Evidence map›Paper›PMID 29589156›Full record

Trial reportClinical oral investigations2019

Effects of non-surgical periodontal therapy on periodontal laboratory and clinical data as well as on disease activity in patients with rheumatoid arthritis.

Raluca Cosgarea, Roxana Tristiu, Raluca Bianca Dumitru, Nicole Birgit Arweiler, Simona Rednic, Cristina Ioana Sirbu, Liana Lascu, Anton Sculean, Sigrun Eick

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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  13. Observational
  14. Oral Microbiome Dysbiosis and Citrullination in Rheumatoid Arthritis.Advances in experimental medicine and biology · 2025
    Review
  15. Review
  16. Article
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  19. Toxins · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Raluca CosgareaClinic of Periodontology, Philipps University Marburg, Georg-Voigt Str. 3, 35039, Marburg, Germany. ralucacosgarea@gmail.com.
Roxana TristiuClinic of Prosthodontics, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Clinicilor nr 32, 400006, Cluj-Napoca, Romania.
Raluca Bianca DumitruClinic of Rheumatology, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Clinicilor nr. 2-4, 400006, Cluj-Napoca, Romania.
Nicole Birgit ArweilerClinic of Periodontology, Philipps University Marburg, Georg-Voigt Str. 3, 35039, Marburg, Germany.
Simona RednicClinic of Rheumatology, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Clinicilor nr. 2-4, 400006, Cluj-Napoca, Romania.
Cristina Ioana SirbuFaculty of Economical Sciences, University Babes-Bolyai, str. Universitatii 7-9, 400084, Cluj-Napoca, Romania.
Liana LascuClinic of Prosthodontics, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Clinicilor nr 32, 400006, Cluj-Napoca, Romania.
Anton SculeanDepartment of Periodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland.
Sigrun EickDepartment of Periodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland.
Iuliu Hațieganu University of Medicine and Pharmacy · ROPhilipps University of Marburg · DEUniversity of Bern · CHBabeș-Bolyai University · RO

Funding

European Commission FP7-HEALTH-F3-2012-306029POSDRU Model colaborativ instituţional pentru translarea cercetării ştiinţifice biomedicale în practica clinică 159/1.5/S/138776Scientific Exchange Programme NMS.ch 12.188
6 · The paper itself

Abstract

objectivesTo compare the effect of non-surgical periodontal therapy on clinical and inflammatory parameters in patients with moderate to severe chronic periodontitis (CP) and rheumatoid arthritis (RA) (RA-CP) with that in CP patients without RA. MATERIAL AND

methodsEighteen patients with RA-CP and 18 systemically healthy patients with CP were treated with scaling and root planing (SRP) within 24 h. At baseline, and at 3 and 6 months after SRP, clinical periodontal parameters, inflammatory markers, and microorganisms in subgingival biofilm were assessed. In addition, disease activity markers of RA (DAS28, CRP, ESR) and specific antibodies (RF) were monitored in the RA-CP group.

resultsIn both groups, non-surgical therapy yielded to statistically significant improvements in all investigated clinical periodontal variables; in RA patients, a statistically significant decrease in serum-CRP was seen at 3 months. At all time-points, levels of inflammatory markers in GCF were higher in RA-CP than in CP patients. Counts of Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola decreased statistically significantly in CP but not in the RA-CP group. Changes of DAS28 correlated positively with those of P. gingivalis and negatively with the plaque index.

conclusionsWithin their limits, the present data suggest that (a) non-surgical periodontal therapy improves periodontal conditions in CP patients with and without RA and (b) in patients with RA, eradication of P. gingivalis in conjunction with a high level oral hygiene may transiently decrease disease activity of RA. CLINICAL RELEVANCE: In patients with RA and CP, non-surgical periodontal therapy is a relevant modality not only to improve the periodontal condition but also to decrease RA activity.

Indexed as

AdultArthritis, RheumatoidBiomarkersCase-Control StudiesChronic PeriodontitisC-Reactive ProteinDental ScalingFemaleHumansMaleMiddle AgedPeriodontal IndexProspective StudiesRoot PlaningTreatment OutcomeBiomarkersC-Reactive ProteinNon-surgical periodontal treatmentPeriodontitisPorphyromonas gingivalisRheumatoid arthritisRheumatoid disease activity

Identifiers

PMID29589156
OpenAlexW2794853230

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.