scholarly journals Periodontal treatment in pregnant women improves periodontal disease but does not alter rates of preterm birth

2007 ◽  
Vol 8 (2) ◽  
pp. 38-38 ◽  
Author(s):  
Rodrigo López
Keyword(s):  
Preterm Birth ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Periodontal Treatment

scholarly journals INFLUENCE OF PERIODONTAL TREATMENT ON PRETERM BIRTH: SYSTEMATIC REVIEW AND META ANALYSIS

2021 ◽  
Vol 06 (01) ◽  
pp. 88-91
Author(s):  
Zh. Oralkhan Zh. Oralkhan ◽  
G. Zhurabekova G. Zhurabekova ◽  
S. Abzalieva S. Abzalieva
Keyword(s):  
Systematic Review ◽  
Preterm Birth ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Birth Outcome ◽  
Adult Population ◽  
Health Condition ◽  
Periodontal Treatment ◽  
Cochrane Library ◽  
Risk Indicator

Background: Preterm birth is considered as the main cause neonatal mortality and morbidity[1]. The rate of preterm birth ranges from 5% to 18% of babies born in different countries[2].However, prevent, predict and delay this health condition is almost unsuccessful[2]. Millions of babies are born preterm and this number is rising[2]. Infectious diseases and local and systematic inflammation is most contributing factor to multifactorial etiology of this health condition[3]. The pregnant women are more susceptible to periodontal disease as it is the most prevalent chronic infectious disease in adult population[4]. There are 57 health condition related to periodontitis[5].The physical and hormonal alternation make the pregnant women more vulnerable to the periodontal disease. Relatively high prevalence of periodontitis during pregnancy found in different population, especially socio-economically disadvantaged women[4]. Periodontitis found to be a risk indicator for preterm birth outcome[6].Clinical trails were conducted to assess the effect of periodontal treatment during pregnancy on reducing these outcomes[7-25]. Objective: To assess the effect of different periodontal interventions during pregnancy on preterm birth outcome. Methods: A systematic review was conducted according to PRISMA guidelines[26], searching Cochrane Library, Pubmed and Embase databases up to 10 December, 2020. PICOS (Population, Intervention, Comparison and Outcomes, study design) framework was used as a search strategy tool. Intervention include scaling and root planning (SRP), Control oral hygiene instructions (OHI), Inclusion criteria were studied in pregnant women, including randomized controlled trials with the aim of assessing the effect of any periodontal treatments on preterm birth outcomes. Main outcome was perform birth(<37 gestational week). The data were extracted from two authors and statistical analyses carried out using Review Manager (RevMan).

scholarly journals Periodontal treatment among mothers with mild to moderate periodontal disease and preterm birth: reanalysis of OPT trial data accounting for selective survival

2018 ◽  
Vol 47 (5) ◽  
pp. 1670-1678 ◽  
Author(s):  
Anwar T Merchant ◽  
Melanie W Sutherland ◽  
Jihong Liu ◽  
Waranuch Pitiphat ◽  
Ananda Dasanayake
Keyword(s):  
Preterm Birth ◽  
Periodontal Disease ◽  
Trial Data ◽  
Periodontal Treatment ◽  
Selective Survival

scholarly journals Effect of per Capita Income on the Relationship between Periodontal Disease during Pregnancy and the Risk of Preterm Birth and Low Birth Weight Newborn. Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (21) ◽  
pp. 8015
Author(s):  
Carmen Alba Moliner-Sánchez ◽  
José Enrique Iranzo-Cortés ◽  
José Manuel Almerich-Silla ◽  
Carlos Bellot-Arcís ◽  
José Carmelo Ortolá-Siscar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Capita Income ◽  
Meta Analysis ◽  
Income Level ◽  
Per Capita Income ◽  
Per Capita

This work analyzed the available evidence in the scientific literature about the risk of preterm birth and/or giving birth to low birth weight newborns in pregnant women with periodontal disease. A systematic search was carried out in three databases for observational cohort studies that related periodontal disease in pregnant women with the risk of preterm delivery and/or low birth weight, and that gave their results in relative risk (RR) values. Eleven articles were found, meeting the inclusion criteria. Statistically significant values were obtained regarding the risk of preterm birth in pregnant women with periodontitis (RR = 1.67 (1.17–2.38), 95% confidence interval (CI)), and low birth weight (RR = 2.53 (1.61–3.98) 95% CI). When a meta-regression was carried out to relate these results to the income level of each country, statistically significant results were also obtained; on the one hand, for preterm birth, a RR = 1.8 (1.43–2.27) 95% CI was obtained and, on the other hand, for low birth weight, RR = 2.9 (1.98–4.26) 95% CI. A statistically significant association of periodontitis, and the two childbirth complications studied was found, when studying the association between these results and the country’s per capita income level. However, more studies and clinical trials are needed in this regard to confirm the conclusions obtained.

scholarly journals Effect of Periodontal Treatment on Preterm Birth Rate: Meta-analysis

2013 ◽  
Vol 4 (4) ◽  
pp. 256-261
Author(s):  
Adel S Alobaid
Keyword(s):  
Preterm Birth ◽  
Treatment Group ◽  
Periodontal Disease ◽  
Birth Rate ◽  
Meta Analysis ◽  
Periodontal Treatment ◽  
Control Group ◽  
Increased Risk ◽  
Significant Difference ◽  
Preterm Birth Rate

ABSTRACT Introduction During pregnancy, the prevalence and severity of gingivitis have been reported to be elevated. Studies suggest that periodontitis is associated with an increased risk of preterm birth (PTB), as well as low birth weight (LBW) and pre-eclampsia. The purpose of this meta-analysis is to determine whether the treatment of periodontal disease by mechanical debridement and oral hygiene instructions during pregnancy will reduce the incidence of PTB < 37 weeks. Materials and methods Literature search was conducted for all clinical trials that related to periodontal disease and PTB from 2005 to 2012. Five were selected based no randomization technique, sample size and treatment approach. There were 2,767 patients randomly assigned to treatment group, in these trials, and 2,592 subjects randomly assigned to control group. Results There were 276 (9.98%) PTBs in treatment group vs 270 (10.42%) in control group. A total of 216 (8%) LBW were seen in experimental groups and 193 (7.5%) in control group. Our results showed no significant difference in the incidence of PTB with or without received periodontal treatment during pregnancy. Risk ratio (RR) was 0.99 (95% CI: 0.74-1.33) (p = 0.97) with moderate heterogeneity 12.33. df = 4 (p = 0.02) with I2= 68%. Experimental groups showed better periodontal health after delivery. Conclusion Periodontal treatment may improve the oral health during pregnancy without affecting the pregnancy outcome however; it did not reduce the incidence of PTB and LBW. Larger meta-analysis with less heterogeneity is needed. How to cite this article Alobaid AS. Effect of Periodontal Treatment on Preterm Birth Rate: Meta-analysis. World J Dent 2013;4(4):256-261.

scholarly journals The Association between Periodontal Disease on Pregnancy and the Incidence of Preterm Labor

2012 ◽  
pp. 85-89
Author(s):  
Andoharman Damanik
Keyword(s):  
Preterm Birth ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Preterm Labor ◽  
Periodontal Diseases ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Health Clinic ◽  
Chi Square ◽  
Cross Sectional

Objective: To determine the association between periodontal disease on pregnancy and the incidence of preterm labor. Method: This was a cross sectional study. We enrolled sixty subjects, which then divided into two groups. One group comparised of thirty pregnant women preterm delivery and thirty women with preterm pregnancy. Subjects were chosen by consecutive sampling method. The subject’s teeth except Molar III were evaluated for probing depth, bleeding on probing, calculus, and the results were interpreted according to CPITN (WHO,1997). Evaluation were conducted at Dental and Oral Health Clinic at Sanglah Hospital and Gianyar Hospital. Results: The subjects characteristic was not different between the two groups, hence its influence could be avoided. Using Chi-Square test, we found that periodontal disease on pregnant women was associated with preterm birth, with prevalence ratio of 2.30 (CI 95% 1.69-3.13, p=0.011). Conclusion: Diseases on pregnant mother is associated with the incidence of preterm labor. Periodontal diseases is found twice as many in women with preterm labor compared to pregnant woman who did not experienced any signs of preterm labor. [Indones J Obstet Gynecol 2012; 36-2: 85-9] Keywords: periodontal disease, preterm birth

scholarly journals Periodontal Disease and Pregnancy Outcomes

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Dolapo A. Babalola ◽  
Folashade Omole
Keyword(s):  
Preterm Birth ◽  
Alcohol Consumption ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Dental Health ◽  
Obstetric Care ◽  
Adverse Outcomes ◽  
Dental Screening ◽  
In Pregnancy

An increasing number of studies are confirming an association between periodontal disease (PD) and adverse outcomes in pregnancy. PD places pregnant women at greater risk for preterm birth than alcohol consumption or smoking. This underscores the importance of offering dental screening to women who are pregnant or contemplating pregnancy and the need for physicians who provide obstetric care to be aware of the possible connection between poor dental health and poor pregnancy outcomes.

scholarly journals A várandós nő parodontalis egészségi állapota és a terhességi komplikációk közötti kapcsolat

2018 ◽  
Vol 159 (25) ◽  
pp. 999-1007
Author(s):  
István Gera
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Clinical Studies ◽  
Adverse Pregnancy Outcomes ◽  
Periodontal Therapy ◽  
Adverse Pregnancy

Abstract: Data from epidemiological and clinical studies published in the past two decades indicate certain association between periodontal disease and increased risk for preterm birth or low birth weight. Although the strength of those observed associations is weak, periodontitis today is considered as one of the potentially modifiable risk factors for adverse pregnancy outcomes. The aims of the publication are to summarize the epidemiological and clinical evidence for the impact of periodontal disease on adverse pregnancy outcomes and to make an attempt to overview the potential biological mechanism behind this association. The majority of epidemiological and clinical studies found certain negative effect of poor maternal periodontal condition on the incidence of low birth weight, preterm birth, pre-eclampsy, restricted foetal growth or even stillbirth. Two possible biological pathways have so far been identified: 1) the direct dissemination of the periodontal pathogens or their toxic by-products which reach the foetal-placental unit, and 2) an indirect mechanism when the circulating systemic inflammatory mediators induced by the periodontal inflammation can provoke secondary inflammation and foetal damage in the amnion. The periodontal therapy applied during the second or third trimesters has not been proven to reduce the incidence of any adverse pregnancy outcomes in pregnant women. A much more prophylaxis-oriented approach in periodontal treatment is needed. The adequate periodontal therapy should be completed before the conception to provide benefit to the pregnant women and also the new born baby. Orv Hetil. 2018; 159(25): 999–1007.

Treating periodontal disease for preventing preterm birth in pregnant women

2005 ◽  
Author(s):  
Caroline A Crowther ◽  
Natalie Thomas ◽  
Philippa Middleton ◽  
Mei-Chien Chua ◽  
Marco Esposito
Keyword(s):  
Preterm Birth ◽  
Periodontal Disease ◽  
Pregnant Women
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