Non-Surgical Periodontal Therapy Decreases Periodontal Pocket Depth and Clinical Attachment Loss of Rheumatoid Arthritis Patients
Marryam Riaz, Sohaib Shujaat, Ayesha Fahim, Shamail Zafar, Mariyah Javed, Zartashia Arooj
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ABSTRACT
Objective: The objective of the present study was to
determine the effect of non-surgical periodontal therapy on the disease
severity in rheumatoid arthritis patients.
Methods: Five hundred and twenty arthritis patients
were included in the study, using consecutive non-probability sampling from the
outpatient department of various public and private hospitals of Pakistan. Patients
with periodontitis along with systemic Rheumatoid Arthritis (RA) were included
in the study. Clinical parameters taken for the severity of periodontitis were
the Gingival recession (GV), Periodontal Pocket Depth (PPD) and Clinical
Attachment Loss (CAL). Independent sample t-test was used for significance
before and after non-surgical periodontal therapy. Data was presented with mean
(standard deviation).
Results: The PPD and CAL of Rheumatoid Arthritis
patients were found to be decreased significantly following non-surgical
periodontal treatment (p value < 0.05), unlike the gingival recession, which
did not decrease significantly (p value > 0.05).
Conclusion: The PPD and CAL values of periodontal
patients with rheumatoid arthritis were significantly reduced after giving
non-surgical Periotherapy along with oral hygiene instruction.
Keywords: arthritis;
gingiva; periodontitis; periodontal pocket