Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study
Introduction: Association between rheumatoid arthritis (RA), periodontitis and temporomandibular disorder (TMD) can be an outcome of the existing inflammatory conditions or involvement of joints at a different level of severity. Aim: This study aims to find an association between periodontal disease...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Journal of Indian Association of Public Health Dentistry |
| Subjects: | |
| Online Access: | http://www.jiaphd.org/article.asp?issn=2319-5932;year=2017;volume=15;issue=4;spage=312;epage=318;aulast=Kumar |
| _version_ | 1818427080928395264 |
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| author | Vijay Kumar R Yashoda Manjunath P Puranik |
| author_facet | Vijay Kumar R Yashoda Manjunath P Puranik |
| author_sort | Vijay Kumar |
| collection | DOAJ |
| description | Introduction: Association between rheumatoid arthritis (RA), periodontitis and temporomandibular disorder (TMD) can be an outcome of the existing inflammatory conditions or involvement of joints at a different level of severity. Aim: This study aims to find an association between periodontal disease and TMDs and RA among patients visiting various Rheumatology centers in Bengaluru city. Materials and Methods: A total of 100 RA patients and age- and gender-matched comparison group were recruited from various Rheumatology centers in Bengaluru city. Periodontal status and loss of attachment (LOA) were measured from the World Health Organization (2013) criteria and TMDs and severity were assessed using Helkimo index (1987). Data were analyzed and comparisons were done using Chi-square test and independent t-test (P < 0.05). Correlation and association are measured through spearman's correlation and logistic regression analysis. Results: There was a significant difference regarding shallow and deep periodontal pocket depth among RA (4.62 ± 2.33, 1.48 ± 1.7) and comparison (3.48 ± 2.53, 0.83 ± 1.05) groups (P = 0.01). Impaired mobility (P = 0.012), altered function (P = 0.032), painful function (P = 0.023), muscle pain (P = 0.028), and temporomandibular joint pain (P = 0.048) differed significantly between RA group and comparison group. RA patients were more likely to suffer from TMD (OR = 4.88) and LOA (OR = 2.16) than the comparison group. Conclusion: Periodontitis and TMD are found to be associated with RA. A dental check-up for patients suffering from RA should be part of the routine RA assessment. |
| first_indexed | 2024-12-14T14:40:03Z |
| format | Article |
| id | doaj.art-052409b80ae4408c9b8e676aa4fe0669 |
| institution | Directory Open Access Journal |
| issn | 2319-5932 2350-0484 |
| language | English |
| last_indexed | 2024-12-14T14:40:03Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Public Health Dentistry |
| spelling | doaj.art-052409b80ae4408c9b8e676aa4fe06692022-12-21T22:57:26ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Public Health Dentistry2319-59322350-04842017-01-0115431231810.4103/jiaphd.jiaphd_125_17Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional studyVijay KumarR YashodaManjunath P PuranikIntroduction: Association between rheumatoid arthritis (RA), periodontitis and temporomandibular disorder (TMD) can be an outcome of the existing inflammatory conditions or involvement of joints at a different level of severity. Aim: This study aims to find an association between periodontal disease and TMDs and RA among patients visiting various Rheumatology centers in Bengaluru city. Materials and Methods: A total of 100 RA patients and age- and gender-matched comparison group were recruited from various Rheumatology centers in Bengaluru city. Periodontal status and loss of attachment (LOA) were measured from the World Health Organization (2013) criteria and TMDs and severity were assessed using Helkimo index (1987). Data were analyzed and comparisons were done using Chi-square test and independent t-test (P < 0.05). Correlation and association are measured through spearman's correlation and logistic regression analysis. Results: There was a significant difference regarding shallow and deep periodontal pocket depth among RA (4.62 ± 2.33, 1.48 ± 1.7) and comparison (3.48 ± 2.53, 0.83 ± 1.05) groups (P = 0.01). Impaired mobility (P = 0.012), altered function (P = 0.032), painful function (P = 0.023), muscle pain (P = 0.028), and temporomandibular joint pain (P = 0.048) differed significantly between RA group and comparison group. RA patients were more likely to suffer from TMD (OR = 4.88) and LOA (OR = 2.16) than the comparison group. Conclusion: Periodontitis and TMD are found to be associated with RA. A dental check-up for patients suffering from RA should be part of the routine RA assessment.http://www.jiaphd.org/article.asp?issn=2319-5932;year=2017;volume=15;issue=4;spage=312;epage=318;aulast=KumarArthritisHelkimo indexperiodontal attachment lossperiodontal pocketrheumatoidtemporomandibular joint disorders |
| spellingShingle | Vijay Kumar R Yashoda Manjunath P Puranik Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study Journal of Indian Association of Public Health Dentistry Arthritis Helkimo index periodontal attachment loss periodontal pocket rheumatoid temporomandibular joint disorders |
| title | Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study |
| title_full | Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study |
| title_fullStr | Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study |
| title_full_unstemmed | Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study |
| title_short | Association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in Bengaluru City: A cross-sectional study |
| title_sort | association between periodontal disease temporomandibular disorders and rheumatoid arthritis among patients visiting rheumatology centers in bengaluru city a cross sectional study |
| topic | Arthritis Helkimo index periodontal attachment loss periodontal pocket rheumatoid temporomandibular joint disorders |
| url | http://www.jiaphd.org/article.asp?issn=2319-5932;year=2017;volume=15;issue=4;spage=312;epage=318;aulast=Kumar |
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