ประสิทธิผลของการรักษาโรคปริทันต์อักเสบแบบไม่ผ่าตัด ต่อความรุนแรงของโรคข้ออักเสบรูมาตอยด์: การรักษาโรคปริทันต์อักเสบแบบไม่ผ่าตัดกับโรคข้ออักเสบรูมาตอยด์

Monthira Pakaranodom; Angkana  Norasetthada

Authors

Monthira Pakaranodom Department of DentalMedicine, Buddhachinaraj Phitsanulok Hospital
Angkana Norasetthada Department of Internal Medicine, Buddhachinaraj Phitsanulok Hospital

Keywords:

periodontitis, rheumatoid arthritis, non-surgical periodontal treatment

Abstract

Rheumatoid arthritis (RA) and periodontitis (PD) are common chronic inflammatory diseases. Previous studies have shown the beneficial effect of periodontal treatment on reducing RA disease activity. Periodontal diseases are not only a threat to dentition but may also be a threat to general health. This randomized, controlled trial aimed to investigate the effect of non-surgical periodontal treatment on the severity of RA. Fifty patients diagnosed moderate RA were allocated to immediate (treatment group) or delayed (control group) non-surgical periodontal treatment (full mouth scaling, root planning and oral hygiene instruction). RA measurement and periodontal indices were recorded at baseline and 8 weeks for each participant. Results: The number of swollen joints, the number of tender joints, the level of pain, inflammatory marker; CRP, ESR, and severity of rheumatoid arthritis using DAS28 ESR and DAS28 CRP were significantly reduced in the treatment group. In the treatment group, the periodontal disease index improved in all indicators. This was different from that in the control group, which did not improve. In conclusion, non-surgical periodontal treatment reduces disease activity of rheumatoid arthritis

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