Oral health-related quality of life depending on oral health in patients with rheumatoid arthritis

Mühlberg, Sophia; Jäger, Jatina; Krohn-Grimberghe, Bernhard; Patschan, Susann; Mausberg, Rainer; Schmalz, Gerhard; Haak, Rainer; Ziebolz, Dirk
December 2017
Clinical Oral Investigations;Dec2017, Vol. 21 Issue 9, p2661
Academic Journal
Background: The aim of this study was to evaluate the oral health-related quality of life (OHRQoL) in patients with rheumatoid arthritis (RA) depending on their oral health in comparison with healthy controls (HCs). Methods: One hundred three RA patients (55.5 years, female 58) were included. A healthy control group (HC n = 104; 56.7 years, female 68) was matched according to age, gender, and smoking habits. The OHRQoL was determined by Oral Health Impact Profile (OHIP)-G14 questionnaire. Oral examination included dental findings (DMF-T), gingival inflammation (PBI), periodontal probing depth (PPD), clinical attachment loss (CAL), and bleeding on probing (BOP). Based on CAL and/or PPD, periodontitis was categorized as healthy/mild, moderate, or severe. Statistical analysis: trend test (Cochran-Armitage) and Wilcoxon rank-sum test ( α = 5%). Results: For DMF-T (RA 17.6 ± 6.1, HC 16.0 ± 6.5) and PBI (RA 0.10 ± 0.18, HC 0.08 ± 0.18), no significant differences between both groups were found ( p > 0.05). Approximately 65% of RA group and 79% of HC group showed moderate to severe periodontitis ( p = 0.02); RA patients showed significantly higher BOP values ( p < 0.01). OHRQoL was significantly worse in RA group compared to HC group (mean OHIP value RA = 7.3 ± 7.2, HC = 1.6 ± 2.1; p < 0.001). In the HC group, a significant effect of DMF-T, M-T, and PD on OHRQoL was detected ( p < 0.01), whereas in the RA group, no influence was determined ( p > 0.05). Conclusion: RA patients showed a worse OHRQoL than HC patients, which was independent of dental and periodontal conditions. RA patients require a more intensive care in consideration of dental, medical, and psychological factors. Clinical relevance: Interdisciplinary collaboration between dentists and rheumatologists is necessary, whereby psychological factors should be considered.


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