitan University of Santos, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">The Open Dentistry Journal</title><idno type="eISSN">1874-2106</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>aim of this study was to evaluate the efficacy of periodontal scaling and oral hygiene instruction for patients with mild chronic periodontitis and rheumatoid arthritis through clinical periodontal parameters and laboratory tests for CRP (C- reactive protein) and ESR (erythrocyte sedimentation rate). Twelve individuals with rheumatoid arthritis and
12 healthy individuals were evaluated, with a mean age of 45.38 and 46.75 respectively, all female and with mild, chronic periodontitis. The participants were evaluated clinically and periapical radiographs were taken (T1), after which periodontal treatment was instituted. After ninety days (T2), new clinical and laboratory data were obtained. Probing depth, bleeding index, and plaque indexes were observed in both groups, and the results demonstrated reductions but no statistical differences. Laboratory tests for CRP and ESR produced higher values for the rheumatoid arthritis group with T1- T2 reductions on the average, but the values were still higher than in the health group. We conclude that periodontal therapy in patients with rheumatoid arthritis and mild chronic periodontitis showed a improvement in the periodontal clinical parameters and laboratory tests that were evaluated.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Monsarrat, P" uniqKey="Monsarrat P">P Monsarrat</name></author><author><name sortKey="Vergnes, Jn" uniqKey="Vergnes J">JN Vergnes</name></author><author><name sortKey="Cantagrel, A" uniqKey="Cantagrel A">A Cantagrel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mota, Lm" uniqKey="Mota L">LM Mota</name></author><author><name sortKey="Cruz, Ba" uniqKey="Cruz B">BA Cruz</name></author><author><name sortKey="Brenol, Cv" uniqKey="Brenol C">CV Brenol</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bingham, Co Iii" uniqKey="Bingham C">CO III Bingham</name></author><author><name sortKey="Moni, M" uniqKey="Moni M">M 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id><journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id><journal-id journal-id-type="publisher-id">TODENTJ</journal-id><journal-title-group><journal-title>The Open Dentistry Journal</journal-title></journal-title-group><issn pub-type="epub">1874-2106</issn><publisher><publisher-name>Bentham Open</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26140059</article-id><article-id pub-id-type="pmc">4484346</article-id><article-id pub-id-type="publisher-id">TODENTJ-9-150</article-id><article-id pub-id-type="doi">10.2174/1874210601509010150</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>An Evaluation of Non-Surgical Periodontal Therapy in Patients with Rheumatoid Arthritis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Roman-Torres</surname><given-names>Caio V.G</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Neto</surname><given-names>José S</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Souza</surname><given-names>Marcio A</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Schwartz-Filho</surname><given-names>Humberto O</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Brandt</surname><given-names>William C</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Diniz</surname><given-names>Ricardo E.A.S</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Dentistry, University of Santo Amaro, SP, Brazil</aff><aff id="aff2"><label>2</label>Department of Periodontology, Metropolitan University of Santos, SP, Brazil</aff><aff id="aff3"><label>3</label>Department of Medicine, Metropolitan University of Santos, SP, Brazil</aff><author-notes><corresp id="cor1"><label>*</label>Address correspondence to this author at the Rua Waldomiro Silveira 18,
apto 71, CEP: 11065-200 Santos/SP – Brazil; Tel: +55 13 99130 4747;
E-mail: <email xlink:href="cvgrt@hotmail.com">cvgrt@hotmail.com</email></corresp></author-notes><pub-date pub-type="epub"><day>15
</day><month>5</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>9</volume><fpage>150</fpage><lpage>153</lpage><history><date date-type="received"><day>9</day><month>3</month><year>2015</year></date><date date-type="rev-recd"><day>1</day><month>4</month><year>2015</year></date><date date-type="accepted"><day>13</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>© Roman-Torres <italic>et al.</italic>; Licensee <italic>Bentham Open.</italic></copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Roman-Torres</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p></license></permissions><abstract><p>aim of this study was to evaluate the efficacy of periodontal scaling and oral hygiene instruction for patients with mild chronic periodontitis and rheumatoid arthritis through clinical periodontal parameters and laboratory tests for CRP (C- reactive protein) and ESR (erythrocyte sedimentation rate). Twelve individuals with rheumatoid arthritis and
12 healthy individuals were evaluated, with a mean age of 45.38 and 46.75 respectively, all female and with mild, chronic periodontitis. The participants were evaluated clinically and periapical radiographs were taken (T1), after which periodontal treatment was instituted. After ninety days (T2), new clinical and laboratory data were obtained. Probing depth, bleeding index, and plaque indexes were observed in both groups, and the results demonstrated reductions but no statistical differences. Laboratory tests for CRP and ESR produced higher values for the rheumatoid arthritis group with T1- T2 reductions on the average, but the values were still higher than in the health group. We conclude that periodontal therapy in patients with rheumatoid arthritis and mild chronic periodontitis showed a improvement in the periodontal clinical parameters and laboratory tests that were evaluated.</p></abstract><kwd-group><title>Keywords</title><kwd>Dental scaling</kwd><kwd>periodontal debridement</kwd><kwd>periodontitis</kwd><kwd>rheumatoid arthritis</kwd></kwd-group></article-meta></front><floats-group><table-wrap id="T1" position="float"><label>Table 1.</label><caption><p>Mean and standard deviation of periodontal parameters and laboratory tests from healthy individuals (control group) and rheumatoid arthritis (test group) before (T1) and after periodontal treatment (T2).</p></caption><table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1">Periodontal parameters and laboratory tests</th><th align="center" rowspan="1" colspan="1">Groups</th><th align="center" rowspan="1" colspan="1">T1</th><th align="center" rowspan="1" colspan="1">T2</th></tr></thead><tbody><tr><td rowspan="2" colspan="1">PPD (mm)</td><td align="center" rowspan="1" colspan="1">Control</td><td align="center" rowspan="1" colspan="1">2,1 (0,3)</td><td align="center" rowspan="1" colspan="1">1,9 (0,2)</td></tr><tr><td align="center" rowspan="1" colspan="1">Test</td><td align="center" rowspan="1" colspan="1">2,3 (0,4)</td><td align="center" rowspan="1" colspan="1">2,1 (0,3)</td></tr><tr><td rowspan="2" colspan="1">PI (%)</td><td align="center" rowspan="1" colspan="1">Control</td><td align="center" rowspan="1" colspan="1">26,4 (7,1)</td><td align="center" rowspan="1" colspan="1">21,0 (2,7)</td></tr><tr><td align="center" rowspan="1" colspan="1">Test</td><td align="center" rowspan="1" colspan="1">34,4 (6,6)</td><td align="center" rowspan="1" colspan="1">29,4 (4,8)</td></tr><tr><td rowspan="2" colspan="1">BOP (%)</td><td align="center" rowspan="1" colspan="1">Control</td><td align="center" rowspan="1" colspan="1">19,4 (3,2)</td><td align="center" rowspan="1" colspan="1">17,7 (3,0)</td></tr><tr><td align="center" rowspan="1" colspan="1">Test</td><td align="center" rowspan="1" colspan="1">23,4 (5,0)</td><td align="center" rowspan="1" colspan="1">20,2 (5,4)</td></tr><tr><td rowspan="2" colspan="1">
CRP</td><td align="center" rowspan="1" colspan="1">Control</td><td align="center" rowspan="1" colspan="1">0,2 (0,1)</td><td align="center" rowspan="1" colspan="1">0,1 (0,0)</td></tr><tr><td align="center" rowspan="1" colspan="1">Test</td><td align="center" rowspan="1" colspan="1">4,1 (5,6)</td><td align="center" rowspan="1" colspan="1">3,2 (4,4)</td></tr><tr><td rowspan="2" colspan="1">
ESR</td><td align="center" rowspan="1" colspan="1">Control</td><td align="center" rowspan="1" colspan="1">10,6 (2,7)</td><td align="center" rowspan="1" colspan="1">10,6 (3,0)</td></tr><tr><td align="center" rowspan="1" colspan="1">Test</td><td align="center" rowspan="1" colspan="1">34,0 (21,7)</td><td align="center" rowspan="1" colspan="1">30,0 (22,8)</td></tr></tbody></table><table-wrap-foot><fn id="T1F1"><p>PPD – periodontal probing depth, PI - plaque index, GI - gingival index, CRP – C-reactive protein, ESR - erythrocyte sedimentation rate, BOP - bleeding on probing</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Roman Torres, Caio V G" sort="Roman Torres, Caio V G" uniqKey="Roman Torres C" first="Caio V. G" last="Roman-Torres">Caio V. G Roman-Torres</name></region><name sortKey="Brandt, William C" sort="Brandt, William C" uniqKey="Brandt W" first="William C" last="Brandt">William C. Brandt</name><name sortKey="Diniz, Ricardo E A S" sort="Diniz, Ricardo E A S" uniqKey="Diniz R" first="Ricardo E. A. S" last="Diniz">Ricardo E. A. S Diniz</name><name sortKey="Neto, Jose S" sort="Neto, Jose S" uniqKey="Neto J" first="José S" last="Neto">José S. Neto</name><name sortKey="Roman Torres, Caio V G" sort="Roman Torres, Caio V G" uniqKey="Roman Torres C" first="Caio V. G" last="Roman-Torres">Caio V. G Roman-Torres</name><name sortKey="Schwartz Filho, Humberto O" sort="Schwartz Filho, Humberto O" uniqKey="Schwartz Filho H" first="Humberto O" last="Schwartz-Filho">Humberto O. Schwartz-Filho</name><name sortKey="Souza, Marcio A" sort="Souza, Marcio A" uniqKey="Souza M" first="Marcio A" last="Souza">Marcio A. Souza</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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