Afilal Saloua, Rkain Hanan, Allaoui Afaf, Fellous Safaa, Berkchi Jihad Moulay, Taik Fatima Zahrae, Aachari Ilham, Tahiri Latifa, Alami Nada, Ennibi OumKeltoum, Hajjaj-Hassouni Najia, Allali Fadoua
Rheumatology B Department, El Ayachi Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
Laboratory of Physiology, Physiology team of Exercise and Autonomic Nervous System, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
Mediterr J Rheumatol. 2021 Sep 30;32(3):249-255. doi: 10.31138/mjr.32.3.249. eCollection 2021 Sep.
To evaluate oral hygiene status in Rheumatoid arthritis (RA) patients, to analyse possible related factors, and to investigate the role of the rheumatologist in information about importance of adequate oral hygiene status in RA patients.
A cross-sectional study that included 100 consecutive RA patients (89% female, mean age 46.7 ± 11.7 years). For each patient, we recorded oral symptoms, oral hygiene status and role of rheumatologist in information on the oral hygiene status. Factors associated with regular brushing (≥2/day) were also analysed.
Median disease duration was 8 years (4;2). Dental pain was reported by 74% of patients and bleeding by 51% of them. Regular brushing was noted in 45% of patients. The use of a correct brushing method was noted in 14% of cases. Two patients reported visiting a dentist regularly. Information explaining that poor oral hygiene has a negative impact on RA was delivered by rheumatologist to 11 patients. Regular brushing of teeth was recommended by rheumatologist to 8 patients and 10 patients were advised by their rheumatologist to consult a dentist. Regular brushing was more important in women (48,3% vs 18,2%; p=0.05) and in the literate patients (57,6 vs 31,2%, p<0.01). No association was found between regular brushing, Disease Activity Score 28 (DAS28) and health Assessment Questionnaire (HAQ).
This study illustrates bad oral hygiene status in RA patients, which seems more important in men and illiterate patients. It also highlights poor information given by the rheumatologist.
评估类风湿关节炎（RA）患者的口腔卫生状况，分析可能的相关因素，并调查风湿科医生在向RA患者传达充足口腔卫生状况重要性信息方面的作用。
一项横断面研究，纳入了100例连续的RA患者（89%为女性，平均年龄46.7±11.7岁）。对于每位患者，我们记录了口腔症状、口腔卫生状况以及风湿科医生在口腔卫生状况信息方面的作用。还分析了与定期刷牙（≥2次/天）相关的因素。
疾病中位持续时间为8年（4；2）。74%的患者报告有牙痛，其中51%有出血。45%的患者有定期刷牙。14%的病例采用了正确的刷牙方法。两名患者报告定期看牙医。风湿科医生向11名患者传达了关于口腔卫生差对RA有负面影响的信息。风湿科医生建议8名患者定期刷牙，10名患者被建议咨询牙医。定期刷牙在女性（48.3%对18.2%；p=0.05）和识字患者（57.6对31.2%，p<0.01）中更为重要。未发现定期刷牙、疾病活动评分28（DAS28）和健康评估问卷（HAQ）之间存在关联。
本研究表明RA患者口腔卫生状况不佳，这在男性和文盲患者中似乎更为突出。它还凸显了风湿科医生提供的信息不足。
