Observational studyArthritis care & research2025
Association Between Rheumatoid Arthritis Disease Activity and Periodontitis Defined by Tooth Loss: Longitudinal and Cross-Sectional Data From Two Observational Studies.
Observational study in Arthritis care & research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Outcomes of periodontal therapy in rheumatoid arthritis: The OPERA feasibility randomized trial.Journal of clinical periodontology · 2023Trial
- Do infections play a role in the development of chronic inflammatory arthritis? A 14-year follow-up study of patients with early arthritis.BMC rheumatology · 2025Article
- [With RheMIT rheumatology centers can participate in the German national database-Expansion of the long-term rheumatological documentation].Zeitschrift fur Rheumatologie · 2023Article
- Researchers in rheumatology should avoid categorization of continuous predictor variables.BMC medical research methodology · 2023Article
- Multiple Chronic Diseases Associated With Tooth Loss Among the US Adult Population.Frontiers in big data · 2022Article
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveTo analyze the effect of tooth loss/periodontitis on disease activity in early and established rheumatoid arthritis (RA).
methodsParticipants of the Course And Prognosis of Early Arthritis (CAPEA) early arthritis cohort reported their number of teeth at baseline. The number of teeth had been validated as a predictor of periodontitis. Clinical end points, including disease activity score (Disease Activity Score in 28 joints using the erythrocyte sedimentation rate [ESR]), swollen joint count (SJC), ESR, and C-reactive protein level were collected at baseline, 3, 6, 12, 18, and 24 months. We used linear mixed regression models to estimate the association between tooth loss and clinical end points over time in early arthritis. For established RA, we analyzed cross-sectional data from the German National Database (NDB). All models accounted for age, sex, smoking, seropositivity, education level, and disease duration (only NDB).
resultsAmong 1,124 CAPEA participants with early arthritis, those with higher tooth loss were older, more often male, smokers, and seropositive, and they had higher disease activity and inflammation markers at baseline. Tooth loss was associated with higher disease activity and ESR values over time. Inflammatory markers decreased comparably across tooth loss categories. Glucocorticoid use was higher among those with more tooth loss, whereas dose reduction was similar across tooth loss categories. Among 7,179 NDB participants with longstanding RA, disease activity and inflammation markers but not SJC were significantly higher in patients with more tooth loss.
conclusionAlthough we observed an association between tooth loss and disease activity scores and inflammation markers in early and established RA, longitudinal results suggest that tooth loss does not hamper treatment response.
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