Periodontal disease as a risk factor for adverse pregnancy outcomes: a prospective cohort study
Author
: Anna Agueda, Josep Ma Ramo´n
Publisher
: Blackwell Synergy
Summary :Aim: The aim of this study was to determine the association between periodontitis
and the incidence of preterm birth (PB), low birth weight (LBW) and preterm low birth
weight (PLBW)
Material and Methods: One thousand and ninty-six women were enrolled.
Periodontal data, pregnancy outcome variables and information on other factors that
may influence adverse pregnancy outcomes were collected. Data were analysed using
a logistic regression model.
Results: The incidence of PB and LBW was 6.6% and 6.0%, respectively. The
incidence of PLBW was 3.3%. PB was related to mother’s age, systemic diseases,
onset of prenatal care, previous PBs, complications of pregnancy, type of delivery, the
presence of untreated caries and the presence of periodontitis (odds ratio 1.77, 95%
confidence interval: 1.08–2.88). LBW was related to mother’s smoking habits,
ethnicity, systemic diseases, previous LBW babies, complications of pregnancy and
type of delivery. PLBW was related to mother’s age, onset of prenatal care, systemic
diseases, previous LBW babies, complications of pregnancy and type of delivery.
Conclusions: The factors involved in many cases of adverse pregnancy outcomes
have still not being identified, although systemic infections may play a role. This study
found a modest association between periodontitis and PB. Further research is required
to establish whether periodontitis is a risk factor for PB and/or LBW.
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