{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:45:04Z","timestamp":1792079104233,"version":"4.4.0"},"reference-count":52,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T00:00:00Z","timestamp":1669939200000},"content-version":"vor","delay-in-days":335,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100017649","name":"Hong Kong Government","doi-asserted-by":"publisher","award":["28140654"],"award-info":[{"award-number":["28140654"]}],"id":[{"id":"10.13039\/501100017649","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Dentistry"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>\n                    <jats:italic>Objective<\/jats:italic>\n                    . This study aimed to examine the frequency and predictive factors of adverse oral and dental outcomes in patients with rheumatoid arthritis (RA) with the goal to address their unmet dental healthcare needs in the metropolitan city of Hong Kong.\n                    <jats:italic>Methods<\/jats:italic>\n                    . 238 RA patients followed up at local public hospitals were recruited in this cross\u2010sectional study. A full dental examination was performed. Data were compared with the retrospective data collected from age\u2010matched control groups in the community conducted in a territory\u2010wide oral health survey in 2011. Predictive factors for severe periodontitis including various demographic and disease\u2010specific factors were examined by multiple logistic regression analysis.\n                    <jats:italic>Results<\/jats:italic>\n                    . Loose teeth and gum bleeding were frequent dental complaints. Only 85.0% of RA patients had &gt;20 natural teeth. Total edentulism was observed in 3.8% of patients, which was higher among adult (22\u201364 years) and elderly (&gt;65 years old) RA patients than their respective age\u2010matched community control groups. RA patients had a higher decayed, missing, and filled tooth score. Adult RA patients had a 5.3\u2010fold increase in risk of severe periodontitis than their community counterparts. The plaque index was the main predisposing factor for severe periodontitis (odds ratio 17.5,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.001), which was worse among the 22\u201334 age group of patients. More RA patients required tooth extraction compared to dental filling for their community controls.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . Severe periodontitis is a major cause of unmet dental healthcare needs among RA patients in Hong Kong. It is recommended that dental care plans for RA patients be commenced early among newly diagnosed patients.\n                  <\/jats:p>","DOI":"10.1155\/2022\/8710880","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T11:35:33Z","timestamp":1669980933000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Severe Periodontitis Is a Major Contributory Factor to Unmet Dental Healthcare Needs among Rheumatoid Arthritis Patients in Hong Kong"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4898-2114","authenticated-orcid":false,"given":"Mo Yin","family":"Mok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing Yin","family":"Kong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3703-8232","authenticated-orcid":false,"given":"Katherine Chiu Man","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Kuen","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Lo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Pui Ling","family":"Tsang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry Kwok Kong","family":"Fung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6698-8355","authenticated-orcid":false,"given":"Wallace Chak Sing","family":"Lau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1979-910X","authenticated-orcid":false,"given":"Wai Keung","family":"Leung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,2]]},"reference":[{"key":"e_1_2_9_1_2","first-page":"1","article-title":"Hong Kong domestic health spending: financial years 1989\/90 to 2011\/12","volume":"21","author":"Tin K. 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