“Assessment of relationship between xerostomia and oral health‐related quality of life in patients with rheumatoid arthritis”

Chamani, Goli; Shakibi, Mohammad Reza; Zarei, Mohammad; Rad, Maryam; Pouyafard, Adele; Parhizkar, Ardavan; Mansoori, Mojdeh

doi:10.1111/odi.12721

Cited by 23 publications

(28 citation statements)

References 42 publications

(55 reference statements)

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“…One of these studies applied OHIP 14 questionnaire and found a mean value of 9.97, what is just slightly lower than in the current study (Yuen & Nelson, 2014). The largest body of studies is available for patients with RA, which also confirmed an impaired OHRQoL in this patient group (Blaizot et al., 2013; Chamani et al., 2017; de Azevedo Branco et al., 2019; Mühlberg et al., 2017; Nosratzehi, Nosratzehi, Nosratzehi, & Ghaleb, 2019; Schmalz et al., 2020; Tristiu et al., 2018). The OHIP G14 sum score in the current study lied between the scores of two previous German studies, which showed values of 5.4 and 7.7, respectively (Mühlberg et al., 2017; Schmalz et al., 2020).…”

Section: Discussionmentioning

confidence: 74%

“…Generally, oral health parameters like tooth loss and periodontitis severity affect the OHRQoL (Buset et al, 2016;Gerritsen, Allen, Witter, Bronkhorst, & Creugers, 2010). Some previous studies are available, confirming the association between tooth loss or denture wearing and OHRQoL of patients with rheumatic diseases, respectively (Blaizot et al, 2013;Chamani et al, 2017;Corrêa et al, 2018;Schmalz et al, 2020). In contrast, several other examinations showed no associations between oral status and OHRQoL of patients suffering from rheumatic disease (Mühlberg et al, 2017;Schmalz et al, 2018;Tristiu et al, 2018).…”

Section: Comparison With International Literaturementioning

confidence: 93%

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Oral health‐related quality of life in different rheumatic diseases

et al. 2020

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Rheumatic diseases represent a complex, heterogeneous group of rare diseases leading to a pathologic activation of the immune system (Giacomelli et al., 2017; Goldblatt & O'Neill, 2013). The resulting inflammation causes tissue damage at different, disease-specific locations of the body, leading to a substantial morbidity and even mortality of affected patients (Goldblatt & O'Neill, 2013). Aside of the physical impairment, rheumatic diseases often affect patient's social life and quality of life (Kłak, Raciborski, & Samel-Kowalik, 2016). Thereby, affected patients often show anxiety, fatigue or depressive disorders (Fiest

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Section: Discussionmentioning

confidence: 74%

Section: Comparison With International Literaturementioning

confidence: 93%

Oral health‐related quality of life in different rheumatic diseases

et al. 2020

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“…This result underlines the complexity of the patient group and OHRQoL. In this respect, xerostomia may also be a major factor affecting OHRQoL in RA patients that may also be of relevance [17], which was not considered in the current examination. Nevertheless, the current study provides new insights regarding the OHRQoL of RA patients with potential clinical relevance.…”

Section: Discussionmentioning

confidence: 88%

“…Furthermore, patients with RA were found to show an increased number of missing teeth [14][15][16]. Moreover, disease-or medication-related complaints such as xerostomia can reduce OHRQoL in patients suffering from RA [17]. In contrast, a recent study showed the impaired OHRQoL to be independent of the oral health condition [9].…”

Section: Introductionmentioning

confidence: 99%

Disease activity, morning stiffness and missing teeth are associated with oral health-related quality of life in individuals with rheumatoid arthritis

et al. 2020

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Objectives The aim of this cross-sectional study was to assess oral health-related quality of life (OHRQoL) in patients with rheumatoid arthritis (RA) and its relation to specific RA characteristics. Material and methods Within the oral examination, the need for dental (carious teeth showing cavitation) and periodontal treatment (presence of a probing depth ≥ 3.5 mm) and the number of missing teeth (M-T) were recorded. OHRQoL was assessed with the German short version of the Oral Health Impact Profile (OHIP G14). The disease activity score (DAS28-ESR), disease duration, number of swollen/painful joints and duration of morning stiffness were retrieved from the patient records. Results A total of 176 patients with a mean age of 62.5 ± 10.2 years were included. The overall OHIP G14 sum score was 5.4 ± 7.1. The M-T showed a significant correlation with the dimensions of oral function (r = 0.25, p = 0.001) and psychosocial impact (r = 0.20, p = 0.009) and the sum score (r = 0.26, p = 0.001). The DAS28-ESR showed a significant correlation with psychosocial impact (r = 0.19, p = 0.012) and the sum score (r = 0.16, p = 0.041). The duration of morning stiffness was correlated with oral function (r = 0.19, p = 0.019), psychosocial impact (r = 0.18, p = 0.024) and the sum score (r = 0.22, p = 0.006). The effect size of these correlations was interpreted as small. Conclusion Disease activity, morning stiffness and missing teeth are associated to OHRQoL of patients with RA. Accordingly, multidisciplinary dental care appears necessary for these patients. Clinical relevance The prevention of tooth loss as well as the consideration of psychosocial and disease-specific parameters in the multidisciplinary dental care of RA patients is necessary.

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“…The use of the drugs can be associated with adverse events in the oral cavity, such as changes in mucous membranes and other symptoms different from patient to patient 23. About half of the patients with RA (51.5%) complain xerostomia and, consequently, difficulties in swallowing and phonation, sensation of burning mouth, increased thirst, loss of taste, unpleasant taste and odor and dental sensitivity 24 .…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular Disorders and Oral Features in Early Rheumatoid Arthritis Patients: An Observational Study

Crincoli¹,

Anelli²,

Quercia³

et al. 2019

Int. J. Med. Sci.

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Aims: Temporomandibular disorders (TMD) represent a heterogeneous group of inflammatory or degenerative diseases of the stomatognatic system, with algic and/or dysfunctional clinical features involving temporomandibular joint (TMJ) and related masticatory muscles. Rheumatoid Arthritis (RA) is an autoimmune polyarthritis characterized by the chronic inflammation of synovial joints and oral implications such as hyposalivation, difficulty in swallowing and phoning, feeling of burning mouth, increased thirst, loss of taste or unpleasant taste and smell, dental sensitivity.The aim of this observational study was to investigate the prevalence of TMD symptoms and signs as well as oral implications in patients with Early Rheumatoid Arthritis (ERA), that is a RA diagnosed within 12 months, compared with a control group.Methods: The study group included 52 ERA patients (11 men, 41 women) diagnosed according to the 2010 ACR/EULAR Classification Criteria for Rheumatoid Arthritis. A randomly selected group of 52 patients not affected by this disease, matched by sex and age, served as the control group. The examination for TMD signs and symptoms was based on the standardized Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) by means of a questionnaire and through clinical examination.Results: Regarding the oral kinematics, the left lateral excursion of the mandible was restricted in statistically significant way in ERA patients (p=0.017). The endfeel values were significantly increased in ERA group (p=0.0017), thus showing the presence of a higher muscle contracture. On the other side, the study group complained less frequently (67.3%) of TDM symptoms (muscle pain on chewing, pain in the neck and shoulders muscles, difficulty in mouth opening, arthralgia of TMJ, tinnitus) than controls (90.4%) (χ2= 8.301 p=0.0039). The presence of TMJ noises was significantly lower in the study group (χ2= 3.869 p=0.0049), as well as presence of opening derangement (χ2= 14.014 p=0.0002).The salivary flow was significantly decreased in the study group respect to the control one (p<0.0001).Conclusions: The data collected show a weak TMJ kinematic impairment, a paucisymptomatic muscle contracture (positive endfeel) and a remarkable reduction of salivary flow in ERA patients. Myofacial pain (MP) evoked by palpation was more frequent and severe in the control group than in the study one, this result being highly significant.

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“Assessment of relationship between xerostomia and oral health‐related quality of life in patients with rheumatoid arthritis”

Cited by 23 publications

References 42 publications

Oral health‐related quality of life in different rheumatic diseases

Oral health‐related quality of life in different rheumatic diseases

Disease activity, morning stiffness and missing teeth are associated with oral health-related quality of life in individuals with rheumatoid arthritis

Temporomandibular Disorders and Oral Features in Early Rheumatoid Arthritis Patients: An Observational Study

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