Clinical manifestations of chronic catarrhal gingivitis in patients with juvenile rheumatoid arthritis
The aim of our work was to study the clinical manifestations of chronic catarrhal gingivitis (CCG) in patients with juvenile rheumatoid arthritis (JRA). Materials and methods. The study involved 138 patients with CCG suffering from JRA, aged 7-16 years. Results. Hygiene level (Green-Vermillion) is defined as «satisfactory». The intensity of the inflammatory process (papillary-marginal-alveolar index (PMA)) corresponded to the mild level of gingivitis with an upper limit of 47.22% (in patients with «unsatisfactory» oral hygiene and with JRA during exacerbation). Low values of the index were observed in patients with the index level of hygiene, approaching the «unsatisfactory» and receiving basic therapy JRA (cytostatics, hormones). The value of the PMA in patients with changeable occlusion was 23.88% higher than in patients with permanent occlusion (12,1 ± 8,13% and 14,99 ± 9,47%, respectively). Regardless of the shape and duration of JRA indicator was more significant in boys than in girls. Quantitative evaluation of relationship between index of bleeding PBI and indices PMA and OHI-S Green-Vermillion revealed the existence of correlative relationships in a removable occlusion (r = 0.89, r = 0.54; p <0.001) and in constant (r = 0,82, r = 0,59; p <0.001). A correlation bond of medium strength between the indices of bleeding and hygiene showed the reduction of dominant role of the microbial factor in the development of inflammation in the gums and increasing influence of the processes occurring in patients with JRA, on the course and the manifestation of clinical signs of CCG. Conclusion. The degree of clinical signs CCG JRA patients depends on the shape and activity of rheumatoid arthritis, as well as drug therapy of background pathology.