Abstract

CARDIEL RIOS, Magali  and  PONS BONALS, Alicia. Importance of the interdisciplinary management of the patient with periodontal disease and/or rheumatoid arthritis. Rev. Estomatol. Herediana [online]. 2018, vol.28, n.2, pp.125-134. ISSN 1019-4355.  http://dx.doi.org/https://doi.org/10.20453/reh.v28i2.3328.

Periodontal Disease (PD) and Rheumatoid Arthritis (RA) are closely related to each other: both are chronic, inflammatory, and autoimmune diseases, due to an immune imbalance of the host deteriorating patient´s life quality, it is required an early diagnosis and timely treatment to limit their progression. Objectives: To demonstrate the importance of the interdisciplinary management of periodontists and rheumatologists in the recognition and treatment of Periodontal Disease and Rheumatoid Arthritis. Material and Methods: A bibliographic search was carried out with 5 years of background in the NCBI database (National Center for Biotechnology Information), using key words: periodontal disease, rheumatoid arthritis, citrullination, oral dysbiosis and Porphyromonas gingivalis, selecting 52 articles. After a critical reading, mental maps were done to systematize the information, and organizing according to particular aspects of each pathology, the share mechanisms between them, and the important aspects for its interdisciplinary management by periodontists and rheumatologists at preventive and therapeutic level. Results: PD causes masticatory system deterioration, meanwhile RA causes on locomotor system, both processes are inflammatory, and the bacterium Porphyromonas gingivalis is associated to them. An interdisciplinary management with a preventive and therapeutic approach is required to eliminate all gingival inflammatory process and risk factors must be avoided. Conclusions: There is an interrelation between PD and RA, that is why is important to consider: an interdisciplinary management, susceptibility of each patient, periodontal status, hereditary antecedents, as well as, risk factors prevention. Both diseases affect patient’s quality of life.

Keywords : Periodontal disease; rheumatoid arthritis; citrullination; oral dysbiosis; Porphyromonas gingivalis.

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