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Features of Radiation Criteria of Chronic Generalized Periodontitis in Rheumatoid Arthritis

https://doi.org/10.52560/2713-0118-2024-3-9-21

Abstract

Objective. To determine the features of the radiation criteria of chronic generalized periodontitis in rheumatoid arthritis (RA).
Materials and Methods. 71 patients were examined with chronic generalized periodontitis and rheumatoid arthritis. The average age of patients was 48 ± 6.9 years. All patients underwent cone beam computed tomography (CBCT) (n = 71), orthopantomography (n = 42).
Results. In the group of patients with seronegative RA, radiation criteria according to CBCT were more pronounced in comparison with patients with seropositive RA. Signs of a decrease in bone density according to CBCT correlated with changes in the musculoskeletal system in 68.9 % of cases in the group with seropositive RA (r = 0.954). When analyzing CBCT in assessing jaw density for patients with RA, it was found that the method is effective. In case of seropositive or seronegative RA, the lowest bone density according to CBCT is found in the structure of the upper jaw.
Conclusion. 1. In the group of patients with seronegative RA, radiation criteria according to CBCT were more pronounced compared with patients with seropositive RA (p < 0.05). 2. A decrease in bone density according to CBCT correlated with changes in the musculoskeletal system in the group with seropositive RA (r = 0.954). 3. When analyzing CBCT in assessing jaw bone density for patients with RA, it was found that the method is effective (AUROC 0.993, CI 0.958 – 0.996). 4. It was found that in patients with chronic generalized periodontitis on the background of seropositive or seronegative RA, the lowest bone density according to CBCT is found in the structure of the upper jaw.

About the Authors

T. G. Morozova
Smolensk State Medical University of the Ministry of Healthcare of Russia
Russian Federation

Morozova Tat'jana Gennad'evna, M. D. Med., Associate Professor, Head of the Department of Radiation Diagnostics and Radiation Therapy with a course of additional professional education 

28, Кrupskaya st., Smolensk, 214019, Russia.

+7 (481) 255-34-09



S. M. Tjurin
Smolensk State Medical University of the Ministry of Healthcare of Russia
Russian Federation

Tjurin Sergej Maksimovich, PhD-student in the department of dentistry of the faculty of additional professional education with the course of organization of medical care 

28, Кrupskaya st., Smolensk, 214019, Russia.

+7 (481) 255-76-36



O. L. Mishutina
Smolensk State Medical University of the Ministry of Healthcare of Russia
Russian Federation

Mishutina Ol'ga Leonidovna, Ph. D. Med., Associate Professor of the department of dentistry of the faculty of additional professional education with the course of organization of medical care 

28, Кrupskaya st., Smolensk, 214019, Russia.

+7 (481) 255-76-36



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For citations:


Morozova T.G., Tjurin S.M., Mishutina O.L. Features of Radiation Criteria of Chronic Generalized Periodontitis in Rheumatoid Arthritis. Radiology - Practice. 2024;(3):9-21. (In Russ.) https://doi.org/10.52560/2713-0118-2024-3-9-21

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ISSN 2713-0118 (Online)