Periodontal disease and rheumatoid arthritis: a systematic review

This systematic review considers the evidence available for a relationship between periodontal disease and rheumatoid arthritis. MEDLINE/PubMed, CINAHL, DOSS, Embase, Scopus, Web of Knowledge, MedNar, and ProQuest Theses and Dissertations were searched from the inception of the database until June 2...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of dental research Vol. 92; no. 5; p. 399
Main Authors:	Kaur, S, White, S, Bartold, P M
Format:	Journal Article
Language:	English
Published:	United States 01.05.2013
Subjects:	Adult Aged Aged, 80 and over Arthritis, Rheumatoid - blood Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - immunology Autoantibodies - blood Autoantibodies - immunology Autoantigens - immunology C-Reactive Protein - immunology Citrulline - immunology Cross Reactions - immunology Evidence-Based Medicine Female Humans Interleukin-1beta - blood Interleukin-1beta - immunology Male Middle Aged Periodontal Diseases - blood Periodontal Diseases - complications Periodontal Diseases - immunology
ISSN:	1544-0591, 1544-0591
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Abstract	This systematic review considers the evidence available for a relationship between periodontal disease and rheumatoid arthritis. MEDLINE/PubMed, CINAHL, DOSS, Embase, Scopus, Web of Knowledge, MedNar, and ProQuest Theses and Dissertations were searched from the inception of the database until June 2012 for any quantitative studies that examined the association between periodontal disease and rheumatoid arthritis. Nineteen studies met our inclusion criteria. Good evidence was found to support an association between these conditions with regard to tooth loss, clinical attachment levels, and erythrocyte sedimentation rates. Moderate evidence was noted for C-reactive protein and interleukin-1β. Some evidence for a positive outcome of periodontal treatment on the clinical features of rheumatoid arthritis was noted. These results provide moderate evidence based on biochemical markers and stronger evidence with regard to clinical parameters that common risk factors or common pathologic processes may be responsible for an association between rheumatoid arthritis and periodontal disease. Further studies are required to fully explore both the biochemical processes and clinical relationships between these 2 chronic inflammatory conditions. There is a need to move from case-control studies to more rigorous studies using well-defined populations and well-defined biochemical and clinical outcomes as the primary outcome measures with consideration of potential confounding factors.
AbstractList	This systematic review considers the evidence available for a relationship between periodontal disease and rheumatoid arthritis. MEDLINE/PubMed, CINAHL, DOSS, Embase, Scopus, Web of Knowledge, MedNar, and ProQuest Theses and Dissertations were searched from the inception of the database until June 2012 for any quantitative studies that examined the association between periodontal disease and rheumatoid arthritis. Nineteen studies met our inclusion criteria. Good evidence was found to support an association between these conditions with regard to tooth loss, clinical attachment levels, and erythrocyte sedimentation rates. Moderate evidence was noted for C-reactive protein and interleukin-1β. Some evidence for a positive outcome of periodontal treatment on the clinical features of rheumatoid arthritis was noted. These results provide moderate evidence based on biochemical markers and stronger evidence with regard to clinical parameters that common risk factors or common pathologic processes may be responsible for an association between rheumatoid arthritis and periodontal disease. Further studies are required to fully explore both the biochemical processes and clinical relationships between these 2 chronic inflammatory conditions. There is a need to move from case-control studies to more rigorous studies using well-defined populations and well-defined biochemical and clinical outcomes as the primary outcome measures with consideration of potential confounding factors. This systematic review considers the evidence available for a relationship between periodontal disease and rheumatoid arthritis. MEDLINE/PubMed, CINAHL, DOSS, Embase, Scopus, Web of Knowledge, MedNar, and ProQuest Theses and Dissertations were searched from the inception of the database until June 2012 for any quantitative studies that examined the association between periodontal disease and rheumatoid arthritis. Nineteen studies met our inclusion criteria. Good evidence was found to support an association between these conditions with regard to tooth loss, clinical attachment levels, and erythrocyte sedimentation rates. Moderate evidence was noted for C-reactive protein and interleukin-1β. Some evidence for a positive outcome of periodontal treatment on the clinical features of rheumatoid arthritis was noted. These results provide moderate evidence based on biochemical markers and stronger evidence with regard to clinical parameters that common risk factors or common pathologic processes may be responsible for an association between rheumatoid arthritis and periodontal disease. Further studies are required to fully explore both the biochemical processes and clinical relationships between these 2 chronic inflammatory conditions. There is a need to move from case-control studies to more rigorous studies using well-defined populations and well-defined biochemical and clinical outcomes as the primary outcome measures with consideration of potential confounding factors.This systematic review considers the evidence available for a relationship between periodontal disease and rheumatoid arthritis. MEDLINE/PubMed, CINAHL, DOSS, Embase, Scopus, Web of Knowledge, MedNar, and ProQuest Theses and Dissertations were searched from the inception of the database until June 2012 for any quantitative studies that examined the association between periodontal disease and rheumatoid arthritis. Nineteen studies met our inclusion criteria. Good evidence was found to support an association between these conditions with regard to tooth loss, clinical attachment levels, and erythrocyte sedimentation rates. Moderate evidence was noted for C-reactive protein and interleukin-1β. Some evidence for a positive outcome of periodontal treatment on the clinical features of rheumatoid arthritis was noted. These results provide moderate evidence based on biochemical markers and stronger evidence with regard to clinical parameters that common risk factors or common pathologic processes may be responsible for an association between rheumatoid arthritis and periodontal disease. Further studies are required to fully explore both the biochemical processes and clinical relationships between these 2 chronic inflammatory conditions. There is a need to move from case-control studies to more rigorous studies using well-defined populations and well-defined biochemical and clinical outcomes as the primary outcome measures with consideration of potential confounding factors.
Author	Bartold, P M Kaur, S White, S
Author_xml	– sequence: 1 givenname: S surname: Kaur fullname: Kaur, S organization: Colgate Australian Clinical Dental Research Centre (CACDRC), Adelaide Dental Hospital, University of Adelaide, SA 5005, Australia, associated with the Joanna Briggs Institute, Faculty of Health Sciences, the University of Adelaide, SA 5005 – sequence: 2 givenname: S surname: White fullname: White, S – sequence: 3 givenname: P M surname: Bartold fullname: Bartold, P M
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/23525531$$D View this record in MEDLINE/PubMed
BookMark	eNpNj0tLAzEUhYNUrK3uXcks3Yzm5jHJuCvFFxR00f1wm7lDI_OoSUbpv7diBVfnwPk48M3YpB96YuwK-C2AMXecC8Gl0iCVlaDECTsHrVTOdQmTf33KZjG-cw6lsPKMTYXUQmsJ52zxRsEP9dAnbLPaR8JIGfZ1FrY0dpgGX2cY0jb45ON9hlncx0SHwbss0Kenrwt22mAb6fKYc7Z-fFgvn_PV69PLcrHKnZQm5ZY7vmmsKzaiqDVHVxYGdNOgdQ0AUskVVySdLZALbIyxnADBaiPqwhoxZze_t7swfIwUU9X56KhtsadhjBVIYQ-6pfpBr4_ouOmornbBdxj21Z-1-Aa1gVq7
CitedBy_id	crossref_primary_10_3390_microorganisms13081877 crossref_primary_10_1155_2016_7150509 crossref_primary_10_1371_journal_pone_0134234 crossref_primary_10_3899_jrheum_2024_0369_dunlop_dottridge crossref_primary_10_2217_ijr_15_23 crossref_primary_10_3389_fphys_2023_1136973 crossref_primary_10_1080_08916934_2016_1261841 crossref_primary_10_1038_s41415_020_2056_y crossref_primary_10_3390_healthcare8030209 crossref_primary_10_1016_j_pdpdt_2021_102698 crossref_primary_10_1080_1354750X_2020_1794043 crossref_primary_10_1128_JB_00790_17 crossref_primary_10_1902_jop_2014_140302 crossref_primary_10_1186_s12909_020_02218_x crossref_primary_10_3390_ijerph20053866 crossref_primary_10_4049_jimmunol_1302005 crossref_primary_10_1007_s40496_014_0038_3 crossref_primary_10_7717_peerj_15502 crossref_primary_10_3390_brainsci10100679 crossref_primary_10_1002_art_38348 crossref_primary_10_1016_j_jobcr_2021_02_010 crossref_primary_10_1155_2016_9605906 crossref_primary_10_3109_13697137_2014_966239 crossref_primary_10_1016_j_nut_2018_03_054 crossref_primary_10_1007_s00296_014_3196_7 crossref_primary_10_1111_jcpe_13060 crossref_primary_10_1371_journal_pone_0092119 crossref_primary_10_1016_j_jdsr_2023_08_002 crossref_primary_10_1111_scd_12764 crossref_primary_10_1111_jre_12209 crossref_primary_10_1016_j_micinf_2015_03_007 crossref_primary_10_1002_ajhb_23549 crossref_primary_10_1016_j_ajodo_2020_06_002 crossref_primary_10_1111_omi_12155 crossref_primary_10_3389_fcimb_2020_585917 crossref_primary_10_1007_s10522_023_10047_w crossref_primary_10_1007_s10266_024_01033_w crossref_primary_10_1128_IAI_00035_18 crossref_primary_10_1080_00016357_2022_2078504 crossref_primary_10_1186_s12944_025_02543_4 crossref_primary_10_3109_07388551_2015_1035693 crossref_primary_10_3389_fmed_2024_1421328 crossref_primary_10_1002_evan_21887 crossref_primary_10_1038_s41598_025_11803_3 crossref_primary_10_1186_s13075_019_1982_z crossref_primary_10_1155_2020_6752342 crossref_primary_10_1016_j_cden_2024_05_001 crossref_primary_10_1111_prd_12342 crossref_primary_10_1186_s12903_020_01308_y crossref_primary_10_1016_j_jebdp_2017_05_007 crossref_primary_10_3390_pathogens10060730 crossref_primary_10_3390_healthcare9040370 crossref_primary_10_1016_j_cellimm_2014_06_005 crossref_primary_10_3390_diagnostics14242784 crossref_primary_10_1111_omi_12144 crossref_primary_10_1007_s00784_020_03226_3 crossref_primary_10_1111_odi_15297 crossref_primary_10_1186_1472_6831_14_79 crossref_primary_10_1111_1756_185X_13240 crossref_primary_10_1016_j_semarthrit_2020_01_009 crossref_primary_10_1902_jop_2015_150455 crossref_primary_10_1002_JPER_17_0412 crossref_primary_10_1902_jop_2016_150475 crossref_primary_10_1159_000492471 crossref_primary_10_1016_j_jep_2020_113341 crossref_primary_10_3390_healthcare6020052 crossref_primary_10_1038_sj_bdj_2016_866 crossref_primary_10_1016_j_rbre_2016_11_011 crossref_primary_10_3390_metabo15010035 crossref_primary_10_1016_j_mehy_2015_02_013 crossref_primary_10_1002_JPER_23_0543 crossref_primary_10_1128_IAI_01043_16 crossref_primary_10_1902_jop_2016_160422 crossref_primary_10_1111_prd_12198 crossref_primary_10_1371_journal_pone_0155956 crossref_primary_10_1016_j_disamonth_2018_11_001 crossref_primary_10_1007_s40496_020_00264_4 crossref_primary_10_1007_s40496_014_0040_9 crossref_primary_10_1111_odi_12199 crossref_primary_10_1016_j_identj_2022_01_002 crossref_primary_10_3389_froh_2022_956072 crossref_primary_10_3390_ijerph19148232 crossref_primary_10_1002_JPER_18_0290 crossref_primary_10_1111_jcpe_12799 crossref_primary_10_1111_omi_12082 crossref_primary_10_1186_s13075_020_02205_z crossref_primary_10_1111_jcpe_13402 crossref_primary_10_1007_s00784_017_2068_4 crossref_primary_10_1111_jcpe_12433 crossref_primary_10_1111_jre_13065 crossref_primary_10_1002_acr2_11718 crossref_primary_10_1007_s15010_025_02568_y crossref_primary_10_1111_jcpe_12794 crossref_primary_10_1016_j_clinmicnews_2013_09_003 crossref_primary_10_1038_s41415_025_8642_2 crossref_primary_10_1111_prd_12249 crossref_primary_10_1371_journal_pone_0276479 crossref_primary_10_1016_j_cden_2015_06_007 crossref_primary_10_1038_s41598_018_27766_7 crossref_primary_10_1111_prd_12129 crossref_primary_10_1002_JLB_4RU0221_102RR crossref_primary_10_17135_jdhs_2015_15_5_612 crossref_primary_10_1902_jop_2016_160196 crossref_primary_10_1016_j_identj_2022_04_008 crossref_primary_10_1177_1759720X19883152 crossref_primary_10_1902_jop_2016_160355 crossref_primary_10_1177_1759720X19858514 crossref_primary_10_1186_s12903_021_01695_w crossref_primary_10_3389_fdmed_2021_670012 crossref_primary_10_56373_2017_1_5 crossref_primary_10_1111_odi_13174 crossref_primary_10_1007_s00784_018_2727_0 crossref_primary_10_1038_bdjteam_2017_64 crossref_primary_10_1111_jre_12486 crossref_primary_10_1210_er_2018_00066 crossref_primary_10_1128_spectrum_04327_22 crossref_primary_10_1186_s12884_024_06905_1 crossref_primary_10_1002_art_39118 crossref_primary_10_1111_jre_12482 crossref_primary_10_7759_cureus_83568 crossref_primary_10_1186_s13075_020_2121_6 crossref_primary_10_1016_j_ijpp_2024_11_002 crossref_primary_10_3390_toxins13080533 crossref_primary_10_1007_s11838_016_0027_6 crossref_primary_10_3390_ijerph17124290 crossref_primary_10_1155_2014_793174 crossref_primary_10_3390_jcm9020513 crossref_primary_10_1089_jwh_2019_8162 crossref_primary_10_1902_jop_2014_140339 crossref_primary_10_3390_jcm8091309 crossref_primary_10_1902_jop_2017_170333 crossref_primary_10_1093_rheumatology_keae358 crossref_primary_10_1111_jcpe_12138 crossref_primary_10_1111_jre_13161 crossref_primary_10_3390_medicina58050621 crossref_primary_10_1080_20002297_2017_1332710 crossref_primary_10_1016_j_mehy_2015_03_006 crossref_primary_10_1111_jgs_16154 crossref_primary_10_1371_journal_pone_0122508 crossref_primary_10_3390_jcm13206087 crossref_primary_10_1002_art_40436 crossref_primary_10_1007_s00784_018_2420_3 crossref_primary_10_56373_2020_1_6 crossref_primary_10_1002_JPER_23_0604 crossref_primary_10_1097_JOM_0000000000001069 crossref_primary_10_1111_prd_12385 crossref_primary_10_1093_ejo_cjaa042 crossref_primary_10_1111_jre_70034 crossref_primary_10_1111_prd_12300 crossref_primary_10_1128_IAI_01727_14 crossref_primary_10_1002_art_39724 crossref_primary_10_1155_2014_378281 crossref_primary_10_1902_jop_2015_150088 crossref_primary_10_1371_journal_pone_0202278 crossref_primary_10_1186_s13075_016_1014_1 crossref_primary_10_1002_art_39455 crossref_primary_10_1111_apm_12688 crossref_primary_10_1111_jcpe_13757 crossref_primary_10_3390_ijerph17124394 crossref_primary_10_1371_journal_pone_0186346 crossref_primary_10_1002_JPER_17_0616 crossref_primary_10_1016_j_semarthrit_2014_04_009 crossref_primary_10_1042_BCJ20220244 crossref_primary_10_1002_JPER_17_0575 crossref_primary_10_1096_fj_201600790R crossref_primary_10_1111_jre_12344 crossref_primary_10_1002_pat_70209 crossref_primary_10_1186_s12909_022_03710_2 crossref_primary_10_1038_s41415_019_0723_7 crossref_primary_10_1007_s10067_019_04555_9 crossref_primary_10_1016_j_joen_2025_04_013
ContentType	Journal Article
DBID	CGR CUY CVF ECM EIF NPM 7X8
DOI	10.1177/0022034513483142
DatabaseName	Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic
DatabaseTitle	MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic
DatabaseTitleList	MEDLINE MEDLINE - Academic
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database
DeliveryMethod	no_fulltext_linktorsrc
Discipline	Dentistry
EISSN	1544-0591
ExternalDocumentID	23525531
Genre	Research Support, Non-U.S. Gov't Systematic Review Journal Article
GroupedDBID	--- -TM .2E .2J .2N .55 01A 0R~ 18M 1~K 29K 2WC 31R 31U 31X 31Z 34H 4.4 53G 54M 5GY 5RE 5VS 7RQ 7RV 7X7 88E 8AO 8FE 8FH 8FI 8FJ 8FW 8R4 8R5 AABMB AABOD AACMV AACTG AADUE AAEJI AAEWN AAGGD AAGLT AAGMC AAITX AAJPV AAKGS AANSI AAOVH AAPEO AAPII AAQXH AAQXI AARDL AARDX AARIX AATAA AATBZ AAUAS AAWTL AAXOT AAZBJ ABAWP ABCCA ABCJG ABDWY ABEIX ABFWQ ABHKI ABIDT ABJZC ABKRH ABLUO ABPGX ABPNF ABQKF ABQXT ABRHV ABUJY ABUWG ABVFX ABYTW ACARO ACDSZ ACDXX ACFEJ ACFMA ACGBL ACGFO ACGFS ACGZU ACJER ACJTF ACLFY ACLHI ACLZU ACOFE ACOXC ACPRK ACROE ACSIQ ACUAV ACUIR ACXKE ACXMB ADBBV ADDLC ADEBD ADEIA ADMPF ADNON ADRRZ ADSTG ADTBJ ADUKL ADVBO ADZZY AECGH AEDTQ AEILP AEKYL AENEX AEPTA AEQLS AERKM AESZF AEUHG AEWDL AEWHI AEXFG AEXNY AFEET AFFNX AFGYO AFKRA AFKRG AFMOU AFOSN AFQAA AFUIA AGHKR AGKLV AGNHF AGPXR AGWFA AHDMH AHJOV AHMBA AI. AIGRN AJEFB AJGYC AJMMQ AJUZI AJVBE AJXAJ ALIPV ALKWR ALMA_UNASSIGNED_HOLDINGS AMCVQ ANDLU ARTOV AUTPY AUVAJ AYAKG B3H B8M B8R B8Z B94 BBNVY BBRGL BDDNI BENPR BHPHI BKEYQ BKIIM BKSCU BPACV BPHCQ BSEHC BVXVI BWJAD BYIEH CAG CBRKF CCPQU CDWPY CFDXU CGR COF CORYS CQQTX CUTAK CUY CVF D-I DB0 DC- DF0 DO- DOPDO DU5 DV7 DWQXO E3Z EBD EBS ECM EIF EJD EX3 F5P FHBDP FYUFA GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION GX1 H13 HCIFZ HF~ HMCUK HZ~ J8X K.F LK8 M1P M7P N9A NAPCQ NPM O9- OHT P.9 P.B P2P PHGZM PHGZT PJZUB PPXIY PQGLB PQQKQ PROAC PSQYO Q1R Q2X Q7L Q7U Q83 ROL S01 S0X SASJQ SAUOL SCNPE SFC SGO SGR SGV SGZ SHG SPQ SPV TDR UKHRP VH1 W8F WOQ WOW X7M ZE2 ZGI ZONMY ZPPRI ZRKOI ZSSAH 7X8 AJHME
ID	FETCH-LOGICAL-c337t-80c0bf8c6b26d50ac96715ffa8cf11ae90404e3c86a02af7780e1a18572d6872
IEDL.DBID	7X8
ISICitedReferencesCount	190
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000317715300003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	1544-0591
IngestDate	Sat Sep 27 19:16:17 EDT 2025 Mon Jul 21 05:39:56 EDT 2025
IsPeerReviewed	true
IsScholarly	true
Issue	5
Language	English
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c337t-80c0bf8c6b26d50ac96715ffa8cf11ae90404e3c86a02af7780e1a18572d6872
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4
PMID	23525531
PQID	1328544947
PQPubID	23479
ParticipantIDs	proquest_miscellaneous_1328544947 pubmed_primary_23525531
PublicationCentury	2000
PublicationDate	2013-May 20130501
PublicationDateYYYYMMDD	2013-05-01
PublicationDate_xml	– month: 05 year: 2013 text: 2013-May
PublicationDecade	2010
PublicationPlace	United States
PublicationPlace_xml	– name: United States
PublicationTitle	Journal of dental research
PublicationTitleAlternate	J Dent Res
PublicationYear	2013
SSID	ssj0019283
Score	2.4987566
SecondaryResourceType	review_article
Snippet	This systematic review considers the evidence available for a relationship between periodontal disease and rheumatoid arthritis. MEDLINE/PubMed, CINAHL, DOSS,...
SourceID	proquest pubmed
SourceType	Aggregation Database Index Database
StartPage	399
SubjectTerms	Adult Aged Aged, 80 and over Arthritis, Rheumatoid - blood Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - immunology Autoantibodies - blood Autoantibodies - immunology Autoantigens - immunology C-Reactive Protein - immunology Citrulline - immunology Cross Reactions - immunology Evidence-Based Medicine Female Humans Interleukin-1beta - blood Interleukin-1beta - immunology Male Middle Aged Periodontal Diseases - blood Periodontal Diseases - complications Periodontal Diseases - immunology
Title	Periodontal disease and rheumatoid arthritis: a systematic review
URI	https://www.ncbi.nlm.nih.gov/pubmed/23525531 https://www.proquest.com/docview/1328544947
Volume	92
WOSCitedRecordID	wos000317715300003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings	1
isFullTextHit
isPrint
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07T8MwED4BRYKF96O8ZCRWi_iR2GFBFVCxUHXo0C1y_BAsaWkpv59zkioTEhKLp1iKTufzd7677wO481o5Z1NLhXEZlYhoKeJmRktZMqdChMCmFptQo5GeTvNx--C2bNsq1zGxDtRuZuMb-T1mTTqVMpfqcf5Jo2pUrK62Ehqb0BMIZWJLl5p2VYSc1zSckXCGIoxgXZkyToHzRMiUCakFi0LtvwHM-qIZ7v_3Fw9gr4WYZND4xCFs-OoIdp5jW1BUdjuGwRjdDtPROAhJ2goNMZUji3e_QgQ7-3AEPeq95jt6IIZ0dM-kGXU5gcnwZfL0SlspBWqFUF94D9mkDNpmJc9cmhibZ4qlIRhtA2PG53iWpRdWZybhJiilE89M5IniLtOKn8JWNav8ORAjE-s8ppX4qUS0YpjwpQ0ieEQGQad9uF0bp0BPjeUHU_nZall05unDWWPhYt5QahQ8srJiOLj4w-5L2OW1JkXsOryCXsBz6q9h236jURY3tQvgOhq__QDZC7rK
linkProvider	ProQuest
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Periodontal+disease+and+rheumatoid+arthritis%3A+a+systematic+review&rft.jtitle=Journal+of+dental+research&rft.au=Kaur%2C+S&rft.au=White%2C+S&rft.au=Bartold%2C+P+M&rft.date=2013-05-01&rft.eissn=1544-0591&rft.volume=92&rft.issue=5&rft.spage=399&rft_id=info:doi/10.1177%2F0022034513483142&rft_id=info%3Apmid%2F23525531&rft_id=info%3Apmid%2F23525531&rft.externalDocID=23525531
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1544-0591&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1544-0591&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1544-0591&client=summon