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[Pregnancy and periodontal disease--is there a relation?]
Y Mayer1, L Levin, O Oettinger-Barak
1Unit of Periodontology, Dept. of Oral and Dental Sciences, Rambam Medical Center, Haifa, Israel.
Insights
Periodontal disease may increase risks for pregnancy complications like low birth weight and pre-term delivery. Careful dental care during pregnancy is recommended to mitigate these risks.
Area of Science:
- Obstetrics and Gynecology
- Periodontology
- Public Health
Context:
- Pregnancy complications, including low birth weight, pre-term delivery, and pre-eclampsia, remain significant global health concerns.
- Emerging research suggests a potential link between periodontal disease and various systemic disorders.
- The association between maternal periodontal health and obstetric outcomes is under increasing investigation.
Purpose:
- To review existing literature on the impact of periodontal status on pregnancy outcomes.
- To evaluate the influence of periodontal treatment on pregnancy complications.
- To identify gaps in current research regarding this association.
Summary:
- The review examines the relationship between periodontal disease and adverse pregnancy outcomes such as low birth weight, pre-term birth, and pre-eclampsia.
- Evidence suggests a potential link, but results are often inconclusive, necessitating further research.
- The study highlights the need to understand population-specific differences and the precise mechanisms involved.
Impact:
- Highlights the importance of periodontal health during pregnancy.
- Suggests that proactive periodontal diagnosis and treatment before and during gestation may improve pregnancy outcomes.
- Underscores the need for further research to clarify the association and guide clinical practice.
Abstract:
Pregnancy complications, especially low birth weight (defined as birth weight less than 2.500 kilograms (kg)), pre-term delivery (less than 37 weeks) and pre-ecclampsia (elevated maternal blood pressure), continue to be a significant public health issue in both developed and developing countries. Recent data indicate that periodontal disease might confer risk for several systemic disorders. The relationship between periodontal diseases in pregnancy and obstetric complications has been increasingly investigated, showing inconclusive results. The purpose of this study is to review the current literature regarding the influence of periodontal status on pregnancy outcome, including the effect of periodontal treatment. Further research in this area is required, particularly with respect to the effect of population differences on this potential association between periodontal diseases and pregnancy complications as well as on the exact mechanism of this association. Since pregnancy tends to influence periodontal status, and considering the potential reported relation between periodontal disease and pregnancy complications, careful periodontal diagnosis and treatment before as well as during pregnancy is warranted.
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