Severe Odontogenic Infections during Pregnancy and Related Adverse Outcomes. Case Report and Systematic Literature Review

Pucci, Resi; Cassoni, Andrea; Carlo, Daniele Di; Monaca, Marco Della; Romeo, Umberto; Valentini, Valentino

doi:10.3390/tropicalmed6020106

Cited by 8 publications

(16 citation statements)

References 32 publications

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“…With low doses of radiation (ALARA as low as reasonably achievable) [ 63 , 64 ] and additional safety measures such as lead aprons and thyroid collars, dental radiographs are considered safe for all stages during pregnancy [ 65 ]. Not being adequately informed about the safety of dental treatments, pregnant women may choose to postpone receiving dental care until after delivery without knowing the adverse effects of untreated oral conditions such as odontogenic infection [ 66 ].…”

Section: Discussionmentioning

confidence: 99%

Unfavourable beliefs about oral health and safety of dental care during pregnancy: a systematic review

Kamalabadi,

Campbell,

Zitoun

et al. 2023

BMC Oral Health

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Background Oral conditions such as gingivitis and periodontitis are correlated with adverse pregnancy outcomes such as preeclampsia, preterm birth and low birth weight. Oral health-related unfavourable beliefs can have negative influences on oral health behaviours including hesitation in accessing preventative dental treatments and dental service utilization. The objective of this systematic review was to examine unfavourable beliefs that expectant or new mothers frequently hold about oral health and the safety of dental care during pregnancy. Methods An electronic database search on PubMed, Scopus, CINAHL, and MEDLINE (Ovid) followed by forward and backward citation tracing of the included studies was conducted. All English primary studies regardless of the year of publication were independently screened by two reviewers to identify studies addressing unfavourable beliefs about oral health and dental care during pregnancy. The CLARITY tool was applied to assess the risk of bias in the included studies. Results Out of a total of 5766 records, 39 quantitative and six qualitative studies met the inclusion criteria. The commonly held unfavourable beliefs were regarding the safety of dental services utilization and dental treatment procedures, the adverse impacts of pregnancy on oral health, and oral hygiene necessity during pregnancy. The most discussed unfavourable beliefs included “pregnant women lose their teeth because of pregnancy” (n = 18), “dental treatments are not safe and harm the fetus” (n = 17), and “the developing baby absorbs calcium from the mother’s teeth” (n = 14). Conclusions Unfavourable beliefs about oral health and dental care utilization are common among pregnant women and new mothers. The literature suggests that a low level of oral health knowledge and seeking information from social networks can contribute to such beliefs. This has implications for health promotion.

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Section: Discussionmentioning

confidence: 99%

Unfavourable beliefs about oral health and safety of dental care during pregnancy: a systematic review

Kamalabadi,

Campbell,

Zitoun

et al. 2023

BMC Oral Health

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“…From our results, 5.5% of patients are pregnant. For Pucci Resi et al [24], odontogenic infections have potentially harmful effects on pregnant women and therefore on fetal development. Of these odontogenic affections, it was counted: cervico-facial cellulitis in 30% of cases, Ludwig's angina in 27.5%, abscess (submandibular and submental) in 23.2%, deep cervical suppuration complicated by mediastinitis in 17.8% and cerebral abscess in 1.5%.…”

Section: Discussionmentioning

confidence: 99%

Diffuse Cervico-Facial Cellulitis: Epidemiological, Diagnostic and Therapeutic Aspects at the Teaching Hospital CNHU HKM of Cotonou

Vodouhe¹,

Gouda²,

Zounon³

et al. 2022

IJOHNS

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Purpose of the work: to study the epidemiological, clinical and therapeutic aspects of diffuse cervico-facial cellulitis collected within the ENT-CCF surgery department of the CNHU of Cotonou. Materials and method: the study was a descriptive retrospective carried out from January 1 st , 2018 to December 31 st , 2020. It concerned new cases of diffuse cervico-facial cellulitis identified during the period. Results: in 3 years, 55 cases of diffuse cervico-facial cellulitis were identified out of 1101 hospitalized patients. The frequency was 4.99%. Per year, 18 cases of cervico-facial cellulitis are recorded. The mean age of the patients was 41.3 years with extremes of 15 years and 85 years. A clear male predominance was noted with a sex ratio of 1.29. Painful cervico-facial swelling was the most common reason for medical consultation (47 patients or 85.5% of cases). Thirty patients (54.5%) showed a deterioration in general condition. Several clinical forms of diffuse cervico-facial cellulitis have been described, in particular the gangrenous form, the suppurative, necrotizing form and LUDWIG's angina. The portal of entry was dental in 50 patients (91% of cases), favored by poor oral hygiene and self-medication with non-steroidal anti-inflammatory drugs (NSAIDs). The medico-surgical treatment implemented was favorable for 47 patients (85.5%). Conclusion: Diffuse cervico-facial cellulitis remains a frequent medical-surgical emergency in the CCF ENT department at the Teaching Hospital of Cotonou. Mainly of odontogenic origin, it is encountered in different clinical forms.

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“…Moreover, periodontal microvascularization can be caused by estradiol. These changes in oral tissues lead to a transition toward a more anaerobic flora ( Pucci et al, 2021 ), which favors the growth of periodontal pathogens.…”

Section: Pregnancy Alters the Progression Of Periodontal Diseasesmentioning

confidence: 99%

The bidirectional relationship between periodontal disease and pregnancy via the interaction of oral microorganisms, hormone and immune response

Wen

Fu²,

Zhao³

et al. 2023

Front. Microbiol.

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Periodontal disease has been suggested to be linked to adverse pregnancy outcomes such as preterm birth, low birth weight, and preeclampsia. Adverse pregnancy outcomes are a significant public health issue with important clinical and societal repercussions. This article systematically reviews the available epidemiological studies involving the relationship between periodontal disease and adverse pregnancy outcomes over the past 15 years, and finds a weak but independent association between adverse pregnancy outcomes and periodontal disease. The bidirectional association and the potential mechanisms are then explored, focusing on three possible mechanisms: inflammatory reaction, oral microorganisms and immune response. Specifically, elevated systemic inflammation and increased periodontal pathogens with their toxic products, along with a relatively suppressed immune system may lead to the disruption of homeostasis within fetal-placental unit and thus induce adverse pregnancy outcomes. This review also explains the possible mechanisms around why women are more susceptible to periodontal disease. In conclusion, pregnant women are more likely to develop periodontal disease due to hormonal changes, and periodontal disease has also been suspected to increase the incidence of adverse pregnancy outcomes. Therefore, in order to lessen the risk of adverse pregnancy outcomes, both obstetricians and dentists should pay attention to the development of periodontal diseases among women during pregnancy.

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Severe Odontogenic Infections during Pregnancy and Related Adverse Outcomes. Case Report and Systematic Literature Review

Cited by 8 publications

References 32 publications

Unfavourable beliefs about oral health and safety of dental care during pregnancy: a systematic review

Unfavourable beliefs about oral health and safety of dental care during pregnancy: a systematic review

Diffuse Cervico-Facial Cellulitis: Epidemiological, Diagnostic and Therapeutic Aspects at the Teaching Hospital CNHU HKM of Cotonou

The bidirectional relationship between periodontal disease and pregnancy via the interaction of oral microorganisms, hormone and immune response

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