Oral Health

2016 ◽  
Vol 29 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Patricia T. Alpert
Keyword(s):  
Rheumatoid Arthritis ◽  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Erectile Dysfunction ◽  
Oral Health ◽  
Respiratory Infection ◽  
Preventive Measures ◽  
Systemic Diseases ◽  
Oral Infections ◽  
Systemic Health

The connection between oral and systemic health is becoming more obvious. Oral infections, specifically periodontitis, have been associated with diseases such as diabetes, cardiovascular disease, respiratory infection, erectile dysfunction, metabolic syndrome, and rheumatoid arthritis, to name a few. As people age, they become more susceptible for developing both oral and systemic diseases. This article discusses the oral-systemic relationship as well as sheds light on preventive measures that can be taken.

scholarly journals Porphyromonas gingivalis, Periodontal and Systemic Implications: A Systematic Review

2019 ◽  
Vol 7 (4) ◽  
pp. 114 ◽  
Author(s):  
Luca Fiorillo ◽  
Gabriele Cervino ◽  
Luigi Laino ◽  
Cesare D’Amico ◽  
Rodolfo Mauceri ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Systematic Review ◽  
Porphyromonas Gingivalis ◽  
Biofilm Formation ◽  
Scientific Literature ◽  
Systemic Diseases ◽  
Oral Infections ◽  
Systemic Manifestations ◽  
Cardiovascular Pathologies ◽  
Bacterial Plaque

In recent scientific literature, oral infections and systemic manifestations, or correlations between oral health and systemic diseases are a topic of discussion. Porphyromonas gingivalis is one of the bacteria implicated in the biofilm formation of bacterial plaque, and plays an important role in the progression of periodontal disease. In this systematic review authors have evaluated the literature of the last 10 years on P. gingivalis and all the systemic implications proven. This study therefore evaluates all the districts of the organism in which this bacterium may have implications. From the results it emerges that P. gingivalis has implications in the onset of different systemic pathologies, including rheumatoid arthritis, cardiovascular pathologies, and neurodegenerative pathologies. Surely, understanding the mechanisms of diffusion of this bacterium, it would be possible to prevent a series of pathologies. Thus, putting the dentist clinician at the center of prevention for these diseases.

scholarly journals Attitudes towards Oral Health in Patients with Rheumatoid Arthritis: A Qualitative Study Nested within a Randomized Controlled Trial

2019 ◽  
Vol 4 (4) ◽  
pp. 360-370 ◽  
Author(s):  
S. Serban ◽  
T. Dietrich ◽  
I. Lopez-Oliva ◽  
P. de Pablo ◽  
K. Raza ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oral Health ◽  
Controlled Trial ◽  
Barriers And Facilitators ◽  
Periodontal Treatment ◽  
Trial Participation ◽  
Study Participation ◽  
Health Maintenance ◽  
Semistructured Interviews ◽  
Systemic Health

Introduction: Patients with rheumatoid arthritis (RA) present a higher incidence and severity of periodontitis than the general population. Our study, Outcomes of Periodontal Treatment in Patients with Rheumatoid Arthritis (OPERA), was a randomized waiting-list controlled trial using mixed methods. Patients randomized to the intervention arm received intensive periodontal treatment, and those in the control arm received the same treatment with a 6-mo delay. Aim: The nested qualitative component aimed to explore patients’ experiences and priorities concerning oral health and barriers and facilitators for trial participation. Methods: Using purposive sampling until thematic saturation was reached, we conducted 21 one-to-one semistructured interviews with randomized patients in either of the 2 treatment arms as well as with patients who did not consent for trial participation. Results: The patients described their experiences about RA, oral health, and study participation. Previous experiences with dental care professionals shaped patients’ current perceptions about oral health and the place of oral health on their list of priorities compared with other conditions. Patients also highlighted some of the barriers and facilitators for study participation and for compliance with oral health maintenance. The patients, in the control arm, presented their views regarding the acceptable length of waiting time for the intervention. Conclusion: The associations between periodontal and systemic health are increasingly recognized by the literature. Our study provided an insight into RA patients’ experiences and perceptions about oral health. It also highlighted some of the barriers and facilitators for participating in a periodontal interventional study for this group. We hope that our findings will support the design of larger interventional periodontal studies in patients with RA. The complex challenges faced by the burden of RA and the associated multimorbidities in this patient group might highlight opportunities to improve access to oral health services in this patient population. Knowledge Transfer Statement: This article provided insights into the experiences and perceptions of rheumatoid arthritis patients about their oral health to improve patient participation in a definitive clinical trial.

Risk Factor Profiles for Atherosclerotic Cardiovascular Disease in Black and Other Africans with Established Rheumatoid Arthritis

2010 ◽  
Vol 37 (5) ◽  
pp. 953-960 ◽  
Author(s):  
AHMED SOLOMON ◽  
BERENICE F. CHRISTIAN ◽  
GAVIN R. NORTON ◽  
ANGELA J. WOODIWISS ◽  
PATRICK H. DESSEIN
Keyword(s):  
Rheumatoid Arthritis ◽  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Risk Factor ◽  
Arterial Stiffness ◽  
Atherosclerotic Cardiovascular Disease ◽  
Established Rheumatoid Arthritis ◽  
Cvd Risk ◽  
Markers Of Inflammation ◽  
Black Patients

Objective.Black Africans reportedly experience a distinctly low risk for atherosclerotic cardiovascular disease (CVD). We investigated whether this protection was present among Africans with established rheumatoid arthritis (RA).Methods.We determined disparities in CVD risk factor profiles (major conventional: hypertension, dyslipidemia, smoking, and diabetes; other conventional: underweight, obesity, metabolic syndrome, chronic kidney disease, alcohol consumption, tension, depression, and body height; nonconventional: rheumatoid factor status and markers of inflammation) and arterial stiffness (brachial pulse pressure) between 291 black and 335 other (229 white, 64 Asian, and 42 mixed ancestry) consecutive Africans with RA in multivariable regression models.Results.After adjusting for demographic characteristics and healthcare sector attendance, black Africans had more prevalent hypertension (OR 1.76, p = 0.01) and diabetes (OR 1.90, p = 0.07), smoked less frequently (OR 0.12, p < 0.0001), and had concurrent lower total and high-density lipoprotein cholesterol concentrations that resulted in unaltered atherogenic indices (p = 0.2) than the other participants in the study. These findings translated into global scores for major conventional risk factor-mediated future CVD event rates that were not reduced in black patients. Proportions of individual metabolic syndrome components differed between black and other patients but their total numbers of metabolic risk factors (p = 0.4) and metabolic syndrome frequencies (OR 1.44, p = 0.1) were similar. Black ethnicity did not independently associate with rheumatoid factor status, markers of inflammation, and brachial pulse pressures.Conclusion.The overall conventional and nonconventional atherosclerotic CVD risk burdens and arterial stiffness were not reduced in black patients with RA. CVD risk should be assessed and managed independent of ethnic origin and epidemiological transition stage in RA.

scholarly journals Increased Prevalence of Metabolic Syndrome Associated with Rheumatoid Arthritis in Patients without Clinical Cardiovascular Disease

2010 ◽  
Vol 38 (1) ◽  
pp. 29-35 ◽  
Author(s):  
CYNTHIA S. CROWSON ◽  
ELENA MYASOEDOVA ◽  
JOHN M. DAVIS ◽  
ERIC L. MATTESON ◽  
VERONIQUE L. ROGER ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Waist Circumference ◽  
Health Assessment ◽  
Population Based ◽  
Logistic Regression Models ◽  
Large Joint ◽  
History Of

Objective.To examine whether patients with rheumatoid arthritis (RA) with no overt cardiovascular disease (CVD) have a higher prevalence of metabolic syndrome (MetS) than subjects without RA or CVD. We also examined whether RA disease characteristics are associated with the presence of MetS in RA patients without CVD.Methods.Subjects from a population-based cohort of patients who fulfilled 1987 American College of Rheumatology criteria for RA between January 1, 1980, and December 31, 2007, were compared to non-RA subjects from the same population. All subjects with any history of CVD were excluded. Waist circumference, body mass index (BMI), and blood pressure were measured during the study visit. Data on CVD, lipids, and glucose measures were ascertained from medical records. MetS was defined using NCEP/ATP III criteria. Differences between the 2 cohorts were examined using logistic regression models adjusted for age and sex.Results.The study included 232 RA subjects without CVD and 1241 non-RA subjects without CVD. RA patients were significantly more likely to have increased waist circumference and elevated blood pressure than non-RA subjects, even though BMI was similar in both groups. Significantly more RA patients were classified as having MetS. In RA patients, MetS was associated with Health Assessment Questionnaire Disability Index, large-joint swelling, and uric acid levels, but not with C-reactive protein or RA therapies.Conclusion.Among subjects with no history of CVD, patients with RA are more likely to have MetS than non-RA subjects. MetS in patients with RA was associated with some measures of disease activity.

scholarly journals Oral Microbiota: A Major Player in the Diagnosis of Systemic Diseases

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1376
Author(s):  
Charlotte Thomas ◽  
Matthieu Minty ◽  
Alexia Vinel ◽  
Thibault Canceill ◽  
Pascale Loubières ◽  
...  
Keyword(s):  
Periodontal Diseases ◽  
Systemic Disease ◽  
Oral Microbiota ◽  
Systemic Diseases ◽  
Oral Infections ◽  
New Therapeutic Approaches ◽  
Major Player ◽  
Health And Disease ◽  
Novel Target ◽  
Systemic Health

The oral cavity is host to a complex and diverse microbiota community which plays an important role in health and disease. Major oral infections, i.e., caries and periodontal diseases, are both responsible for and induced by oral microbiota dysbiosis. This dysbiosis is known to have an impact on other chronic systemic diseases, whether triggering or aggravating them, making the oral microbiota a novel target in diagnosing, following, and treating systemic diseases. In this review, we summarize the major roles that oral microbiota can play in systemic disease development and aggravation and also how novel tools can help investigate this complex ecosystem. Finally, we describe new therapeutic approaches based on oral bacterial recolonization or host modulation therapies. Collaboration in diagnosis and treatment between oral specialists and general health specialists is of key importance in bridging oral and systemic health and disease and improving patients' wellbeing.

scholarly journals THE LINK BETWEEN ERECTILE DYSFUNCTION AND CARDIOVASCULAR DISEASE IN SOUTHERN CHINA PATIENTS WITH METABOLIC SYNDROME

Heart ◽  
2012 ◽  
Vol 98 (Suppl 2) ◽  
pp. E149.1-E149
Author(s):  
Heng-Jun Xiao ◽  
Cheng Hu ◽  
Jun Chen ◽  
Zheng Chen ◽  
Xiao-Peng Liu ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Erectile Dysfunction ◽  
Southern China
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