Increased dental visits in patients with rheumatoid arthritis: a secondary cohort analysis of population based claims data

BMC Oral Health

Research

Chia-Wen Hsu¹  Ming-Chi Lu²  Ching-Ya Juan³ 

[1] Department of Medical Research, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan;Division of Allergy, Immunology and Rheumatology, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 2, Minsheng Road, 62247, Dalin, Chiayi, Taiwan;School of Medicine, Tzu Chi University, Hualien, Taiwan;Division of Dentistry, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan;

关键词: Rheumatoid arthritis;    Dental disorders;    Dental caries;    Pulpitis;    Gingivitis;    Periodontitis;    Oral ulcer;   

DOI  :  10.1186/s12903-022-02661-w

 received in 2022-09-07, accepted in 2022-12-09,  发布年份 2022

来源: Springer

【 摘 要 】

ObjectiveTo study the utilization of dental care in patients with rheumatoid arthritis (RA) and compare the incidence of common dental disorders in patients with and without RA.MethodsThis data used in this study was from the population-based Taiwan's National Health Insurance Research Database. We identified 1337 patients with newly diagnosed RA between January 2000 and December 2012. We also identified 13,370 individual without a diagnosis of RA using frequency matching on 5-year age intervals, sex, and index year. Patients with a diagnosis of primary Sjögren's syndrome were excluded. Dental disorders were identified using respective ICD-9-CM codes confirmed by dentists. The incidence and incidence rate ratio [IRR] of each dental disorders were calculated using Poisson regression.ResultsCompared with the comparison cohort, the prevalence of dentist visits in the RA cohort were significantly higher (70.3% vs. 66.7%, p = 0.008) and the frequency of dentist visits in the RA cohort were also significantly higher (median 2.67 vs. 1.78 per year, p < 0.001). In addition, the incidence of visits for dental caries (adjusted IRR 1.16, p < 0.001), pulpitis (adjusted IRR 1.12, p = 0.044), gingivitis (adjusted IRR 1.13, p = 0.027), periodontitis (adjusted IRR 1.13, p = 0.004), and oral ulcer (adjusted IRR 1.24, p = 0.003) were higher in patients with RA.ConclusionsAn elevated prevalence and frequency of dental visits were associated with patients with RA. In addition, elevated incidence of dental disorders, including dental caries, pulpitis, gingivitis, periodontitis, and oral ulceration, were observed. Oral health should be accessed regularly in patients with RA.

【 授权许可】

CC BY   
© The Author(s) 2022