PMID- 35241287 OWN - NLM STAT- MEDLINE DCOM- 20220919 LR - 20220922 IS - 1875-595X (Electronic) IS - 0020-6539 (Print) IS - 0020-6539 (Linking) VI - 72 IP - 5 DP - 2022 Oct TI - Functional Impairment and Periodontitis in Rheumatoid Arthritis. PG - 641-647 LID - S0020-6539(22)00022-3 [pii] LID - 10.1016/j.identj.2022.01.002 [doi] AB - BACKGROUND: This study explored the association of functional impairment due to rheumatoid arthritis (RA) and RA disease activity with periodontal disease in patients with RA. METHODS: Ninety-three patients with RA were included. Their RA functional status was assessed using the Steinbrocker classification. The serum level of matrix metalloproteinase-3 (MMP-3) was used as an indicator of RA disease activity. Probing depth (PD) and clinical attachment level (CAL) were used as indicators of periodontal status. We examined the association of RA severity and MMP-3 levels with periodontal status using a generalised linear model (GLM). RESULTS: In a multivariate GLM, the coefficient for the mean PD was significantly positive in those with RA severity classes III or IV (reference: class I; beta = 0.14; 95% confidence interval [CI], 0.03-0.25; P = .02) independent of other confounding variables. In multivariate GLM using the mean CAL as the dependent variable, the coefficient was significant in patients with high MMP-3 levels (10 ng/mL; beta = 0.005; 95% CI, 0.001-0.008; P = .02). CONCLUSIONS: Functional impairment due to RA may affect PD, and high serum levels of MMP-3 may affect CAL. CI - Copyright (c) 2022 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Hashimoto, Hiroko AU - Hashimoto H AD - Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, Japan. FAU - Hashimoto, Shimpei AU - Hashimoto S AD - Hashimoto Orthopedic Surgery Clinic, Nagoya, Japan. FAU - Shimazaki, Yoshihiro AU - Shimazaki Y AD - Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, Japan. Electronic address: shima@dpc.agu.ac.jp. LA - eng PT - Journal Article DEP - 20220228 PL - England TA - Int Dent J JT - International dental journal JID - 0374714 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - *Arthritis, Rheumatoid/complications MH - Humans MH - Matrix Metalloproteinase 3 MH - Periodontal Index MH - *Periodontitis/complications PMC - PMC9485534 OTO - NOTNLM OT - Epidemiology OT - Functional impairment OT - Periodontitis OT - Rheumatoid arthritis OT - Serum MMP-3 COIS- Conflict of interest None disclosed. EDAT- 2022/03/05 06:00 MHDA- 2022/09/20 06:00 PMCR- 2022/02/28 CRDT- 2022/03/04 05:35 PHST- 2021/10/22 00:00 [received] PHST- 2022/01/18 00:00 [revised] PHST- 2022/01/19 00:00 [accepted] PHST- 2022/03/05 06:00 [pubmed] PHST- 2022/09/20 06:00 [medline] PHST- 2022/03/04 05:35 [entrez] PHST- 2022/02/28 00:00 [pmc-release] AID - S0020-6539(22)00022-3 [pii] AID - 10.1016/j.identj.2022.01.002 [doi] PST - ppublish SO - Int Dent J. 2022 Oct;72(5):641-647. doi: 10.1016/j.identj.2022.01.002. Epub 2022 Feb 28.