Evidence map›Paper›PMID 42129776›Full record

Trial reportBMC oral health2026

The effect of anti-tumor necrosis factor-alpha and nonsurgical periodontal therapy in individuals with rheumatoid arthritis.

Hatice Yemenoglu, Melek Beder, Osman Cüre, Oğuz Köse, Medeni Arpa, Mehtap Atak, Semih Alperen Bostan

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06818045 (Investigation of the Effect of Nonsurgical Periodontal Treatment Applied Together With Anti-TNF-α on Alveolar Bone Loss and Oxidative Stress in Patients With Rheumatoid Arthritis and Periodontitis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06818045 nacompletednot on this map

Investigation of the Effect of Nonsurgical Periodontal Treatment Applied Together With Anti-TNF-α on Alveolar Bone Loss and Oxidative Stress in Patients With Rheumatoid Arthritis and Periodontitis

TypeinterventionalSponsorHatice YemenoğluRan2024 to 2025Enrolled46ConditionsPeridontal Disease, Rheumatic ArthritisArmsNon Surgical Periodontal Treatment, Periodontal measurements will be performed, biochemical measurements, No medication will be administered to patients.
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hatice YemenogluDepartment of Periodontology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, 53020, Turkey.ORCID 0000-0002-2532-2896
Melek BederDepartment of Periodontology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, 53020, Turkey. melek.beder@erdogan.edu.tr.ORCID 0009-0000-1483-3132
Osman CüreDepartment of Internal Diseases, Rheumatology Subdivision, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.ORCID 0000-0001-5848-6363
Oğuz KöseDepartment of Periodontology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, 53020, Turkey.ORCID 0000-0002-0318-2458
Medeni ArpaDepartment of Biochemistry, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.ORCID 0000-0001-8321-4829
Mehtap AtakDepartment of Biochemistry, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.ORCID 0000-0002-9451-906X
Semih Alperen BostanDepartment of Periodontology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, 53020, Turkey.ORCID 0000-0003-3946-4315

Funding

Recep Tayyip Erdogan Üniversitesi TSA-2024-1623Recep Tayyip Erdoğan Üniversitesi , Türkiye 02026002027153
6 · The paper itself

Abstract

backgroundTNF-α inhibitors (anti-TNF-α) decrease the amount of inflammatory cells, osteoclast formation, and bone loss. The purpose of this study was to investigate the effect of non-surgical periodontal therapy (NSPT) combined with anti-TNF-α on oxidative stress in individuals with RA and periodontitis.

methodsA total of 42 patients with RA and periodontitis who were treated with anti-TNF-α (n = 21) and not treated with anti-TNF-α (n = 21) were included in the study. Plaque index (PI), bleeding on probing (BOP), gingival index (GI), clinical attachment loss (CAL), and probing pocket depth (PPD) measurements were measured at baseline, at 3 months, and at 6 months after NSPT, and serum and gingival crevicular fluid (GCF) samples were obtained from the patients. RANKL/OPG, MMP-8, MDA, GSH, and OSI levels were evaluated using ELISA.

resultsIn both groups, baseline PI, BOP, GI, PPD, and CAL decreased significantly after NSPT (p < 0.05). The GCF RANKL/OPG ratio was statistically significantly lower in anti-TNF-α treated patients at baseline and at 6 months post-NSPT (p < 0.05), and the serum OSI was significantly higher in anti-TNF-α treated patients at baseline (p < 0.05). GCF MMP-8 increased significantly after NSPT in both groups compared with baseline (p < 0.05). In those treated with anti-TNF-α, OSI and MDA decreased significantly after NSPT (p < 0.05).

conclusionsThe data from this study suggest that anti-TNF-α therapy can suppress inflammation and alveolar bone resorption by affecting the RANKL/OPG ratio, MMP-8, and oxidative stress parameters, and thus increase the effectiveness of NSPT.

trial registrationThis study was retrospectively registered on ClinicalTrials.gov (NCT06818045), 2025-02-02.

Indexed as

Arthritis, RheumatoidPeriodontitisTumor Necrosis Factor-alphaAdultDental Plaque IndexFemaleGingival Crevicular FluidHumansMaleMatrix Metalloproteinase 8Middle AgedOsteoprotegerinOxidative StressPeriodontal IndexRANK LigandMatrix Metalloproteinase 8OsteoprotegerinRANK LigandTNFSF11 protein, humanTumor Necrosis Factor-alphaAnti-TNF-αPeriodontitisRheumatoid arthritis

Identifiers

PMID42129776
PMCPMC13366721

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.