Correlation of Periodontal Disease With Inflammatory Arthritis in the Time Before Modern Medical Intervention.

Title

Correlation of Periodontal Disease With Inflammatory Arthritis in the Time Before Modern Medical Intervention.

Creator

Rothschild Bruce

Publisher

Journal of periodontology

Date

2017
2017-03

Description

BACKGROUND: Controversy exists regarding possible correlation of periodontal disease with rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Confounding factors may relate to stringency of inflammatory disease diagnosis and the effect of therapeutic intervention for RA on periodontal disease. These factors are investigated in this study. METHODS: Forty-five individuals with documented RA (n = 15), spondyloarthropathy (n = 15), and calcium pyrophosphate deposition disease (CPPD) (n = 15), from the Hamann-Todd collection of human skeletons compiled from 1912 to 1938, and 15 individuals contemporarily incorporated in the collection were examined for tooth loss, cavity occurrence, average and maximum lingual and buccal depth of space between tooth and bone, periosteal reaction, serpentine bone resorption, abscess formation, and root penetration of the bone surface and analyzed by analysis of variance. RESULTS: Tooth loss was common, but actual number of teeth lost, cavity occurrence, average and maximum lingual and buccal depth of space between tooth and bone, periosteal reaction, serpentine grooving surrounding teeth (considered a sign of inflammation), abscess formation, and root exposure (penetration of bone surface) were indistinguishable among controls and individuals with RA, spondyloarthropathy, and CPPD. CONCLUSIONS: Although many factors can affect periodontal disease, presence of inflammatory arthritis does not appear to be one of them. The implication is that dental disease was common in the general population and not necessarily associated with arthritis, at least before the advent of modern rheumatologic medications. As specific diagnosis did not affect prevalence, perhaps current prevalence controversy may relate to current intervention, a subject for further study.

Subject

Adult; Female; Humans; Male; Middle Aged; Aged; *chondrocalcinosis; *periodontal diseases; *spondyloarthropathies; *tooth loss; Chondrocalcinosis/*complications/*history; Periodontal Diseases/*complications/*history; Skeleton; Spondylarthropathies/*complications/*history; Human; Middle Age; 20th Century; History; 80 and over; Arthritis; 21st Century; *Arthritis; *hyperostosis; diffuse idiopathic skeletal; rheumatoid; Rheumatoid/*complications/*history; 80 and Over; Chondrocalcinosis – Complications; Chondrocalcinosis – History; Periodontal Diseases – Complications; Periodontal Diseases – History; Rheumatoid – Complications; Rheumatoid – History; Spondylarthropathies – Complications; Spondylarthropathies – History

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

266–272

Issue

3

Volume

88

Citation

Rothschild Bruce, “Correlation of Periodontal Disease With Inflammatory Arthritis in the Time Before Modern Medical Intervention.,” NEOMED Bibliography Database, accessed May 9, 2021, https://neomed.omeka.net/items/show/5037.

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