RESEARCH - Association of periodontal disease and tooth loss with RA in the US population

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Journal of Rheumatology

January 2008

Association of Periodontal Disease and Tooth Loss with Rheumatoid Arthritis

in the US Population

PAOLA de PABLO, THOMAS DIETRICH, and TIMOTHY E. McALINDON

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. (First

Release Nov 15 2007; J Rheumatol 2008;35:70-6)

http://www.jrheum.com/abstracts/abstracts08/70.html

Not an MD

[Guest guest]

Thanks, , for this lil ray of sunshine! LOL

*smiling at you while I can* ;-)

*~ Kami ~*

[ ] RESEARCH - Association of periodontal disease and tooth

loss with RA in the US population

CONCLUSION: RA may be associated with tooth loss and periodontitis.

PMID: 18050377

http://www.ncbi.nlm.nih.gov/pubmed/18050377

Not an MD

[Guest guest]

LOL, Kami. Yes, you can count on me for sunshine. Vitamin D coming

your way in each and every post.

Not an MD

On Mon, May 18, 2009 at 4:52 PM, ~Kami~ <kamilleon@...> wrote:

>

>

> Thanks, , for this lil ray of sunshine! LOL

>

> *smiling at you while I can* ;-)

>

> *~ Kami ~*