Gaps in Knowledge About the Association Between Maternal Periodontitis and Adverse Obstetric Outcomes: An Umbrella Review

Vivares-Builes, Annie Marcela; Rangel-Rincón, Leidy Johana; Botero, Javier Enrique; Agudelo‐Suárez, Andrés A.

doi:10.1016/j.jebdp.2017.07.006

Cited by 30 publications

(31 citation statements)

References 128 publications

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“…Growing evidence supports a relationship between PD and female infertility related conditions, namely polycystic ovary syndrome (PCOS) [ 22 , 23 , 25 , 26 , 27 , 28 , 47 , 48 , 49 , 50 , 51 ], endometriosis [ 29 , 30 ] and obesity [ 52 , 53 , 54 , 55 , 56 ]. Furthermore, recent studies have substantiated the relationship between maternal PD as a potential risk factor of adverse pregnancy outcomes [ 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ]. Periodontal therapy may prevent or reduce perinatal and maternal morbidity and mortality, especially in mothers at high risk [ 65 , 66 ], though a Cochrane review reported unclear evidence that periodontal treatment during pregnancy has an impact on preterm birth [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

“…Periodontal therapy may prevent or reduce perinatal and maternal morbidity and mortality, especially in mothers at high risk [ 65 , 66 ], though a Cochrane review reported unclear evidence that periodontal treatment during pregnancy has an impact on preterm birth [ 67 ]. However, it should be noted that the discrepancy of periodontal case definitions influence the association of PD with adverse pregnancy outcomes [ 61 ]. Overall, we anticipate that periodontal appointments might be important for prenatal care to possibly increase fertility success and avoid adverse pregnancy outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Comparisons of Periodontal Status between Females Referenced for Fertility Treatment and Fertile Counterparts: A Pilot Case–Control Study

Machado

Botelho

Proença³

et al. 2020

IJERPH

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Studies investigating the periodontal status of women seeking fertility treatment have never been conducted. The purpose of this pilot study was to compare the periodontal status among females referenced to a Fertility Clinic (FC) when compared to matched females from a representative regional epidemiological sample. Our secondary aims were to investigate if periodontal clinical measures differ between these two groups of females and how they impact on oral health-related quality of life (OHRQoL). We enrolled 18 women from an FC and 18 age, race and body mass index matched controls from the epidemiological survey Study of Periodontal Health in Almada-Seixal (SoPHiAS). In each subject, we performed a circumferential periodontal inspection to infer the periodontal status and applied a questionnaire measuring OHRQoL. FC females presented higher levels of periodontal disease, with higher periodontal epithelial surface area, periodontal probing depth and clinical attachment loss. However, periodontal diseases did not impact OHRQoL in this particular group of women seeking fertility care, suggesting unawareness about periodontal diseases. Within the limitations of this study, females referenced for fertility treatment presented worse periodontal measures than females from a representative control sample. These preliminary results may support future prospective studies to further explore the periodontal status and possible consequences in women seeking fertility care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparisons of Periodontal Status between Females Referenced for Fertility Treatment and Fertile Counterparts: A Pilot Case–Control Study

Machado

Botelho

Proença³

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Apart from this, increased adverse pregnancy outcomes (APO), mainly the risk of preterm birth and low birthweight are linked to periodontitis [18]. Moreover, pregnancy complications, preeclampsia [19] and gestational diabetes mellitus [20] also show association with periodontitis. Presently, according to available evidence, there is a positive association between periodontal disease and oral cancers [21].…”

Section: Introductionmentioning

confidence: 99%

“…Establishing good communication between dentists and physicians is important to promote health and to avoid serious complications [32]. This interdisciplinary interaction is essential in clinical counselling, health education, and disease prevention, mainly because periodontitis is a preventable and treatable condition, hence, it lowers the financial impact on healthcare systems and improves the quality of life [19,33]. As a result, some professional bodies have published guidelines and also some accreditation bodies have included interdisciplinary interaction in their revised standards [34].…”

Section: Introductionmentioning

confidence: 99%

Awareness of the Relationship between Systemic and Periodontal Diseases among Physicians and Dentists in Saudi Arabia and Kuwait: Cross-sectional Study

Sharrad¹,

Said²,

Farook³

et al. 2019

TODENTJ

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Background: Previous studies have shown possible association between periodontal diseases and Diabetes Mellitus (DM), Cardiovascular Disease (CVD) and Adverse Pregnancy Outcomes (APO). Increasing the knowledge of physicians and dentists regarding the association between periodontal disease and systemic diseases should improve their ability to provide a high standard of treatment for the disease and prevent its consequences. In our study, we sought to identify knowledge gaps in the awareness of the relationship between systemic and periodontal diseases among dentists and physicians from the Kingdom of Saudi Arabia and the State of Kuwait. Methods: A cross-sectional study was performed with a convenient sample of selected physicians and dentists in Saudi Arabia and Kuwait using a self-developed structured questionnaire. Physicians’ and dentists’ awareness were assessed regarding current evidence of the relationship between systemic diseases and conditions (DM, CVD, APO) and periodontal diseases. Results: A total of 134 (21.5%) of the identified physicians and 485 (78%) of the identified dentists participated in this study. More than half of the participants (52.1% physicians and 67.5% dentists) agreed that there is a relationship between periodontal diseases and DM, CVD and APO. Dentists had a statistically higher level of awareness compared with the physicians. The findings related to the awareness of the dentist sub groups highlighted that periodontists were significantly more likely to have a good level of knowledge. Conclusion: Within the limitations of this study, we concluded that the awareness of physicians and dentists regarding the relationship between periodontal diseases and systemic diseases (DM, CVD, APO) is generally low, Therefore, improved collaboration between medical and dental health providers is recommended.

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“…Because of the conflicting results in this regard, the present case-control study was conducted on 100 pregnant women with pregnancy-induced hypertension and 100 pregnant women with normal blood pressure; we compared different periodontal disease measurements between preeclamptic women and normotensive controls and found that periodontal disease is not associated with preeclampsia. Numerous factors may lead to conflicting results among different studies; for example, the differences in the studied populations (such as racial differences), various study designs, using different criteria for defining periodontal diseases, failing to provide a clear definition of preeclamptic patients, failing to determine the severity of the disease, major differences in the inclusion and exclusion criteria, and the number of the participants [42]. In the study by Cota et al [43], which its results are inconsistent with that of the present study, the studied groups were not matched in terms of the confounding variables related to the incidence of preeclampsia, such as smoking and alcohol consumption, the number of children, the number of abortions, and interpregnancy intervals.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Association Between Maternal Periodontal Health and Preeclampsia

Ahmadi

Lor²,

Sayar

et al. 2018

J Islam Dent Assoc Iran

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Background and Aim: Preeclampsia is a considerable complication of pregnancy. Chronic inflammations such as periodontitis may lead to a transient low-grade bacteremia in the maternal-fetal circulation, inducing systemic immune responses, placental abnormalities, and other clinical manifestations of preeclampsia. There are inconsistent findings regarding the correlation between periodontitis and preeclampsia. The aim of this study was to compare periodontal parameters in preeclamptic and normotensive pregnant women. Materials and Methods: This case-control study was conducted among pregnant women visiting Akbarabadi Teaching Hospital, Tehran, Iran, for specialized care during 2015-16. From among 260 pregnant women, 100 with gestational hypertension were selected as the case group, and 100 without gestational hypertension were recruited as the control group. The examined periodontal parameters included Probing Depth (PD), Clinical Attachment Loss (CAL), Bleeding on Probing (BOP), and Plaque Control Record (PCR). The participants' demographic data, prenatal history, and family history were collected through interviewing and assessing their medical records. Data were analyzed by Mann-Whitney U test. Results: Although there were significant statistical differences between the groups with regards to the mean ± standard deviation (SD) of PD (P<0.0001), CAL (P<0.0001), PCR (P=0.001), and BOP (P=0.016) indices, yet the differences were clinically smaller than 0.3 mm and could not be measured with a periodontal probe. Also, the percentage of periodontal diseases was 98% in preeclamptic women and 93% in normotensive women (P=0.17). Conclusion: The present study did not support the theory of the relationship between periodontal parameters and preeclampsia.

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Gaps in Knowledge About the Association Between Maternal Periodontitis and Adverse Obstetric Outcomes: An Umbrella Review

Cited by 30 publications

References 128 publications

Comparisons of Periodontal Status between Females Referenced for Fertility Treatment and Fertile Counterparts: A Pilot Case–Control Study

Comparisons of Periodontal Status between Females Referenced for Fertility Treatment and Fertile Counterparts: A Pilot Case–Control Study

Awareness of the Relationship between Systemic and Periodontal Diseases among Physicians and Dentists in Saudi Arabia and Kuwait: Cross-sectional Study

Evaluation of the Association Between Maternal Periodontal Health and Preeclampsia

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