The Impact of Rheumatoid Arthritis on Peri-implantitis: Mechanisms, Management, and Clinical Implications
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Abstract
Rheumatoid arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of the synovial membrane, leading to joint destruction and systemic complications. In recent years, there has been growing interest in exploring the relationship between RA and peri-implantitis, a destructive inflammatory process affecting dental implants. This review examines the mechanisms underlying the influence of RA on peri-implantitis development and progression, focusing on immune dysregulation, altered bone metabolism, and microbial interactions. Additionally, the implications of RA-related systemic inflammation and medication use on peri-implant health are discussed. Management strategies for peri-implantitis in RA patients, including preventive measures, non-surgical and surgical interventions, and interdisciplinary collaboration between rheumatologists and dental professionals, are highlighted. Understanding the complex interplay between RA and peri-implantitis is essential for optimizing treatment outcomes and improving the long-term success of dental implant therapy in RA patients.
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