Desfechos perinatais e alterações na cavidade bucal: coortes brasileiras de Ribeirão Preto e São Luís

Abstract

Studies have shown a possible association of oral diseases during pregnancy with preterm birth (PTB) and low birth weight (LBW). These perinatal outcomes appear to be associated with enamel defects in the primary dentition, which, in turn, seem to predispose to future development of caries in children. Therefore it is relevant to include oral health variables of the mother/child dyad in cohort studies to understand how these factors are associated. The objectives of this study are: 1) check if there is an association between diseases of the oral cavity of pregnant women and PTB, 2) test the hypothesis of association between perinatal outcomes and enamel defects/dental caries in children, 3) examine whether there are associations between perinatal outcomes and disorders of tooth eruption in children; 4) build theoretical models to study social inequities as a common factor between oral conditions and perinatal outcomes. We used an integrated, collaborative approach between two Brazilian cities with contrasting socioeconomic conditions: Sao Luis , MA, and Ribeirão Preto, SP - British Birth Cohort Studies study (BRISA Ribeirão Preto, São Luís). Two cohorts were evaluated: one initiated at birth, representative of the population of live births, and another, initiated prenatally. Participants were reassessed from the beginning of the second year of life. It is expected that these cohorts will contribute to foster the development and consolidation of population-based follow-up studies in Brazil.

Cárie De Radiação – Efeitos Da Radioterapia De Cabeça-E-Pescoço Na Dentina Radicular: Implicações Clínicas E Terapêuticas

“…A etiologia do DDE não está completamente elucidada, porém é possível que um conjunto de fatores possam operar de forma simultânea e cumulativa ao longo do ciclo de formação dos dentes. Considerando a teoria do "acúmulo dos riscos", a pior condição socioeconômica pode ser uma exposição desfavorável, mais distal que contribui para a ocorrência de eventos estressores gestacionais e condições adversos ao nascimento (THOMAZ et al, 2015). Todos esses fatores podem ser considerados como "riscos correlatos" (CORTES, FAERSTEIN, STRUCHINER, 2016) para os Defeitos de Desenvolvimento do Esmalte, suscitando a hipótese de multicausalidade para esse desfecho (Figura 1).…”

Patologías orales en la mujer gestante. Revisión de la literatura

“…La gran vascularización presente en las lesiones recientes hacen que clínicamente se presente de color rojo, que cambia a rosa violeta en aquellas más antiguas, lisa o lobulada 32 , puede presentarse como una masa pediculada o sésil con base amplia [17][18][19] . Visible principalmente en la encía, pero apreciable también en otros sitios de la cavidad oral, como en el labio inferior, lengua, mucosa bucal, labio superior o paladar 21 , con una prevalencia del 1% en mujeres embarazadas 33 con un origen asociado a la combinación de factores hormonales 26,34 , patógenos periodontales e irritantes locales, muy típicos en la cavidad bucal de una mujer embarazada 15,27,33 .…”

Oral mucosal lesions in pregnant women: A population‐based study

“…Pregnancy is a period of increased vulnerability, involving significant changes in the psychological, social and biological aspects of a person. These changes can, for instance, predispose women to caries and periodontitis (Figuero et al, 2013; Hartnett et al, 2016; Thomaz et al, 2015). Also, hormonal changes, such as high levels of oestrogen and progesterone, are capable of augmenting the inflammation levels and predispose the development of OMLs in these women (Cardoso et al, 2013; Figuero et al, 2013; Ramos‐e‐Silva et al, 2016).…”