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Avances en Periodoncia e Implantología Oral
On-line version ISSN 2340-3209Print version ISSN 1699-6585
Abstract
RAMOS-GARCIA, V.; OTERO-REY, E.M. and BLANCO-CARRION, A.. Relationship between periodontal disease and rheumatoid arthritis. Avances en Periodoncia [online]. 2016, vol.28, n.1, pp.23-27. ISSN 2340-3209.
Introduction: Chronic periodontitis and rheumatoid arthritis (RA) are chronic inflammatory disorders characterized by tissue destruction, bone resorption and the production of pro-inflammatory cytokines. Objectives: Analysed the relationship between both diseases and the possible influence of treating one disease on the evolution of the other. Material and methods: Bibliographical revision of the pathogenesis of RA and periodontal disease (PD) and their related aspects. Results: The pathogenesis of both diseases shows remarkable similarities. Periodontal pathogenic bacteria such as Porphyromonas gingivalis and inflammatory mediators such as tumor necrosis factor and C-reactive protein, play an important role in RA. PD is an important factor in the therapeutic response of patients with RA factor. Conclusions: Both diseases have a common pathogenesis. The prevalence of periodontal disease (PD) is higher in patients with RA and vice versa. Although PD control through non-surgical periodontal treatment improves the signs and symptoms of both diseases, more rigorous studies are need.
Keywords : Periodontal disease; rheumatoid arthritis; porphyromonas gingivalis; periodontal treatment.