当前位置: X-MOL 学术Rheumatol. Int. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Oral health and orofacial function in patients with rheumatoid arthritis.
Rheumatology International ( IF 3.2 ) Pub Date : 2019-09-17 , DOI: 10.1007/s00296-019-04440-3
Susana Aideé González-Chávez 1 , César Pacheco-Tena 1 , Teresita de Jesús Caraveo-Frescas 1, 2 , Celia María Quiñonez-Flores 1 , Greta Reyes-Cordero 1 , Rosa María Campos-Torres 1, 2
Affiliation  

The aim of the study was to describe the oral health and orofacial function of Mexican patients with rheumatoid arthritis (RA) and their association with clinical and radiological aspects of the disease. Patients with RA received a complete odontological exam, which also included a clinical and radiographic assessment of the temporomandibular joint (TMJ). The rheumatologic assessment included detailed profiling of the disease and serological and radiographic parameters. The study included 62 RA patients; the median (min-max) age was 51 (18-72) years old and 8.5 (1-39) years of disease duration. The 63.6% of the patients had DAS28 ≥ 3.2, and a median (min-max) of Sharp/van der Heijde score (SvdHS) of 41 (0-214). 98.3% of the patients presented caries, which were severe in 53.3% of the cases. The 73.8% of the patients were missing teeth due to caries, with a median (min-max) of 4 (0-32) teeth missing per patient. Oral hygiene was classified as bad in 49.1% of patients and only 15.3% of them had a healthy periodontium. The TMJ function was abnormal in 98.4% of the patients and 62.9% of them presented moderate or severe TMJ disorder (TMD). The radiographic damage of the TMJ correlated positively with the SvdHS. No correlations were found between disease activity or structural progression and orofacial variables, including periodontitis. There are severe oral and orofacial health problems in RA patients despite having medical attention for their disease. Multidisciplinary management remains an area of opportunity for both the medical specialists and the health system in our country.

中文翻译:

类风湿关节炎患者的口腔健康和口腔功能。

这项研究的目的是描述墨西哥类风湿关节炎(RA)患者的口腔健康和口腔功能以及它们与该疾病的临床和放射学方面的关系。RA患者接受了完整的牙科学检查,其中还包括颞下颌关节(TMJ)的临床和影像学评估。风湿病评估包括对疾病的详细分析以及血清学和放射学参数。该研究纳入了62例RA患者。中位(最小-最大)年龄为51(18-72)岁,病程为8.5(1-39)年。63.6%的患者的DAS28≥3.2,Sharp / van der Heijde得分(SvdHS)的中位数(最小-最大)为41(0-214)。98.3%的患者出现龋齿,其中53.3%的患者严重。73。8%的患者由于龋齿而缺牙,每位患者缺牙的中位数(最小-最大值)为4(0-32)颗。口腔卫生在49.1%的患者中被认为是不良的,只有15.3%的患者的牙周健康。98.4%的患者出现TMJ功能异常,其中62.9%出现中度或重度TMJ障碍(TMD)。TMJ的放射线损伤与SvdHS呈正相关。在疾病活动或结构进展与口腔变量(包括牙周炎)之间未发现相关性。尽管RA患者的疾病受到医学关注,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机会领域。口腔卫生在49.1%的患者中被认为是不良的,只有15.3%的患者的牙周健康。98.4%的患者出现TMJ功能异常,其中62.9%出现中度或重度TMJ障碍(TMD)。TMJ的放射线损伤与SvdHS呈正相关。在疾病活动或结构进展与口腔变量(包括牙周炎)之间未发现相关性。尽管RA患者的疾病受到医学关注,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机会领域。口腔卫生在49.1%的患者中被认为是不良的,只有15.3%的患者的牙周健康。98.4%的患者出现TMJ功能异常,其中62.9%出现中度或重度TMJ障碍(TMD)。TMJ的放射线损伤与SvdHS呈正相关。在疾病活动或结构进展与口腔变量(包括牙周炎)之间未发现相关性。尽管RA患者对其疾病进行了医学治疗,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机会领域。他们中有9%出现中度或重度TMJ障碍(TMD)。TMJ的放射线损伤与SvdHS呈正相关。在疾病活动或结构进展与口腔变量(包括牙周炎)之间未发现相关性。尽管RA患者对其疾病进行了医学治疗,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机会领域。他们中有9%出现中度或重度TMJ障碍(TMD)。TMJ的放射线损伤与SvdHS呈正相关。在疾病活动或结构进展与口腔变量(包括牙周炎)之间未发现相关性。尽管RA患者的疾病受到医学关注,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机遇领域。尽管RA患者的疾病受到医学关注,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机遇领域。尽管RA患者的疾病受到医学关注,但仍存在严重的口腔和口腔健康问题。对于我国的医学专家和卫生系统而言,多学科管理仍然是一个机遇领域。
更新日期:2020-02-06
down
wechat
bug