Oral health-related quality of life in patients with early rheumatoid arthritis is associated with periodontal inflammation and painful temporomandibular disorders: a cross-sectional study

• DOI: 10.1007/s00784-021-04034-z
• Publication Date: 2021-07-19T13:03:26Z
• Authors: Johanna M. Kroese; Catherine M. C. V...; Dirkjan van Schaa...; Laurette van Bohe...; Maurits K. A. van...; Corine M. Visscher; Wim Crielaard; Bruno G. Loos; Frank Lobbezoo
• Keywords: Cross-sectional study; Orofacial Pain

Abstract Objectives To evaluate oral health-related quality of life (OHRQoL) in early rheumatoid arthritis (ERA) patients and individuals at risk (RA) compared to healthy controls, explore possible associated factors. Materials methods Fifty ERA patients, 50 at-risk individuals, age gender matched controls were recruited. OHRQoL (Oral Health Impact Profile-14 (OHIP-14)); number decayed, missing, filled teeth (DMFT); denture use; periodontal inflamed surface area (PISA); xerostomia (xerostomia inventory (XI)); TMD (-pain) diagnoses recorded. The groups on these variables. Subsequently, backward multiple regression analyses performed for the groups, with as dependent variable gender, age, DMFT, use, PISA, XI, non-painful TMD, pain independent Results At-risk had higher XI scores (U = 789.5, z -3.181, p 0.001, r -0.32) prevalence (p 0.046, OR 4.57; 95% CI 0.92–22.73) than OHIP-14 group 894.5, -2.418, 0.016, -0.24), while no difference was found between control both other groups. For PISA (R 2 0.498, < 0.001). score 0.410, Conclusions Alertness health professionals inflammation is recommended. Clinical relevance results this study address orofacial aspects that require attention timeframe around RA onset. Trial registration: Dutch National Register (NTR, NTR6362)