Palabras clave
Asociación; Artritis reumatoide; Reciente diagnóstico; Prevención; Caries dental.
Cómo citar
Resumen
Alteraciones en la saliva, trastornos de la articulación temporomandibular, disfagia, síndrome de Sjogren, caries dental, enfermedad periodontal y pérdida de dientes son algunas patologías que se han identificado en pacientes con artritis reumatoide. Los objetivos de este estudio fueron (1) Asociar la artritis reumatoide recientemente diagnosticada con la caries dentales e (2) Identificar los dientes más frecuentes con caries en los grupos de estudio. Se realizó un estudio piloto descriptivo. 620 participantes fueron evaluados, 29 sujetos cumplieron con los criterios de selección. Los sujetos se dividieron en 2 grupos: 13 sujetos con artritis reumatoide recién diagnosticados y 16 sujetos sin artritis reumatoide. En todos los participantes se evaluaron parámetros salivales, el índice CPOD, el índice IC, el índice FS-T y el índice INT. La prueba exacta de Fisher y U de Mann-Whitney se utilizaron para establecer diferencias entre grupos. En los resultados se observó un bajo promedio de los parámetros salivales y una alta frecuencia de caries en sujetos con artritis reumatoide recién diagnosticados comparados con un grupo control (p<0.01). El segundo premolar superior derecho (n=6,46%, p=0,0100); el segundo premolar mandibular derecho (n=7,54%, p=0.0462) y el segundo molar mandibular izquierdo (n=10,77%, p=0.0001) fueron los dientes más frecuentes con caries dental. El diagnóstico y el tratamiento temprano de la artritis reumatoide pueden mejorar el pronóstico en la mayoría de los pacientes. El desarrollo de nuevas políticas de salud pública basadas en la prevención de la cavidad bucal son necesarias para mejorar la calidad de vida de los pacientes.
Citas
Aideé S., Chávez G., Pacheco C., Teresita T., Caraveo DJ. Oral health and orofacial function in patients with rheumatoid arthritis. Rheumatol Int . 2020; 40 (3): 445-53.
Krasselt M., Baerwald C. Sex, symptom severity, and quality of life in rheumatology. Clin Rev Allergy Immunol. 2019; 56 (3): 346-61.
Reis T.R.C., Nogueira B.M.L., Domínguez M.C.L., de Menezes S.A.F., da Silva e Souza P. de A.R., Menezes T.O de A. Oral Manifestations of Rheumatologic Patients: A Knowledge Review. Int J Odontostomatot. 2015; 9 (3): 413-8.
Gualtierotti R., Marzano A.V., Spadari F., Cugno M.. Main Oral Manifestations in Immune-Mediated and Inflammatory Rheumatic Diseases. J Clin Med. 2018; 8 (21): 1-19.
Vivino F.B. Sjogren’s syndrome: Clinical aspects. Clin Immunol. 2017;182: 48-54.
Vivino F.B., Bunya V.Y., Massaro-Giordano G., Johr C.R., Giattino S.L., Schorpion A, et al. Sjogren’s syndrome: An update on disease pathogenesis, clinical manifestations and treatment. Clin Immunol Orlando Fla. 2019; 203: 81-121.
Hsu C.Y., Hung K.C., Lin M.S., Ko C.H., Lin Y.S., Chen T.H., et al. The effect of pilocarpine on dental caries in patients with primary Sjögren’s syndrome: a database prospective cohort study. Arthritis Res Ther. 2019; 21 (1):1-10.
Berman N., Vivino F., Baker J., Dunham J., Pinto A. Risk factors for caries development in primary Sjogren syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019; 128 (2): 117-22.
Khan M., Muglikar S., Kale R., Aziz S., Shaikh F., Sheikh A. Comparative Assessment of Salivary pH as a Diagnostic Marker in Dental Caries and Chronic Periodontitis. Int J Res Rep Dent. 2021; 33-7.
Singh S., Sharma A., Sood P., Sood A., Zaidi I., Sinha A. Saliva as a prediction tool for dental caries: An in vivo study. J Oral Biol Craniofacial Res. 2015; 5 (2): 59-64.
Thomas D.C., Kohli M.D., Chen M.D.S.N., Peleg H., Almoznino G. Orofacial manifestations of rheumatoid arthritis and systemic lupus erythematosus : a narrative review. Quintessence Int. 2021; 52 (5): 454-66.
Äyräväinen L., Heikkinen A.M., Kuuliala A., Ahola K., Koivuniemi R., Peltola J., et al. Activity of rheumatoid arthritis correlates with oral inflammatory burden. Rheumatol Int. 2018; 38 (9):1661-9.
Olivieri M., Gerardi M.C., Spinelli F.R., Franco M.D. A Focus on the Diagnosis of Early Rheumatoid Arthritis. Int J Clin Med. 2012; (3): 650-4.
González-Chávez S.A., Pacheco-Tena C., Caraveo-Frescas T.J., Quiñonez-Flores C.M., Reyes-Cordero G., Campos-Torres R.M. Oral health and orofacial function in patients with rheumatoid arthritis. Rheumatol Int. 2020; 40 (3): 445-53.
Kim J.W., Park J.B., Yim H.W., Lee J., Kwok S.K., Ju J.H., et al. Rheumatoid arthritis is associated with early tooth loss: results from Korea National Health and Nutrition Examination Survey V to VI. Korean J Intern Med. 2019; 34 (6):1381.
World Medical Association. Declaration of Helsinki, Ethical Principles for Scientific Requirements and Research Protocols. Bulletin of the World Health Organization [Internet]. 2013; 79 (4): 373. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects.
van Riel P.L.C.M., Renskers L. The Disease Activity Score (DAS) and the Disease Activity Score using 28 joint counts (DAS28) in the management of rheumatoid arthritis. Clin Exp Rheumatol. 2016; 34 (4): 40-4.
Zhang C.Z., Cheng X.Q., Li J.Y., Zhang P., Yi P., Xu X., et al. Saliva in the diagnosis of diseases. Int J Oral Sci. 2016; 8 (3): 133-7.
Islas-Granillo H., Borges-Yáñez A., Fernández-Barrera M.Á., Ávila-Burgos L., Patiño-Marín N., Márquez-Corona M.L., et al. Relationship of hyposalivation and xerostomia in Mexican elderly with socioeconomic, sociodemographic and dental factors. Sci Rep. 2017; 17; 7 (1): 40686.
World Health Organization. (1997). Oral health surveys: basic methods, 4th ed. World Health Organization. Vol. 11, World Health Organization.
Bratthall D. Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds. Int Dent J. 2000; 50 (5): 378-84.
Bird J., Marshman Z. Dental caries experience, care index and restorative index in children with learning disabilities and children without learning disabilities: a systematic review and meta-analysis. Evid Based Dent. 2020; 21 (1):16-7.
Schuller A.A., Holst D. Oral status indicators DMFT and FS-T: Reflections on index selection. Eur J Oral Sci. 2001; 109 (3):155-9.
Medina-Solís C.E., Pontigo-Loyola A.P., Mendoza-Rodríguez M., Lucas-Rincón S.E., Márquez-Rodríguez S., Navarrete-Hernandez J.J., et al. Treatment needs for dental caries, restorative care index, and index of extractions in adolescents 12 and 15 years old. West Indian Med J. 2013; 62 (7): 636-41.
Mattos-Graner R.O., Klein M.I., Smith D.J. Lessons learned from clinical studies: roles of mutans streptococci in the pathogenesis of dental caries. Curr Oral Health Rep. 2014; 1 (1): 70-8.
Esberg A., Johansson L., Johansson I., Dahlqvist S.R. Oral Microbiota Identifies Patients in Early Onset Rheumatoid Arthritis. Microorganisms 2021; 9 (8): 1657.
Pitts N.B., Zero D.T., Marsh P.D., Ekstrand K., Weintraub J.A., Ramos-Gomez F., et al. Dental caries. Nat Rev Dis Primer. 2017; 3 (1): 1-16.
González-Chávez S.A., Pacheco-Tena C., Torres R.M.C., Quiñonez-Flores C.M., Reyes-Cordero G., Caraveo-Frescas T.J. Temporomandibular and odontological abnormalities in patients with rheumatoid arthritis. Reumatol Clín (Engl Ed). 2020; 16 (4): 262-71.
De Azevedo Branco L.G., Oliveira S.R., Corrêa J.D., Calderaro D.C., Mendonça S.M.S., de Queiroz Cunha F., et al. Oral health-related quality of life among individuals with rheumatoid arthritis. Clin Rheumatol. 2019; 38 (9): 2433-41.
Merle C.L., Hoffmann R., Schmickler J., Rühlmann M., Challakh N., Haak R., et al. Comprehensive Assessment of Orofacial Health and Disease Related Parameters in Adolescents with Juvenile Idiopathic Arthritis-A Cross-Sectional Study. J Clin Med. 2020; 9 (2): 513.
Emami E., de Souza R.F., Kabawat M., Feine J.S. The impact of edentulism on oral and general health. Int J Dent. 2013; 2013: 498305.
Welbury R., Thomason J., Fitzgerald J., Steen I., Marshall N., Foster H. Increased prevalence of dental caries and poor oral hygiene in juvenile idiopathic arthritis. Rheumatology (Oxford). 2003; 42 (12): 1445-51.
Kelsey J.L., Lamster I.B. Influence of musculoskeletal conditions on oral health among older adults. Am J Public Health. 2008; 98 (7): 1177-83.
González-Chávez S.A., Pacheco-Tena C., Caraveo-Frescas T.J., Quiñonez-Flores C.M., Reyes-Cordero G., Campos-Torres R.M. Oral health and orofacial function in patients with rheumatoid arthritis. Rheumatol Int. 2020 Mar; 40 (3): 445-453.
Nazir M.A., Bakhurji E., Gaffar B.O., Al-Ansari A., Al-Khalifa K.S. First Permanent Molar Caries and its Association with Carious Lesions in Other Permanent Teeth. J Clin Diagn Res. 2019; 13 (1).
Skeie M.S., Gil E.G., Cetrelli L., Rosén A., Fischer J., Åstrøm A.N., et al. Oral health in children and adolescents with juvenile idiopathic arthritis-a systematic review and meta-analysis. BMC Oral Health. 2019; 19 (1): 285.
Costa S.M., Vasconcelos M., Abreu M.H.N.G. Impact of dental caries on quality of life among adults resident in greater Belo Horizonte, State of Minas Gerais, Brazil. Cienc Saude Colet. 2013; 18 (7): 1971-80.
Batista M.J., Perianes L.B.R., Hilgert J.B., Hugo F.N., de Sousa M.L.R. The impacts of oral health on quality of life in working adults. Braz Oral Res. 2014; 28: 1-6.