Rheumatoid Arthritis and Periodontal Health

Abstract views: 17 / PDF downloads: 19


  • Kamile ERCİYAS Gaziantep Üniversitesi Diş Hekimliği Fakültesi, Periodontoloji AD.
  • Kemal ÜSTÜN Gaziantep Üniversitesi Diş Hekimliği Fakültesi, Periodontoloji AD
  • Yavuz PEHLİVAN Gaziantep Üniversitesi Tıp Fakültesi, Romatoloji AD
  • Ahmet Mesut ONAT Gaziantep Üniversitesi Tıp Fakültesi, Romatoloji AD.




Rheumatoid arthritis, Periodontitis, Gingivitis


Periodontal diseases are characterized with inflammation in periodontal supportive tissues and alveolar bone resorption. They might interfere with systemic health or systemic disease pattern via local and systemic host response occurred against bacteria. The aim of this study is to compare the oral and periodontal health status of rheumatoid arthritis. 65 subjects with rheumatoid arthritis (55 female, 10 male) were included in this study. Patients were evaluated both clinically and radio graphically. The measurement of gingival index, plaque index, probing depth, clinical attachment levels and the number of missing teeth were recorded. All of the clinical periodontal parameters were found significantly higher in RA group. Our results showed that percentage of patients with gingivitis was 63%, patients with chronic periodontitis was 22%, periodontitis patients with aggressive periodontitis was 4.6%. The results of this study showed weak oral health and periodontal  status  in  patients  with  rheumatoid  arthritis.


Metrics Loading ...


Pishon N, Pishon T, Kröger J, Gülmez E, Kleber BM, Bernimounlin JP, et al. Association among rheumatoid arthritis, oral hygiene, and periodontitis. J Periodontol. 2008;79:979-986

Tüter G, Aykan T, Kurtiş B, Toyman U, Pınar S, Okyay K. Evaluation of the oral health status in patients with coronnary artery disease. Türkiye Klinikleri J Dental Sci. 2008;14:85-90.

Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol. 2001;6:99-112.

Brown DL, Desai KK, Vakili BA, Nouneh C, Lee HM, Golub LM. Clinical and biochemical results of the metalloproteinase inhibition with subantimicrobial doses of doxycycline to prevent acute coronory syndromes (MiDAS) pilot trial. Arterioscler Thromb Vasc Biol. 2004;24:733-738.

Payne JB, Reinhardt RA, Nummikoski PV, Golub LM. Doxycycline effects on oral bone loss in postmenopausal women. J Dent Res. 2001;80:55.

Bartold PM, Marshall Ri, Haynes DR. Periodontitis and rheumatoid arthritis: a review. J Periodontol. 2005;76:2066-2074.

Symmons DP. Epidemiology of rheumatoid arthritis:Determinants of onset, persistence and outcome. Best Pract Res Clin Rheumatol. 2002;16:707-722.

Pers JO, Saraux A, Pierre R, and Youinou P. Anti-TNF- a immunotherapy is associated with increased gingival inflammation without clinical attachment loss in subjects with rheumatoid arthritis. J Periodontol. 2008;79:1645- 1651.

Yetkin Ay Z, Bozkurt FY, Akkus S. Romatoid artrit hastalarının periodontal sağlık durumunun değerlendirilmesi. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2007;14(3):26-29.

Löe H, Silness J. Periodontal disease in pregnancy. i. Prevalance and severity. Acta Odont Scand. 1963;21:533-551.

Silness J, Löe H. Periodontal disease in pregnancy. ii. Correlation between oral hygiene and periodontal condition. Acta Odont Scand. 1964;22:121-135.

Helenius LM, Tervahartiala P, Helenius i, Al-Sukhun J, Kivisaari L, Suuronen R, et al. Clinical, radiographic and MRi findings of the temporomandibular joint in patients with different rheumatic diseases. int J Oral Maxillofac Surg. 2006;35:983-989.

Mercado F, Marshall Ri, Klestov AC, Bartold PM. is there a relationship between rheumatoid arthritis and periodontal disease? J Clin Periodontol. 2000;27:267- 272.

Bıyıkoğlu B, Buduneli N, Kardeşler L, Aksu K, Öder G, Kütükçüler N. Evaluation of t-PA, PA-2, iL-1a, and PGE2 in gingival crevicular fluid of rheumatoid arthritis patients with periodontal disease. J Clin Periodontol. 2006;33:605- 611.

Bozkurt FY, Yetkin Ay Z, Berker E, Tepe E, Akkus S. Anti-inflammatory Cytokines in Gingival Crevicular Fluid in Patients with Periodontitis and Rheumatoid Arthritis: a preliminary report. Cytokine. 2006;35:180-185.

Bozkurt FY, Berker E, Akkuş S, Bulut Ş. Relationship between iL-6 levels in gingival crevicular fluid and periodontal status in patients with rheumatoid arthritis and adult periodontitis. J Periodontol. 2000;71:1756- 1760.

Sjöström L, Laurell L, Hugoson A, Hakansson JP. Periodontal conditions in adults with rheumatoid arthritis. Community Dent Oral Epidemiol. 1989;17:234-236.

Tolo K, Jorkend L. Serum antibodies and loss of periodontal bone in patients with rheumatoid arthritis. J Clin Periodontol. 1990;17:288-291.

Mercado F, Marshall Ri, Klestov AC, Bartold PM. Relationship between rheumatoid arthritis and periodontitis. J Periodontol. 2001;72:779-787.

Al-Katma MK, Bissada NF, Bordeaux JM, Sue J, Askari AD. Control of periodontal infection reduces the severity of active rheumatoid arthritis. J Clin Rheumatol. 2007;13:134-137.

Tuominen R, Reunanen A, Paunio M, Paunio i, Aromaa A. Oral health indicators poorly predict coronary heart disease death. J Dent Res. 2003;82:713-718.

Risheim H, Kjoerheim V, Arneberg P. improvement of oral hygiene in patients with rheumatoid arthritis. Scand J Dent Res. 1992;100:172-175.

Treister N, Glick M. Rheumatoid arthritis: areview and suggested dental care considerations. JADA. 1999;130: 689-697.




How to Cite

ERCİYAS , K., ÜSTÜN , K., PEHLİVAN, Y., & ONAT, A. M. (2009). Rheumatoid Arthritis and Periodontal Health. European Journal of Therapeutics, 15(3), 1–4. https://doi.org/10.58600/eurjther.2009-15-3-1316-arch



Clinical Research