Radiological screening of maternal periodontitis for predicting adverse pregnancy and neonatal outcomes

Heo, Ju Sun; Ahn, Ki Hoon; Park, Jung Soo

doi:10.1038/s41598-020-78385-0

Cited by 6 publications

(8 citation statements)

References 48 publications

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“…Heo JS. et al 14 Elaboraron su estudio obteniendo datos de registros de 165 mujeres durante su gestación, en los cuales se evidencio que 22 (13%) tenían periodontitis severa y 143 (86%) evidenciaban una periodontitis leve a moderada.…”

Section: Iiiresultadosunclassified

Prevalence of periodontal disease in pregnant patients: a systematic review

Perales

Molocho

Nicodemos-Arrascue

et al. 2022

whj

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Introduction: The stage of pregnancy involves different physiological variations that globally alter hormones, making a person's body the appropriate place for infections such as periodontal disease to develop. The objective of this study was to establish the prevalence relationship between periodontal disease and pregnant patients. Methods: articles not older than 5 years were examined, taking studies between 2017 and 2021, extracted from the main Pubmed, Science Direct, SCOPUS, Proquest and EBSCO databases, as well as for the development of the systematic review, the guidelines were followed. of PRISM. Results: For this work, different perspectives of both exclusion and inclusion were applied, for which several filters were passed, leaving 7 articles selected (n=1178). The different data found were passed through a process of extraction and subsequent ordering, following the standards of the study, as an analysis methodology, as well as the results. Conclusion: As a result, it was obtained that the prevalence of periodontitis in pregnant women is high, since in all the studies included in this investigation, percentages between 50% and 70% of prevalence in pregnant women were evidenced, this being a risk factor. This is important for pregnancy complications, as the newborn may show low birth weight or the mother a premature delivery, in addition to the physiological factors of a pregnant woman compromising the immune system, leaving her more prone to suffering this type of dental pathology.

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Section: Iiiresultadosunclassified

Prevalence of periodontal disease in pregnant patients: a systematic review

Perales

Molocho

Nicodemos-Arrascue

et al. 2022

whj

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“…Likewise, another case‐control study in 2020 (60 cases, 120 controls) showed that the severity of periodontitis was significantly associated with low birth weight/preterm infants 17 . A retrospective cohort study (165 subjects, 22 severe periodontitis, 143 mild or moderate periodontitis) in 2020 found that the severity of periodontitis, based on radiological staging in accordance with the 2017 new consensus classification, was related to adverse pregnancy and neonatal outcomes, including uterine leiomyoma, chronic hypertension, preeclampsia, very preterm birth, extreme preterm birth, and small gestational age 18 . Another prospective cohort study (1394 participants) in 2020 also demonstrated that an increasing extent of gingival inflammation was associated with a nonsignificant increase in the risk of preterm birth 19 .…”

Section: Epidemiological Evidencementioning

confidence: 99%

“…preterm birth, extreme preterm birth, and small gestational age. 18 Another prospective cohort study (1394 participants) in 2020 also demonstrated that an increasing extent of gingival inflammation was associated with a nonsignificant increase in the risk of preterm birth. 19 Nevertheless, anecdotal reports indicate that adverse pregnancy outcomes may be caused by even mild periodontal disease, such as pregnancy gingivitis, when combined with other underlying conditions, such as respiratory infections.…”

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confidence: 99%

Oral bacteria, oral health, and adverse pregnancy outcomes

Han

2022

Periodontology 2000

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Periodontal disease is one of the most common chronic inflammatory disorders that affect tissues surrounding the tooth. 1 Generally, periodontal disease can be classified into two stages based on the severity: gingivitis and periodontitis. Gingivitis is a mild form characterized by inflammation of the soft tissues surrounding a tooth or the gingiva, while periodontitis is a more severe form characterized by destruction of supporting structures of the teeth including periodontal ligament, bone, cementum, and soft tissues. 2 Despite its effect on tooth-supporting tissues, periodontal disease is also suggested to have a cause-and-effect relationship with various systemic diseases, such as adverse pregnancy outcomes. 3 Since the first report indicating periodontal disease as a potential risk factor for preterm birth in 1996, numerous studies have suggested the link between oral health and adverse pregnancy outcomes. [4][5][6] Adverse pregnancy outcomes is a broad term including preterm birth, preterm premature rupture of membranes, preeclampsia, miscarriage, intrauterine growth retardation, low birth weight, stillbirth, and neonatal sepsis. 3 Preterm birth, defined as birth before 37 weeks of pregnancy, is the leading cause of death among children aged < 5 years. 7 Low birth weight, defined as weight at birth of < 2.5 kg, continues to be a significant public health problem globally, and is associated with a range of short-and long-term consequences. 8 Preeclampsia is a multisystem pregnancy complication characterized by new-onset hypertension with proteinuria, or evidence of systemic disease primarily in the liver and kidneys, after 20 weeks of gestation. 9,10 It is also one of the leading causes of maternal and perinatal mortality and morbidity. 11 Neonatal sepsis refers to an infection involving the bloodstream in newborn infants aged < 28 days and it continues to remain a leading cause of morbidity and mortality among infants, especially in middle-and lowerincome countries. 12 The definition of stillbirth is a baby born with no signs of life at or after 28 weeks of gestation. 13 | EPIDEMIOLOG IC AL E VIDEN CEAccording to a study that summarized the clinical studies from 1996 to April 2020, most studies (232 articles selected, 119 774 participants) in the past 2 decades demonstrate a statistically significant association between periodontal disease and adverse pregnancy outcomes. 14 Similarly, most of the epidemiological studies from 2020 to the present also support a significant effect of periodontal disease on adverse pregnancy outcomes (Table 1). Recent studies continue to investigate the relationship between severity of periodontal disease and adverse pregnancy outcomes, as suggested by an earlier study. 15 A case-control study in 2021 (36 cases, 75 controls) indicated that the prevalence of preterm delivery increased with increasing severity of gingivitis or periodontitis. 16 Likewise, another case-control study in 2020 (60 cases, 120 controls) showed that the severity of periodontitis was significantly associ...

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“…Furthermore, studies have reported associations between periodontitis and adverse pregnancy outcomes like preterm deliveries (PD), low birth weight babies (LBW) and preterm low birth weight babies (PLBW). [10][11][12][13][14] Hence, good oral hygiene in pregnancy will help reduce the accumulation dental plaque and thus prevent the initiation of gingival inflammation and periodontal disease. 15 This study evaluated the perception of gingival bleeding in pregnancy as well as the oral hygiene practice, interdental cleaning and oral hygiene status of pregnant women attending the antenatal clinic of the Obstetrics and Gynaecology of the University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Oral hygiene status, interdental cleaning and perception of gingival bleeding among a group of pregnant women in Nigeria

Soroye¹,

Onigbinde²

2022

Nig J Dent Res

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Background: Hormonal and vascular changes in pregnancy can lead to exaggeration of inflammatory response to local irritants like dental plaque causing pregnancy gingivitis which if not treated can result in advanced periodontal diseases and consequent adverse pregnancy outcomes. Objective: To assess the oral hygiene and gingival bleeding perception of pregnant women Methods: Self-administered questionnaires were used to collect data. Oral hygiene status and gingival status were assessed with Simplified Oral Hygiene Index (OHI-S) and gingival bleeding index respectively. Data was analysed using IBM SPSS (Statistical Package for the Social Sciences) version 25. Results were presented in frequency and percentages and chi square analysis done for the categorical variables with statistical significance set at P < 0.05. Results: One hundred and fifty-one participants with age range of 20 to 43 years with a mean age of 29.85±4.05years participated in the study. All participants used toothbrush to clean their teeth and 44.4% used medium bristled toothbrush. Two-third used herbal toothpaste. More than two-thirds (84.1%) of the participants used both horizontal and vertical tooth brushing technique. Only 33.8% brushed twice daily. Though 92.1% claimed to clean interdentally, only 19.4% used dental floss. Prevalence of gingival bleeding was 31.8%. Two persons (1.3%) thought it normal to bleed from the gum while brushing and 86.8% did not know one can bleed from the gum during pregnancy Forty-four (29.1%) and 18(11.9%) of participants had fair and poor oral hygiene status respectively. 55.6% bled on probing and had gingival bleeding index of 1 and 2. Four (2.6%) of participants had gingival recession measuring 3mm to 4mm and 8.6% had halitosis. Statistical analysis of the association between participants’ perception of gum bleeding and oral hygiene status showed statistical significance. Conclusion: The knowledge of pregnancy gingivitis is poor among the participants. There is the need to educate them about this and incorporate periodontal care into antenatal care so as to increase their quality of life during pregnancy.

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Radiological screening of maternal periodontitis for predicting adverse pregnancy and neonatal outcomes

Cited by 6 publications

References 48 publications

Prevalence of periodontal disease in pregnant patients: a systematic review

Prevalence of periodontal disease in pregnant patients: a systematic review

Oral bacteria, oral health, and adverse pregnancy outcomes

Oral hygiene status, interdental cleaning and perception of gingival bleeding among a group of pregnant women in Nigeria

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