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This case-control study compared the prevalence of Apical Periodontitis (AP) in patients with autoimmune disorders (IBD, RA, Psoriasis) to those without autoimmune disorders. The study included 89 patients with autoimmune disorders and 89 without, and the periapical status of the teeth was determined through dental panoramic tomograms. The results showed that patients with autoimmune disorders had a higher prevalence of AP (89.9%) compared to control subjects (74.2%). The risk of AP was highest for patients with RA and lowest for those with IBD. The teeth of AD patients who were not taking any medication or being treated with biological Disease Modifying Anti-Rheumatic Drugs (bDMARDs) had a higher risk of being affected by AP than the teeth of the control subjects. The teeth of patients taking conventional DMARDs (cDMARDs) were less affected by AP than those of patients taking bDMARDs. The DMFT index score, higher in AD patients than controls, was identified as a significant predictor of AP prevalence.
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