Longitudinal study on clinical and microbial analysis of periodontal status in pregnancy

Machado, Fernanda Campos; César, Dionéia Evangelista; Apolônio, Ana Carolina Morais; Ribeiro, Luíz Cláudio; Ribeiro, Rosângela Almeida

doi:10.1590/1807-3107bor-2016.vol30.0087

Cited by 12 publications

(24 citation statements)

References 32 publications

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“…The prevalence of dental caries reaches 89% in adults aged 30 to 40 years in the country [25]. In addition, pregnant women demonstrate inflammation of periodontal tissues [26]. Moreover, there is high distribution of dental problems (69-72%) among pregnant women [12].…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

Albasry

Alhaddad

Benrashed

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Oral and systemic problems are common among pregnant women. Routine dental visits are important for the maintenance of optimal oral health which is linked with systemic health. AIM: To evaluate dental care utilization and related factors among pregnant women in the Eastern province of Saudi Arabia. METHODS: This cross-sectional study was conducted in hospitals and healthcare centers in the cities of Khobar, Dammam, and Qatif in the Eastern province of Saudi Arabia. A piloted tested self-administered questionnaire available in Arabic and English languages was distributed among a calculated sample of 341 pregnant women. Pearson's chi-square test and multiple logistic regression analyses were performed. RESULTS: In the study, 270 questionnaires were analyzed giving a response rate of 79.2%. Mean age of the participants was 29 ± 5.9 years. There were 43.7% pregnant women who received dental treatment when they have a dental problem and only 13.7% performed routine dental visit. Half the sample (52.6%) avoided dental visits during pregnancy and dental treatment being unsafe was the most common reason for avoiding dental visits. After adjustment, routine dental visits during pregnancy were 7.38 times higher among Saudis compared with non-Saudis women (p 0.05). The participants who had a negative perception about the safety of dental treatment had significantly lower odds (OR 0.31, p 0.036) of dental attendance for routine dental visits. CONCLUSION: Routine dental visits were low among pregnant women and many visited dentists when they had a dental problem. Negative perception about the safety of dental treatment was associated with reduced regular dental visits during pregnancy. Pregnant women should be educated about the importance of receiving dental care for the maintenance of optimal oral health.

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Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

Albasry

Alhaddad

Benrashed

et al. 2019

Open Access Maced J Med Sci

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“…The correlation of Prevotella spp. and pre`gnancy has been widely reported [14,29]. Dareen Fteita and his colleague have reported that Prevotella nigrescens, Prevotella pallens and Prevotella aurantiaca, which are similar to Prevotella intermedia, have a higher relative abundance as estradiol levels increase during pregnancy [30].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy-Related Ecological Shifts of Salivary Microbiota and its Association with Salivary Sex Hormones

Niu

Jiang

Gao

et al. 2020

Preprint

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Background: The interactions between hosts, oral microbiomes and microenvironments have been the subject of much research in recent years. Yet, whether the alterations in the host impact the oral microbiome is not understood well. The fluctuation of sex hormone levels during pregnancy is a dramatic change in the host, and is closely related to pregnancy-associated gingivitis. In this study, salivary estradiol and progesterone level were measured at three trimesters of pregnancy and after delivery (t1: ≤ 14weeks；t2: 20–25 weeks；t3: 33–37 weeks; t4: 42 days after delivery) from 11 pregnant and 7 non-pregnant volunteers, and their salivary microbiome were collected and profiled by 16S rDNA gene sequencing. Results: The diversity of the salivary microbiome increased significantly in t3, compared to the t1 (P<0.05), and a close parallel to the shift is found in the elevation of salivary sex hormones. Addionally, Capnocytophaga gingivalis, Peptoniphilus sp.oral taxon 386, Prevotella baroniae, Simonsiella muelleri and Lactobacillus reuteri were correlated to the fluctuation of sex hormone levels. Conclusions: The diversity of the salivary microbiome in pregnant women was elevated with the gestation weeks, which was found parallel to the changes in estradiol and progesterone levels in saliva. Rather than highly abundant bacteria, the low abundant bacteria were more vulnerable to the host impact.

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“…There are conflicting findings as to whether hormone‐mediated changes in oral microbial balance contribute to periodontal exacerbations during pregnancy. Some have observed changes in the microbiome corresponding to hormonal changes during pregnancy, while others have reported no differences . Differences in study design, the bacterial species investigated, sampling methods and approaches to bacterial identification could account for such heterogeneity.…”

Section: Biological Mechanismsmentioning

confidence: 99%

Pregnancy, parity and periodontal disease

Morelli

Broadbent

Leichter

et al. 2018

Australian Dental Journal

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Many women believe that their dental condition deteriorated during pregnancy or as a result of having children. Epidemiological studies have reported an association between higher parity and tooth loss, and higher parity and periodontal attachment loss. Several possible explanations for this association exist. First, hormonal changes during pregnancy affect the immune response to bacterial plaque and drive vascular and gingival changes that may contribute to heightened gingival inflammation. These changes are transient, without irreversible loss of periodontal attachment, and post-partum resolution can be expected for most women. For women with destructive periodontal disease, the effects of pregnancy and parity are unclear. Second, it is also plausible that parity and socioeconomic position (SEP) have shared risk factors, increasing the incidence of disease or influencing its management. Education, one aspect of SEP, is an important determining factor for women's fertility rate, with a gradient of fewer children with higher educational attainment. Higher levels of education are also favourably associated with behaviours conducive to oral health, and a lower incidence of damaging health behaviours. Thus, the potential for confounding is considerable. This review examines the literature on the association between pregnancy, parity and periodontal health, and explores sociobehavioural mechanisms for the observed association.

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Longitudinal study on clinical and microbial analysis of periodontal status in pregnancy

Cited by 12 publications

References 32 publications

A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

Pregnancy-Related Ecological Shifts of Salivary Microbiota and its Association with Salivary Sex Hormones

Pregnancy, parity and periodontal disease

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