AB1327-HPR SELF-ASSESSMENT OF ORAL HEALTH STATUS IN RHEUMATOID ARTHRITIS, SYSTEMIC LUPUS ERYTHEMATOSUS AND CONTROLS
Authors: C. M. Gamboa-Alonso, J. D. Ángulo, M. J. Garza Martínez, G. Figueroa-Parra, A. L. De-Leon-Ibarra, J. C. Riegatorres, D. Á. Galarza-Delgado
Journal: Annals of the Rheumatic Diseases (2020)

Background: Different periodontal disorders have been associated with the development of multiple rheumatic diseases, encouraging the production of citrullinated proteins and creating a proinflammatory state with an increase in oral and systemic symptomatology. The Geriatric/General Oral Health Assessment Index (GOHAI) survey has been used as a self-assessment tool where studies have found a diminished quality of oral health in Rheumatoid Arthritis (RA). 1 Objectives: Compare the behavior of GOHAI survey in RA, Systemic lupus erythematosus (SLE), and controls in a Rheumatology center at Northeast Mexico. Methods: We performed a descriptive study of patients with RA and LES who answered the Spanish version of GOHAI survey. A control group was also included. GOHAI survey consists of 12 Questions with Likert answers evaluating problems related to periodontal disease in the last 3 months. Questions 1-4 evaluate physical function, 6, 7, 9-11 psychosocial status and 5, 8 and 12 pain. Results: Sixty RA patients, 32 SLE patients and 46 controls were included. Groups were adjusted by sex and age. GOHAI survey presented a total mean of 23.4 in RA, 22.06 in SLE and 21.54 in controls with a maximum score of 60 points. When analyzing the survey in physical function and psychosocial status a statistical significant difference was found when comparing RA group to controls. Table 1. Comparison between GOHAI index scores in RA, SLE and control groups RA n= 60 SLE n= 32 Controls n=46 Median (SD) Median (SD) Median (SD) RA vs SLE RA and controls Three groups Age 51.27 (15.84) 37.03 (14.14) 41.07(11.25) 0.17 Sex 58 (96.67%) 29 (90.62%) 42 (91.3 %) 1. Limit the kinds of food consumed 1.87 (1.14) 1.78 (1.15) 1.78 (0.81) 2. Trouble biting or chewing 1.96 (1.2) 1.91 (1.27) 1.78 (1) 3. Able to swallow comfortably 2.2 (1) 1.81 (1.47) 1.41(1.15) 4. Unable to speak clearly 1.63 (1) 1.13 (0.42) 1.24(0.57) 5. Able to eat without discomfort 1.9 (1.17) 1.59 (0.98) 1.76 (0.79) 6. Limit contact with people 1.45 (0.9) 1.34 (0.75) 1.3 (0.73) 7. Pleased with appearance of teeth 2.85 (1.65) 3.2 (1.79) 2.22(1.25) 8. Use medication to relieve pain 1.83 (1.08) 1.94 (1.13) 1.87 (0.88) 9. Worried about teeth, gum or dentures 2.56 (1.39) 2.06 (1.54) 2.54(1.15) 10. Self-conscious about teeth, gum or dentures 1.66 (0.94) 1.59 (1.02) 2.02 (1.06) 11. Uncomfortable eating in front of others 1.54 (0.82) 1.53 (0.8) 1.39(0.8) 12. Sensitive to hot,cold or sweet food 2.07 (1.06) 2.19 (1.31) 2.22(0.94) Total score (12-60) 23.4 (6.94) 22.06 (7.05) 21.54 (5.6) 0.27 0.12 0.19 Physical function 7.6 (3.32) 6.63 (2.6) 6.22 (2.26) 0.15 0.06 0.05 Psychosocial function 10.07(3.23) 9.72 (3.74) 9.48 (3.5) 0.35 0.003 0.02 Pain discomfort 5.78 (2.19) 5.72 (2.48) 5.85 (1.48) 0.69 0.15 0.1 RA: Rheumatoid Arthritis, SLE: Systemic Lupus Erythematosus Conclusion: RA patients presented an increased alteration in oral health perspective when compared to SLE and controls. This association demonstrates the relationship between RA and periodontitis pathogenesis. Importance in diagnosing periodontal disorders in rheumatic diseases should be performed due to its influence in quality of life and perpetuation of an inflammatory state and oral symptoms. References: [1]Blaizot, A., Monsarrat, P., Constantin, A., Vergnes, J. N., de Grado, G. F., Nabet, C., ... &amp; Sixou, M. (2013). Oral health-related quality of life among outpatients with rheumatoid arthritis. International dental journal, 63(3), 145-153. Disclosure of Interests: None declared