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Effect of oral diseases on mothers giving birth to preterm infants
Soukaina Ryalat1, Faleh Sawair, Zaid Baqain
1Department of Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Periodontology, Faculty of Dentistry, University of Jordan, Amman, Jordan. salryalat@yahoo.com
Insights
Maternal oral diseases like higher DMFT scores and poor oral hygiene are linked to preterm birth (PTB). Regular dental checkups before and during pregnancy may reduce PTB risk.
Area of Science:
- Obstetrics and Gynecology
- Periodontology
- Public Health
Background:
- Preterm birth (PTB) remains a significant global health concern with multifactorial causes.
- Emerging evidence suggests a potential link between maternal oral health and pregnancy outcomes.
- Understanding this association can inform preventive strategies for both oral and reproductive health.
Purpose of the Study:
- To investigate the association between maternal oral diseases and the incidence of preterm birth.
- To identify specific oral health indicators that may predict the risk of preterm delivery.
Main Methods:
- A prospective study involving 100 mothers of preterm infants and 100 mothers of full-term infants.
- Data collection included maternal demographic information, oral examinations, and dental indices (DMFT, plaque, tooth mobility).
- Univariate and multivariate logistic regression analyses were employed to assess risk factors.
Main Results:
- Higher Decayed, Missing, Filled Teeth (DMFT) index scores were significantly associated with preterm birth.
- Elevated Silness and Loe plaque index and Mühlemann tooth mobility index scores were also linked to PTB.
- Mothers lacking pre-pregnancy dental checkups and those with fewer dental visits during pregnancy had a higher incidence of PTB.
Conclusions:
- Maternal oral health status, particularly a healthy periodontium, serves as a reliable indicator for predicting safe pregnancy outcomes.
- Promoting regular dental care before and during pregnancy may contribute to reducing the incidence of preterm birth.
Objectives:
To determine the association between preterm birth (PTB) and maternal oral diseases during pregnancy.
Subjects And Methods:
This prospective study was performed by the neonatal and dental departments at Jordan University Hospital. The study included 100 women who gave birth to preterm singleton infants (born less than 37 complete weeks from last menstrual period) between January and July 2009. The control group included an equal number of women who delivered singleton, full-term infants on the same day or the day after the women in the study. The mothers' demographic data were collected using a questionnaire, and an oral examination was conducted for each participant. Statistical analysis was performed using SPSS for Windows release 16.0 (SPSS Inc., Chicago, Ill., USA). Factors related to PTB were studied in univariate and multivariate logistic regression analyses.
Results:
Significantly higher DMFT (decayed, missing, filled teeth) index scores, Silness and Loe plaque index scores and Mühlemann tooth mobility index scores were associated with PTB. Mothers who did not have prepregnancy dental checkups had a significantly higher incidence of PTB. Fewer mothers in the PTB group visited dentists during their last pregnancy compared with controls.
Conclusions:
Oral health, especially healthy periodontium, is one reliable indicator for predicting a safe pregnancy outcome.
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