Relationship between periodontal diseases and preterm. Songpaisanincreased risks of preterm birth and a low birth weight baby in thai human immunodeficiency viruspositive pregnant women with periodontitis j. Maternal periodontal disease and preterm, low birth weight. Pdf association of periodontitis with preterm birth and. University of barcelona 3 private periodontics and implant practice correspondence. It has been recently suggested that periodontal disease is an associated factor for prematurity and low birth weight. Only randomized controlled trials on the effect of periodontal therapy on preterm birth. Maternal periodontal disease has been associated with an increased risk of preterm birth and low birth weight. Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to the usual about 40 weeks.
To determine any association between preterm low birth weight. Sociodemographic characteristics, antenatal history, medical history, and. Subcategories include very low birth weight vlbw, which is less than 1500 g 3 pounds 5 ounces, and extremely low birth weight elbw, which is less than g 2 pounds 3 ounces. Association of periodontal disease and preterm low birth weight infants. Association of periodontitis with pre term low birth weight. Periodontal treatment and preterm birth today on medscape. Evidence grade associating periodontitis to preterm birth. Relationship between periodontal diseases and preterm birth.
Maternal periodontal disease and preterm, low birth weight infants in an air force population joseph a. Many risk factors have been identified including ethnicity, age, tobacco, and infection. However, almost 50% of preterm birth causes remain unknown. Periodontal disease and preterm delivery of lowbirthweight. Factors such as premature rupture of membranes, vaginal infections, smoking, race, maternal age, and diabetes increase the risk of ptlb, but these factors are not present in approximately one. Relationship between periodontal disease and preterm low. Periodontitis as a risk factor for preterm low birth weight.
Overweight and obesity in mothers and risk of preterm. Regarding the effects of periodontal disease on preterm delivery and low birth weight which cause prenatal and infant mortality, high treatment expenses, and the consequent emotional problems, we recommend the women to perform prophylactic activities, cure periodontal disease and care for tooth and oral health before and during the pregnancy. Periodontitis as a risk factor for preterm lowbirth weight. A summary of studies according to pregnancy outcome is shown. The majority of the studies suggest that periodontal disease is associated with increased risk of various adverse pregnancy outcomes such as preterm birth and low birth weight. Full term birth, low birth weight, periodontitis, preterm birth, risk factors how to cite this article. The consolidated standards of reporting trials statement was used in quality assessment and metaanalysis was carried out using randomeffects methods. Preterm delivery, or ptd, is the major cause of neonatal mortality and of nearly onehalf of all serious longterm neurological morbidity. The relationship between maternal periodontitis and preterm low. Periodontitis and prematurity are social diseases with common risk factors. Periodontal disease and its relationship with preterm labor andor. This obstetric complication is usually a direct result of preterm labour, in which case it is referred to as preterm delivery of lowbirth.
The association of periodontitis as risk factor for preterm birth has. Numerous epidemiological studies have suggested that maternal periodontal diseases are associated with an increased risk of various apo, including preterm birth ptb, fetal growth restriction fgr, low birthweight lbw, pre. An observational casecontrol study was performed in puerperal women. Govindaraju p, venugopal s, shivakumar ma, sethuraman s, ramaiah sk, mukundan s. To update the available evidence on the impact of periodontal disease on adverse pregnancy outcomes apos. Preterm birth andor low birth weight are associated with periodontal disease and the increased placental.
A total of 148 woman who gave preterm birthlow birth weight birth and 438 women with uncomplicated full term vaginal delivery were included in this study. Colgate oral health network free dental continuing education. The effectiveness of periodontal disease treatment during pregnancy in reducing the risk of experiencing preterm birth and low birth weight. A literature search of the pubmed was conducted up to december 2007 covering the articles which discussed the periodontal disease as a risk factor for low birth weight lbw andor preterm birth ptb. Periodontal disease and its relationship with preterm. Low birth weight, defined as birth weight less than 2,500 g, continues to be a significant public health issue in both developed and developing countries. Maternal periodontal status and preterm low birth weight. Association between periodontitis in pregnancy and preterm. Of the many oral bacteria, those that are most often associated. Intrauterine growth restriction, low birth weight, and preterm birth. Of the selected studies, 9 implied an association between periodontal disease and increased risk of preterm birth, low birth weight and or preterm low birth weight outcome ors ranging from 2. We investigated whether the maintenance of the mothers periodontal health after 28 weeks gestation reduces the risk of plbw. Numerous studies on the influence of periodontitis on the time of birth andor birth weight of newborns have been conducted throughout the world since, including.
Preterm low birthweight and the role of oral bacteria. This is a air force inst of tech wrightpattersonafb oh report procured by the pentagon and made available for public release. Gum disease, preterm delivery, low birth weight, gingivitis, periodontitis. The periodontal diseases are highly prevalent inflammatory and infectious diseases of tooth supporting.
Sociodemographic characteristics, antenatal history, medical. Nonsurgical treatment of periodontitis including scaling and root planing in pregnant women improved periodontal disease but did not significantly alter rates of preterm birth, low birth weight. It has been reproduced in the best form available to the pentagon. Pregnant women with periodontal disease pd may be at increased risk for having preterm lowbirthweight plbw children. Three groups of cases were compared with non preterm and non low birthweight control individuals n 393. Low birth weight, periodontal disease, pregnancy, preterm labor, risk factors. Periodontal disease has been suggested to be an important risk factor for preterm low birthweight plbw. Periodontitis, preterm birth, low birth weight, pregnancy.
To assess the association between severity and extent of maternal periodontal disease and preterm birthlow birth weight plbw among women in the north of jordan. In the united states, prematurity and the related disorders cause more than 70% of prenatal and infant mortality. Here we report a casecontrol study of 236 cases infants periodontitis in pregnancy and preterm or low birth weight. Association of periodontitis with pre term low birth. A literature search of the pubmed was conducted up to december 2007 covering the articles which discussed the periodontal disease as a risk factor for low birth weight lbw and or preterm birth ptb. A total of 148 woman who gave preterm birth low birth weight birth and 438 women with uncomplicated full term vaginal delivery were included in this study. Premature and lowbirthweight plbw infants are still 40. In 1996 periodontitis was proven to be a possible significant and independent risk factor of preterm birth of newborns with low body weight. Preterm birth ptb is the major cause of perinatal morbidity and mortality as well as long term neurologic disability 1. Periodontitis and preterm low birth weight journal of basic and clinical reproductive sciences july december 2014 vol 3 issue 2 89 disorders are among of the longterm disabilities of plbw. Premature infants are at greater risk for cerebral palsy.
Interrelation between periodontal disease and preterm birth. Periodontitis and preterm low birth weight longdom publishing sl. Preterm low birth weights associated with periodontal. Biological mechanisms between periodontal diseases and. Opinion of dentists and gynecologists on the link between. This obstetric complication is usually a direct result of preterm labour, in which case it is referred to as preterm delivery of low birth weight infants plbw. Evidence grade associating periodontitis to preterm birth andor low birth weight. Observational studies crosssectional, casecontrol, and cohort design on the effect of periodontitis on pregnancy. Periodontal clinical parameters and covariates were recorded. There was no significant difference between the two treatment groups in the incidence of spontaneous preterm birth at less than 35 weeks gestation our primary end point or at less than 37 weeks gestation. Recent epidemiological and microbiologicalimmunological studies have suggested that periodontal diseases may be an. Preterm low birth weight and maternal periodontal status. This study aimed to investigate the association between periodontitis in pregnant women and adverse pregnancy outcomes by heeding confounding risk factors for preterm low birth weight infants.
There is a growing consensus that systemic diseases elsewhere in the body may influence ptb. The incidence of preterm low birth weight still prevails in developed. Songpaisanincreased risks of preterm birth and a lowbirthweight baby in thai human immunodeficiency viruspositive pregnant women with periodontitis j. Periodontitis has also been associated with poor pregnancy outcomes, including preterm birth and low birth weight. Normal weight at term delivery is 25004200 g 5 pounds 8. Relationship between maternal periodontal status and preterm low. Pdf association of periodontitis with preterm birth and low. As weight is easier to determine than gestational age, the world health organization tracks rates of low birth weight low birth weight deliveries are due to preterm delivery. Apr 15, 2008 for birth before 35 weeks gestation very preterm birth, the risk reduction was 0. Association of periodontal disease and preterm low birth weight. However, some conflicting results have been reported. Review of the literature anna agueda 1, ana echeverria 2,3, carolina manau 2 1 private general dental practice 2 graduate adult comprehensive dentistry. Semantic scholar extracted view of periodontitis and preterm birth by marta radnai. Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes or the leaking of fluid from the vagina.
Relationship between maternal periodontal disease and. Pdf periodontitis as a risk factor for preterm low birth weight. Higher risk of preterm birth and low birth weight in women. This obstetric complication is usually a direct result of preterm labour, in which case it is referred to as preterm delivery of lowbirthweight infants plbw. There is emerging evidence that periodontal disease is associated with an increased risk of cardiovascular disease 8,9, poor metabolic control of diabetes mellitus, and adverse pregnancy outcomes such as preeclampsia 11,12, low birth weight,14 and preterm birth 14,15 the existence of a relationship between periodontal disease and. The studies focused on preterm birth, low birth weight and or preterm low birth weight and periodontitis.
Its true, periodontal disease, or periodontitis, can in fact have detrimental effects on the health of an unborn baby, increasing the mothers chances of going into preterm labor and giving birth to a baby with low birth weight. Periodontitis and risk of preterm birth and low birthweight a metaanalysis. This study was undertaken to assess the effect of maternal periodontal disease on preterm delivery and or birth of low weight infants. The aim of this work was to assess the periodontal status of puerperae and determine its possible relationship with preterm low birth weight plbw delivery. The relationship between maternal periodontal status of and. This study was conducted to determine the association between periodontitis and preterm birth ptb, low birth weight lbw to obtain information which is necessary for the planning of preventive programs of. Pdf periodontitis is a destructive inflammatory disease of the supporting tissues of the teeth and is caused by specific. The effect of periodontal therapy on preterm low birth weight. The relationship between periodontitis and preterm low. Preterm low birth weights associated with periodontal disease. This study was undertaken to assess the effect of maternal periodontal disease on preterm delivery andor birth of lowweight infants. Three groups of cases were compared with nonpreterm and nonlowbirthweight control individuals n 393.
This study was reported according to the strengthening the reporting of observational studies in epidemiology strobe statement. No association between periodontitis and preterm low birth. The effect of periodontal therapy on preterm low birth. A systematic search was conducted of the pubmed, bireme, lilacs, and cochrane databases. The risk of preterm labor and low birth weight periodontitis in pregnancy. Preterm low birth weights associated with periodontal disease in the fiji islands preterm low birth weights associated with periodontal disease in the fiji islands sharma, ramakant. Relationship between maternal periodontal disease and low.
We studied the effect of nonsurgical periodontal treatment on preterm birth. Periodontal disease and preterm delivery of lowbirth. Association between preterm and lowbirth weight with. The periodontal disease as a risk factor for preterm birth. Preterm low birth weight ptlb accounts for about twothirds of neonatal deaths and is more prevalent in developing countries than developed countries. The authors concluded that the periodontal health is an. Ten articles met the inclusion criteria for preterm. Evidence grade associating periodontitis to preterm birth and. Periodontitis as a risk factor for preterm lowbirth. Evidence grade associating periodontitis to preterm birth and or low birth weight. Preterm birth ptb is an important issue in public health and is a major cause for infant mortality and morbidity. Trapezanlidis michaela1, straka michal2 and kotran milan3. Introduction rematurity and immaturity is a main cause of prenatal and infant mortality and morbidity in developed societies. Current research has now established a strong link between periodontal disease and preterm labor in expecting mothers.
The prevalence and association of preterm birth with. The relationship between maternal periodontal status of. Low birth weight lbw is defined by the world health organization as a birth weight of a infant of 2,499 g or less, regardless of gestational age. The risk of preterm labor and low birth weight kawar, nadia. For birth before 35 weeks gestation very preterm birth, the risk reduction was 0. Dec 01, 2010 there was no significant difference between the two treatment groups in the incidence of spontaneous preterm birth at less than 35 weeks gestation our primary end point or at less than 37 weeks gestation. Periodontal disease is a chronic, low grade, gramnegative anaerobic infection of the periodontal tissues that is associated with an increase in systemic levels of inflammatory cytokines that, in turn, causes destruction of soft and hard periodontal tissues characterised by gingivitis and periodontitis 8, 9. Association between periodontitis in pregnancy and preterm or.
However, results have been controversial and more research is needed in order to confirm or discard this association. We also saw no difference in mean birth weight or the proportion of low birth weight or very low birth weight newborns. Periodontal diseases and adverse pregnancy outcomes. Treatment of periodontal disease and the risk of preterm birth. Periodontal medicine preterm low birth weight periodontitis. They found a minimal improvement and no statistical difference when comparing the. Aug 01, 2007 preterm low birth weights associated with periodontal disease in the fiji islands preterm low birth weights associated with periodontal disease in the fiji islands sharma, ramakant.
Oral health during pregnancy american family physician. Since 1996, a number of studies have investigated the potential relationship between periodontitis and preterm and low birth weight. Preterm birth is the leading cause of neonatal mortality and morbidity and childhood morbidity7 followed by low birth weight. Recent studies have hypothesized that maternal periodontitis could be a highrisk factor for ptb. Epidemiology of association between maternal periodontal disease. For ten years, the incidence of preterm birth does not decrease in developed countries despite the promotion of public health programs. The women with preterm lowbirthweight babies had deeper periodontal pockets. Association of periodontitis with preterm birth and low birth weight. The authors also calculated estimates of the populationattributable fraction epaf of the effect of periodontal disease on these adverse outcomes.
Pdf preterm birth andor low birth weight are associated with. This study was undertaken to assess the effect of maternal periodontal disease on preterm delivery andor birth of low weight infants. A possible association between preterm birth and early. A total of 35 studies have been included in the update, although some of these have been included in more than one category. The association between periodontal disease and preterm low.