{"id":65,"date":"2024-08-27T13:23:43","date_gmt":"2024-08-27T13:23:43","guid":{"rendered":"http:\/\/psoriasisarthritis.ch.185-117-168-104.srv14.webpreview.ch\/?p=65"},"modified":"2024-08-28T10:58:31","modified_gmt":"2024-08-28T10:58:31","slug":"rheuma-und-zaehne","status":"publish","type":"post","link":"https:\/\/psoriasisarthritis.ch\/?p=65","title":{"rendered":"Rheuma &amp; Z\u00e4hne"},"content":{"rendered":"<p>Was Du wissen solltest!<\/p>\n<h4>Entz\u00fcndliche Prozesse<\/h4>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Zahnfleischerkrankungen wie<\/span><\/p>\n<ul>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Parodontitis<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">(entz\u00fcndliche Reaktion durch Bakterien im Zahnbelag) oder<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Gingivitis<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> (Paradontalerkrankung durch entz\u00fcndetes Zahnfleisch)<\/span><\/li>\n<\/ul>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">sind entz\u00fcndliche Erkrankungen, die das Immunsystem belasten und systemische Entz\u00fcndungen verst\u00e4rken k\u00f6nnen. Chronische Entz\u00fcndungen im Mund k\u00f6nnen daher auch den Verlauf von rheumatischen Erkrankungen negativ beeinflussen\u200b.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Zahnfleischerkrankungen wie<\/span><\/p>\n<ul>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Parodontitis<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">(entz\u00fcndliche Reaktion durch Bakterien im Zahnbelag) oder<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Gingivitis<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> (Paradontalerkrankung durch entz\u00fcndetes Zahnfleisch)<\/span><\/li>\n<\/ul>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">sind entz\u00fcndliche Erkrankungen, die das Immunsystem belasten und systemische Entz\u00fcndungen verst\u00e4rken k\u00f6nnen.<\/span><\/p>\n<h4>Bakterielle Infektionen<\/h4>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Bakterien, die Zahnfleischerkrankungen verursachen, k\u00f6nnen auch systemische Entz\u00fcndungen f\u00f6rdern.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Ein besonders relevanter Mechanismus ist die<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> Citrullination<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">, bei der die Aminos\u00e4ure <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Arginin in Citrullin<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> umgewandelt wird.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Dieser Prozess wird durch das Bakterium <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Aggregatibacter actinomycetemcomitans <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">gef\u00f6rdert, das eine <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Hypercitrullination<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> in wei\u00dfen Blutk\u00f6rperchen ausl\u00f6st.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Bei der <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Hypercitrullination<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">entstehen<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> citrullinierte Proteine<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">, die<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">vom Immunsystem oft als fremd erkannt werden, was wiederum eine Autoimmunreaktion ausl\u00f6st.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Diese Autoimmunreaktion ist ein zentraler Faktor bei Rheumatoider Arthritis, da das Immunsystem die citrullinierten Proteine angreift und so Entz\u00fcndungen und Gelenksch\u00e4den verursacht\u200b.<\/span><\/p>\n<h4>Genetische Pr\u00e4disposition (Vorbelastung)<\/h4>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Bestimmte genetische Marker und Pr\u00e4dispositionen, wie <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Polymorphismen im<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">KCNQ1-Gen<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">, wurden sowohl mit rheumatischen Erkrankungen als auch mit Parodontitis in Verbindung gebracht.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Polymorphismen sind Varianten eines Gens, die zu unterschiedlichen Auspr\u00e4gungen eines Merkmals f\u00fchren k\u00f6nnen.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Diese genetischen Varianten k\u00f6nnten erkl\u00e4ren, warum einige Menschen anf\u00e4lliger f\u00fcr beide Erkrankungen sind als andere.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Polymorphismen im KCNQ1-Gen wurden mit der Regulierung von Entz\u00fcndungsprozessen in Verbindung gebracht, was ihre Bedeutung bei entz\u00fcndlichen Erkrankungen wie Rheuma und Parodontitis unterstreicht.\u200b<\/span><\/p>\n<h4>Klinische Studienergebnisse<\/h4>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Studien zeigen eine hohe Pr\u00e4valenz von Parodontitis bei Patienten mit rheumatischen Erkrankungen.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Eine Studie der <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Johns Hopkins University<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> ergab, dass 70% der untersuchten RA-Patienten mindestens eine moderate Parodontitis hatten, w\u00e4hrend 30% eine schwere Parodontitis aufwiesen\u200b (<\/span><a class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-underline text-strikethrough-none\" draggable=\"false\" href=\"https:\/\/www.hopkinsarthritis.org\/arthritis-news\/ra-news\/dental-health-and-rheumatoid-arthritis-a-research-update\/\" target=\"_blank\" rel=\"noopener\">Johns Hopkins Arthritis Center<\/a><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">).<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Diese chronischen Entz\u00fcndungen im Mund k\u00f6nnen systemische Entz\u00fcndungen f\u00f6rdern, die das Fortschreiten von rheumatischen Erkrankungen beg\u00fcnstigen <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">und andere systemische Erkrankungen wie kardiovaskul\u00e4re Erkrankungen und Diabetes verschlechtern k\u00f6nnen\u200b.<\/span><\/p>\n<h4>Empfehlungen<\/h4>\n<ul>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Regelm\u00e4\u00dfige zahn\u00e4rztliche Untersuchungen:<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> Patienten mit rheumatischen Erkrankungen sollten mindestens 2 mal im Jahr zur Zahnkontrolle gehen und eine professionelle Zahnreinigung durchf\u00fchren lassen.<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Gr\u00fcndliche Mundhygiene:<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> T\u00e4gliches Z\u00e4hneputzen, die Verwendung von Zahnseide und Mundsp\u00fclungen sind entscheidend, um die bakterielle Belastung im Mund zu reduzieren.<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Gesunde Ern\u00e4hrung:<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> Eine ausgewogene Ern\u00e4hrung mit wenig Zucker, viel Obst und Gem\u00fcse unterst\u00fctzt die Gesundheit des Zahnfleisches und des gesamten K\u00f6rpers.<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Medikament\u00f6se Unterst\u00fctzung:<\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"> Entz\u00fcndungshemmende Medikamente k\u00f6nnen notwendig sein, um sowohl Zahnfleischerkrankungen als auch rheumatische Symptome zu kontrollieren.<\/span><\/li>\n<\/ul>\n<h4>Fazit<\/h4>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Die Verbindung zwischen Zahnproblemen und rheumatischen Erkrankungen ist signifikant und betont die Notwendigkeit einer guten Mundhygiene und regelm\u00e4\u00dfiger Zahnarztbesuche.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Durch die Pflege der Mundgesundheit und die enge Zusammenarbeit zwischen Zahn\u00e4rzten und Rheumatologen k\u00f6nnen Patienten die Symptome beider Erkrankungen lindern und ihre Lebensqualit\u00e4t verbessern.<\/span><\/p>\n<h4>Tipp<\/h4>\n<p><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Falls du Sicca Symptome haben solltest, informiere Dich bei Deiner Krankenkasse, ob diese die Kosten f\u00fcr eine professionelle Zahnreinigung \u00fcbernimmt. Manche Versicherungen unterst\u00fctzen die Prophylaxe bei einem Sicca-Syndrom.<\/span><\/p>\n<h4>Quellen<\/h4>\n<ul>\n<li class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Johns Hopkins Arthritis Center<\/span><\/li>\n<li class=\"cvGsUA direction-ltr align-start para-style-body\">Johns Hopkins Rheumatology<\/li>\n<li class=\"cvGsUA direction-ltr align-start para-style-body\">Nazurah Nik Eezammuddeen, Rathna Devi Vaithilingam, Norul Husna Mohamad Hassan &amp; Peter Mark Bartold (2020), <em>&#171;Association between rheumatoid arthritis and peridontitis: recent progress&#187;<\/em><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Was Du wissen solltest! Entz\u00fcndliche Prozesse Zahnfleischerkrankungen wie Parodontitis (entz\u00fcndliche Reaktion durch Bakterien im Zahnbelag) oder Gingivitis (Paradontalerkrankung durch entz\u00fcndetes Zahnfleisch) sind entz\u00fcndliche Erkrankungen, die das Immunsystem belasten und systemische &#8230;<\/p>\n","protected":false},"author":1,"featured_media":372,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-65","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rheuma-zaehne"],"_links":{"self":[{"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/posts\/65","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=65"}],"version-history":[{"count":5,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/posts\/65\/revisions"}],"predecessor-version":[{"id":398,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/posts\/65\/revisions\/398"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=\/wp\/v2\/media\/372"}],"wp:attachment":[{"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/psoriasisarthritis.ch\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}