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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
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[Periodontal diseases and complicated pregnancy].
I M Makeeva1, A A Ignatko1, A A Churganova1
1I.M. Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia.
Stomatologiia
|March 5, 2019
Summary
Periodontal disease and other oral infections in pregnant women are linked to adverse pregnancy outcomes like premature birth and low birth weight. Early dental care and education are crucial for healthier pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Periodontology
- Public Health
Background:
- Oral health is increasingly recognized as a critical component of overall maternal health.
- Dental diseases during pregnancy can have systemic implications, affecting both mother and fetus.
Purpose of the Study:
- To investigate the impact of dental diseases, particularly periodontal disease, on pregnancy outcomes.
- To assess the association between periodontal disease and adverse outcomes such as low birth weight and premature birth.
Main Methods:
- A comprehensive literature review of domestic and international studies published in Pubmed and Elibrary over the last 15 years.
- Analysis of data focusing on the relationship between oral microorganisms, inflammatory markers, and fetal development.
Main Results:
- A significant correlation exists between untreated oral diseases in pregnant women and unfavorable pregnancy outcomes.
- Periodontal disease contributes to fetal weight reduction (15-18%) through chronic inflammation mediated by microorganisms like Porphyromonas gingivalis and Fusobacterium nudeatum, and elevated levels of prostaglandin E2 (PGE2) and tumor necrosis factor (TNF-α).
Conclusions:
- Periodontal diseases and other oral infections adversely affect pregnancy course and outcomes.
- Inadequate maternal health education regarding oral hygiene, lack of timely dental care, and insufficient preventive measures contribute to these negative outcomes.
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