Efeito da raspagem e alisamento radicular em pacientes com artrite reumatoide : revisão da literatura

Abstract

Introduction: Periodontal disease (PD) is an infectious inflammatory disease that causes an exaggerated immune-inflammatory response, culminating in the loss of tooth supporting tissues. PD can relate to other systemic diseases, including rheumatoid arthritis (RA), which is an autoimmune chronic inflammatory disease characterized by the destruction of joints and leading to motor impairment. These two diseases have similar pathogenesis and, therefore, it is postulated that PD may influence the evolution of RA. Objective: This study aimed at evaluating the effect of scaling and root planing (SRP) in clinical parameters of PD as well as in clinical and laboratory findings of RA through literature review. Materials and methods: Thus, a single investigator reviewed literature published from 2003-2013 in the PubMed database, using the following keywords: “Rheumatoid arthritis” and “Periodontal therapy”, limiting the review to clinical essays. Results: Initially, 116 articles were found. After reading the titles and abstracts, and considering criteria of eligibility, five full papers were selected. Conclusion: Four studies showed that, besides improving clinical parameters of PD, SRP improved laboratory findings of RA. One article noted that SRP reduced the symptoms of swollen and painful joints. Thus, we can conclude that SRP can improve the clinical parameters of PD, signs and symptoms, and laboratory parameters of RA patients