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Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui

Background and Objective(s): Traditional clinical measurement parameters alone cannot capture the extent of disease. Quality of life (QoL) measures provide understanding from the patient’s perspective. There is a gap in the knowledge of the impact of periodontitis (PD) on QoL among rheumatoid art...

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Main Author: Philip Han, Sheng Hui
Format: Thesis
Published: 2019
Subjects:
RK Dentistry
Online Access:http://studentsrepo.um.edu.my/11212/4/philip.pdf
http://studentsrepo.um.edu.my/11212/
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spelling my.um.stud.112122022-01-02T18:28:53Z Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui Philip Han, Sheng Hui RK Dentistry Background and Objective(s): Traditional clinical measurement parameters alone cannot capture the extent of disease. Quality of life (QoL) measures provide understanding from the patient’s perspective. There is a gap in the knowledge of the impact of periodontitis (PD) on QoL among rheumatoid arthritis (RA) subjects. This study aimed to determine the prevalence of PD in Malaysian RA patients and assess the impact on their health related QoL (HRQoL) and oral health related QoL (OHRQoL). Materials and Methods: Subjects from periodontology and RA clinics were screened. Complete periodontal examination was then performed. Subjects were divided into 4 groups: RA(+)PD(+), RA(+)PD(-), RA(-)PD(+) and RA(-)PD(-). Questionnaire on sample characteristics and Malaysian versions of Oral Health Impact Profile (OHIP14(M)) and Health Assessment Questionnaire (HAQ-DI)) were answered. Results: Fifty percent of 108 screened RA subjects recorded BPE scores ‘3’ or ‘4’. Prevalence of PD in 87 RA subjects who consented for periodontal examination was 33.3% (4.6% mild, 10.3% moderate, 18.4% severe PD). OHIP-14(M) severity score was highest in the RA(-)PD(+) group (17.23±10.36) but only significantly higher than RA(-)PD(-) group (p < 0.05). HAQ-DI scores of RA(+)PD(-) and RA(+)PD(+) groups were significantly higher (p<0.05) than the non-RA groups. Differences remained significant when age, gender, education level and brushing frequency were controlled. There was a weak negative correlation (r = -0.269, p<0.05) between the number of teeth and OHRQoL in the RA(+)PD(-) group but none from other periodontal parameters. Conclusion: The prevalence of PD in RA subjects in this study was lower than that reported worldwide. Subjects with PD have significantly lower OHRQoL than subjects iv without PD. Subjects with RA have significantly lower HRQoL compared to their healthy counterparts regardless of PD status. Keywords: periodontitis, rheumatoid arthritis, quality of life 2019 Thesis NonPeerReviewed application/pdf http://studentsrepo.um.edu.my/11212/4/philip.pdf Philip Han, Sheng Hui (2019) Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui. Masters thesis, Universiti Malaya. http://studentsrepo.um.edu.my/11212/
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Student Repository
url_provider http://studentsrepo.um.edu.my/
topic RK Dentistry
spellingShingle RK Dentistry
Philip Han, Sheng Hui
Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui
description Background and Objective(s): Traditional clinical measurement parameters alone cannot capture the extent of disease. Quality of life (QoL) measures provide understanding from the patient’s perspective. There is a gap in the knowledge of the impact of periodontitis (PD) on QoL among rheumatoid arthritis (RA) subjects. This study aimed to determine the prevalence of PD in Malaysian RA patients and assess the impact on their health related QoL (HRQoL) and oral health related QoL (OHRQoL). Materials and Methods: Subjects from periodontology and RA clinics were screened. Complete periodontal examination was then performed. Subjects were divided into 4 groups: RA(+)PD(+), RA(+)PD(-), RA(-)PD(+) and RA(-)PD(-). Questionnaire on sample characteristics and Malaysian versions of Oral Health Impact Profile (OHIP14(M)) and Health Assessment Questionnaire (HAQ-DI)) were answered. Results: Fifty percent of 108 screened RA subjects recorded BPE scores ‘3’ or ‘4’. Prevalence of PD in 87 RA subjects who consented for periodontal examination was 33.3% (4.6% mild, 10.3% moderate, 18.4% severe PD). OHIP-14(M) severity score was highest in the RA(-)PD(+) group (17.23±10.36) but only significantly higher than RA(-)PD(-) group (p < 0.05). HAQ-DI scores of RA(+)PD(-) and RA(+)PD(+) groups were significantly higher (p<0.05) than the non-RA groups. Differences remained significant when age, gender, education level and brushing frequency were controlled. There was a weak negative correlation (r = -0.269, p<0.05) between the number of teeth and OHRQoL in the RA(+)PD(-) group but none from other periodontal parameters. Conclusion: The prevalence of PD in RA subjects in this study was lower than that reported worldwide. Subjects with PD have significantly lower OHRQoL than subjects iv without PD. Subjects with RA have significantly lower HRQoL compared to their healthy counterparts regardless of PD status. Keywords: periodontitis, rheumatoid arthritis, quality of life
format Thesis
author Philip Han, Sheng Hui
author_facet Philip Han, Sheng Hui
author_sort Philip Han, Sheng Hui
title Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui
title_short Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui
title_full Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui
title_fullStr Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui
title_full_unstemmed Prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / Philip Han Sheng Hui
title_sort prevalence of periodontitis and its impact on quality of life among subjects with rheumatoid arthritis / philip han sheng hui
publishDate 2019
url http://studentsrepo.um.edu.my/11212/4/philip.pdf
http://studentsrepo.um.edu.my/11212/
_version_ 1738506455623925760
score 13.250246

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