Periodontal Disease and Pregnancy Hypertension: A Clinical Correlation

Pralhad, Swati; Thomas, Betsy; Kushtagi, Pralhad

doi:10.1902/jop.2012.120264

Cited by 27 publications

(17 citation statements)

References 39 publications

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“…In addition, diastolic blood pressure was associated CAL ≥4 mm, which is consistent with results of previous studies that have shown an association of diastolic blood pressure with periodontitis . In pregnant women, gestational hypertension have also been associated with periodontal disease, which corroborates our findings.…”

Section: Discussionsupporting

confidence: 93%

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Soft drink consumption and periodontal status in pregnant women

Menezes

Ribeiro

Alves

et al. 2018

Journal of Periodontology

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Background Periodontal disease is associated with metabolic syndrome, and during pregnancy, it is linked to preeclampsia and preterm birth. We hypothesized that soft drink consumption, which has also been associated with metabolic disorders, may also be linked to periodontal disease. The purpose of this study was to evaluate the association between soft drink consumption and periodontal status in pregnancy. Methods This was a cross‐sectional study nested in BRISA (Brazilian Ribeirão Preto and São Luís Birth Cohort Studies). Pregnant women (n = 1,185) completed a questionnaire and underwent periodontal examination from the 22nd to 25th week of pregnancy. The explanatory variable was the frequency of soft drink consumption (times per week). The outcome was periodontal status measured as the number of teeth with probing depth ≥4 mm with bleeding on probing (PD/BOP) or with clinical attachment level ≥4 mm (CAL). Means ratio (MR) was estimated using zero‐inflated Poisson, adjusted for maternal age and income. Results The higher tertile of consumption of soft drinks during pregnancy was associated with PD/BOP (MR = 1.34; 95% confidence interval (CI): 1.03 to 1.75); while the highest tertile of diastolic blood pressure was also associated to CAL (MR = 1.21; 95% CI 1:07 to 1.35). Conclusion High soft drink consumption was associated with the number of teeth with PD/BOP in pregnant women, suggesting that beverage consumption is a factor that contributes to the systemic inflammatory burden, which is common to periodontal disease, metabolic syndrome, and adverse pregnancy outcomes.

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Section: Discussionsupporting

confidence: 93%

“…23,24 Periodontal disease has also been associated with these conditions. [25][26][27] We hypothesized that high consumption of soft drinks, which has previously been associated with metabolic syndrome, preeclampsia, and preterm birth, may also be linked to periodontal disease.…”

mentioning

confidence: 99%

Soft drink consumption and periodontal status in pregnant women

Menezes

Ribeiro

Alves

et al. 2018

Journal of Periodontology

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“…Another study by Pralhad et al. () observed a prevalence of periodontal disease of 65.5%, which was found to be significantly higher in females with hypertension. Shah () in her report for the National Commission on Macroeconomics observed periodontal disease in 40% to 45% of the population of India.…”

Section: Discussionmentioning

confidence: 87%

Expression of Concern: Role of cytokines in development of pre‐eclampsia associated with periodontal disease – Cohort Study

Kumar

Begum

Prasad

et al. 2014

J Clinic Periodontology

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“…Increased gingival inflammation is well documented during pregnancy (Ehlers et al 2013, Figuero et al 2013, Niederman 2013 while periodontal diseases increase risk for maternal (hypertension and preeclampsia) and fetal complications (low birth weight and pre-term birth) (Marin et al 2005, Guimaraes et al 2012, Pralhad et al 2013, Ha et al 2014, Jacob & Nath 2014, Rao et al 2014. For example, active periodontal inflammation, as determined by bleeding on probing, has been reported to correlate with reductions in fetal femur length, birth weight and birth length ).…”

mentioning

confidence: 99%

Increased infection with key periodontal pathogens during gestational diabetes mellitus

Gogeneni

Buduneli

Ceyhan-Öztürk

et al. 2015

J Clinic Periodontology

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Aim Gestational diabetes mellitus (GDM), gingivitis, infection with specific periodontal pathogens and systemic inflammation each increase the risk for poor pregnancy outcome. We set out to monitor the interactions of gingivitis and GDM with respect to oral infection and the systemic inflammatory burden. Materials and Methods Four case–control groups (n = 117) were recruited, (1) No gingivitis, No GDM (n = 27); (2) Gingivitis, No GDM (n = 31); (3) No gingivitis, GDM (n = 21); and (4) Gingivitis, GDM (n = 38). Oral infection with three key periodontal pathogens was determined by PCR. Systemic inflammation was determined by quantification of CRP by EIA. Results Gingivitis during pregnancy was associated with oral infection with Porphyromonas gingivalis, Filifactor alocis and Treponema denticola and combinations thereof (all p < 0.01). GDM was also associated with increased infection with individual and multiple oral pathogens (all p < 0.05). Gingivitis during pregnancy led to a 325% increase in systemic CRP (mean, 2495 versus 8116 ng/ml, p < 0.01). Conclusions Diabetes and gingivitis act in concert to increase risk biomarkers for poor pregnancy outcome.

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Periodontal Disease and Pregnancy Hypertension: A Clinical Correlation

Abstract: Periodontal disease is more prevalent in females with PH.

Cited by 27 publications

References 39 publications

Soft drink consumption and periodontal status in pregnant women

Soft drink consumption and periodontal status in pregnant women

Expression of Concern: Role of cytokines in development of pre‐eclampsia associated with periodontal disease – Cohort Study

Increased infection with key periodontal pathogens during gestational diabetes mellitus

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