Correlation of Periodontal Disease With Inflammatory Arthritis in the Time Before Modern Medical Intervention

Abstract

Although many factors can affect periodontal disease, presence of inflammatory arthritis does not appear to be one of them. The implication is that dental disease was common in the general population and not necessarily associated with arthritis, at least before the advent of modern rheumatologic medications. As specific diagnosis did not affect prevalence, perhaps current prevalence controversy may relate to current intervention, a subject for further study.

Tooth Loss Is Associated with Disease-Related Parameters in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis—A Cross-Sectional Study

“…Regardless of this, however, the missing association between PISA and disease-related parameters in RA and AS in context of the recent literature underlines the complexity of the topic and the questionability of a bidirectional relationship of the diseases, as stated by Hussain et al [ 3 ]. The role of disease-related medication especially appears to require further consideration in the future, as this might be a major influential factor on periodontitis severity [ 19 , 20 ].…”

Gums and joints: is there a connection? Part one: epidemiological and clinical links

“…During the 1950s-60s the "total dental clearance" was commonly employed as part of the treatment regime for RA. 3 More recently, the upsurge in stratified medicine approaches to unravelling diseases mechanisms has brought into focus the link between PD and RA. The international workshop between the European Federation of Periodontology and the American Academy of Periodontology in 2013, lead to a call for more controlled clinical trials in this area and recommended an urgent need for research in this topic.…”