Abstract
BackgroundThis study aimed to assess the impact of periodontitis (PD) on the health related quality of life (HRQoL) and oral health related QoL (OHRQoL) of subjects with rheumatoid arthritis (RA) and PD.MethodsSubjects from dental and RA clinics were screened. Complete periodontal examinations were performed. Subjects were divided into 4 groups: RA-PD, RA, PD and healthy controls (HC). Questionnaires on characteristics and Malaysian versions of Oral Health Impact Profile (OHIP-14(M)) and Health Assessment Questionnaire (HAQ-DI)) were answered.ResultsA total of 187 subjects were included (29 RA-PD, 58 RA, 43 PD and 57 HC). OHIP-14(M) severity score was highest in the PD group (17.23 ± 10.36) but only significantly higher than the HC group (p < 0.05). The HAQ-DI scores of the RA group was significantly higher than the PD and HC groups (p < 0.05). The interaction between the effects of PD and RA on the OHRQoL and HRQoL was statistically significant (p < 0.05).ConclusionPD and RA subjects both suffer impacts on their OHRQoL and HRQoL respectively. The interaction effect of both diseases significantly conferred impacts on their OHRQoL and HRQoL as measured by the OHIP-14(M) and HAQ-DI.
Highlights
This study aimed to assess the impact of periodontitis (PD) on the health related quality of life (HRQoL) and oral health related QoL (OHRQoL) of subjects with rheumatoid arthritis (RA) and PD
RA subjects were recruited from the Rheumatology Clinic in the University of Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia while the PD subjects and healthy controls were recruited from the Primary Care Unit, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
Subjects with Chinese descent made up the largest majority of all groups (44.2– 56.9%) except in the PD group which had a larger Malay race proportion at 47.4%.A large majority of the subjects in all groups never smoked (83.7–100%)
Summary
This study aimed to assess the impact of periodontitis (PD) on the health related quality of life (HRQoL) and oral health related QoL (OHRQoL) of subjects with rheumatoid arthritis (RA) and PD. There is a growing recognition that a true picture of a disease cannot be captured using traditional clinical measurement parameters alone but should be ideally supplemented by the individual’s point of view to give a more holistic representation [8]. This emphasis on quality of life (QoL) shows that the betterment of life. Various instruments have been designed to gauge either the general wellbeing of the patient or more specific to the disease being investigated
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