[Relationship between the preterm low birth weight infant and the periodontal pathogen bacteria in maternal saliva]

Zhi-bin Chen1, Lu He, Jun Kang

  • 1Department of Periodontology, Peking University School & Hospital of Stomatology, Beijing 100081, China.

Insights

Maternal saliva analysis revealed higher levels of Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), and Treponema Denticola (Td) in mothers of preterm and/or low birth weight (PLBW) infants. Pg detection specifically showed a potential link to PLBW outcomes.

Area of Science:

  • Microbiology
  • Periodontology
  • Obstetrics

Background:

  • The oral microbiome composition in mothers may influence pregnancy outcomes.
  • Specific anaerobic bacteria have been implicated in various health conditions.

Purpose of the Study:

  • To explore the association between maternal salivary levels of Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), and Treponema Denticola (Td) and preterm and/or low birth weight (PLBW) infants.

Main Methods:

  • A retrospective case-control study involving 110 mothers (72 PLBW, 38 NBW) from Beijing hospitals.
  • Saliva samples were analyzed using PCR for the presence of Pg, Tf, and Td.
  • Periodontal parameters including plaque index, probing depth, bleeding index, and clinical attachment loss were assessed.

Main Results:

  • Significantly higher clinical attachment loss (CAL) was observed in the PLBW group compared to the NBW group.
  • Porphyromonas gingivalis (Pg) was detected at higher rates in the PLBW group (94.4%) versus the NBW group (78.9%).
  • Pg-positive mothers exhibited poorer periodontal health and lower infant birth weights compared to Pg-negative mothers.

Conclusions:

  • Elevated levels of Pg, Tf, and Td were found in the saliva of mothers with both PLBW and normal birth weight infants.
  • The presence of Porphyromonas gingivalis (Pg) in maternal saliva is suggested to be associated with preterm and/or low birth weight outcomes.
Abstract

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