Relación entre enfermedad periodontal y artritis reumatoide

Abstract

Introduction: Chronic periodontitis and rheumatoid arthritis (RA) are chronic inflammatory disorders characterized by tissue destruction, bone resorption and the production of pro-inflammatory cytokines. Objectives: Analysed the relationship between both diseases and the possible influence of treating one disease on the evolution of the other. Material and methods: Bibliographical revision of the pathogenesis of RA and periodontal disease (PD) and their related aspects. Results: The pathogenesis of both diseases shows remarkable similarities. Periodontal pathogenic bacteria such as "Porphyromonas gingivalis" and inflammatory mediators such as tumor necrosis factor and C-reactive protein, play an important role in RA. PD is an important factor in the therapeutic response of patients with RA factor. Conclusions: Both diseases have a common pathogenesis. The prevalence of periodontal disease (PD) is higher in patients with RA and vice versa. Although PD control through non-surgical periodontal treatment improves the signs and symptoms of both diseases, more rigorous studies are need.