Association between maternal periodontal disease and adverse pregnancy outcomes: an analysis of claims data

Choi, Sung Eun; Choudhary, Abhishek; Ahern, John; Palmer, Nathan; Barrow, Jane

doi:10.1093/fampra/cmab037

Cited by 13 publications

(12 citation statements)

References 37 publications

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“…The most common complications of periodontal infections in pregnant women are the increased risk of low birth weight (< 2,500 g), premature birth (gestational age of < 37 weeks), and preeclampsia (8). Several studies have investigated the correlation between the periodontal status and pregnancy outcomes, indicating that scaling and root planning during the second trimester of pregnancy reduce the risk of complications (17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

The Periodontal Status of Pregnant and Lactating Women in Ilam Province, Iran (2018 - 2019)

Abdal

Roozegar

Gholami

et al. 2021

J Kermanshah Univ Med Sci

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Background: Gingivitis and periodontitis cause the inflammation of the soft tissue around the teeth and destroy the supporting structures of the teeth. This is highly prevalent during pregnancy and lactation. Objectives: The present study aimed to investigate the periodontal status in pregnant and lactating women in Ilam province, Iran in 2018 - 2019. Methods: This descriptive-analytical study was conducted on 100 pregnant and lactating women who were selected via cluster and stratified sampling. Data were collected using a demographic questionnaire and the community periodontal index of treatment needs (CPITN). Data analysis was performed in SPSS version 24 using independent t-test, chi-square, and one-way ANOVA at the significance level of 0.05. Results: The mean age of the pregnant and lactating women was 25.62 ± 5.52 and 29.08 ± 6.83 years, respectively. In total, 30% of the pregnant women had a healthy gingival, 18% had bleeding, 36% had a mass, and 16% had CPITN. As for the lactating women, 44% had a healthy gingival, 32% had bleeding, 20% had a mass, and 4% had an envelope. CPITN index II and III were significantly higher in the pregnant women compared to the lactating women. Among the pregnant women, there were 49 housewives and only one employee, while 50 of the lactating women were housewives. Conclusions: According to the results, the sample population had an unfavorable periodontal status, and the pregnant women needed more oral health education.

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Section: Introductionmentioning

confidence: 99%

The Periodontal Status of Pregnant and Lactating Women in Ilam Province, Iran (2018 - 2019)

Abdal

Roozegar

Gholami

et al. 2021

J Kermanshah Univ Med Sci

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“…A recent (2021) review, which included 232 articles and 119,774 women, reported a statistically significant association between periodontal diseases and PB [ 11 ]. Recent reports utilizing large-scale claims data (748,792 pregnancy records) have shown that periodontitis was associated with an increased risk of PB (OR = 1.15) [ 12 ]. Moreover, in a large cohort which used Taiwan’s national medical records and included 1,757,774 pregnant women, the advanced and mild periodontal disease for PBs had an OR of 1.09 and 1.05, respectively [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Vast data has recently been published on the association between periodontitis and PB [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ]. However, these studies have shown inconsistent results, while some have shown that periodontitis was associated with PB [ 11 , 12 , 13 , 14 ]. Other studies have failed to show a significant association between periodontitis and PB [ 15 , 16 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

The Association between Maternal Periodontitis and Preterm Birth: A Case-Control Study in a Low-Resource Setting in Sudan, Africa

2022

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Background and Objectives: Vast data have been published recently on the association between periodontitis and preterm birth (PB). However, these studies have shown inconsistent results. Few of them were conducted in Africa, and data has not been published on the association between periodontitis and PB in Sudan. Materials and Methods: A case-control study was conducted at the Omdurman maternity hospital in Sudan from February through October 2021. The cases were women with spontaneous PB (<37 weeks), and healthy women with TB (37–42 weeks) were the controls. Questionnaires (demographics, medical and obstetric factors) were completed through face-to-face interviews. Periodontitis was diagnosed by the Community Periodontal Index as: “bleeding on probing and a pocket depth of ≥3 mm and clinical attachment loss of ≥6 mm, calculus with plaque deposits, and gingival recession”. Multivariate regression analysis was performed with PB as the dependent variable. Results: One hundred sixty-five women were enrolled in each arm of the study. The age, parity and body mass index did not significantly differ between the women with PB and those with TB. Compared with the controls, a significantly higher number of women with PB had periodontitis (50/165 (30.3%) vs. 30/165 (18.2%), p = 0.011). The association between periodontitis and PB was significant. Women who had periodontitis had double the odds of having PB compared to women who had no periodontitis (adjusted Odd Ratio = 2.05, 95% Confidence Interval = 1.20–3.52). Moreover, the haemoglobin level (adjusted Odd Ratio = 0.67, 95% Confidence Interval = 0.51–0.88) was inversely associated with PB. Conclusion: The study results indicate that periodontitis and low haemoglobin were strongly associated with PB. Preventive measures, including the use of periodontitis screening and the prevention of anaemia, are needed to reduce PB in this setting.

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“…Following application of the PECOS criteria, 10 published studies were included in the review. [28][29][30][31][32][33][34][35][36][37] An additional nine sources reporting data from government reports and websites were identified from the targeted (supplemental) search. [38][39][40][41][42][43][44][45][46][47] A flow diagram of the search, including reasons for exclusion, is presented in Figure 1.…”

Section: Searchmentioning

confidence: 99%

The changing epidemiology of preterm labour and delivery: A systematic literature review

Li,

Rochon,

Szabo

et al. 2023

Repro Female Child Health

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ObjectiveTo identify and synthesize epidemiologic data for preterm labour (PTL) and preterm birth (PTB).MethodsA systematic search, with protocol registered in PROSPERO, was implemented in MEDLINE and EMBASE and supplemented by web‐based and grey literature searches. Observational, population‐based studies in the United States, Canada, United Kingdom, France, Germany, Spain, and Italy, published in English between 2012 and 2022 were considered for inclusion. Estimates by country were reported and stratified by gestational age, birth plurality, and race/ethnicity, data permitting.ResultsTen publications and nine grey literature reports were included. Epidemiologic estimates of PTL were reported for the United Kingdom and France: PTL was diagnosed in 2.2% of pregnancies and preceded 50% of PTBs. PTB rates were reported for the United States, Canada, United Kingdom, France, and Spain. Among live births in these countries, annual PTB incidence ranged from 5.9% (Spain, 2020) to 10.2% (United States, 2019). Most countries reported the PTB incidence by gestational age; reports by birth plurality or race/ethnicity were scarce. PTB rates for Germany or Italy were not identified.ConclusionsWhile PTBs were well‐reported overall and by gestational age, how rates varied by plurality, race/ethnicity and etiology is unclear. Epidemiologic estimates for PTL, a leading cause of PTB, were rarely reported in the literature. Population‐based research is needed to understand the burden of PTL and for decision making regarding the management of this condition.

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Association between maternal periodontal disease and adverse pregnancy outcomes: an analysis of claims data

Cited by 13 publications

References 37 publications

The Periodontal Status of Pregnant and Lactating Women in Ilam Province, Iran (2018 - 2019)

The Periodontal Status of Pregnant and Lactating Women in Ilam Province, Iran (2018 - 2019)

The Association between Maternal Periodontitis and Preterm Birth: A Case-Control Study in a Low-Resource Setting in Sudan, Africa

The changing epidemiology of preterm labour and delivery: A systematic literature review

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