de Souza S, Bansal R K, Galloway J
Academic Rheumatology, King's College London, London.
Springfield Dental Practice, Chelmsford and MSc Student, Dental Institute, King's College London, London.
Br Dent J. 2016 Nov 18;221(10):667-673. doi: 10.1038/sj.bdj.2016.866.
Rheumatoid arthritis (RA) is a common chronic inflammatory autoimmune disorder which significantly impacts patients' lives and can lead to permanent disability. Inflammation in RA not only affects joints; but can affect organs including the heart and lungs. Early diagnosis, initiation of intensive drug therapy, and a multidisciplinary care approach have vastly improved the long-term prognosis for those living with the condition. However, RA patients often present with co-morbidities which add to the complexity of clinical management. Orofacial conditions associated with RA which dental professionals need to be aware of include periodontal disease, temporomandibular dysfunction and salivary gland dysfunction. In this article, we provide information on RA, oral health in RA and guidance on how best to manage patients with RA in general dental practice.
类风湿性关节炎（RA）是一种常见的慢性炎症性自身免疫性疾病，严重影响患者生活，可导致永久性残疾。类风湿性关节炎中的炎症不仅影响关节，还会影响包括心脏和肺在内的器官。早期诊断、开始强化药物治疗以及多学科护理方法已极大地改善了该病患者的长期预后。然而，类风湿性关节炎患者常伴有合并症，这增加了临床管理的复杂性。牙科专业人员需要了解的与类风湿性关节炎相关的口腔颌面部疾病包括牙周病、颞下颌关节功能障碍和唾液腺功能障碍。在本文中，我们提供了有关类风湿性关节炎、类风湿性关节炎患者口腔健康的信息，以及在一般牙科实践中如何最好地管理类风湿性关节炎患者的指导。
