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001-es BibID:	BIBFORM117874
035-os BibID:	(cikkazonosító)448 (Scopus)85183407744
Első szerző:	Tar Ildikó (fogszakorvos)
Cím:	Six-Month Follow-Up of Periodontal Condition in Rheumatoid Arthritis and Ankylosing Spondylitis Arthritis Patients Undergoing Anti-Tumour Necrosis Factor-alpha Therapy / Ildikó Tar, Edit Végh, Renáta Martos, Boglárka Soós, Ildikó Márton, Zoltán Szekanecz
Dátum:	2024
ISSN:	2077-0383
Megjegyzések:	In our present study, we aimed to assess the effects of anti-TNF therapy on periodontal condition in a mixed cohort of patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Moreover, we wished to determine whether the baseline dental condition of these patients would affect response to biological therapy. A cohort of 24 arthritis patients was consecutively recruited before starting anti-TNF? therapy. After the dropout of six patients, we evaluated the dental status of 18 subjects at baseline and after 6 months of biological therapy. Clinical responder (R) and non-responder (NR) status was determined after 6 months of anti-TNF treatment. Plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), PPDmax, clinical attachment loss (CAL), and CALmax were determined. During the 6-month treatment period, six patients (3 RA and 3 AS) terminated the study prematurely as they did not respond to treatment (NR). Therefore, 18 patients were included in the full analysis. There were no major differences in PI, BOP, PPD, PPD max, CAL, and CALmax, among R and NR patients. TNF inhibition resulted in increased GI (0.65 ? 0.34 vs. 0.88 ? 0.30; p < 0.05), as well as decreased PPDmax (4 ? 1.94 vs. 2.72 ? 1.36; p < 0.05) and CALmax (5.22 ? 2.56 vs. 2.72 ? 1.36; p < 0.05) after 6 months. Eight patients had incomplete canal fillings or dead pulps and/or apical periodontitis; six in the R and two in the NR group. In our present study, anti-TNF therapy seemed to worsen the extent of gingival inflammation (GI); however our results also do not support the reduction of mean CPD and CAL as reported by others
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk rheumatoid arthritis ankylosing spondylitis periodontitis anti-TNF treatment
Megjelenés:	Journal of Clinical Medicine. - 13 : 2 (2024), p. 1-10. -
További szerzők:	Végh Edit (1978-) (reumatológus, belgyógyász) Martos Renáta (1975-) (fogszakorvos) Soós Boglárka (1988-) (általános orvos) Márton Ildikó (1954-) (fogszakorvos) Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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