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Oral health–related quality of life among individuals with rheumatoid arthritis

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Abstract

Objective

To evaluate the oral health–related quality of life (OHRQoL) of individuals with rheumatoid arthritis (RA) in comparison with individuals with no RA.

Method

A cross-sectional study was carried out with 112 individuals distributed into two groups. Group 1 (G1) consisted of 42 RA individuals and group 2 (G2) consisted of 70 individuals without RA. Participants’ OHRQoL was assessed by means of the long form of the Oral Health Impact Profile (OHIP). The OHIP has 49 questions distributed across seven domains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. The overall score ranges between 0 and 196. A higher score denotes a greater negative impact on OHRQoL. All participants underwent oral examination for the evaluation of clinical variables. Sociodemographic and oral behavior variables were also collected. Data analysis included descriptive statistics, Mann-Whitney test, and regression analysis.

Results

Individuals in G1 presented higher OHIP overall score (p = 0.006) than G2 individuals. G1 individuals also presented higher scores in the functional limitation (p = 0.003) and the physical disability (p = 0.005) domains than G2 individuals. Individuals with RA (p = 0.044), individuals who brushed their teeth less often (p = 0.019), and those with a higher number of decayed, missing, and filled teeth (DMFT) (p = 0.038) presented a significantly higher OHIP-49 overall score (more negative perception of their OHRQoL) than individuals without RA, individuals who brushed their teeth more often, and those with a lower DMFT.

Conclusion

RA individuals had a more negative perception of their OHRQoL compared with individuals with no RA.

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Funding

This study was supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) – (Finance Code 001); FAPEMIG (Grant APQ-01138-15) and FAPESP (scholarship for T.A.S, Process 2017/23826-2).

Author information

Authors and Affiliations

  1. Department of Oral Pathology and Surgery, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

    Luciana Gravito de Azevedo Branco, Sicília Rezende Oliveira, Jôice Dias Corrêa, Santuza Maria Souza Mendonça & Tarcília Aparecida Silva

  2. Department of Locomotor System, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

    Débora Cerqueira Calderaro & Gilda Aparecida Ferreira

  3. Department of Pharmacology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, SP, Brazil

    Fernando de Queiroz Cunha & Tarcília Aparecida Silva

  4. Department of Internal Medicine School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

    Antônio Lúcio Teixeira

  5. Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

    Lucas Guimarães Abreu

Authors
  1. Luciana Gravito de Azevedo Branco
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  9. Lucas Guimarães Abreu
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  10. Tarcília Aparecida Silva
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Corresponding author

Correspondence to Tarcília Aparecida Silva.

Ethics declarations

Ethical approval of research involving human participants/informed consent

The Committee on Ethics of the Federal University of Minas Gerais has approved this study (number of approval statement: CAAE 03128012.0.0000.5149/2012). Individuals who agreed to participate signed an informed consent form. The study was performed in accordance with the Declaration of Helsinki.

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de Azevedo Branco, L.G., Oliveira, S.R., Corrêa, J.D. et al. Oral health–related quality of life among individuals with rheumatoid arthritis. Clin Rheumatol 38, 2433–2441 (2019). https://doi.org/10.1007/s10067-019-04555-9

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  • DOI: https://doi.org/10.1007/s10067-019-04555-9

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