Abstract

Background: The epidemiological and pathological relations between Periodontitis and Rheumatoid arthritis (RA) have been stated. The citrullination and attendant autoantibody responses are defining features of RA. It has been recognized that the oral bacteria, inflammation and its mediators might play an important role in RA activity. Hence this study aimed to evaluate the effect of Non-surgical Periodontal Therapy in reducing the severity of Rheumatoid arthritis. Materials and Method: Totally 25 participants diagnosed with RA and Periodontitis were included in the study. Clinical parameters such as CPSS index, BOP% and CAL, estimation of ESR and calculation of DAS28 done at baseline, after Pre-NSPT and after next Post-NSPT were recorded. Results: Statistically significant improvement was noted for CPSS (p Conclusion: Reduction in the periodontal inflammation positively affects the rheumatoid arthritis activity, hence improving the patient’s health.

Highlights

  • This study aimed to evaluate the effect of Non-surgical Periodontal Therapy in reducing the severity of Rheumatoid arthritis

  • Clinical parameters such as CPSS index, BOP% and CAL, estimation of Erythrocyte Sedimentation Rate (ESR) and calculation of Disease Activity Score at 28 joints (DAS28) done at baseline, after Pre-non-surgical periodontal therapy (NSPT) and after Post-NSPT were recorded

  • Periodontitis is a diseased state that is portrayed as an inflammatory state and bacterial disease driven by various factors

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Summary

Introduction

Gingivitis is inflammation caused by formation of dental plaque and its elimination is possible by reducing the bacterial load through oral hygiene measures. This study aimed to evaluate the effect of Non-surgical Periodontal Therapy in reducing the severity of Rheumatoid arthritis. Materials and Method: Totally 25 participants diagnosed with RA and Periodontitis were included in the study. Clinical parameters such as CPSS index, BOP% and CAL, estimation of ESR and calculation of DAS28 done at baseline, after Pre-NSPT and after Post-NSPT were recorded. Conclusion: Reduction in the periodontal inflammation positively affects the rheumatoid arthritis activity, improving the patient’s health

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