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Revista Cubana de Reumatología
On-line version ISSN 1817-5996
Abstract
CAMANO CARBALLO, Liset and PIMIENTA CONCEPCION, Iván. Oral involvement in patients with rheumatoid arthritis. Rev Cuba Reumatol [online]. 2020, vol.22, n.2 Epub Aug 01, 2020. ISSN 1817-5996.
Introduction:
Rheumatoid arthritis is a rheumatic, autoimmune, inflammatory and chronic disease that, due to the varied number of clinical manifestations and complications, generates different degrees of disability and impaired quality of life.
Objective:
To identify the main effects of the oral cavity in patients with rheumatoid arthritis.
Methodology:
Descriptive, correlational and longitudinal sectional study that included 103 patients diagnosed with rheumatoid arthritis treated in the Mobile Unit number 2 of Alausi. Each patient underwent an initial stomatological examination and monthly follow-up for a period of 6 months that allowed the identification of oral lesions, their treatment and oral rehabilitation.
Results:
Average age of 56.67 years with a predominance of patients between 40 and 59 years (49.51 %%), of the female sex (71.84%) and with evolution time less than 3 years (57.28%). 44.66% of the cases presented associated comorbidities, being overweight the most frequent (41.30%). 84.47% of the patients presented oral cavity lesions, with partial adentia (33.33%) and chronic gingivitis (19.54%) being the most represented. 43.69% of the patients presented low level of knowledge about prevention of oral lesions.
Conclusions:
There was a high prevalence of lesions of the oral cavity in patients with rheumatoid arthritis. Partial adentia, dental caries, chronic gingivitis, and premalignant lesions were the most significant. A mean positive correlation was found between the evolution time of the disease and the presence of lesions of the oral cavity.
Keywords : rheumatoid arthritis; oral cavity; oral cancer; rheumatic disease; gingivitis; glucocorticoids.