Preterm birth associated with periodontal and dental indicators: a pilot case-control study in a developing country

María De Lourdes Márquez-Corona1, Aldo Tellez-Girón-Valdez1, América Patricia Pontigo-Loyola1

  • 1Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca, Mexico.

Insights

Poor oral health, including gingivitis, periodontitis, and tooth loss, is linked to an increased risk of preterm delivery in pregnant women. Maintaining good oral hygiene during pregnancy is crucial for preventing adverse birth outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Periodontology
  • Public Health

Background:

  • Preterm delivery is a significant global health concern with multifactorial causes.
  • Emerging evidence links maternal oral health conditions, such as periodontal disease and tooth loss, to adverse pregnancy outcomes.
  • This study investigates the relationship between oral health indicators and preterm birth in Mexican pregnant women.

Purpose of the Study:

  • To explore the association between various oral health indicators and the incidence of preterm delivery.
  • To identify specific oral health issues that may increase the risk of preterm birth among pregnant women.
  • To provide evidence supporting the importance of oral health interventions during prenatal care.

Main Methods:

  • A case-control study involving 111 pregnant women (36 cases, 75 controls) in Pachuca, Mexico.
  • Data collected through clinical file reviews, focusing on preterm delivery as the dependent variable.
  • Independent variables included gingivitis, periodontitis, DMFT index, decayed teeth, maternal age, education, substance use, parity, and newborn sex.

Main Results:

  • No significant age differences were found between cases and controls.
  • Significant associations were observed between preterm delivery and gingivitis (p < .01) and periodontitis (p < .001).
  • Increased severity of gingivitis and periodontitis correlated with a higher percentage of preterm deliveries. Tooth loss was also significantly higher in the preterm delivery group (p < .05).

Conclusions:

  • Gingivitis, periodontitis, and tooth loss are significantly associated with preterm delivery.
  • Interventions to preserve oral health in pregnant patients are essential for preventing adverse pregnancy outcomes.
  • Further large-scale, well-designed studies are needed to confirm these associations.

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