Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis

Detalhes bibliográficos
Autor(a) principal: Calderaro,Débora Cerqueira
Data de Publicação: 2017
Outros Autores: Corrêa,Jôice Dias, Ferreira,Gilda Aparecida, Barbosa,Izabela Guimarães, Martins,Carolina Castro, Silva,Tarcília Aparecida, Teixeira,Antônio Lúcio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Reumatologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000300238
Resumo: ABSTRACT Objective: To evaluate the influence of periodontal treatment on rheumatoid arthritis activity. Methods: MEDLINE/PUBMED, The Cochrane Library, Clinical Trials, SciELO and LILACS were searched for studies published until December 2014. Included articles were: prospective studies; including patients older than 18 years, diagnosed with periodontitis and rheumatoid arthritis submitted to non-surgical periodontal treatment; with a control group receiving no periodontal treatment; with outcomes including at least one marker of rheumatoid arthritis activity. Methodological quality of the studies was assessed using PEDro scale. Quantitative data were pooled in statistical meta-analysis using Review Manager 5. Results: Four articles were included. Non-surgical periodontal treatment was associated with a significant reduction of DAS28 (OR: -1.18; 95% CI: -1.43, -0.93; p < 0.00001). Erythrocyte sedimentation rate, C-reactive protein, patient's assessment of rheumatoid activity using visual analogical scale, tender and swollen joint counts showed a trend toward reduction (not statistically significant). Conclusions: The reduction of DAS 28 in patients with rheumatoid arthritis after periodontal treatment suggests that the improvement of periodontal condition is beneficial to these patients. Further randomized controlled clinical trials are necessary to confirm this finding.
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spelling Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysisPeriodontal-systemic disease interactionsPeriodontitisRheumatoid arthritisMeta-analysisABSTRACT Objective: To evaluate the influence of periodontal treatment on rheumatoid arthritis activity. Methods: MEDLINE/PUBMED, The Cochrane Library, Clinical Trials, SciELO and LILACS were searched for studies published until December 2014. Included articles were: prospective studies; including patients older than 18 years, diagnosed with periodontitis and rheumatoid arthritis submitted to non-surgical periodontal treatment; with a control group receiving no periodontal treatment; with outcomes including at least one marker of rheumatoid arthritis activity. Methodological quality of the studies was assessed using PEDro scale. Quantitative data were pooled in statistical meta-analysis using Review Manager 5. Results: Four articles were included. Non-surgical periodontal treatment was associated with a significant reduction of DAS28 (OR: -1.18; 95% CI: -1.43, -0.93; p < 0.00001). Erythrocyte sedimentation rate, C-reactive protein, patient's assessment of rheumatoid activity using visual analogical scale, tender and swollen joint counts showed a trend toward reduction (not statistically significant). Conclusions: The reduction of DAS 28 in patients with rheumatoid arthritis after periodontal treatment suggests that the improvement of periodontal condition is beneficial to these patients. Further randomized controlled clinical trials are necessary to confirm this finding.Sociedade Brasileira de Reumatologia2017-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000300238Revista Brasileira de Reumatologia v.57 n.3 2017reponame:Revista Brasileira de Reumatologia (Online)instname:Sociedade Brasileira de Reumatologia (SBR)instacron:SBR10.1016/j.rbre.2016.11.011info:eu-repo/semantics/openAccessCalderaro,Débora CerqueiraCorrêa,Jôice DiasFerreira,Gilda AparecidaBarbosa,Izabela GuimarãesMartins,Carolina CastroSilva,Tarcília AparecidaTeixeira,Antônio Lúcioeng2017-06-20T00:00:00Zoai:scielo:S0482-50042017000300238Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0482-5004&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.php||sbre@terra.com.br1809-45700482-5004opendoar:2017-06-20T00:00Revista Brasileira de Reumatologia (Online) - Sociedade Brasileira de Reumatologia (SBR)false
dc.title.none.fl_str_mv Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
title Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
spellingShingle Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
Calderaro,Débora Cerqueira
Periodontal-systemic disease interactions
Periodontitis
Rheumatoid arthritis
Meta-analysis
title_short Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
title_full Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
title_fullStr Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
title_full_unstemmed Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
title_sort Influence of periodontal treatment on rheumatoid arthritis: a systematic review and meta-analysis
author Calderaro,Débora Cerqueira
author_facet Calderaro,Débora Cerqueira
Corrêa,Jôice Dias
Ferreira,Gilda Aparecida
Barbosa,Izabela Guimarães
Martins,Carolina Castro
Silva,Tarcília Aparecida
Teixeira,Antônio Lúcio
author_role author
author2 Corrêa,Jôice Dias
Ferreira,Gilda Aparecida
Barbosa,Izabela Guimarães
Martins,Carolina Castro
Silva,Tarcília Aparecida
Teixeira,Antônio Lúcio
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Calderaro,Débora Cerqueira
Corrêa,Jôice Dias
Ferreira,Gilda Aparecida
Barbosa,Izabela Guimarães
Martins,Carolina Castro
Silva,Tarcília Aparecida
Teixeira,Antônio Lúcio
dc.subject.por.fl_str_mv Periodontal-systemic disease interactions
Periodontitis
Rheumatoid arthritis
Meta-analysis
topic Periodontal-systemic disease interactions
Periodontitis
Rheumatoid arthritis
Meta-analysis
description ABSTRACT Objective: To evaluate the influence of periodontal treatment on rheumatoid arthritis activity. Methods: MEDLINE/PUBMED, The Cochrane Library, Clinical Trials, SciELO and LILACS were searched for studies published until December 2014. Included articles were: prospective studies; including patients older than 18 years, diagnosed with periodontitis and rheumatoid arthritis submitted to non-surgical periodontal treatment; with a control group receiving no periodontal treatment; with outcomes including at least one marker of rheumatoid arthritis activity. Methodological quality of the studies was assessed using PEDro scale. Quantitative data were pooled in statistical meta-analysis using Review Manager 5. Results: Four articles were included. Non-surgical periodontal treatment was associated with a significant reduction of DAS28 (OR: -1.18; 95% CI: -1.43, -0.93; p < 0.00001). Erythrocyte sedimentation rate, C-reactive protein, patient's assessment of rheumatoid activity using visual analogical scale, tender and swollen joint counts showed a trend toward reduction (not statistically significant). Conclusions: The reduction of DAS 28 in patients with rheumatoid arthritis after periodontal treatment suggests that the improvement of periodontal condition is beneficial to these patients. Further randomized controlled clinical trials are necessary to confirm this finding.
publishDate 2017
dc.date.none.fl_str_mv 2017-05-01
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rbre.2016.11.011
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Reumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Reumatologia
dc.source.none.fl_str_mv Revista Brasileira de Reumatologia v.57 n.3 2017
reponame:Revista Brasileira de Reumatologia (Online)
instname:Sociedade Brasileira de Reumatologia (SBR)
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collection Revista Brasileira de Reumatologia (Online)
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