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PERIODONTITIS
RELATION WITH RHEUMATOID
ARTHRITIS
DR .R.SARAVANAN
BDS
FOCAL INFECTION
Focal Infection is an historical concept that causes many chronic diseases.Focal
infection is often asymptomatic that causes disease elsewhere in host. Focal
infection also causes secondary infection.Focal infection is originated in 1909 by
william hunter and it is widely accepted in1920.Focal infection are widely occurs in
oral cavity and causes systemic disease and it also occurs due dental restoration
,periodontal and endodontically treated tooth and tonsils can causes as focal
infection
PERIODONTITIS
PERIODONTITIS IS AN CHRONIC INFLAMMATION WHICH OCCURS IN GINGIVA
.PERIODONTAL DISEASE WHICH CAUSE DESTRUCTION IN TOOTH AND THE
SUPPORTING TISSUE IT ALSO CAUSE SYSTEMIC DISEASES
PERIODONTITIS IMPACT ON SYSTEMIC DISEASE
PERIODONTITIS LINK WITH RHEUMATOID
ARTHRITIS
PERIODONTITIS AND RHEUMATOID ARTHRITIS IS AN CHRONIC
INFLAMMATION AFFECTING HUMANS.COMMON GENETIC AND
ENVIRONMENTAL FACTORS ARE ASSOCIATED WITH MHC CLASS2
NUMEROUS ETIOLOGICAL AND EPIDEMIOLOGICAL STUDIES ARE
RELATED WITH PERIODONTITIS AND RHEUMATOID
ARTHRITIS.SIMILAR EFFECTS OF DESTRUCTIVE MECHANISM ARE
IN INFLAMMATORY CELLS AND PRO-INFLAMMATORY CYTOKINES
RHEUMATOID ARTHRITI
RHEUMATOID ARTHRITIS IS AN CHRONIC INFLAMMATION WHICH OCCURS IN SYNOVIAL
MEMBRANE WHICH LEADS TO SYNOVITIS DESTRUCTION OF JOINTS AND IMPAIRED FUNCTION
EXTRAARTICULAR MANIFESTATION SUCH AS OCULAR,PULMONARY VASCULAR AND OTHER ORGAN
DESTRUCTION OCCURS.
PATHOLOGY OF RHEUMATOID ARTHRITIS
SYMPTOMS OF RHEUMATOID ARTHRITIS
MECHANISM OF PERIODONTITIS AND RHEUMATOID
ARTHRITIS
PERIODONTITIS AND RHEUMATOID
ARTHRITIS
SIMILARITIES OF PERIODONTITIS AND
RHEUMATOID ARTHRITIS
REFERENCE
1. Linden GJ, Lyons A, Scannapieco FA. Periodontal systemic associations: Review of the evidence. J Clin Periodontol. 2013;
40: 8-19.
2. Loyola-Rodriguez JP, Martinez-Martinez RE, Abud-Mendoza C, PatiñoMarin N, Seymour GJ. Rheumatoid arthritis and the
role of oral bacteria. J Oral Microbiol. 2010; 21: 2.
3. Silvestre FJ, Silvestre-Rangil J, Bagán L, Bagán JV. Effect of nonsurgical periodontal treatment in patients with
periodontitis and rheumatoid arthritis: A systematic review. Med Oral Patol Oral Cir Bucal. 2016; 21: 349-354.
4. Leech MT, Bartold PM. The association between rheumatoid arthritis and periodontitis. Best Pract Res Clin Rheumatol.
2015; 29: 189-201.
5. Payne JB, Golub LM, Thiele GM, Mikuls TR. The Link Between Periodontitis and Rheumatoid Arthritis: A Periodontist
Perspective. Curr Oral Health Rep. 2015; 2: 20-29.
6. Yeoh N, Burton JP, Suppiah P, Reid G, Stebbings S. The role of the microbiome in rheumatic diseases. Curr Rheumatol Rep.
2013; 15: 314.
7. Loyola-Rodriguez JP, Martinez-Martinez RE, Abud-Mendoza C, PatiñoMarin N, Seymour GJ. Rheumatoid arthritis and the
role of oral bacteria. J Oral Microbiol. 2010; 21: 2.
8. Forner L, Larsen T, Kilian M, Holmstrup P. Incidence of bacteremia after chewing, tooth brushing and scaling in individuals
with periodontal inflammation. J Clin Periodontol. 2006; 33: 401-417
9. Kinane DF, Riggio MP, Walker KF, MacKenzie D, Shearer B. Bacteraemia following periodontal procedures. J Clin
Periodontol. 2005; 32: 708713.
10. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol.
1998; 25: 134144.
11.Scher JU, Ubeda C, Equinda M, Khanin R, Buischi Y, Viale A, et al. Periodontal disease and the oral microbiota in new-onset
rheumatoid arthritis. Arthritis Rheum. 2012; 64: 3083-3094.
12. De Smit MD, Westra J, Vissink A, van der Meer B, Brouwer E, van Winkelhoff AJ. Periodontitis in established rheumatoid
arthritis
Periodontists relation with Rheumatoid Arthritis

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Periodontists relation with Rheumatoid Arthritis

  • 2. FOCAL INFECTION Focal Infection is an historical concept that causes many chronic diseases.Focal infection is often asymptomatic that causes disease elsewhere in host. Focal infection also causes secondary infection.Focal infection is originated in 1909 by william hunter and it is widely accepted in1920.Focal infection are widely occurs in oral cavity and causes systemic disease and it also occurs due dental restoration ,periodontal and endodontically treated tooth and tonsils can causes as focal infection
  • 3. PERIODONTITIS PERIODONTITIS IS AN CHRONIC INFLAMMATION WHICH OCCURS IN GINGIVA .PERIODONTAL DISEASE WHICH CAUSE DESTRUCTION IN TOOTH AND THE SUPPORTING TISSUE IT ALSO CAUSE SYSTEMIC DISEASES
  • 4. PERIODONTITIS IMPACT ON SYSTEMIC DISEASE
  • 5. PERIODONTITIS LINK WITH RHEUMATOID ARTHRITIS PERIODONTITIS AND RHEUMATOID ARTHRITIS IS AN CHRONIC INFLAMMATION AFFECTING HUMANS.COMMON GENETIC AND ENVIRONMENTAL FACTORS ARE ASSOCIATED WITH MHC CLASS2 NUMEROUS ETIOLOGICAL AND EPIDEMIOLOGICAL STUDIES ARE RELATED WITH PERIODONTITIS AND RHEUMATOID ARTHRITIS.SIMILAR EFFECTS OF DESTRUCTIVE MECHANISM ARE IN INFLAMMATORY CELLS AND PRO-INFLAMMATORY CYTOKINES
  • 6. RHEUMATOID ARTHRITI RHEUMATOID ARTHRITIS IS AN CHRONIC INFLAMMATION WHICH OCCURS IN SYNOVIAL MEMBRANE WHICH LEADS TO SYNOVITIS DESTRUCTION OF JOINTS AND IMPAIRED FUNCTION EXTRAARTICULAR MANIFESTATION SUCH AS OCULAR,PULMONARY VASCULAR AND OTHER ORGAN DESTRUCTION OCCURS.
  • 9. MECHANISM OF PERIODONTITIS AND RHEUMATOID ARTHRITIS
  • 11. SIMILARITIES OF PERIODONTITIS AND RHEUMATOID ARTHRITIS
  • 12. REFERENCE 1. Linden GJ, Lyons A, Scannapieco FA. Periodontal systemic associations: Review of the evidence. J Clin Periodontol. 2013; 40: 8-19. 2. Loyola-Rodriguez JP, Martinez-Martinez RE, Abud-Mendoza C, PatiñoMarin N, Seymour GJ. Rheumatoid arthritis and the role of oral bacteria. J Oral Microbiol. 2010; 21: 2. 3. Silvestre FJ, Silvestre-Rangil J, Bagán L, Bagán JV. Effect of nonsurgical periodontal treatment in patients with periodontitis and rheumatoid arthritis: A systematic review. Med Oral Patol Oral Cir Bucal. 2016; 21: 349-354. 4. Leech MT, Bartold PM. The association between rheumatoid arthritis and periodontitis. Best Pract Res Clin Rheumatol. 2015; 29: 189-201. 5. Payne JB, Golub LM, Thiele GM, Mikuls TR. The Link Between Periodontitis and Rheumatoid Arthritis: A Periodontist Perspective. Curr Oral Health Rep. 2015; 2: 20-29. 6. Yeoh N, Burton JP, Suppiah P, Reid G, Stebbings S. The role of the microbiome in rheumatic diseases. Curr Rheumatol Rep. 2013; 15: 314. 7. Loyola-Rodriguez JP, Martinez-Martinez RE, Abud-Mendoza C, PatiñoMarin N, Seymour GJ. Rheumatoid arthritis and the role of oral bacteria. J Oral Microbiol. 2010; 21: 2. 8. Forner L, Larsen T, Kilian M, Holmstrup P. Incidence of bacteremia after chewing, tooth brushing and scaling in individuals with periodontal inflammation. J Clin Periodontol. 2006; 33: 401-417 9. Kinane DF, Riggio MP, Walker KF, MacKenzie D, Shearer B. Bacteraemia following periodontal procedures. J Clin Periodontol. 2005; 32: 708713. 10. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol. 1998; 25: 134144. 11.Scher JU, Ubeda C, Equinda M, Khanin R, Buischi Y, Viale A, et al. Periodontal disease and the oral microbiota in new-onset rheumatoid arthritis. Arthritis Rheum. 2012; 64: 3083-3094. 12. De Smit MD, Westra J, Vissink A, van der Meer B, Brouwer E, van Winkelhoff AJ. Periodontitis in established rheumatoid arthritis