Assessing the efficacy of nonsurgical periodontal treatment on rheumatoid arthritis: an umbrella review.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Xuyan Sheng, Xinjian Ye, Hefei Yuan, Changbo Zheng, Tao Zheng, Qianming Chen, Shuli Deng
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引用次数: 0

Abstract

Background: The relationship between periodontitis and rheumatoid arthritis (RA) has attracted considerable interest. However, the effect of non-surgical periodontal treatment (NSPT) on RA remains uncertain. This umbrella review aims to consolidate current research to establish a stronger evidence base.

Methods: Medline, Embase, and the Cochrane library were searched from inception to August 2024. Two independent reviewers handled study selection, data extraction, and quality assessment (AMSTAR-2). The qualitative analysis covered clinical activity, joint symptoms, inflammatory markers, cytokines, and autoantibodies. Quantitative results for disease activity score 28 (DAS28), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were reported as mean differences (MD)with 95% confidence intervals (CI).

Results: A total of 2,982 records were screened, with 41 full-text articles assessed for eligibility, and9 selected for evidence synthesis. Qualitative analysis suggests that NSPT may reduce clinical activityin patients with periodontitis and RA. Quantitative analysis provided suggestive evidence on theeffects of NSPT on DAS28, with the MD ranging from -0.38 (95% CI: -0.46 to -0.31) to -1.18 (95%CI: -1.43 to -0.93). One-third of the included studies were rated as "high" quality, while another one-third were "critically low".

Conclusions: The present evidence suggests that NSPT may provide benefits in managing RAsymptoms in patients with periodontitis; however, the potential bias of current evidence calls forfurther rigorous studies. Clinicians should account for the complex interplay between periodontitis andRA when devising treatment strategies.

评估非手术牙周治疗对类风湿关节炎的疗效:综述。
背景:牙周炎与类风湿关节炎(RA)之间的关系引起了人们的广泛关注。然而,非手术牙周治疗(NSPT)对RA的影响仍不确定。本综述旨在巩固目前的研究,以建立更有力的证据基础。方法:检索Medline、Embase和Cochrane图书馆自成立至2024年8月的文献。两名独立审稿人负责研究选择、数据提取和质量评估(AMSTAR-2)。定性分析包括临床活动、关节症状、炎症标志物、细胞因子和自身抗体。疾病活动性评分28 (DAS28)、红细胞沉降率(ESR)和c反应蛋白(CRP)的定量结果报告为平均差异(MD), 95%置信区间(CI)。结果:共筛选了2982条记录,41篇全文文章被评估为合格,9篇被选择用于证据合成。定性分析表明,NSPT可降低牙周炎和RA患者的临床活动。定量分析为NSPT对DAS28的影响提供了提示性证据,MD范围为-0.38 (95%CI: -0.46至-0.31)至-1.18 (95%CI: -1.43至-0.93)。三分之一的纳入研究被评为";高";质量,而另外三分之一是";极低";。结论:目前的证据表明,NSPT可能有助于控制牙周炎患者的症状;然而,现有证据的潜在偏差需要进一步严格的研究。临床医生在制定治疗策略时应考虑到牙周炎和牙周炎之间复杂的相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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