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Open Access Research article

Periodontal status of rheumatoid arthritis patients in khartoum state

Safa K Abdelsalam1, Nada T Hashim2*, Emitithal M Elsalamabi3 and Bakri G Gismalla4

Author Affiliations

1 Department of periodontology, School of Dentistry, Elneilein University, Khartoum, Sudan

2 Department of Periodontology, Khartoum North Dental Teaching Hospital, Khatroum, Sudan

3 Department of rheumatology, Faculty of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan

4 Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan

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BMC Research Notes 2011, 4:460  doi:10.1186/1756-0500-4-460

Published: 28 October 2011



Few studies have investigated the periodontal condition among Rheumatoid arthritis in Sudan. The present study described the periodontal condition among Sudanese patients suffering from rheumatoid arthritis and to compare them with those of non-rheumatic subjects.


A group of eighty rheumatoid arthritis patients was selected from Patient's Rheumatoid Clinics in Khartoum State during the period of January to May 2010. A control group of eighty patients with the same age and gender was selected for the study. Both Rheumatoid arthritis patients and the control group were examined for their plaque index, gingival index, and clinical attachment loss.


The results revealed that there were no significant differences in plaque and gingival index among study and control groups, with mean plaque index of (1.25 ± 0.4) for patients and (1.17 ± 0.28) for the control group (p-value is 0.3597). The mean gingival index was (1.2 ± 0.24) for the patients and (1.2 ± 0.33) for the control (p = is 0.3049). The results showed statistically significant differences in clinical attachment loss between study and control groups, with mean clinical attachment loss of (1.03 ± 0.95) for the study group and (0.56 ± 0.63) for the control group (p = 0.0002). The study revealed that no association exists between the type of drug used to treat rheumatoid arthritis (NSAIDs & DMARDs) and the periodontal parameters (plaque index, gingival index, and clinical attachment loss).


A significant relationship between periodontal disease and Rheumatoid Arthritis does exist, but no difference between plaque and gingival index has been detected among study and control groups.

periodontal health; Rheumatoid arthritis