Periodontal Disease and Rheumatoid Arthritis
Periodontal Disease and Rheumatoid Arthritis
A number of oral manifestations have been described in rheumatoid arthritis patients. These include the well recognized association with Sjogren's and xerostomia, TMD, methotrexate-induced ulcers, and an increasing emphasis on periodontal disease. Oral mucosal involvement in autoimmune diseases, including rheumatoid arthritis, occurs with high frequency. Symptomatic xerostomia and secondary Sjogren's are not uncommon in rheumatoid arthritis patients, with recent studies providing prevalence estimates of between 3 and 30%, depending on the definition. Recently published classification criteria for primary Sjogren's syndrome by the American College of Rheumatology and the Sjogren's International Collaborative Clinical Alliance Cohort will facilitate more accurate descriptions of Sjogren's prevalence, a condition with considerable impact on overall health-related quality of life. Whether secondary Sjogren's in rheumatoid arthritis is associated with an increased periodontal disease remains unclear; some studies have suggested increased periodontal disease and gingivitis in Sjogren's, but others have not.
Oral Health in Rheumatoid Arthritis
A number of oral manifestations have been described in rheumatoid arthritis patients. These include the well recognized association with Sjogren's and xerostomia, TMD, methotrexate-induced ulcers, and an increasing emphasis on periodontal disease. Oral mucosal involvement in autoimmune diseases, including rheumatoid arthritis, occurs with high frequency. Symptomatic xerostomia and secondary Sjogren's are not uncommon in rheumatoid arthritis patients, with recent studies providing prevalence estimates of between 3 and 30%, depending on the definition. Recently published classification criteria for primary Sjogren's syndrome by the American College of Rheumatology and the Sjogren's International Collaborative Clinical Alliance Cohort will facilitate more accurate descriptions of Sjogren's prevalence, a condition with considerable impact on overall health-related quality of life. Whether secondary Sjogren's in rheumatoid arthritis is associated with an increased periodontal disease remains unclear; some studies have suggested increased periodontal disease and gingivitis in Sjogren's, but others have not.
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