Department of Periodontology, Faculty of Dentistry, Gaziantep University, 27310 Gaziantep, Turkey.
Inflammation. 2013 Jun;36(3):665-9. doi: 10.1007/s10753-012-9590-y.
Rheumatological diseases and periodontal disease are both characterized by dysregulation of the host inflammatory response. The aim of this study was to determine the possible relationship between periodontitis and psoriatic arthritis (PsA). Fifty-one adults with PsA (27 men and 24 women; mean age 41.73 ± 11.27 years) and 50 age- and gender-balanced systemically healthy control subjects participated in the study. Participants' periodontal status as determined by probing pocket depth, clinical attachment loss (CAL), plaque index, and gingival index was evaluated. The CAL levels of the PsA group were significantly higher than those of the control group (p < 0.05) There were no statistically significant differences in the frequency of periodontitis, probing pocket depth, plaque index, or gingival index between the two groups. The results of the present study show that periodontitis severity as determined by CAL was higher in the PsA group; therefore, periodontal evaluation must be considered when PsA is diagnosed.
风湿性疾病和牙周病均以宿主炎症反应失调为特征。本研究旨在确定牙周炎与银屑病关节炎（PsA）之间的可能关系。51 名成年人患有 PsA（27 名男性和 24 名女性；平均年龄 41.73±11.27 岁）和 50 名年龄和性别均衡的系统性健康对照组参与者参加了研究。通过探查牙周袋深度、临床附着丧失（CAL）、菌斑指数和牙龈指数来评估参与者的牙周状况。PsA 组的 CAL 水平明显高于对照组（p<0.05）。两组间牙周炎的频率、探查牙周袋深度、菌斑指数或牙龈指数无统计学差异。本研究结果表明，CAL 确定的牙周炎严重程度在 PsA 组中更高；因此，在诊断 PsA 时必须考虑牙周评估。
